RNAi agents and compositions for inhibiting expression of angiopoietin-like 3 (ANGPTL3), and methods of use
The present disclosure relates to RNAi agents, e.g., double stranded RNAi agents, able to inhibit Angiopoietin-like 3 (also called ANGPTL3, ANGPL3, angiopoietin-like protein 3) gene expression, and compositions that include ANGPTL3 RNAi agents. Also disclosed are methods of use of ANGPTL3 RNAi agents and compositions. The ANGPTL3 RNAi agents disclosed herein may be conjugated to targeting ligands to facilitate the delivery to cells, including to hepatocytes. Pharmaceutical compositions that include one or more ANGPTL3 RNAi agents, optionally with one or more additional therapeutics, are described. Delivery of the ANGPTL3 RNAi agents in vivo provides for inhibition of ANGPTL3 gene expression, and can result in lower triglycerides and/or cholesterol levels in the subject. The RNAi agents can be used in methods of treatment of ANGPTL3-related diseases and disorders, including cardiometabolic diseases such as hypertriglyceridemia and hyperlipidemia.
1. An RNAi agent for inhibiting expression of an ANGPTL3 gene, comprising:
an antisense strand that consists of the modified nucleotide sequence of (5′→3′) usAfscsUfgAfuCfaAfaUfaUfgUfuGfaGfsc (SEQ ID NO:2), and
a sense strand that consists of the sequence of (5′→3′) (NAG37)s(invAb)sgcucaacaUfAfUfuugaucaguas(invAb) (SEQ ID NO:300);
wherein a is 2′-O-methyl adenosine; c is 2′-O-methyl cytidine; g is 2′-O-methyl guanosine; u is 2′-O-methyl uridine, Af is 2′-fluoro adenosine, Cf is 2′-fluoro cytidine; Gf is 2′-fluoro guanosine; Uf is 2′-fluoro adenosine; s is a phosphorothioate linkage; (invAb) is an inverted abasic deoxyribose residue; and (NAG37)s has the following chemical structure:
2. A pharmaceutically acceptable salt of the RNAi agent of claim 1 .
3. The pharmaceutically acceptable salt of claim 2 , wherein the pharmaceutically acceptable salt is a sodium salt.
4. A pharmaceutical composition comprising the RNAi agent of claim 1 and a pharmaceutically acceptable excipient.
5. The pharmaceutical composition of claim 4 , wherein the pharmaceutically acceptable excipient comprises saline.
6. The pharmaceutical composition of claim 4 , wherein the pharmaceutically acceptable excipient comprises water for injection.
7. The pharmaceutical composition of claim 6 further comprising a pharmaceutically acceptable buffering agent.
8. The pharmaceutical composition of claim 4 , wherein the pharmaceutically acceptable excipient comprises buffered saline.
9. The pharmaceutical composition of claim 4 , wherein the pharmaceutical composition is packaged in a pre-filled syringe.
10. The pharmaceutical composition of claim 4 , wherein the pharmaceutical composition is packaged in a vial.
11. A method of treating an ANGPTL3-related disease or disorder, the method comprising administering to a human subject in need thereof a therapeutically effective amount of the RNAi agent of claim 1 .
12. The method of claim 11 , wherein the disease is a cardiometabolic disease.
13. The method of claim 11 , wherein disease is hypertriglyceridemia, obesity, hyperlipidemia, abnormal lipid and/or cholesterol metabolism, atherosclerosis, type II diabetes mellitus, cardiovascular disease, coronary artery disease, non-alcoholic steatohepatitis, non-alcoholic fatty liver disease, homozygous and/or heterozygous familial hypercholesterolemia, or statin resistant hypercholesterolemia.
14. The method of claim 11 , wherein the RNAi agent is administered at a dose of about 0.05 mg/kg to about 5.0 mg/kg of body weight of the human subject.
15. A method of lowering triglyceride levels in a subject, the method comprising administering to the subject an effective amount of the RNAi agent of claim 1 .
16. A method of lowering total cholesterol levels in a subject, the method comprising administering to the subject an effective amount of the RNAi agent of claim 1 .
17. A method of lowering low density lipoprotein (LDL) cholesterol levels in a subject, the method comprising administering to the subject an effective amount of a pharmaceutical composition of claim 4 .
18. The method of claim 11 , wherein the method further comprises administration of a statin.
19. The method of claim 18 , wherein the statin is selected from the group consisting of: atorvastatin, fluvastatin, pravastatin, pitavastatin, rosuvastatin, and simvastatin.