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ACVR1 small interfering RNA (siACVR1) is an allele-selective, chemically modified small interfering RNA (siRNA) designed to target and silence the mutant ACVR1 gene (specifically the R206H mutation) while sparing the wild-type ACVR1 allele. Developed by researchers at UMass Chan Medical School, this therapeutic candidate is conjugated to docosanoic acid (DCA) to facilitate efficient, non-toxic delivery and sustained gene silencing in extrahepatic tissues, particularly skeletal muscle. It is being investigated for the treatment of fibrodysplasia ossificans progressiva (FOP) to prevent trauma-induced heterotopic ossification (HO). In preclinical studies, it has been evaluated both as a monotherapy and as part of a combinatorial approach (including a divalent siRNA construct) that simultaneously targets ACVR1 and the pro-inflammatory cytokine interleukin-1 beta (IL-1β).
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