# Ractigen Therapeutics Publishes Foundational Study on its Extrahepatic LiCO™ Delivery Platform in Molecular Therapy – Nucleic Acids

- Link: https://www.thailand-business-news.com/pr-news/ractigen-therapeutics-publishes-foundational-study-on-its-extrahepatic-lico-delivery-platform-in-molecular-therapy-nucleic-acids
- Published: 2026-10-23T20:35:00+07:00
- Author: PR Newswire

◦ Peer-reviewed study demonstrates potent, multi-month extrahepatic delivery via
   both systemic administration—targeting skeletal muscle, heart, and adipose tissue—
   and localized routes across ocular, joint, and bladder compartments
 ◦ Unlocks high-value therapeutic tissues for neuromuscular, cardiovascular, and
   cardiometabolic diseases through CD36-mediated uptake, achieving ~90% target 
   knockdown and functional muscle hypertrophy in non-human primates with only transient
   liver activity
 ◦ Clinically validated across both systemic and local routes of administration 
   through ongoing clinical programs RAG-18 (systemic saRNA for Duchenne muscular
   dystrophy) and RAG-01 (intravesical saRNA for non-muscle invasive bladder cancer)

NANTONG, China, Oct. 23, 2026 /PRNewswire/ — Ractigen Therapeutics, a clinical-stage
biopharmaceutical company pioneering small activating RNA (saRNA) and targeted oligonucleotide
therapeutics, today announced the publication of a foundational peer-reviewed study
in Molecular Therapy – Nucleic Acids detailing the design, mechanism, and preclinical
translation of its proprietary LiCO™ (Lipid-Conjugated Oligonucleotide) platform.

The article, titled "The LiCO Platform: A Novel Benzimidazole-Based Lipid Conjugate
for Versatile and Sustained siRNA Delivery Beyond the Liver", demonstrates how a
chemically defined, single-entity lipid conjugate synthesized via standard solid-
phase chemistry overcomes one of the central bottlenecks in genetic medicine: achieving
potent, durable oligonucleotide delivery to extrahepatic organs via both systemic
and local routes of administration (ROA).

**Unlocking High-Value Extrahepatic Tissues: Skeletal Muscle, Heart, and Adipose**

While GalNAc conjugation has transformed liver-directed RNA therapeutics, extending
oligonucleotide delivery beyond the liver has historically relied on complex lipid
nanoparticles or bulky antibody and peptide conjugates that face manufacturing, 
tissue-penetration, or tolerability challenges. In particular, achieving safe and
durable systemic delivery to skeletal muscle, cardiac tissue, and adipose tissue
represents a major frontier for addressing widespread and debilitating conditions—
ranging from genetic neuromuscular disorders and heart failure to obesity and cardiometabolic
diseases.

Ractigen’s LiCO™ platform pairs an optimized lipid moiety with a proprietary benzimidazole-
based (SDL™) linker at the 5′ end of the passenger strand, markedly enhancing intracellular
delivery activity while remaining fully compatible with both gene-silencing (siRNA)
and gene-activating (saRNA) payloads.

**Key Findings from the** **_Molecular Therapy – Nucleic Acids_** **Publication**

 ◦ **Systemic Delivery to Muscle, Heart, and Adipose with Multi-Month Durability:**
   In mice, a single systemic dose of a LiCO-conjugated oligonucleotide achieved**
   >90% target mRNA knockdown across skeletal muscle, heart, aorta, and adipose 
   tissue**, with ≥50% silencing persisting for at least six months and measurable
   activity extending to nine months. Crucially, while initial tissue distribution
   occurs in both liver and extrahepatic organs, hepatic activity clears rapidly,
   leaving a long-lived functional depot selectively within extrahepatic tissues.
 ◦ **CD36-Driven Tissue Tropism:** Mechanistic studies in _Cd36_-knockout models
   established the fatty acid translocase **CD36** as the primary receptor mediating
   functional cellular uptake in muscle, heart, and adipose tissue—explaining LiCO’s
   natural affinity for metabolically active extrahepatic organs.
 ◦ **Robust Non-Human Primate (NHP) Translation:** In cynomolgus macaques, two intravenous
   doses of LiCO-siMSTN produced **~90% myostatin (****_MSTN_****) mRNA knockdown**
   across skeletal muscles, sustained 60–70% suppression of circulating myostatin
   protein through Day 98, and progressive **functional muscle hypertrophy**. High-
   resolution _in situ_ hybridization confirmed deep parenchymal penetration into
   skeletal myofibers, cardiomyocytes, and vascular smooth muscle cells, accompanied
   by a clean clinical, hematological, and biochemical safety profile.
 ◦ **Versatile Local Delivery Across Multiple Organs:** Beyond systemic administration,
   LiCO mediated potent localized gene modulation with minimal systemic exposure
   across three distinct anatomical compartments: **90% target silencing in the 
   joint synovium** (intra-articular), **74% in the retina** (intravitreal), and**
   47% in the bladder urothelium** (intravesical).

**Dual Clinical Validation: Systemic (RAG-18) and Local (RAG-01) Pipeline Translation**

Because the LiCO™ architecture improves functional intracellular delivery across
oligonucleotide classes, Ractigen has rapidly translated the platform into clinical
trials validating both its systemic and local delivery capabilities:

 ◦ **Systemic Clinical Validation in Muscle & Heart — RAG-18 for Duchenne Muscular
   Dystrophy (DMD):** Directly leveraging LiCO’s systemic tropism for skeletal and
   cardiac muscle, **RAG-18** is a first-in-class LiCO-conjugated saRNA designed
   to transcriptionally upregulate utrophin (_UTRN_) to functionally compensate 
   for dystrophin deficiency across all DMD patients regardless of mutation type.
   Because DMD morbidity and mortality are driven by progressive degeneration of
   both skeletal muscle and the myocardium, LiCO’s ability to penetrate both tissues
   systemically provides a critical therapeutic advantage. Ractigen recently [presented positive first-in-human data for RAG-18 at the 2026 World Muscle Society (WMS) Congress](https://www.prnewswire.com/news-releases/ractigen-therapeutics-presents-positive-first-in-human-data-for-rag-18-at-wms-2026-establishing-clinical-proof-of-mechanism-for-rna-activation-in-duchenne-muscular-dystrophy-302897620.html),
   establishing clinical proof-of-mechanism for systemic LiCO-enabled RNA activation
   in patients with DMD.
 ◦ **Local Clinical Validation in the Bladder — RAG-01 for Non-Muscle Invasive Bladder
   Cancer (NMIBC):** Building on LiCO’s intravesical delivery profile demonstrated
   in the publication, **RAG-01** is a LiCO-conjugated saRNA engineered to locally
   activate the tumor suppressor gene _CDKN1A_ (p21) within bladder tumors while
   sparing systemic tissues. As previously [presented at the European Association of Urology (EAU) 2025 Congress](https://www.prnewswire.com/news-releases/ractigens-rag-01-shows-promising-early-complete-responses-in-phase-i-nmibc-trial-data-presented-at-eau-2025-302409218.html),
   RAG-01 has already demonstrated promising early complete responses (CRs) and 
   a favorable tolerability profile in its Phase I clinical trial in patients with
   high-risk NMIBC.

"Skeletal muscle, cardiac tissue, and adipose tissue sit at the center of a vast
spectrum of human diseases—from devastating neuromuscular and cardiovascular disorders
to global metabolic syndromes—yet they have remained largely out of reach for conventional
oligonucleotide chemistry," said **Long-Cheng Li, M.D., Founder and CEO of Ractigen
Therapeutics** and senior author of the study. "Our publication in _Molecular Therapy–
Nucleic Acids_ establishes how the benzimidazole-enabled LiCO™ platform harnesses
CD36-mediated uptake to unlock these high-value organs systemically, while also 
enabling potent local delivery to the eye, joint, and bladder. Most importantly,
LiCO is already clinically validated in patients across both routes of administration:
locally with early complete responses in our Phase I **RAG-01** bladder cancer trial,
and systemically with positive first-in-human proof-of-mechanism data for **RAG-
18** in Duchenne muscular dystrophy."

The full open-access article is available online in _Molecular Therapy – Nucleic
Acids_: [https://doi.org/10.1016/j.omtn.2026.103154](https://doi.org/10.1016/j.omtn.2026.103154).

**About the LiCO™ Platform**

LiCO™ (Lipid-Conjugated Oligonucleotide) is Ractigen’s proprietary extrahepatic 
oligonucleotide delivery platform designed to transport double-stranded RNA therapeutics(
including saRNA and siRNA) to tissues beyond the liver. Synthesized as a single 
chemical entity via scalable solid-phase chemistry, LiCO™ combines a proprietary
benzimidazole-based (SDL) linker with an optimized lipid conjugate to harness CD36-
mediated endocytosis—achieving deep tissue penetration and multi-month durability
across skeletal muscle, heart, vascular smooth muscle, and adipose tissue via systemic
administration, as well as potent target engagement in ocular, articular, and urothelial
tissues via local administration.

**About Ractigen Therapeutics**

Ractigen Therapeutics is a clinical-stage biopharmaceutical company dedicated to
discovering and developing transformative small activating RNA (saRNA) and siRNA
therapeutics for diseases intractable to conventional modalities. Powered by its
proprietary **smart-TCC™ saRNA** discovery engine and extrahepatic delivery platforms(**
LiCO™** and **SCAD™**), Ractigen is advancing a differentiated clinical and preclinical
pipeline targeting neuromuscular, metabolic, cardiovascular, oncology, and rare 
genetic disorders, including clinical-stage programs **RAG-01** (NMIBC), **RAG-18**(
DMD), and **RAG-17** (SOD1-ALS). For more information, please visit [www.ractigen.com](https://www.ractigen.com/),
and follow us on [**X**](https://x.com/ractigen_tx) and [**LinkedIn**](https://www.linkedin.com/company/18261341/).

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