Table 1.

Strategies to inhibit FXI or FXII

AgentsTarget
FXIFXII
ASOs Reduce hepatic synthesis of FXI by inducing catalytic degradation of FXI mRNA (eg, IONIS-416858)*, Reduce hepatic synthesis of FXII by inducing catalytic degradation of FXII mRNA 
Monoclonal antibodies Suppress FXIa generation and/or inhibit FXIa activity (eg, BAY1213790 (osocimab),*, BAY1831865, MAA868, AB023*Bind to FXII and block its activation (eg, 9A2, 15H8, AB052) 
Bind to FXIIa and blocks its activity (eg, CSL312,* 3F7) 
Small peptidomimetic or peptide inhibitors Bind to catalytic domain (eg, BMS-986177,*, EP-7041, ONO-5450598) Bind to catalytic domain (eg, rHA-infestin 4, FXII618, 3-carboxamide coumarins) 
Aptamers Bind to FXI and/or FXIa and block its activity (eg, 11.16, 12.7) Bind to FXII and/or FXIIa and block FXI activation (eg, R4cXII-1) 
AgentsTarget
FXIFXII
ASOs Reduce hepatic synthesis of FXI by inducing catalytic degradation of FXI mRNA (eg, IONIS-416858)*, Reduce hepatic synthesis of FXII by inducing catalytic degradation of FXII mRNA 
Monoclonal antibodies Suppress FXIa generation and/or inhibit FXIa activity (eg, BAY1213790 (osocimab),*, BAY1831865, MAA868, AB023*Bind to FXII and block its activation (eg, 9A2, 15H8, AB052) 
Bind to FXIIa and blocks its activity (eg, CSL312,* 3F7) 
Small peptidomimetic or peptide inhibitors Bind to catalytic domain (eg, BMS-986177,*, EP-7041, ONO-5450598) Bind to catalytic domain (eg, rHA-infestin 4, FXII618, 3-carboxamide coumarins) 
Aptamers Bind to FXI and/or FXIa and block its activity (eg, 11.16, 12.7) Bind to FXII and/or FXIIa and block FXI activation (eg, R4cXII-1) 

mRNA, messenger RNA.

*

Under evaluation in phase 2 clinical trials.

Discussed in text.

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