Alnylam Pharmaceuticals' Phase I trial of nucresiran, an RNAi therapeutic for ATTR amyloidosis, showed significant serum TTR level reductions after a single dose, with sustained effects over time and low inter-patient variability. The study evaluated safety, pharmacokinetics, and pharmacodynamics in healthy individuals, with most adverse events being mild and unrelated to the treatment. Nucresiran is part of the IKARIA platform, aiming for deeper and more durable TTR knockdown, potentially allowing for less frequent dosing. Phase III development plans are anticipated for Q1 2025.