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BMS-844421 is an antisense oligonucleotide therapeutic developed to target proprotein convertase subtilisin/kexin type 9 (PCSK9), a key regulator of cholesterol metabolism. By inhibiting PCSK9 protein synthesis at the mRNA level, BMS-844421 was designed to increase hepatic low-density lipoprotein receptor (LDLR) levels and thereby lower serum LDL cholesterol. The drug was originally discovered by Isis Pharmaceuticals (now Ionis Pharmaceuticals) and further developed by Bristol Myers Squibb for the treatment of hypercholesterolemia and atherosclerosis. Clinical development reached Phase 1 but was discontinued due to safety concerns[1][2][3][6].
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