Table 1.

RNA therapeutics for hemophilia

AgentMechanismRoute, frequencyTrial statusTarget group
siRNA antithrombin fitusiran AT mRNA silencing Subcutaneous, monthly or bimonthly Phase 1, 2, and 3 trials HA and HB with or without inhibitors 
siRNA PS PS mRNA silencing Subcutaneous No trials to date HA and HB with or without inhibitors 
siRNA HCII HCII mRNA silencing Subcutaneous No trials to date HA mouse studies 
mRNA gene therapy Lipid-encapsulated mRNA by intracellular delivery, or transposon IV single dose No trials to date HA and HB 
Gene editing
ZFN or CRISPR/Cas9 
Nuclease-driven homology-directed gene repair IV single dose No trials to date HA and HB 
AgentMechanismRoute, frequencyTrial statusTarget group
siRNA antithrombin fitusiran AT mRNA silencing Subcutaneous, monthly or bimonthly Phase 1, 2, and 3 trials HA and HB with or without inhibitors 
siRNA PS PS mRNA silencing Subcutaneous No trials to date HA and HB with or without inhibitors 
siRNA HCII HCII mRNA silencing Subcutaneous No trials to date HA mouse studies 
mRNA gene therapy Lipid-encapsulated mRNA by intracellular delivery, or transposon IV single dose No trials to date HA and HB 
Gene editing
ZFN or CRISPR/Cas9 
Nuclease-driven homology-directed gene repair IV single dose No trials to date HA and HB 
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