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IONIS-PKKRx is a second-generation, 2′-O-(2-methoxyethyl)-modified chimeric antisense oligonucleotide designed to selectively bind and reduce hepatic prekallikrein (PKK) mRNA, thereby lowering plasma PKK protein levels. By inhibiting the production of PKK in the liver, it reduces bradykinin generation capacity—a key mediator in hereditary angioedema (HAE) and other diseases involving contact system activation. The drug has demonstrated dose-dependent reductions of plasma PKK in animal models and healthy human volunteers with an acceptable safety profile. It was developed by Ionis Pharmaceuticals (formerly Isis Pharmaceuticals) for the prevention and treatment of HAE and has also been studied for migraine[1][2][3][5][7].
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