PMID- 37111643 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230501 IS - 1999-4923 (Print) IS - 1999-4923 (Electronic) IS - 1999-4923 (Linking) VI - 15 IP - 4 DP - 2023 Apr 6 TI - An Overview of the Stability and Delivery Challenges of Commercial Nucleic Acid Therapeutics. LID - 10.3390/pharmaceutics15041158 [doi] LID - 1158 AB - Nucleic acid (NA)-based biopharmaceuticals have emerged as promising therapeutic modalities. NA therapeutics are a diverse class of RNA and DNA and include antisense oligonucleotides, siRNA, miRNA, mRNA, small activating RNA, and gene therapies. Meanwhile, NA therapeutics have posed significant stability and delivery challenges and are expensive. This article discusses the challenges and opportunities for achieving stable formulations of NAs with novel drug delivery systems (DDSs). Here we review the current progress in the stability issues and the significance of novel DDSs associated with NA-based biopharmaceuticals, as well as mRNA vaccines. We also highlight the European Medicines Agency (EMA) and US Food and Drug Administration (FDA)-approved NA-based therapeutics with their formulation profiles. NA therapeutics could impact future markets if the remaining challenges and requirements are addressed. Regardless of the limited information available for NA therapeutics, reviewing and collating the relevant facts and figures generates a precious resource for formulation experts familiar with the NA therapeutics' stability profile, their delivery challenges, and regulatory acceptance. FAU - Ingle, Rahul G AU - Ingle RG AD - Institute of Drug Metabolism and Pharmaceutical Analysis, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310027, China. AD - Dr. Rajendra Gode College of Pharmacy, Amravati 444602, India. FAU - Fang, Wei-Jie AU - Fang WJ AD - Institute of Drug Metabolism and Pharmaceutical Analysis, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310027, China. LA - eng GR - 81741144/National Natural Science Foundation of China/ GR - 2018ZX09J18107-002/Ministry of Science and Technology/ PT - Journal Article PT - Review DEP - 20230406 PL - Switzerland TA - Pharmaceutics JT - Pharmaceutics JID - 101534003 PMC - PMC10143938 OTO - NOTNLM OT - drug delivery OT - excipient OT - formulation OT - mRNA vaccine OT - nucleic acid therapeutics OT - stability COIS- The authors declare no conflict of interest. EDAT- 2023/04/28 06:42 MHDA- 2023/04/28 06:43 PMCR- 2023/04/06 CRDT- 2023/04/28 01:47 PHST- 2023/01/20 00:00 [received] PHST- 2023/03/21 00:00 [revised] PHST- 2023/03/24 00:00 [accepted] PHST- 2023/04/28 06:43 [medline] PHST- 2023/04/28 06:42 [pubmed] PHST- 2023/04/28 01:47 [entrez] PHST- 2023/04/06 00:00 [pmc-release] AID - pharmaceutics15041158 [pii] AID - pharmaceutics-15-01158 [pii] AID - 10.3390/pharmaceutics15041158 [doi] PST - epublish SO - Pharmaceutics. 2023 Apr 6;15(4):1158. doi: 10.3390/pharmaceutics15041158.