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Donidalorsen is an RNA-targeted **ligand-conjugated antisense oligonucleotide** developed by Ionis for the **prophylactic treatment of hereditary angioedema**. It is designed to reduce hepatic production of **plasma prekallikrein**, a key upstream mediator in the kallikrein-kinin pathway that drives bradykinin-mediated angioedema attacks. In clinical studies, subcutaneous donidalorsen given every 4 or 8 weeks reduced hereditary angioedema attack rates and improved quality-of-life measures. The drug was studied as an investigational medicine under the codes ISIS 721744 and IONIS-PKK-LRx, and in the U.S. it has been approved and commercialized by Ionis under the brand name DAWNZERA for patients aged 12 years and older.
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