RNAi Therapeutics: Challenges in Drug Development and Delivery
CHI Insight Pharma Reports
October 1, 2005 120 Pages - SKU: CHI1197143
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Interfering RNA (RNAi) offers tremendous therapeutic promise. This report:
- Evaluates the prospects for curing disease using RNAi.
- Examines the pros and cons of all the major known methods of delivering RNAi.
- Describes advances in in vitro work with cultured cells.
- Assesses the market potential of RNAi drugs.
- Presents the opinions of leading scientists in academia and industry.
- Profiles twenty-three companies.
Interfering RNA (RNAi) offers tremendous therapeutic promise to silence genes that give rise to bad, proteins and, therefore, disease. Theoretically, any gene can be targeted for silencing by RNAi; hence, the possibilities are limitless. The principle has already been proved not only in cell culture but also in in vivo major disease-related animal models.
RNAi Therapeutics: Challenges in Drug Development and Delivery thoroughly evaluates the field of RNAi therapeutics, with particular attention to the prospects and challenges faced in RNAi delivery. This report is a comprehensive blueprint for moving RNAi from the bench to the bedside.
RNAi research is accelerating rapidly. Two clinical trials are in progress to determine RNAi’s effectiveness for treating age-related macular degeneration, and many products have already reached the market to test the promise that RNAi holds. Before RNAi, finding gene function by knockdown or knockout technology was a laborious and time-consuming process. As RNAi technology progresses, many companies are now trying to increase their shares in the research market by shifting some of their resources to in vitro and in vivo work.
The real prize, however, is in therapeutics, and a few companies have been started solely with this objective.To establish priority, patents that stake claims in many possible (as well as speculative) applications of RNAi are not only being filed but disputed.
RNAi Therapeutics: Challenges in Drug Development and Delivery analyzes these and other important developments in this dynamic field. Key points include the following:
- Background is provided on various attempts to silence genes before the advent of RNAi, namely aptamers, antisense, and ribozyme. Lessons learned from the failures of antisense clinical trials are discussed.
- The promise of tackling diseases using RNAi is evaluated in detail. Examples are included that support this technology, from human cell cultures, to preclinical models, to the first batch of clinical trials using siRNA (small interfering RNA). Wide-ranging diseases —cancer, influenza, malaria, HIV, rotavirus, Huntington’s disease, and Lou Gehrig’s disease—are discussed.
- Advances in in vitro work with cultured cells are examined. Progress made in in vivo gene silencing is catalogued, including the latest results in detection of in vivo knockdown in whole mice.
- The problems of RNAi delivery and possible solutions to overcome them are presented from the point of view of leading scientists in academia and pharmaceutical companies.
- The therapeutic potential, specific applications, and advantages and challenges of RNAi are considered, in particular, the prospects of improving on existing treatment modalities for some cancers such as chronic myelogenous leukemia.
- The market potential of RNAi drugs is assessed.
- Leading scientists in academia and industry are interviewed.
- Twenty-three companies are profiled, 13 of which are primarily engaged in RNAi therapeutics-related work and 10 of which are suppliers and service providers.
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Chapter 1. Introduction
1.1. Promising Therapeutic Avenue
1.2. Discovery of RNAi
1.3. RNAi Mechanism
1.4. Gene-Silencing Technology
Aptamers
Ribozymes
Antisense
Difficulties Plaguing Antisense Clinical Trials
1.5. Gene Therapy
Approaches to Gene Therapy
Latest Advances in RNAi Applications to Gene Therapy
Chapter 2. RNAi in Discovery and Development
2.1. Criteria to be Satisfied before Moving into RNAi Clinical Trials
2.2.Targeting and Validation Using RNAi
2.3. RNAi in Clinical Trials for (Wet) Age-Related Macular Degeneration
Acuity Pharmaceuticals
Sirna Therapeutics
Chapter 3. Prospects for Curing Disease By RNAi Gene Silencing
3.1. RNAi in Viral and Infectious Disease States
Human Papilloma Virus
Human Immunodeficiency Virus Type I
Rotavirus
Malaria
Influenza
3.2. RNAi and Diabetes
3.3. RNAi and Cancer
Progress in In Vitro RNAi Work with Cultured Cells
Progress in In Vivo Gene Silencing
3.4. Prospects of Improving Existing Treatment for Chronic Myelogenous Leukemia Patients by RNAi
3.5. RNAi as a New Kind of Gene Therapy:Therapeutic Potential
and Specific Applications
RNAi and Spinocerebellar Ataxia
RNAi-Mediated Gene Therapy and Intracranial Tumor
Transposon-Delivered RNAi and Huntington’s Disease
Advantages and Challenges of RNAi Therapy
Chapter 4. RNA Delivery
4.1. Challenges to Overcome in Delivering RNA
4.2. Standard Delivery Methods
Electroporation
Viral Delivery
Lipid Delivery
Systemic Delivery
4.3. Is Delivery of Stabilized RNAi Molecules Essential?
Use of Plasmid Vectors
4.4. Detection/Proof of Knockdown Efficiency In Vivo
4.5. Specific Academic and Industry Concerns about RNAi Delivery
Chapter 5. Market and Market Potential
Chapter 6. Profiles of Companies with Primary Interest in RNAi Therapeutics
6.1. Background
6.2. Company Profiles
Acuity Pharmaceuticals
Alnylam Pharmaceuticals
Atugen
Benitec
Calando Pharmaceuticals
CytRx Corporation
Devgen
Galenea
Intradigm Corporation
Nastech Pharmaceutical Company
Nucleonics Inc.
Santaris Pharma
Sirna Therapeutics
Chapter 7. Profiles of Companies in Discovery/Research/Reagents/Services in the RNAi Market
7.1. Background
7.2. Company Profiles
Ambion
Cenix Bioscience
CombiMatrix
Dharmacon
Imgenex Corporation
Invitrogen
InvivoGen
Mirus Bio
Qiagen
SomaGenics
Chapter 8. Expert Interviews
8.1. Background
8.2. Interviews/Summaries
Dr.Mick W. Graham, Principal Scientist, Benitec
Dr. Brian Johnston, President and CEO, SomaGenics Inc., and Consulting Associate Professor of Pediatrics, Stanford University School of Medicine
Dr. Sujay Singh, President and CEO, Imgenex Corporation
John Rossi, City of Hope
Dr. Barry Polisky, Senior Vice President of Research and CSO, Sirna Therapeutics
Dr. Jean-Paul Reynes, Chief Scientist, siRNA Project, InvivoGen
Dr. Henrik Orum,Vice President and CSO, Santaris Pharma
Dr. Sam Reich,Vice President of Research and Development, Acuity Pharmaceuticals
Chapter 9. Concluding Remarks
Acknowledgments
References
Glossary
Index
List of Figures
Figure 1.1. Detailed Diagrammatic Representation of Small Interfering RNA (siRNA) Pathway
Figure 1.2. Diagrammatic Presentations of Small Interfering RNA (siRNA) and MicroRNA (miRNA) Action
Figure 1.3.Timeline of Significant Events in the Discovery and Development of RNAi
Figure 1.4. Gene Therapy in Clinical Trials
Figure 4.1. Alnylam’s Systemic RNAi Delivery Technology that Is Clinically Relevant
Figure 2.1.The Normal Macula Compared to Wet and Dry Macular Degeneration
Figure 4.2. RNAi-Mediated Gene Silencing in Mammals Using Short Hairpin RNAs
Figure 4.3. Inhibition of Hepatitis C Virus (HCV) Internal Ribosomal Entry Site-Mediated Reporter Gene Expression in Mice
Figure 5.1. Key Attributes of RNAi Drugs for Use in Humans
Figure 5.2. Possible Risks Before Launching a Successful RNAi Drug
Figure 6.1. RNAi Drugs in Development (Alnylam)
Figure 6.2. RNAi Drugs in Development (CytRx)
Figure 6.3. RNAi Drugs in Development (Intradigm)
Figure 6.4. RNAi Drugs in Development (Sirna)
List of Tables
Table 1.1. Summary of RNAi Results Presented at the 2005 American Society of Gene Therapy Conference, St. Louis, Missouri
Table 4.1. Pros and Cons of Electroporetic Delivery
Table 4.2. Pros and Cons of Viral Delivery
Table 4.3. Pros and Cons of Lipid Delivery
Table 6.1. Companies with Plans of Launching RNAi Drugs for One or More Indications
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