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     Long Analysis Plan



    Endpoint Replicates and Dose Mapping for LXR623

    LXR623 has been tested in two distinct disease models with different dose ranges and endpoints. In SPG3A patient-derived iPSC neurons, a single dose of 1 ΞΌM rescued synaptic gene expression, synapsin density, calcium activity, axonal swellings, and apoptosis versus DMSO control, with multiple biological replicates (n=3 per group for several assays) across two ATL1 mutant lines (P342S, M408T) plus isogenic corrected and wild-type controls .

    In clear cell renal cell carcinoma (ccRCC), LXR623 was dose-mapped by IC50 viability assays: 569.3 nM in 786-O and 874.2 nM in ACHN cells, with selective sparing of non-malignant HK2 cells; RNA-seq at 0.1 ΞΌM for 48 h showed ABCA1/MYLIP upregulation and LDLR downregulation .

    ModelEndpointAssayDoseReplicates / nReported Outcome
    SPG3A iPSC neurons (ATL1-P342S, M408T)Synaptic rescueSynapsin density, calcium imaging, Caspase 3/7, axonal swelling1 ΞΌM vs DMSOn=3 per group (several assays); 2 patient lines + isogenic corrected + WT controlsRestored lipid/synaptic genes, synapsin clusters, calcium activity; fewer swellings; less apoptosis
    SPG3A iPSC astrocytesCholesterol effluxCholesterol efflux assayLXR623 (per study protocol)Multiple biological replicatesEfflux deficits mitigated
    ccRCC 786-OCell viability IC50CCK-8Dose-responseIn vitro assayIC50 = 569.3 nM
    ccRCC ACHNCell viability IC50CCK-8Dose-responseIn vitro assayIC50 = 874.2 nM
    ccRCC 786-O (transcriptome)Cholesterol transport genesRNA-seq0.1 ΞΌM, 48 hRNA-seq experimentABCA1 ↑, MYLIP ↑, LDLR ↓
    ccRCC 786-O / ACHNIntracellular cholesterolCholesterol content assayLXR623 treatmentTwo cell linesCholesterol decreased; exogenous cholesterol partially rescued viability

    Limitations: The SPG3A study used a single reported dose (1 ΞΌM) without a full dose-response curve, and relies on two patient lines with in vitro-only validation . The ccRCC study mapped doses via IC50 in only two cell lines and one in vivo drug (SR9243) in immunodeficient mice, so LXR623 in vivo dose mapping is missing; lipid-rescue experiments suggest resistance via compensatory uptake . Confidence: moderateβ€”values are as reported; missing full dose-response curves and replicate-level scatter for both studies.



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    Updated: October 27, 2026



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