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. 2023 Nov 17;14:1304342. doi: 10.3389/fphar.2023.1304342

TABLE 2.

Investigational antisense drugs.

Drug candidate NCT ID Chemistry Mechanism of action Target/organ Indication Route Company
Tominersen (RG6042) 2′-O-MOE-PS RNase H1 HTT mRNA/brain Huntington’s disease ITH Ionis
Casimersen PMO Exon skipping DMD exon 45/muscle DMD IV Sarepta
AKCEA-TTR-LRx 04136171 siRNA GalNAc RNAi TTR mRNA/liver ATTR with cardiomyopathy SC Ionis
QPI-1002 siRNA RNAi p53 mRNA/kidney Cardiac surgery/kidney delayed graft function/acute kidney injury IV Quark
Fitusiran/ALN-AT3 siRNA GalNAc RNAi Anti-thrombin mRNA/liver Haemophilia A and B SC Genzyme
Volanesorsen 2′-O-MOE-PS RNase H1 ApoC-III mRN/liver FCS/Lipoprotein Lipase Deficiency/Hyperlipo proteinemia type 1 SC Ionis
Alicaforsen PS RNase H1 ICAM1 mRNA/colon Pouchitis E Atlantic
Tivanisiran siRNA RNAi TRPV1/eye Dry eye syndrome IVT Sylentis
IONIS-TTR Rx 2′-O-MOE-PS RNAse H1 TTR mRNA/liver FAP/CS SC Ionis

Antisense drugs that showed promise in phase III, clinical trials 2′-O- MOE—2′-O-methoxyethyl, ALS—amyotrophic lateral sclerosis, ATTR—Transthyretin amyloidosis, DMD—Duchenne muscular dystrophy, E—Enema, Apo—Apolipoprotein, FAP—familial amyloid poly neuropathy, FCS—Familial chylomicronemia syndrome, GAlNAc—N-acetylgalactosamine, HTT—Huntingtin, ICAM—Intercellular adhesion molecule, ITH—Intrathecal, IV—Intravenous, IVT—intravitreal, PMO, Phosphorodiamidate morpholino; PS, Phosphorothioate, SC—Subcutaneous, siRNA—Small interfering RNA, SOD1 —Superoxide dismutase, TTR—Transthyretin, p53—Tumor protein, TRPV1—Transient Receptor Potential Vanilloid 1.