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mRNA-3704 is an investigational mRNA-based therapy developed to treat isolated methylmalonic acidemia (MMA) due to methylmalonyl-CoA mutase (MUT) deficiency. The drug consists of messenger RNA encoding the human MUT enzyme, encapsulated within Moderna’s proprietary lipid nanoparticle (LNP) delivery system. By delivering functional MUT mRNA, the therapy aims to restore production of the deficient mitochondrial enzyme in patients with MMA, thereby addressing the underlying cause of this rare and life-threatening metabolic disorder. Preclinical studies demonstrated that systemic administration enabled liver expression of functional hMUT and improved survival in mouse models. The drug is administered intravenously and was evaluated in a Phase 1/2 clinical trial for safety, pharmacodynamics, and pharmacokinetics in pediatric patients with MMA due to MUT deficiency[1][3][5][6].
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