GEXVal Completes FRAXA-DVI, Receives FDA Orphan Drug Designation, and Prepares for Phase 2a Trial

February 28, 2026
GEXVal’s office is located at Shonan iPark, a leading life sciences open innovation hub in Kanagawa, Japan.
GEXVal’s office is located at Shonan iPark, a leading life sciences open innovation hub in Kanagawa, Japan.

GEXVal Inc., a collaborator of FRAXA Research Foundation, has reached a significant milestone in its Fragile X syndrome (FXS) research program. The company has completed the FRAXA Drug Validation Initiative (FRAXA-DVI) program and received the full research report, marking an important step forward in the development of GXV-001, an investigational compound being studied for Fragile X syndrome.

Completion of the FRAXA-DVI Research Program

The FRAXA-DVI program for GXV-001 comprised three distinct research components, each designed to deepen the preclinical understanding of this investigational compound in the context of FXS.

The first component evaluated pharmacological activity across seven behavioral parameters using the Fmr1 knockout mouse model, a well-established preclinical model for FXS research. The second component examined the persistence of observed effects following treatment discontinuation. The third component assessed the effects of GXV-001 on dendritic spine density and morphology in pyramidal cells of the hippocampus — a brain region central to learning and memory — providing important insights into the neural structural dimensions of the research program.

In addition, GEXVal conducted comprehensive gene expression analyses of hippocampal tissue in collaboration with FRAXA-DVI. Using its proprietary data-driven pharmacoinformatics platform RePhaIND®, GEXVal applied these findings to further elucidate the multifaceted mechanism of action of GXV-001 and to strengthen the scientific rationale for continued development. These analyses are also being explored to inform the design of exploratory biomarkers for the planned Phase 2a trial.

The completion of this comprehensive research program represents a meaningful advancement in the preclinical understanding of GXV-001 as an investigational compound for FXS.

Toward Smarter Clinical Development: Translational Research and Biomarker Strategy

Translational research — the science of bridging preclinical findings to clinical application — has become increasingly recognized as a critical factor in improving the likelihood of success in clinical development. For rare diseases like FXS, where patient populations are small and trial design must be especially rigorous, the ability to identify meaningful, data-driven biomarkers can play an important role in guiding and interpreting clinical outcomes.

Building on the gene expression and preclinical data generated through the FRAXA-DVI collaboration, GEXVal is exploring the potential to incorporate exploratory biomarker assessments into its Phase 2a trial design. While the final design remains under consideration, this translational approach reflects GEXVal's commitment to evidence-based, scientifically informed development.

FDA Orphan Drug Designation

Based on the body of data accumulated through the FRAXA-DVI program and prior research, GXV-001 has received Orphan Drug Designation (ODD) from the U.S. Food and Drug Administration (FDA). This designation is granted to investigational compounds being studied for rare diseases and is intended to support research and development efforts — it does not constitute approval of safety or efficacy.

Advancing Toward Phase 2a Clinical Trials in Europe

Building on these preclinical findings and the FDA ODD, GEXVal is now preparing for a Phase 2a clinical trial in Europe. FRAXA continues to support GEXVal in this next development stage, including leveraging its research network to facilitate trial site selection and collaboration with the broader FXS research community.

How FRAXA-DVI Drives Promising Compounds Toward Clinical Trials

The completion of the FRAXA-DVI program for GXV-001 illustrates how FRAXA's targeted research initiatives translate preclinical research into a foundation for clinical development. FRAXA remains committed to accelerating the progression of investigational compounds for FXS, with the goal of bringing meaningful options to families as quickly as possible.

A Message to Families Living with Fragile X Syndrome

GEXVal is committed to reaching patients and their families with new options as soon as possible. The company continues to advance its clinical development program while pursuing the necessary funding to support this work. Progress of this kind — built on rigorous science and collaborative partnerships — reflects what the FXS community can achieve together.

FRAXA is proud to stand alongside partners like GEXVal on this journey, and we look forward to sharing further updates as the research program progresses. Fragile X syndrome affects families worldwide, and progress will require a truly global effort, from translational research to well-designed clinical trials across multiple countries. FRAXA is committed to helping drive that collaboration so promising programs can move forward as efficiently as possible.

About GEXVal, Inc.

GEXVal strives to create and develop innovative pharmaceuticals for unmet medical needs, ensuring Treatment Reaches the Unreached with focus on rare diseases and underserved medical conditions. By leveraging our proprietary AI-powered pharmacoinformatics technology, we illuminate paths to breakthrough therapies, identifying hidden potential in drug candidates to deliver life-changing medicines that bring new hope to patients and their families.

About FRAXA Research Foundation

FRAXA Research Foundation (FRAXA) is a national nonprofit organization founded in 1994 by parents to find effective treatments and ultimately a cure for Fragile X syndrome. FRAXA has funded over $38.5 million in research grants and fellowships at top universities around the world and partners with biotech and pharmaceutical companies to bridge the gap between research discoveries and actual treatments. In addition, FRAXA convenes the global Fragile X community through World Fragile X Day (July 22), a worldwide landmark illumination initiative launched by FRAXA to raise awareness and highlight research progress.