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Belcesiran is a synthetic, double-stranded small interfering RNA (siRNA) therapeutic developed for the treatment of alpha-1 antitrypsin deficiency-associated liver disease (AATLD). It is administered subcutaneously and utilizes RNA interference (RNAi) to target the gene responsible for producing abnormal alpha-1 antitrypsin (AAT) protein in the liver, thereby reducing its production. Belcesiran incorporates proprietary GalXC technology from Dicerna Pharmaceuticals. The drug was investigated in Phase 1 and Phase 2 clinical trials under programs such as SHINE and ESTRELLA, aiming to address the unmet need for therapies targeting AATLD by modulating AAT expression at the genetic level[1][2][4][5][6].
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