Drugs / Tonlamarsen
last change Jun 2026 re-read 3 minutes ago

Tonlamarsen

also known as ION904 · ION-904 FREE ACID

targets AGT via inhibition

Developed for
hypertensive disorder · hypertensive urgency
Investigated by
Ionis Pharmaceuticals, Inc. · Kardigan, Inc.

Trials 4

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT04731623 Feb → Aug 2021 — Ionis Pharmaceuticals, Inc. Completed No outcome recorded
Phase 23 trials
Phase 2 NCT07511361 Jun → Dec 2026 expected hypertensive urgency Kardigan, Inc. Recruiting No outcome recorded
Phase 2 NCT06864104 Apr 2025 → Jan 2026 hypertensive disorder Kardigan, Inc. Completed Mixed
Phase 2 NCT05314439 Apr 2022 → Jan 2023 hypertensive disorder Ionis Pharmaceuticals, Inc. Completed No outcome recorded

News releases announcing trial results or a regulatory action · 1

DateIssuerRelease
2026-03-28 Kardigan, Inc. Results Kardigan Announces Positive Phase 2 Data for Tonlamarsen in Patients with Uncontrolled Hypertension Presented as Late-Breaker at ACC.26 and Simultaneously Published in JACC kardigan.bio ↗
In the clinical trial, tonlamarsen, an investigational antisense oligonucleotide (ASO) targeting angiotensinogen (AGT), demonstrated a statistically significant reduction in plasma AGT levels and a clinically meaningful reduction in in-office systolic blood pressure (oSBP) from baseline to Week 20.

Evidence & citations 7 cited values

Every value below carries the sentence it was read from. 6 sources stand behind the page.

FieldValueCited text
Known as Tonlamarsen ClinicalTrials.gov intervention name — accepted as the source's own label NCT07511361 ↗
1

NCT06864104 ↗

Known as ION-904 FREE ACID ChEMBL registry synonym — accepted as the source's own label CHEMBL5095350 ↗
Known as ION904 ClinicalTrials.gov intervention name — accepted as the source's own label NCT05314439 ↗
1

NCT04731623 ↗

Action Inhibit “directed against hepatic angiotensinogen synthesis” PMID 41949512 ↗ Mar 2026
Modality Antisense oligonucleotide “Tonlamarsen is an investigational antisense oligonucleotide directed against hepatic angiotensinogen synthesis” PMID 41949512 ↗ Mar 2026
Route Subcutaneous “ION904 will be administered by SC injection.” NCT04731623 ↗
Target AGT “Tonlamarsen is designed to block the body's liver from making a protein called angiotensinogen (AGT), which plays a key role in controlling blood pressure.” NCT07511361 ↗