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) |