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BEAM-302 (AATD)

by Beam TherapeuticsUS

PilotStage 3 of 5

Early trial with a large key group dosing since Jul 2026.

Updated 8 Sep 2026Checked 25 Sep0 updates this week

Milestones

Next · Finish key group for a fast-track FDA filing
  1. First patient dosed in Phase 1/22024Complete.
  2. First data: first fix of a disease typo in patients10 Mar 2025Complete.
  3. Key trial group (~50 patients) first dosedJul 2026Complete.
  4. Updated data at ERS Congress 20268 Sep 2026Complete.
  5. Finish key group for a fast-track FDA filingNowCurrent milestone.

Most important updates

  • 8 Sep 2026
  • Jul 2026
  • 7 May 2026
  • 10 Mar 2025

Current obstacles

  • Proving it helps patientsFast-track approval rests on protein levels over 12 months; proving lung and liver benefit takes far longer.

Physics limits

  • Base editors can only make certain letter swapsThey chemically turn C into T or A into G (and the matching pair): 4 of the 12 possible single-letter changes. They also act on nearby look-alike letters in a ~5-letter window.
  • Fat-bubble delivery mostly reaches the liverIn the blood, lipid nanoparticles pick up a protein (ApoE) that liver cells absorb. That makes the liver easy to edit, but most other organs (brain, muscle, lungs) remain hard to reach with enough dose.
  • Edits in the body are permanent and can't be recalledOnce liver cells are edited, the change lasts for life and is copied as cells renew. Any off-target cut or unexpected long-term effect can't be undone, so safety must be proven over years.

How it works

3 parts
Liver cells packed with stuck alpha-1 antitrypsin (pink-red globules): the misfolded protein BEAM-302's one-letter fix targets
Liver cells packed with stuck alpha-1 antitrypsin (pink-red globules): the misfolded protein BEAM-302's one-letter fix targetsPhoto: Alexquaas · CC BY-SA 4.0 (opens commons.wikimedia.org)
Deliver

Fat bubbles to the liver

Lipid nanoparticles carry mRNA for a base editor and a guide RNA into liver cells, where AAT protein is made.

Fix

Rewrite one letter

The base editor chemically changes the single wrong DNA letter (the 'Z' mutation in SERPINA1) back to normal, without cutting both DNA strands.

Effect

Protect lungs and liver

Corrected cells make working AAT that shields the lungs from enzyme damage, and stop making the misfolded form that clogs the liver.

Update log

4 updates

Tue 8 Sep

  • Minor: PressResearch

Jul 2026

  • Minor: PressTest

Thu 7 May

  • Minor: PressTest

Mon 10 Mar 2025

  • Major: PressTest

About Beam Therapeutics

The team behind BEAM-302 (AATD)

Beam Therapeutics

Base editing, AATD, sickle cell

Base-editing company built on David Liu's lab work. Base editors change one DNA letter into another without cutting the DNA, fixing single-letter typos. Leads: BEAM-302 for alpha-1 antitrypsin deficiency and risto-cel for sickle cell.

  • Mar 2025: BEAM-302 made the first-ever fix of a disease-causing DNA typo in patients, raising working AAT protein.
  • A ~50-patient key trial group of BEAM-302 began in Jul 2026, aiming at fast-track approval.
  • An FDA filing for risto-cel in sickle cell is planned as early as end of 2026.
Founded
20179 yrs
Headquarters
United States
Status
Public
Valuation
public
Works in
BiotechGene editing
Coverage
2 programs · 6 updateslatest 8 Sep 2026checked 25 Sep
Primer