’XTEN’ products offer improved safety potential over PEGylated products, because XTEN is degraded after uptake by cells, whereas PEG is not and can accumulate to form vacuoles in kidney cells.
XTEN products also offer improved safety potential over Fc fusions because XTEN, like PEG, has been shown to reduce the immunogenicity of the payload, whereas Fc fusions do not.
In addition, many XTEN products offer safety potential because their relatively steady serum concentration avoids the peak dose toxicity and high peak-to-trough concentration ratio that is generally blamed for most of the side effects.