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MC-DX4 is a preclinical-stage antibody-RNA conjugate (ARC) therapy developed for the treatment of facioscapulohumeral muscular dystrophy (FSHD), a rare genetic muscle disorder. The drug consists of an antisense oligonucleotide or microRNA designed to specifically inhibit expression of the DUX4 gene, which is aberrantly expressed in FSHD and drives disease pathology. The RNA therapeutic component is conjugated to a muscle-targeted antibody—using proprietary chemistry—to enhance delivery and stability in muscle tissue. This targeted approach aims to selectively suppress DUX4 in affected muscles, potentially halting or reversing disease progression. MC-DX4 was discovered by miRecule using their genomics-based DREAmiR platform and is being co-developed with Sanofi[1][2][3][8].
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