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NOX-G15 is a Spiegelmer® (mirror-image oligonucleotide aptamer) designed to bind and inhibit glucagon, a peptide hormone that raises blood glucose levels. By selectively neutralizing endogenous glucagon, NOX-G15 aims to reduce hyperglycemia in diabetes. It is a mixed DNA/RNA aptamer with high affinity for glucagon (Kd of 3 nM), showing no cross-reactivity with related peptides such as GLP-1, GLP-2, GIP, or prepro-vasoactive intestinal peptide. In vitro studies demonstrate that NOX-G15 inhibits glucagon-stimulated cAMP production in cells expressing the human glucagon receptor (IC50 of 3.4 nM). In animal models of type 1 and type 2 diabetes, a single injection of NOX-G15 acutely improved glucose tolerance by attenuating hyperglycemia[6][10].
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