IP Library Granted Patent US 12,365,896
Granted Patent B2
US 12,365,896 · App. 17/721,530 · Granted Jul 22, 2025

Complement component C3 iRNA compositions and methods of use thereof

Inventors: Mark Keating (Weston, MA); James D. McIninch (Burlington, MA); Elane Fishilevich (Rochester, MA); Kristina Yucius (Burlington, MA); Sarah Solomon (Cambridge, MA); Mark K. Schlegel (Boston, MA); Adam Castoreno (Framingham, MA); Charalambos Kaittanis (Cambridge, MA)
Assignee: Alnylam Pharmaceuticals, Inc.
C12N15/113C12N15/66C12N2310/3125C12N2310/315C12N2310/321
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Quick Facts
Patent No.
US 12,365,896
App. No.
17/721,530
Granted
Jul 22, 2025
Kind
B2
Abstract

The present invention relates to RNAi agents, e.g., double stranded RNA (dsRNA) agents, targeting the complement component C3 gene (C3). The invention also relates to methods of using such RNAi agents to inhibit expression of a C3 gene and to methods of preventing and treating a C3-associated disorder, e.g., cold agglutinin disease (CAD), warm autoimmune hemolytic anemia, and paroxysmal nocturnal hemoglobinuria (PNH), lupis nephritis (LN), bullous pemphigoid, Pemphigus, e.g., Pemphigus vulgaris (PV) and Pemphigus foliaceus (PF), and C3 glomerulopathy.

Claims (64)

1. A method of inhibiting expression of a complement component C3 gene in a cell, the method comprising contacting the cell with a double stranded ribonucleic acid (dsRNA) agent for inhibiting expression of complement component C3 in a cell, or a pharmaceutically acceptable salt thereof,

wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, comprises a sense strand differing by no more than 4 bases from the nucleotide sequence 5′-gsasgccgUfuCfUfCfuacaauuacu-3′ of SEQ ID NO:4188 and an antisense strand differing by no more than 4 bases from the nucleotide sequence 5′-asGfsuaaUfuGfUfagagAfaCfggcucsgsg-3′ of SEQ ID NO:4367,

wherein a, g, c and u are 2′-O-methyl (2′-OMe) A, G, C, and U, respectively; Af, Gf, Cf, and Uf are 2′-fluoro A, G, C and U, respectively; and s is a phosphorothioate linkage,

thereby inhibiting expression of the complement component C3 gene in the cell.

2. The method of claim 1 , wherein the cell is within a subject.

3. The method of claim 2 , wherein the subject is a human.

4. The method of claim 1 , wherein contacting the cell with the dsRNA agent, or a pharmaceutically acceptable salt thereof, inhibits the expression of complement component C3 by at least 50%, 60%, 70%, 80%, 90%, or 95%.

5. The method of claim 1 , wherein inhibiting expression of complement component C3 decreases complement component C3 protein level in serum of the subject by at least 50%, 60%, 70%, 80%, 90%, or 95%.

6. The method of claim 1 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, comprises a sense strand differing by no more than 3 bases from the nucleotide sequence 5′-gsasgccgUfuCfUfCfuacaauuacu-3′ of SEQ ID NO:4188 and an antisense strand differing by no more than 3 bases from the nucleotide sequence 5′-asGfsuaaUfuGfUfagagAfaCfggcucsgsg-3′ of SEQ ID NO:4367.

7. The method of claim 1 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, comprises a sense strand differing by no more than 2 bases from the nucleotide sequence 5′-gsasgccgUfuCfUfCfuacaauuacu-3′ of SEQ ID NO:4188 and an antisense strand differing by no more than 2 bases from the nucleotide sequence 5′-asGfsuaaUfuGfUfagagAfaCfggcucsgsg-3′ of SEQ ID NO:4367.

8. The method of claim 1 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, comprises a sense strand differing by no more than 1 base from the nucleotide sequence 5′-gsasgccgUfuCfUfCfuacaauuacu-3′ of SEQ ID NO:4188 and an antisense strand differing by no more than 1 base from the nucleotide sequence 5′-asGfsuaaUfuGfUfagagAfaCfggcucsgsg-3′ of SEQ ID NO:4367.

9. The method of claim 1 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, comprises a sense strand comprising the nucleotide sequence 5′-gsasgccgUfuCfUfCfuacaauuacu-3′ of SEQ ID NO:4188 and an antisense strand comprising the nucleotide sequence 5′-asGfsuaaUfuGfUfagagAfaCfggcucsgsg-3′ of SEQ ID NO: 4367.

10. The method of claim 1 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, comprises a sense strand consisting of the nucleotide sequence 5′-gsasgccgUfuCfUfCfuacaauuacu-3′ of SEQ ID NO:4188 and an antisense strand consisting of the nucleotide sequence 5′-asGfsuaaUfuGfUfagagAfaCfggcucsgsg-3′ of SEQ ID NO: 4367.

11. The method of claim 1 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, further comprises a ligand.

12. The method of claim 11 , wherein the ligand is conjugated to the 3′ end of the sense strand of the dsRNA agent, or a pharmaceutically acceptable salt thereof.

13. The method of claim 11 , wherein the ligand is an N-acetylgalactosamine (GalNAc) derivative.

14. The method of claim 13 , wherein the ligand is one or more GalNAc derivatives attached through a monovalent, bivalent, or trivalent linker.

15. The method of claim 14 , wherein the ligand is

16. The method of claim 15 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, is conjugated to the ligand as shown in the following schematic

wherein X is O or S.

17. The method of claim 16 , wherein X is O.

18. The method of claim 1 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, is present in a pharmaceutical composition.

19. A method of treating a subject having a complement component C3-associated disorder selected from the group consisting of cold agglutinin disease (CAD), warm autoimmune hemolytic anemia, and paroxysmal nocturnal hemoglobinuria (PNH), lupus nephritis (LN), bullous pemphigoid, Pemphigus, Pemphigus vulgaris (PV), Pemphigus foliaceus (PF), and C3 glomerulopathy, comprising administering to the subject a therapeutically effective amount of a double stranded ribonucleic acid (dsRNA) agent for inhibiting expression of complement component C3 in a cell, or a pharmaceutically acceptable salt thereof,

wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, comprises a sense strand differing by no more than 4 bases from the nucleotide sequence 5′-gsasgccgUfuCfUfCfuacaauuacu-3′ of SEQ ID NO:4188 and an antisense strand differing by no more than 4 bases from the nucleotide sequence 5′-asGfsuaaUfuGfUfagagAfaCfggcucsgsg-3′ of SEQ ID NO:4367,

wherein a, g, c and u are 2′-O-methyl (2′-OMe) A, G, C, and U, respectively; Af, Gf, Cf, and Uf are 2′-fluoro A, G, C and U, respectively; and s is a phosphorothioate linkage,

thereby treating the subject having the complement component C3-associated disorder.

20. The method of claim 19 , wherein the complement component C3-associated disorder is cold agglutinin disease (CAD).

21. The method of claim 19 , wherein the subject is human.

22. The method of claim 19 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, is administered to the subject subcutaneously.

23. The method of claim 19 , further comprising administering to the subject an additional therapeutic agent for treatment of hemolysis.

24. The method of claim 19 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, comprises a sense strand differing by no more than 3 bases from the nucleotide sequence 5′-gsasgccgUfuCfUfCfuacaauuacu-3′ of SEQ ID NO:4188 and an antisense strand differing by no more than 3 bases from the nucleotide sequence 5′-asGfsuaaUfuGfUfagagAfaCfggcucsgsg-3′ of SEQ ID NO:4367.

25. The method of claim 19 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, comprises a sense strand differing by no more than 2 bases from the nucleotide sequence 5′-gsasgccgUfuCfUfCfuacaauuacu-3′ of SEQ ID NO:4188 and an antisense strand differing by no more than 2 bases from the nucleotide sequence 5′-asGfsuaaUfuGfUfagagAfaCfggcucsgsg-3′ of SEQ ID NO:4367.

26. The method of claim 19 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, comprises a sense strand differing by no more than 1 base from the nucleotide sequence 5′-gsasgccgUfuCfUfCfuacaauuacu-3′ of SEQ ID NO:4188 and an antisense strand differing by no more than 1 base from the nucleotide sequence 5′-asGfsuaaUfuGfUfagagAfaCfggcucsgsg-3′ of SEQ ID NO:4367.

27. The method of claim 19 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, comprises a sense strand comprising the nucleotide sequence 5′-gsasgccgUfuCfUfCfuacaauuacu-3′ of SEQ ID NO:4188 and an antisense strand comprising the nucleotide sequence 5′-asGfsuaaUfuGfUfagagAfaCfggcucsgsg-3′ of SEQ ID NO: 4367.

28. The method of claim 19 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, comprises a sense strand consisting of the nucleotide sequence 5′-gsasgccgUfuCfUfCfuacaauuacu-3′ of SEQ ID NO:4188 and an antisense strand consisting of the nucleotide sequence 5′-asGfsuaaUfuGfUfagagAfaCfggcucsgsg-3′ of SEQ ID NO: 4367.

29. The method of claim 19 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, further comprises a ligand.

30. The method of claim 29 , wherein the ligand is conjugated to the 3′ end of the sense strand of the dsRNA agent, or a pharmaceutically acceptable salt thereof.

31. The method of claim 29 , wherein the ligand is an N-acetylgalactosamine (GalNAc) derivative.

32. The method of claim 31 , wherein the ligand is one or more GalNAc derivatives attached through a monovalent, bivalent, or trivalent linker.

33. The method of claim 32 , wherein the ligand is

34. The method of claim 33 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, is conjugated to the ligand as shown in the following schematic

wherein X is O or S.

35. The method of claim 34 , wherein X is O.

36. The method of claim 19 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, is present in a pharmaceutical composition.

37. A method of treating a subject having a complement component C3-associated disorder selected from the group consisting of cold agglutinin disease (CAD), warm autoimmune hemolytic anemia, and paroxysmal nocturnal hemoglobinuria (PNH), lupus nephritis (LN), bullous pemphigoid, Pemphigus, Pemphigus vulgaris (PV), Pemphigus foliaceus (PF), and C3 glomerulopathy, comprising administering to the subject a therapeutically effective amount of a double stranded ribonucleic acid (dsRNA) agent for inhibiting expression of complement component C3 in a cell, or a pharmaceutically acceptable salt thereof, comprising a sense strand consisting of the nucleotide sequence 5′-gsasgccgUfuCfUfCfuacaauuacu-3′ of SEQ ID NO:4188 and an antisense strand comprising the nucleotide sequence 5′-asGfsuaaUfuGfUfagagAfaCfggcucsgsg-3′ of SEQ ID NO:4367, wherein a, g, c and u are 2′-O-methyl (2′-OMe) A, G, C, and U, respectively; Af, Gf, Cf, and Uf are 2′-fluoro A, G, C and U, respectively; and s is a phosphorothioate linkage,

wherein the 3′-end of the sense strand of the dsRNA agent, or a pharmaceutically acceptable salt thereof, is conjugated to a ligand as shown in the following schematic

wherein X is O, thereby treating the subject having the complement component C3-associated disorder.

38. The method of claim 37 , wherein the complement component C3-associated disorder is cold agglutinin disease (CAD).

39. The method of claim 37 , wherein the subject is human.

40. The method of claim 37 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, is administered to the subject subcutaneously.

41. The method of claim 37 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, is present in a pharmaceutical composition.

42. A method of treating a subject having a complement component C3-associated disorder selected from the group consisting of cold agglutinin disease (CAD), warm autoimmune hemolytic anemia, and paroxysmal nocturnal hemoglobinuria (PNH), lupus nephritis (LN), bullous pemphigoid, Pemphigus, Pemphigus vulgaris (PV), Pemphigus foliaceus (PF), and C3 glomerulopathy, comprising administering to the subject a therapeutically effective amount of a double stranded ribonucleic acid (dsRNA) agent for inhibiting expression of complement component C3 in a cell, or a pharmaceutically acceptable salt thereof, consisting of a sense strand consisting of the nucleotide sequence 5′-gsasgccgUfuCfUfCfuacaauuacu-3′ of SEQ ID NO:4188 and an antisense strand consisting of the nucleotide sequence 5′-asGfsuaaUfuGfUfagagAfaCfggcucsgsg-3′ of SEQ ID NO:4367, wherein a, g, c and u are 2′-O-methyl (2′-OMe) A, G, C, and U, respectively; Af, Gf, Cf, and Uf are 2′-fluoro A, G, C and U, respectively; and s is a phosphorothioate linkage,

wherein the 3′-end of the sense strand of the dsRNA agent, or a pharmaceutically acceptable salt thereof, is conjugated to a ligand as shown in the following schematic

wherein X is O, thereby treating the subject having the complement component C3-associated disorder.

43. The method of claim 42 , wherein the complement component C3-associated disorder is cold agglutinin disease (CAD).

44. The method of claim 42 , wherein the subject is human.

45. The method of claim 42 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, is administered to the subject subcutaneously.

46. The method of claim 42 , wherein the dsRNA agent, or a pharmaceutically acceptable salt thereof, is present in a pharmaceutical composition.

47. The method of claim 19 , wherein the dsRNA agent is in a salt form.

48. The method of claim 47 , wherein the dsRNA agent is in a sodium salt form.

49. The method of claim 37 , wherein the dsRNA agent is in a salt form.

50. The method of claim 49 , wherein the dsRNA agent is in a sodium salt form.

51. The method of claim 42 , wherein the dsRNA agent is in a salt form.

52. The method of claim 51 , wherein the dsRNA agent is in a sodium salt form.

Assignments (2)
SECURITY INTEREST Recorded Oct 1, 2025
From: ALNYLAM PHARMACEUTICALS, INC.; SIRNA THERAPEUTICS, INC.
To: BANK OF AMERICA, N.A.
Reel/Frame 072996/0337 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded May 3, 2022
From: KEATING, MARK; MCININCH, JAMES D.; FISHILEVICH, ELANE; YUCIUS, KRISTINA; SOLOMON, SARAH; SCHLEGEL, MARK K.; CASTORENO, ADAM; KAITTANIS, CHARALAMBOS
To: ALNYLAM PHARMACEUTICALS, INC.
Reel/Frame 059797/0402 →
Continuity (3)
Continuation PCTUS2020056563 · Oct 21, 2020
Provisional Application 62924210 · Oct 22, 2019
Related Publication 20220364088A1 · Nov 17, 2022
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