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BAY-339604 is an antisense oligonucleotide (ASO) developed by Ionis Pharmaceuticals in collaboration with Bayer as a follow-on candidate to fesomersen (IONIS-FXI-LRx) for the treatment of thrombotic diseases. It is designed to target the mRNA of Coagulation Factor XI (FXI), thereby inhibiting the hepatic production of the FXI protein and providing an antithrombotic effect with a potentially improved safety profile. In late 2019, Bayer exercised its option to advance this follow-on compound, triggering a $10 million milestone payment to Ionis. BAY-339604 entered Phase 1 clinical development in 2020 (NCT04534114) to evaluate its safety, pharmacokinetics, and pharmacodynamics in healthy subjects. However, in 2022, Bayer decided to discontinue its collaboration with Ionis on the Factor XI antisense program, leading to the cessation of development for BAY-339604.
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