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.