Our Pipeline
Transforming disease treatment through targeted up- and downregulation of gene expression
Arnatar Therapeutics is advancing a robust pipeline of RNA-based medicines targeting cardiovascular, metabolic, liver, kidney, and CNS diseases.
Built on our proprietary DARGER™ Platform, which enables both gene silencing and gene expression upregulation, our programs aim to deliver first- and best-in-class therapies where current options fall short.
ART1
ART1
Program Overview
ART1 is Arnatar Therapeutics’ lead clinical-stage siRNA therapeutic, currently being evaluated for safety, pharmacokinetics, pharmacodynamics and early efficacy in Phase 1 studies. It targets angiotensinogen (AGT), a critical regulator in the renin-angiotensin system (RAS) that maintains blood pressure homeostasis. By silencing AGT expression at the RNA level, ART1 is designed to deliver long-lasting blood pressure control through infrequent dosing, with the goal of improving adherence and outcomes in patients with uncontrolled or treatment-resistant hypertension.
Preclinical data demonstrate that ART1 achieves rapid onset of AGT knockdown and is highly active in both in vitro and in vivo models. The program utilizes Arnatar’s proprietary GalNAc-conjugated siRNA platform, which enables targeted delivery to hepatocytes with high efficiency and a significantly simplified synthesis process, reducing both manufacturing complexity and cost.
ART1 is Arnatar Therapeutics’ lead clinical-stage siRNA therapeutic, currently being evaluated for safety, pharmacokinetics, pharmacodynamics and early efficacy in Phase 1 studies. It targets angiotensinogen (AGT), a critical regulator in the renin-angiotensin system (RAS) that maintains blood pressure homeostasis. By silencing AGT expression at the RNA level, ART1 is designed to deliver long-lasting blood pressure control through infrequent dosing, with the goal of improving adherence and outcomes in patients with uncontrolled or treatment-resistant hypertension.
Preclinical data demonstrate that ART1 achieves rapid onset of AGT knockdown and is highly active in both in vitro and in vivo models. The program utilizes Arnatar’s proprietary GalNAc-conjugated siRNA platform, which enables targeted delivery to hepatocytes with high efficiency and a significantly simplified synthesis process, reducing both manufacturing complexity and cost.
Therapeutic rationale and broader relevance
Targeting AGT is supported by a strong mechanistic rationale for treating not only hypertension but also a spectrum of cardiovascular and metabolic disorders. Research shows that hepatic suppression of AGT may offer additional benefits such as improvements in obesity, chronic kidney disease, and fatty liver disease, including effects that are independent of angiotensin II signaling. This highlights the potential for AGT-targeted therapies to play a broader role in addressing cardiometabolic disease burden.
Arterioscler Thromb Vasc Biol. 2024;44:1021–1030
ART4
ART4
Program Overview
ART4 is an antisense oligonucleotide (ASO) therapeutic candidate being developed for Alagille Syndrome (ALGS), a rare, life-threatening, multisystem genetic disorder that primarily affects the liver, heart, and vasculature. Approximately 95% of ALGS cases are caused by haploinsufficient mutations in the Jagged-1 (JAG1) gene, which results in insufficient JAG1 protein levels and impaired liver bile duct development. This leads to toxic accumulation of bile acids, liver damage, and systemic complications in early life. ART4 leverages Arnatar’s proprietary ACT-UP1 platform to upregulate endogenous JAG1 protein expression and address the underlying genetic deficiency.
Preclinical data show that ART4 significantly increases JAG1 protein levels, restores bile duct development, and reduces markers of liver damage such as bile acids and ALT in ALGS disease mouse model. The treatment was well-tolerated in both adult and newborn mouse models. ART4 is delivered subcutaneously and designed for monthly dosing. These encouraging results support its further development for ALGS, where there are currently no curative therapies, and most treatment options remain palliative. ART4 has received both Orphan Drug Designation and Rare Pediatric Disease Designation from the FDA, underscoring its potential to address this significant unmet medical need.
ART4 is an antisense oligonucleotide (ASO) therapeutic candidate being developed for Alagille Syndrome (ALGS), a rare, life-threatening, multisystem genetic disorder that primarily affects the liver, heart, and vasculature. Approximately 95% of ALGS cases are caused by haploinsufficient mutations in the Jagged-1 (JAG1) gene, which results in insufficient JAG1 protein levels and impaired liver bile duct development. This leads to toxic accumulation of bile acids, liver damage, and systemic complications in early life. ART4 leverages Arnatar’s proprietary ACT-UP1 platform to upregulate endogenous JAG1 protein expression and address the underlying genetic deficiency.
Preclinical data show that ART4 significantly increases JAG1 protein levels, restores bile duct development, and reduces markers of liver damage such as bile acids and ALT in ALGS disease mouse model. The treatment was well-tolerated in both adult and newborn mouse models. ART4 is delivered subcutaneously and designed for monthly dosing. These encouraging results support its further development for ALGS, where there are currently no curative therapies, and most treatment options remain palliative. ART4 has received both Orphan Drug Designation and Rare Pediatric Disease Designation from the FDA, underscoring its potential to address this significant unmet medical need.
Therapeutic rationale and broader relevance
ART5
ART5
Program Overview
ART5 is Arnatar’s antisense oligonucleotide (ASO) program targeting autosomal dominant polycystic kidney disease (ADPKD), the most common inherited kidney disorder, affecting over 10 million people globally. Approximately 85% of diagnosed ADPKD cases are caused by mutations in the PKD1 gene, leading to reduced expression of polycystin-1 (PC1), a key protein involved in maintaining tubular structure and kidney function. ART5 is designed to upregulate endogenous PKD1 expression, aiming to restore PC1 function and reduce the growth of cysts that characterizes disease progression.
Utilizing Arnatar’s ACT-UP1 platform, ART5 enhances translation of PKD1 mRNA without altering the gene itself. In preclinical models, ART5 has demonstrated the ability to increase PC1 protein levels and reduce cyst burden in a dose-dependent manner. It is administered subcutaneously and has shown favorable tolerability in vivo.
Given the current lack of effective treatments that directly address the underlying genetic cause of ADPKD, ART5 represents a novel approach that may shift the treatment paradigm toward disease modification. Development efforts are focused on advancing ART5 toward clinical studies, with a goal of evaluating safety, pharmacokinetics, and initial biological activity in patients with early-stage ADPKD.
ART5 is Arnatar’s antisense oligonucleotide (ASO) program targeting autosomal dominant polycystic kidney disease (ADPKD), the most common inherited kidney disorder, affecting over 10 million people globally. Approximately 85% of diagnosed ADPKD cases are caused by mutations in the PKD1 gene, leading to reduced expression of polycystin-1 (PC1), a key protein involved in maintaining tubular structure and kidney function. ART5 is designed to upregulate endogenous PKD1 expression, aiming to restore PC1 function and reduce the growth of cysts that characterizes disease progression.
Utilizing Arnatar’s ACT-UP1 platform, ART5 enhances translation of PKD1 mRNA without altering the gene itself. In preclinical models, ART5 has demonstrated the ability to increase PC1 protein levels and reduce cyst burden in a dose-dependent manner. It is administered subcutaneously and has shown favorable tolerability in vivo.
Given the current lack of effective treatments that directly address the underlying genetic cause of ADPKD, ART5 represents a novel approach that may shift the treatment paradigm toward disease modification. Development efforts are focused on advancing ART5 toward clinical studies, with a goal of evaluating safety, pharmacokinetics, and initial biological activity in patients with early-stage ADPKD.