Drug intelligence / Profile preview

ION839

Development stage
Unknown
Lead developer
AstraZeneca
Modality
miRNA Mimics → MicroRNA (miRNA) → Small RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Natural RNA Aptamers → RNA Aptamers → RNA Therapeutics → Nucleic Acid Therapeutics, DNA Vaccines → Plasmid DNA → DNA Therapeutics → Nucleic Acid Therapeutics, Modified DNA Oligonucleotides → Antisense DNA → DNA Therapeutics → Nucleic Acid Therapeutics, Spiegelmers → RNA Aptamers → RNA Therapeutics → Nucleic Acid Therapeutics, Unmodified DNA Aptamers → DNA Aptamers → DNA Therapeutics → Nucleic Acid Therapeutics, Chemically Modified siRNA → Small Interfering RNA (siRNA) → Small RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Gene Editing mRNA → mRNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Vaccine mRNA → mRNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Long Non-coding RNA (lncRNA) → Long RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Modified DNA Aptamers → DNA Aptamers → DNA Therapeutics → Nucleic Acid Therapeutics, Small Molecules, Protein Replacement mRNA → mRNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Antisense Oligonucleotides (ASOs) → Long RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Conjugated siRNA → Small Interfering RNA (siRNA) → Small RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Single-strand DNA → Antisense DNA → DNA Therapeutics → Nucleic Acid Therapeutics, miRNA Inhibitors → MicroRNA (miRNA) → Small RNA Therapeutics → RNA Therapeutics → Nucleic Acid Therapeutics, Gene Therapy Plasmids → Plasmid DNA → DNA Therapeutics → Nucleic Acid Therapeutics
Administration
Subcutaneous
01

Overview

ION839 (also known as AZD-2693) is an **investigational antisense oligonucleotide (ASO) therapeutic** developed for the treatment of metabolic dysfunction-associated steatohepatitis (MASH), formerly known as non-alcoholic steatohepatitis (NASH)[3][5][1]. It is specifically engineered to inhibit the expression of **patatin-like phospholipase domain-containing protein 3 (PNPLA3)**, a genetic risk factor driving disease pathogenesis in patients with the homozygous PNPLA3 I148M variant. The drug utilizes **N-acetylgalactosamine (GalNAc) conjugation** to enable targeted hepatic delivery via the asialoglycoprotein receptor (ASGPR), maximizing uptake by hepatocytes and enhancing therapeutic specificity for liver disease[3]. Mechanistically, ION839 reduces hepatic PNPLA3 mRNA and protein, leading to decreased liver fat, improved inflammatory and lipid biomarkers, and potential histological improvement in MASH. Its development represents a genetically informed approach to address a subset of patients with high unmet need due to rapid progression to advanced liver disease[3][5].

Other names
ION 839ION839ION-839AZD-2693AZD2693AZD 2693IONIS-AZ6-2.5-LRxIONIS-AZ-6-2.5-LRxIONIS-AZ 6-2.5-LRx
02

Targets

PNPLA3 (Patatin-like phospholipase domain-containing protein 3)

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