Drug intelligence / Profile preview

AVI-4557

Development stage
Unknown
Lead developer
Sarepta Therapeutics
Modality
Small Interfering RNA (siRNA) → Small RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, MicroRNA (miRNA) → Small RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Antisense Oligonucleotides (ASOs) → Long RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Single-strand DNA → Antisense DNA → DNA Therapeutics → Nucleic Acid Therapeutics, Modified DNA Oligonucleotides → Antisense DNA → DNA Therapeutics → Nucleic Acid Therapeutics, Small Molecules
Administration
Intravenous
01

Overview

AVI-4557 is an antisense phosphorodiamidate morpholino oligomer (PMO) drug developed by Sarepta Therapeutics (formerly AVI BioPharma) to selectively inhibit the expression of cytochrome P450 3A4 (CYP3A4). CYP3A4 is a key liver enzyme responsible for the metabolism of approximately half of all marketed drugs. By silencing CYP3A4, AVI-4557 reduces the metabolic breakdown of co-administered drugs, resulting in increased blood concentrations and prolonged drug action. This mechanism was explored to potentially limit toxicity or enhance efficacy for patients receiving highly toxic therapeutic agents, such as those used in anxiety or cancer treatment. The compound underwent several Phase I clinical trials demonstrating effective downregulation of CYP3A4 with good safety and tolerability profiles. Development appears discontinued.

Other names
NEUGENE antisense drug
02

Targets

Cytochrome P450 family 3 subfamily A member 4 mRNACYP3A4 (Cytochrome P450 3A4)

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