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Nexiguran ziclumeran is an investigational, single-administration **in vivo CRISPR-Cas9 gene-editing therapy** for transthyretin amyloidosis. It is a hepatotropic lipid-nanoparticle product containing nexiguran, a TTR-targeting single-guide RNA, and ziclumeran, an mRNA encoding Cas9 endonuclease. Following intravenous administration, the editing system is delivered to hepatocytes and produces durable disruption of the **transthyretin gene**, thereby reducing hepatic synthesis of circulating TTR protein. Intellia Therapeutics leads development and commercialization under its collaboration with Regeneron. The program is in Phase 3 development for ATTR cardiomyopathy and hereditary ATTR amyloidosis with polyneuropathy. ([intelliatx.com](https://www.intelliatx.com/pipeline/clinical-trials/))
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