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. 2022 Nov 10;16(11):17802–17846. doi: 10.1021/acsnano.2c08774

Table 9. Highlighted Companies Working on Preclinical Therapeutic and Cosmetic Exosomes along with Their Summaries.

Company (location) Summary
Anjarium Biosciences (Switzerland) Anjarium is researching and developing precision exosome therapeutics. Their Hybridosome platform utilized nanotechnology and biochemistry to increase the efficiency of exosome loading with therapeutic cargo.457 Anjarium is looking to use its exosome-based therapy platform to treat cancers and rare genetic diseases.
Aruna Bio (USA) Aruna Bio is transforming treatment for neurological and neurodegenerative diseases. They utilize neural exosomes derived from neural stem cells that have CNS specificity and the ability to cross the BBB. Their candidate AB126 shows high uptake in the cerebellum and basal ganglia showing treatment potential for diseases such as stroke and neurodegenerative diseases.245 Their pipeline shows that AB126 can be loaded with different cargos including siRNA, ASO, progranulin, and tripeptidyl-peptidase 1.458
Capricor (USA) Capricor is developing multiple exosome platforms including cardiosphere-derived cell exosomes (CDC exosomes), engineered exosomes, and an exosome-based vaccine. They are currently researching the use of CDC exosomes for the treatment of Duchenne muscular dystrophy and engineered exosomes for RNA and protein delivery in trauma-related injuries and conditions in collaboration with the U.S. Army Institute of Surgical Research. They are also in preclinical trials for an exosome-based multivalent vaccine for COVID-19 and other infectious diseases.459
Carmine Therapeutics (USA) Carmine Therapeutics utilizes red blood cell exosomes.460 Their Red Cell EV Gene Therapy (REGENT) platform will be used to generate a pipeline of therapies for treatment of a wide range of diseases.461
EV Therapeutics (USA) EV Therapeutics is developing modified exosomes (mEVs) (miR-424i and miR-424 KO) in combination with an immune checkpoint inhibitor for treatment of metastatic colorectal cancer and other GI cancers.462 mTEV is a CD-28–CD80/86 costimulatory pathway technology platform that functions in combination with checkpoint inhibitors to enhance T-cell immunomodulation to prevent solid tumor cancer recurrence.463
Evora BioSciences (France) The EVOGEX therapeutic platform was developed by Evora. Their lead product EVOGEX-Digest aims to treat digestive fistula and improve patient outcomes.464
Evox (UK) Evox is an exosomal therapeutic company using its DeliverEX platform to deliver proteins and nucleic acids to treat a variety of rare diseases. Their internal program is researching rare metabolic disorders. They have partnered with Takeda to treat lysosomal storage disease and other undisclosed rare diseases. Evox has also recently partnered with Lilly to research neurological treatment.465
Exocel Bio (USA) Exocel utilizes placental MSC-derived exosomes for both skincare and hair care. Their products include the Evovex line called Evovex Restore, Evovex Revive, Evovex Renew, and Evovex Reveal.466 These products are used in conjunction with facial and scalp microneedling and energy-based aesthetic device treatments to enhance results and improve recovery time.467
ExoCoBio (Republic of Korea) ExoCoBio is focusing its research on stem-cell-derived exosomes to create both therapeutic and cosmetic products. They have developed ExoSCRT Exosome for the treatment of atopic dermatitis,468 irritable bowel syndrome, acute kidney injury, and alopecia.469 An immune-oncology drug based on exosomes derived from immune cells is also in their pipeline.
Exogenus Therapeutics (Portugal) Exogenus’s lead candidate Exo-101 is produced from umbilical cord blood mononuclear cells. It has been shown to have regenerative, anti-inflammatory, and immunomodulatory properties. Exo-101 is being investigated for treatment in inflammatory skin diseases such as psoriasis, inflammatory lung disorders such as COVID-19 ARDS,470 and chronic wound healing.471
Florica Therapeutics (USA) Florica Therapeutics aims to use hypothalamus stem-cell-derived exosome therapeutics to increase lifespan and deter neurological diseases of aging.472
Ilias Biologics (South Korea) Ilias developed the platform EXPLOR that allows the loading of proteins into exosomes in a more controlled manner than conventional passive loading.473 Ilias’ lead compound ILB-202 consists of an exosome loaded with an anti-inflammatory protein super-repressor IkB targeting both acute and chronic inflammatory diseases. This lowers the risk of an off-target effect by targeting core inflammation signals.474
Innocan Pharma (Israel) Innocan is a pharmaceutical company researching cannabidiol (CBD) drugs and enhancing their targeting due to its low bioavailability. Innocan is researching with Tel Aviv University the development of CBD-loaded exosomes to target inflammatory diseases and central nervous system diseases.475
Kimera Laboratories (USA) Kimera specializes in the use of perinatal MSC-derived exosome products for both cosmetics and scientific research.476 Their cosmetic products are XoGlo, XOGloPro, and Vive. They also produce a veterinarian wound healing agent called Equisome HC.477
MDimune (Republic of Korea) MDimmune developed a platform technology called BioDrone that uses cell-derived vesicles for targeted drug delivery.478 Their internal pipeline includes treatment for chronic obstructive pulmonary disease (COPD) and an undisclosed rare disease with therapeutics BDR-231 and BDR-331, respectively. They have partnered with Ildong, Kainos Medicine, and NeoCura for the treatment of cancer using various mRNAs and small molecules for cargo for therapeutic products BDR-165, BDR-166, and BDR-167. They are also partnered with Reyon for a vaccine with therapeutic BDR-761 and treatment of an undisclosed rare disease with therapeutic BDR-762 using mRNA as cargo.479
OmniSpirant (Ireland) OmniSpirant’s platform technology is based on inhalation and is very efficient at delivering cargos to treat respiratory diseases. The mucus penetrating exosomes will be used to develop a regenerative gene therapy for cystic fibrosis and other respiratory diseases.480
Regen Suppliers (USA) Regen Suppliers developed an exosome product called ReBellaXO, derived from umbilical stem cell tissue and Wharton’s jelly used for regenerative cosmetic procedures involving facial, hair, and sexual rejuvenation.481
Xollent (USA) Xollent is advancing a diversified pipeline of therapeutics including exosome therapeutics treating myocardial infarction through an intravenous patch, alopecia through a spray, and skin aging through a needle-free injection.482