“…Oligonucleotide therapeutics alter cell protein expression by regulating mRNAs through degradation and splice modulating mechanisms and have proven effective in the treatment of rare diseases. − Recent clinical programs show promise of oligonucleotides in the treatment of more common diseases that afflict global patient populations in the millions, as indicated by approval of Leqvio, a cholesterol lowering drug, in Europe. , Currently, oligonucleotides are manufactured by a linear chain elongation on a solid support carried out in a specialized column by a process known as solid-phase oligonucleotide synthesis (SPOS). , The technology has been well developed to meet the demands of rare diseases. However, manufacturing a metric ton of an oligonucleotide drug annually would require ∼200 syntheses at the typical ∼1 mol scale (∼5 kg purified product), and while not impossible, the approach would be difficult to sustain long-term. , Scaling up SPOS would require the development of larger scale synthesizers and synthesis columns, as well as investments in specialized dedicated facilities.…”