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RG-101 is a GalNAc-conjugated antisense oligonucleotide therapeutic that targets microRNA-122 (miR-122), a liver-specific microRNA essential for hepatitis C virus (HCV) replication. By inhibiting miR-122, RG-101 disrupts the HCV life cycle, leading to significant reductions in viral load. The drug was developed primarily for the treatment of chronic hepatitis C infection and was administered via subcutaneous injection. Clinical studies demonstrated substantial antiviral effects after single-dose administration, but development was discontinued due to safety concerns related to hyperbilirubinemia caused by inhibition of bilirubin transport[1][2][3][6][8][9].
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