千亿市场潜力、有望成为第三大药物类型的小核酸药物 迎高速爆发期丨黄金眼
Quan Jing Wang·2025-10-09 03:08

Core Insights - Small nucleic acid drugs are emerging as a potential third major class of therapeutics, alongside small molecules and antibody drugs, due to their unique advantages in development speed, efficacy, and safety [6][12]. Group 1: Overview of Small Nucleic Acid Drugs - Small nucleic acid drugs, including antisense oligonucleotides (ASO), small interfering RNA (siRNA), and microRNA (miRNA), are short-chain nucleic acids designed to intervene in gene expression for disease treatment [1][3]. - The development of small nucleic acid drugs has evolved since the 1970s, with significant breakthroughs occurring after 2014, leading to the successful market entry of several key products [3][4]. Group 2: Advantages of Small Nucleic Acid Drugs - Compared to traditional small molecule and antibody drugs, small nucleic acid drugs have shorter development cycles, lasting effects, higher success rates, and a lower likelihood of developing drug resistance [4][5]. - The success rate of small nucleic acid drugs from Phase I to Phase III trials is approximately 59.2%, which is five times higher than that of targeted drugs and overall pharmaceuticals [5]. Group 3: Market Progress and Investment Opportunities - The global small nucleic acid drug market is projected to grow from $2.7 billion in 2019 to $4.6 billion in 2023, with a compound annual growth rate (CAGR) of 14.3%, and is expected to reach $46.7 billion by 2033 [12]. - Several small nucleic acid drugs have been approved, with notable sales forecasts for 2024, including Nusinersen at $1.6 billion, Vutrisiran at $970 million (up 73% year-over-year), and Inclisiran at $750 million (up 112% year-over-year) [7][12]. Group 4: Pipeline and Regulatory Landscape - As of mid-2025, there are 22 approved small nucleic acid drugs globally, with the majority targeting genetic rare diseases [10]. - The Chinese market for RNA interference (RNAi) therapies is expected to grow significantly, with projections indicating a rise from approximately $4 million in 2022 to over $300 million by 2025 [14]. Group 5: Key Companies and Developments - Companies such as Yuyuan Pharmaceutical and Chengdu XianDao are actively involved in the development of small nucleic acid drugs, with multiple candidates in various clinical stages [18][20]. - Major multinational corporations (MNCs) are investing heavily in the small nucleic acid space, with significant collaborations and partnerships emerging in the industry [15][14].