Core Insights - Small nucleic acid drugs are emerging as a promising frontier in the pharmaceutical industry, particularly in the treatment of cardiovascular diseases, due to their multiple druggable targets, strong efficacy, good safety profile, and low dosing frequency [3][4][5]. Group 1: Industry Trends - Chinese innovative pharmaceutical companies are increasingly engaging in licensing agreements, with a notable $5.2 billion licensing deal between Novartis and Shanghai Bowang Pharmaceutical for next-generation cardiovascular drugs [1]. - The treatment of cardiovascular diseases is rapidly transitioning towards small nucleic acid drugs, with RNA interference (RNAi) technology showing significant potential in addressing conditions like severe hypertriglyceridemia [1][4]. Group 2: Key Developments - Novartis has already received approval for inclisiran, a long-acting siRNA drug targeting the PCSK9 gene, which requires only biannual injections for lipid control [4]. - Eli Lilly is also heavily investing in the next generation of cardiovascular innovations, having signed a partnership worth over $3 billion with Dicerna to develop RNAi therapies, including the long-acting lipid-lowering drug lepodisiran [4]. - Roche has partnered with Alnylam to develop Zilebesiran, an RNAi-based antihypertensive drug that shows promising results in maintaining blood pressure control with just two injections per year [5]. Group 3: Clinical Insights - Alnylam's pipeline for small nucleic acid drugs has a success rate of approximately 60% from project initiation to Phase III clinical trials, significantly higher than traditional small molecule drugs [6]. - Experts in the cardiovascular field acknowledge the potential of small interfering RNA drugs but emphasize the need for further validation of their long-term clinical benefits [7].