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ECUR-506 is an investigational in vivo gene editing therapy developed by iECURE in collaboration with Precision BioSciences for the treatment of neonatal-onset ornithine transcarbamylase (OTC) deficiency. The therapy utilizes a dual adeno-associated virus (AAVrh79) vector system to deliver two components: an ARCUS meganuclease (M2PCSK9) and a functional, codon-optimized OTC donor gene. The ARCUS nuclease is designed to create a targeted double-strand break at the *PCSK9* gene locus in hepatocytes, facilitating the stable insertion of the functional OTC gene. This approach aims to provide a durable, potentially curative treatment by restoring enzyme function in a manner that is resistant to dilution during hepatocyte proliferation in infants. ECUR-506 is currently being evaluated in the Phase 1/2/3 OTC-HOPE clinical trial.
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