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. 2023 Nov 16;10:1298441. doi: 10.3389/fmolb.2023.1298441

TABLE 1.

Examples of FDA approved and clinical trial of small molecules that bind to RNAs with applications in oncology and neurology (Childs-Disney et al., 2022).

Therapeutic area Associated disease Compound/institution RNA target Mode of action Stage of development Ref
Oncology Triple-negative breast cancer and chronic myelogenous leukaemia Zotatifin (eFT226)/eFFECTOR Therapeutics & Inception Therapeutics Polypurine sequences in the 5′UTR of a subset of oncogenic mRNAs Inhibits translation initiation by clamping eIF4A to polypurine RNA sequence in the 5′UTR Phase I–II clinical trial: NCT04092673 Ernst et al. (2020)
Neurology SMA Risdiplam/Roche and PTC Therapeutics SMN2 pre-mRNA exon 7–intron junction Promotes exon inclusion by stabilizing the binding of the splicing machinery FDA approved Ratni et al. (2018)
Neurology SMA Branaplam SMN2 pre-mRNA exon 7–intron junction Promotes exon inclusion by stabilizing the binding of the splicing machinery Phase I/II clinical trial (for SMA: NCT02268552; for HD: NCT05111249) Palacino et al. (2015)