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ALN-HTT02 is an investigational small interfering RNA (siRNA) therapeutic developed for the treatment of Huntington’s disease. It is designed to be administered intrathecally and leverages a C16-siRNA delivery platform to enhance uptake in the central nervous system. The drug targets a conserved sequence within exon 1 of the huntingtin (HTT) gene’s messenger RNA, promoting its degradation via RNA interference and thereby reducing production of both wild-type and mutant forms of HTT protein. By lowering all forms of HTT protein—including those with expanded polyglutamine tracts that drive toxicity—ALN-HTT02 aims to slow or halt disease progression in Huntington’s disease. Preclinical studies have shown broad CNS distribution, durable reduction in HTT levels, and favorable safety profiles in non-human primates. The drug is currently being evaluated in Phase 1 clinical trials for safety, tolerability, pharmacokinetics, and pharmacodynamics.
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