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Tectonic’s lead program, TX45, is a Fc-relaxin fusion protein targeting the relaxin receptor for Group 2 pulmonary hypertension. Interim Phase 1b results showed a 17.9% reduction in pulmonary capillary wedge pressure and >30% reduction in pulmonary vascular resistance among patients with more severe disease. The company is advancing to Part B of its Phase 1b trial and has initiated a Phase 2 APEX trial. Another candidate, TX2100, targets HHT and is expected to enter clinical trials by late 2025 or early 2026.
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