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SAG-524 is an orally bioavailable, small-molecule hepatitis B virus (HBV) RNA destabilizer that acts by selectively inhibiting terminal nucleotidyltransferase 4B (TENT4B, also known as PAPD5). By inhibiting TENT4B, SAG-524 disrupts the protective polyadenylation (specifically guanine incorporation) of HBV RNA, leading to its rapid degradation and a subsequent reduction in the production of hepatitis B surface antigen (HBsAg), hepatitis B core-related antigen (HBcrAg), and HBV DNA. Developed by Kumamoto University, SAG-524 has demonstrated potent anti-HBV activity in vitro and in vivo, particularly when combined with nucleos(t)ide analogues or capsid assembly modulators, and has shown a favorable safety profile in preclinical animal models.
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