Table 1.
FDA-approved RNA therapeutics for the treatment of human diseases in chronological order, adapted from [21,22].
| Drug Name | Drug Class | Brand Name | Company | Target Disease | Mechanism of Action | Year of Approval | Current Status |
|---|---|---|---|---|---|---|---|
| Fomivirsen | ASO | Vitravene | Novartis | Cytomegalovirus retinitis | Binds to and blocks translation of IE2 mRNA. | 1998 | Withdrawn due to decreased need |
| Pegaptanib | Aptamer | Macugen | OSI Pharmaceuticals | Age-related macular degeneration (wet type) | Binds to and blocks the 165 isoform of VEGF. | 2004 | Continuous |
| Mipomersen | ASO | Kynamro | Genzyme Corporation | Homozygous familial hypercholesterolemia | Binds to ApoB mRNA and induces its degradation by RNase H. | 2013 | Discontinued due to side effects |
| Nusinersen | ASO | Spinraza | Cold Spring Harbor Laboratory and Ionis Pharmaceuticals | Spinal muscular atrophy | Binds to SMN2 mRNA and alters its splicing. | 2016 | Continuous |
| Eteplirsen | ASO | Exondys 51 | Sarepta Therapeutics, Inc. | Duchenne muscular dystrophy | Binds to exon 51 and alters splicing of dystrophin pre-mRNA. | 2016 | Continuous |
| Patisiran | siRNA | Onpattro | Alnylam Pharmaceuticals Inc. | Polyneuropathy in patients with hereditary transthyretin-mediated amyloidosis. | Binds to transthyretin (TTR) mRNA to decrease hepatic production of TTR protein | 2018 | Continuous |
| Inotersen | ASO | Tegsedi | Ionis Pharmaceuticals | Nerve damage in adults with hereditary transthyretin-mediated amyloidosis. | Binds to TTR mRNA and induces its degradation by RNase H | 2018 | Continuous |
| Givosiran | siRNA | Givlaari | Alnylam Pharmaceuticals Inc. | Acute hepatic porphyria | Reduces the hepatic production of ALASI protein through interference with ALASI mRNA. | 2019 | Continuous |
| Golodirsen | ASO | Vyondys | Sarepta Therapeutics, Inc. | Duchenne muscular dystrophy | Binds to exon 53 of dystrophin pre-mRNA to alter splicing. | 2019 | Continuous |
Note: Antisense oligonucleotides (ASOs), small interfering RNAs (siRNAs).