YolTech Therapeutics, a prolific Chinese biotech that’s already begun testing four CRISPR gene editing therapies in small clinical studies, raised a $44.5 million Series B to test several more genetic medicines in humans and potentially begin its first Phase 3 trial later this year, it told
Endpoints News
in an exclusive interview.
The new round was led by the AstraZeneca-CICC Healthcare Investment Fund, a
$1 billion equity fund
established by the British pharma company and the China International Capital Corporation in 2019.
YolTech’s funding comes amidst soaring attention to Chinese biotech companies, and as
many US gene editing companies
have
cut staff
and
trimmed
once-sweeping pipelines. And while some US gene editing startups are just beginning — or still struggling — to test their first therapies in people, YolTech has wasted no time putting one experimental CRISPR therapy after another into clinical tests.
“If we wanted to survive, we had to move things quickly into the clinic,” YolTech co-founder and CEO Yuxuan Wu told Endpoints. “We showed the investors that gene editing can finally be translated to the clinical stage.”
YolTech’s Chief Technology Officer and co-founder Zi Jun Emma Wang said the new funding — which brings its total raised to $83 million — should support the 90-person company for the two or three years it will take to get its lead program through a Phase 3 trial.
That therapy, YOLT-201, uses CRISPR to edit a gene responsible for an inherited condition called transthyretin amyloidosis, or ATTR. The US biotechs Intellia Therapeutics and Regeneron Pharmaceuticals began their own
Phase 3 trial for the disease
last year. The US study could wrap up in the second half of 2027.
Wang told Endpoints that “it’s possible” YolTech will beat Intellia to pivotal data disclosure and approval, but downplayed that as a goal.
“We’re not trying to compete with Intellia,” she said. “We are focused on generating good safety and efficacy data in the clinic to provide patients, Chinese patients, access to a drug that could be still years away without us.”
Wu learned the ropes of CRISPR
as a postdoc at Boston Children’s Hospital before returning to China to start his own lab at East China Normal University in Shanghai in 2018. He also co-founded a startup, BRL Medicine, to develop a CRISPR therapy for beta-thalassemia.
BRL’s therapy required removing a patient’s cells and editing them in the lab. But Wu became convinced that such
ex vivo
editing would be too expensive for most Chinese patients. And in 2021, he was inspired by
data
from Intellia showing that a simple infusion could edit genes directly inside people’s bodies. A month later, he founded YolTech and teamed up with Wang, who had worked on mRNA delivery at Boston gene editing companies Tessera Therapeutics and Beam Therapeutics.
Soon after Wang moved back to China, Shanghai’s renewed Covid lockdown in the spring of 2022 threatened to stall progress. But the startup’s budding team lived at the company’s headquarters for several months to continue their lab work.
YolTech says it has developed its own lipid nanoparticles, scoured nature to find two million CRISPR proteins and used AI and protein engineering to assess billions of possible variants of those proteins to create its own proprietary tools for gene cutting, base editing and prime editing. While US companies have raised hundreds of millions for similar tasks, YolTech did it with a comparatively modest $17 million Series A in 2022, and a
$15 million extension
in 2023.
“China-based investors tend to be more pragmatic, more willing to give you money only after they’ve seen some large animal data, at least, or preferably a clinically-validated program,” Wang said. “It’s very hard to raise money with only
in vitro
data and a good story.”
K2 Venture Partners was a returning investor in the Series B, along with Grand Flight and Yunion Healthcare Ventures, both based in China, and Decheng Capital, which has offices in Shanghai, California and New York. New investors include Green Pine Capital Partners and Tianjin Venture Capital, both based in China.
Since
treating its first patient
with ATTR in December 2023, YolTech has expanded its pipeline to a dozen programs and brought three more into the clinic.
“The efficiency of this team is truly, truly impressive,” Yao Wu, a partner at K2 Venture Partners, one of YolTech’s early investors, told Endpoints. One reason is the salaries of PhD graduates are one-third to one-half the level paid in Boston or San Diego, she said. “Also, the hours are just longer.”
Another factor is that YolTech’s clinical programs all started as investigator-initiated studies, or IITs. These small trials are approved and overseen by Chinese hospitals, rather than the nation’s drug regulators, and give startups a quick way to glimpse the safety and potential efficacy of experimental cell and gene therapies.
They’ve also allowed the company to potentially leapfrog US competitors.
In January,
YolTech began an IIT
for an
in vivo
editing therapy designed to treat beta thalassemia and sickle cell disease through an infusion of lipid nanoparticles that target the bone marrow. While numerous US drugmakers are racing to develop their own
in vivo
therapies for these two diseases, none have said when they will begin clinical trials.
And in February, YolTech
announced
the first results from an IIT of a CRISPR therapy for primary hyperoxaluria 1— five months before Cambridge-based
Arbor Biotechnologies
dosed its first patient
. YolTech is now asking the FDA to let it jump straight into a pivotal study based on its IIT data, which would catapult it even further.
“We got good positive feedback, and because this is an ultra-rare disease, the trial size is manageable,” Wang said. YolTech has also begun an IIT for the genetic condition alpha-1 antitrypsin deficiency (AATD) and is preparing one for an
in vivo
CAR-T cell therapy
.
YolTech’s most advanced program uses CRISPR to break a gene, thereby reducing levels of the protein transthyretin, which causes problems for people with ATTR. It has already tested the treatment in about 25 patients in an IIT and Phase 1/2 studies with either the cardiac or nerve forms of the disease, but the company will focus on the rarer nerve form for a Phase 3.
“A large-scale cardiomyopathy trial was going to require a huge amount of resources,” Wang said. “We would rather work on other indications to show early proof-of-concept in the clinic.”
In a
press release
in March, YolTech said a single high dose reduced TTR protein by 90%, similar to data reported by Intellia. Wang said that more clinical data from the program and two others are under review at medical journals and could be published this year.
Wang said about half of the patients have been followed for at least one year, but she hopes this will be enough data to convince Chinese regulators to okay a Phase 3 — likely the country’s first for a CRISPR therapy.
She sees a big opportunity to make a one-time therapy that’s far more affordable than chronic treatments for ATTR, including Pfizer’s pill tafamidis, which
launched
with an annual cost of $225,000, and Alnylam’s siRNA drug
Amvuttra
, which costs $476,000 a year.
“That’s out of reach for most Chinese patients,” Wang said. “We did the math, and we are able to at least match tafamidis.”