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ALK7-targeting RNAi + tirzepatide

Development stage
Unknown
Lead developer
Arrowhead Pharmaceuticals
Modality
Chemically Modified siRNA → Small Interfering RNA (siRNA) → Small RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Conjugated siRNA → Small Interfering RNA (siRNA) → Small RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Peptides
Administration
Subcutaneous
01

Overview

**ALK7-targeting RNAi + tirzepatide** is an investigational combination therapy being evaluated for the treatment of obesity and metabolic diseases. The combination consists of an RNA interference (RNAi) therapeutic designed to silence the *ACVR1C* gene (which encodes activin receptor-like kinase 7, or ALK7) in adipose tissue, and tirzepatide, a dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist. ALK7 is a receptor predominantly expressed in adipocytes that negatively regulates lipolysis and energy homeostasis. Silencing ALK7 promotes lipid mobilization, increases catecholamine sensitivity, and reduces fat mass while preserving lean mass. Tirzepatide, an approved weight-management and type 2 diabetes therapy, reduces body weight primarily by suppressing appetite via the central nervous system. Preclinical and early clinical studies (such as those evaluating Arrowhead Pharmaceuticals' ARO-ALK7 in combination with tirzepatide) suggest that combining these two complementary mechanisms produces synergistic reductions in body weight and fat mass (particularly visceral fat) while completely preserving lean muscle mass, addressing a key limitation of incretin monotherapies.

Other names
ALK7 siRNA + tirzepatideALK7-targeting siRNA + tirzepatideARO-ALK7 + tirzepatideARO-ALK7 and tirzepatideARO-ALK-7 and tirzepatideARO-ALK 7 and tirzepatide
02

Targets

ACVR1C (Activin A Receptor Type 1C)GIPR (Gastric inhibitory polypeptide receptor)GLP1R (GLP-1R)

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