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Evazarsen (IONIS-AGT-LRx) is an investigational ligand-conjugated antisense (LICA) oligonucleotide developed by Ionis Pharmaceuticals for the treatment of hypertension. It is designed to reduce the production of angiotensinogen (AGT), the sole precursor of all angiotensin peptides in the renin-angiotensin-aldosterone system (RAAS), which is primarily synthesized in the liver. By binding to AGT mRNA and promoting its degradation via RNase H1, evazarsen lowers circulating AGT levels, leading to a sustained reduction in blood pressure. The drug utilizes Ionis' GalNAc-conjugation technology to ensure targeted delivery to hepatocytes, allowing for infrequent subcutaneous administration and potentially improving long-term blood pressure control in patients with essential or resistant hypertension.
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