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XL020 is a long-acting recombinant human growth hormone (hGH) analog being developed by XL-protein for the treatment of growth hormone deficiency. The drug is engineered using XL-protein's proprietary PASylation technology, which involves the genetic fusion of hGH with a bulky, hydrophilic, and uncharged polypeptide sequence consisting of Proline, Alanine, and Serine (PAS). This modification increases the protein's hydrodynamic volume, thereby reducing renal clearance and extending its plasma half-life. XL020 functions as an agonist of the growth hormone receptor (GHR), stimulating the production of insulin-like growth factor 1 (IGF-1) and promoting linear growth and metabolic regulation. It is currently in preclinical development as a potential long-acting alternative to daily hGH injections.
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