Table 7 Approved small nucleic acid-based therapies

From: Landscape of small nucleic acid therapeutics: moving from the bench to the clinic as next-generation medicines

Target

Generic name

Brand name

Company

Mechanism

Delivery system/Chemistry

Delivery route

Disease

Approved

CMV IE2

Fomivirsen

Vitravene®

Novartis

ASO

2ʹ-deoxy

Intravitreal injection

CMV retinitis

1988 USA (Delist)

VEGF

Pegaptanib

Macugen®

Pfizer/Eyetech

Aptamer

Pegylated

Intravitreal injection

AMD

2004 USA (Delist)

ApoB-100

Mipomersen (delist)

Kynamro®

Kynamro

ASO

2ʹ-O-methoxyethyl

Subcutaneous injection

HoFH

2013 USA

DMD

Eteplirsen

Exondys 51®

Sarepta

ASO

PMO

Intravenous injection

DMD

2016 USA

SMN2

Nusinersen

Spinraza®

Biogen

ASO

2ʹ-O-methoxyethyl

Intravenous injection

SMA

2016 USA 2019 CN

TTR

Inotersen

Tegsedi®

Ionis Pharmaceuticals

ASO

2ʹ-O-methoxyethyl

Subcutaneous injection

hATTR

2018 USA 2018 EUR

TTR

Patisiran

Onpattro®

Alnylam

siRNA

LNP

Intravenous injection

hATTR

2018 USA 2018 EUR

ALAS1

Givosiran

Givlaari®

Alnylam

siRNA

GalNAc

Subcutaneous injection

AHP

2019 USA

DMD

Golodirsen

Vyondys 53®

Sarepta

ASO

PMO

Intravenous injection

DMD

2019 USA

ApoC-3

Volanesorsen

Waylivra®

Ionis Pharmaceuticals

ASO

2ʹ-O-methoxyethyl

Subcutaneous injection

FCS

2019 EUR

DMD

Viltolarsen

Viltepso®

Nippon Shinyaku Co

ASO

PMO

Intravenous injection

DMD

2020 USA 2020 JPN

HAO1

Lumasiran

Oxlumo®

Alnylam

siRNA

GalNAc

Subcutaneous injection

PH1

2020 USA 2020 EUR

PCSK9

Inclisiran

Leqvio®

Alnylam Novartis

siRNA

GalNAc

Subcutaneous injection

CVD

2020 EUR 2021 USA

DMD

Casimersen

Amondys45®

Sarepta

ASO

PMO

Intravenous injection

DMD

2021 USA

TTR

Vutrisiran

Amvuttra®

Alnylam

siRNA

GalNAc

Subcutaneous injection

hATTR

2022 USA

C5

Avacincaptad pegol

Izervay®

Iveric Bio

Aptamer

Naked

Intravitreal injection

GA

2023 USA

SOD1

Tofersen

Qalsody®

Biogen

ASO

Naked

Spinal cord injection

ALS

2023 USA

TTR

Eplontersen

Wainua®

Ionis Pharmaceuticals

ASO

GalNAc

Subcutaneous injection

hATTR

2023 USA

LDHA

Nedosiran

Rivfloza®

NovoNordisk

siRNA

GalNAc

Subcutaneous injection

PH1

2023 USA

  1. CMV cytomegalovirus, AMD age-related macular degeneration, HoFH homozygous familial hypercholesterolemia, PMO phosphorodiamidate morpholino oligomer, DMD Duchenne muscular dystrophy, SMA spinal muscular atrophy, FCS familial chylomicronaemia syndrome, hATTR hereditary TTR-mediated amyloidosis, AHP acute hepatic porphyria, PH1 primary hyperoxaluria type 1, CVD cardiovascular disease, GA geographic atrophy, ALS Amyotrophic lateral sclerosis, USA the United States of America, EUR Europe, CN China, JPN Japanese