Drugs / Donidalorsen
last change Apr 2026 re-read 3 minutes ago

Donidalorsen

also known as ISIS 721744 · IONIS-PKK-LRx

Antisense oligonucleotide targets RIPK4 via inhibition

Developed for
hereditary angioedema · COVID-19
Investigated by
Ionis Pharmaceuticals, Inc.

Regulatory milestones approvals, filings & regulatory actions · 4 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed angioedema, hereditary, 4 2 milestones
Filed US (FDA) — angioedema, hereditary, 4 2024-11-04

“the U.S. Food and Drug Administration (FDA) has accepted for review the New Drug Application (NDA) for donidalorsen” ionis.com ↗

Filed EU (EMA) DAWNZERA angioedema, hereditary, 4 —

“Donidalorsen is currently under regulatory review in the EU” ionis.com ↗

Approved Indication not stated 2 milestones
Approved EU (EMA) Dawnzera — 2026-01-19 europa.eu ↗
Approved US (FDA) DAWNZERA (AUTOINJECTOR) — 2025-08-21 fda.gov ↗

Trials 6

201820192020202120222023202420252026202720282029
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT03263507 Aug 2017 → Oct 2018 — Ionis Pharmaceuticals, Inc. Completed No outcome recorded
Phase 22 trials · 1 met primary
Phase 2 NCT04307381 Mar 2020 → Jan 2025 hereditary angioedema Ionis Pharmaceuticals, Inc. Completed No outcome recorded
Phase 2 NCT04030598 Jan 2020 → Jan 2021 hereditary angioedema Ionis Pharmaceuticals, Inc. Completed Met primary
Phase 33 trials · 1 met primary
Phase 3 NCT07298447 Apr 2026 → Jun 2029 expected hereditary angioedema Ionis Pharmaceuticals, Inc. Recruiting No outcome recorded
Phase 3 NCT05392114 Jul 2022 → Dec 2026 expected hereditary angioedema Ionis Pharmaceuticals, Inc. Active not recruiting No outcome recorded
Phase 3 NCT05139810 Dec 2021 → Nov 2023 hereditary angioedema Ionis Pharmaceuticals, Inc. Completed Met primary
Comparator or background therapy2 trials
Phase 2 NCT04549922 Comparator Oct → Dec 2020 COVID-19 Hospital do Coracao Completed No outcome recorded
— NCT06415448 Background — hereditary angioedema Ionis Pharmaceuticals, Inc. Available No outcome recorded

News releases announcing trial results or a regulatory action · 17

DateIssuerRelease
2026-01-21 Ionis Pharmaceuticals Regulatory DAWNZERA™ (donidalorsen) approved in the European Union for hereditary angioedema (HAE) ionis.com ↗
Ionis Pharmaceuticals, Inc. (Nasdaq: IONS) and Otsuka Pharmaceutical Co., Ltd. (Otsuka) today announced that the European Commission (EC) has approved DAWNZERA™ (donidalorsen) in the European Union (EU) for the routine prevention of recurrent attacks of hereditary angioedema (HAE) in adults and adolescents aged 12 years and older.
2025-11-14 Ionis Pharmaceuticals Regulatory DAWNZERA™ (donidalorsen) receives positive opinion from CHMP, recommended for approval in EU for hereditary angioedema (HAE) ionis.com ↗
2025-11-06 Ionis Pharmaceuticals Results Ionis presents new data demonstrating long-term disease control with DAWNZERA™ (donidalorsen) at ACAAI 2025 Annual Meeting ionis.com ↗
DAWNZERA showed durable efficacy, demonstrating 94% overall mean HAE attack rate reduction at one year in OASISplus open-label extension study
2025-08-21 Ionis Pharmaceuticals Regulatory DAWNZERA™ (donidalorsen) approved in the U.S. as first and only RNA-targeted prophylactic treatment for hereditary angioedema ionis.com ↗
Ionis Pharmaceuticals, Inc. (Nasdaq: IONS) announced today that the U.S. Food and Drug Administration (FDA) has approved DAWNZERA™ (donidalorsen) for prophylaxis to prevent attacks of hereditary angioedema (HAE) in adult and pediatric patients 12 years of age and older.
2025-07-21 Ionis Pharmaceuticals Results Phase 3 OASISplus data demonstrating benefit of donidalorsen for HAE patients who switched from other prophylactics published in JACI In Practice ionis.com ↗
Results indicate that patients who switched to donidalorsen from prior prophylactic treatments showed a 62% further reduction in mean monthly HAE attack rate from baseline, and 84% of patients surveyed reported preference for donidalorsen.
2025-02-20 Ionis Pharmaceuticals Results New positive donidalorsen data to be presented at AAAAI/WAO Joint Congress highlight sustained HAE attack rate reduction and disease control ionis.com ↗
Data also show significant and clinically meaningful improvements in quality-of-life measures in new analyses from Phase 3 and Phase 2 clinical program
2024-11-04 Ionis Pharmaceuticals Regulatory Ionis announces FDA acceptance of New Drug Application for donidalorsen for prophylactic treatment of HAE ionis.com ↗
Ionis Pharmaceuticals, Inc. (Nasdaq: IONS) announced today that the U.S. Food and Drug Administration (FDA) has accepted for review the New Drug Application (NDA) for donidalorsen, an investigational RNA-targeted medicine for prophylaxis to prevent attacks of hereditary angioedema (HAE) in adult and pediatric patients 12 years of age and older.
2024-05-31 Ionis Pharmaceuticals Results Ionis presents positive results from OASIS-HAE and OASISplus studies of investigational medicine donidalorsen in patients with hereditary angioedema ionis.com ↗
Ionis Pharmaceuticals, Inc. (Nasdaq: IONS) today announced positive results from the Phase 3 OASIS-HAE and OASISplus studies of donidalorsen in patients with hereditary angioedema (HAE) demonstrating significant and sustained reduction in mean monthly HAE attack rates and continued attack rate improvement of >90% with one year of treatment for both monthly or every two-month dosing.
2024-01-22 Ionis Pharmaceuticals Results Ionis announces positive topline results from Phase 3 OASIS-HAE study of investigational donidalorsen in patients with hereditary angioedema ionis.com ↗
Ionis Pharmaceuticals, Inc. (Nasdaq: IONS) today announced positive topline results for the Phase 3 OASIS-HAE study of donidalorsen in people with hereditary angioedema (HAE).
2023-11-09 Ionis Pharmaceuticals Results Ionis presents positive two-year results from the Phase 2 open label extension study of donidalorsen in patients with hereditary angioedema ionis.com ↗
Ionis Pharmaceuticals, Inc. (Nasdaq: IONS) today announced positive results from an ongoing Phase 2 open-label extension (OLE) study evaluating the safety and efficacy of its investigational prophylactic medicine, donidalorsen, in patients with hereditary angioedema (HAE), a rare and life-threatening genetic disease.
2023-06-01 Ionis Pharmaceuticals Results Ionis announces positive donidalorsen late-stage clinical progress in HAE ionis.com ↗
Topline two-year open-label extension (OLE) results continue to demonstrate consistent efficacy and safety, with an overall sustained mean reduction in HAE attack rates of 96% from baseline through two years across dosing groups.
2023-02-21 Ionis Pharmaceuticals Results Ionis announces new donidalorsen data and presentations at the 2023 American Academy of Allergy, Asthma & Immunology Annual Meeting ionis.com ↗
Ionis Pharmaceuticals, Inc. (Nasdaq: IONS) today announced additional positive interim data from a Phase 2 open-label extension (OLE) study of donidalorsen, an investigational antisense medicine for the treatment of patients with hereditary angioedema (HAE).

All press releases naming this drug 23 releases

DateIssuerRelease

Evidence & citations 7 cited values

Every value below carries the sentence it was read from. 9 sources stand behind the page.

FieldValueCited text
Known as Donidalorsen ClinicalTrials.gov intervention name — accepted as the source's own label NCT06415448 ↗
6

NCT04307381 ↗

NCT05139810 ↗

NCT04030598 ↗

NCT05392114 ↗

NCT07298447 ↗

NCT03263507 ↗

Known as IONIS-PKK-LRx “A Study to Evaluate the Safety and Efficacy of Donidalorsen (ISIS 721744 or IONIS-PKK-LRx) in Participants With Hereditary Angioedema (HAE)” NCT05139810 ↗
Known as ISIS 721744 “A Study to Evaluate the Safety and Efficacy of Donidalorsen (ISIS 721744 or IONIS-PKK-LRx) in Participants With Hereditary Angioedema (HAE)” NCT05139810 ↗
2

“Patients were randomized to either one subcutaneous dose of ISIS721744, an antisense that blocks prekallikrein, or placebo.” PMID 39096659 ↗ Aug 2024

NCT04549922 ↗

Action Inhibit “an Antisense Oligonucleotide Inhibitor of PKK” NCT03263507 ↗
Modality Antisense oligonucleotide “an Antisense Oligonucleotide Inhibitor of PKK” NCT03263507 ↗
Route Subcutaneous “Administered Subcutaneously” NCT03263507 ↗
Target PKK “an Antisense Oligonucleotide Inhibitor of PKK” NCT03263507 ↗