The invention relates to a
saponin conjugate comprising a
saponin covalently linked to a ligand for ASGPR, the ligand comprising at least one GalNAc. The invention also relates to a pharmaceutical combination comprising a first pharmaceutical composition comprising the
saponin conjugate of the invention and a second pharmaceutical composition comprising a second conjugate of an
effector molecule and a ligand for ASGPR, or a third conjugate of an
effector molecule and a binding molecule for binding to a
cell-surface molecule. In addition, the invention relates to a pharmaceutical composition comprising the saponin conjugate of the invention and the second conjugate or the third conjugate. Furthermore, the invention relates to a pharmaceutical combination or pharmaceutical composition of the invention, for use as a medicament. The invention also relates to a pharmaceutical combination or pharmaceutical composition of the invention, for use in the treatment or prophylaxis of a
disease or health problem in which an expression product is involved of genes: apoB, TTR, PCSK9, ALAS1, AT3, GC, CC5, X
gene of HBV, S
gene of HBV, AAT and LDH, and for use in the treatment or prophylaxis of a
cancer, an infectious
disease, a
viral infection, hypercholesterolemia, primary hyperoxaluria,
haemophilia A,
haemophilia B, AAT related
liver disease, acute hepatic porphyria, TTR
amyloidosis, complement-mediated
disease,
hepatitis B infection, or an auto-immune disease. Finally, the invention relates to an
in vitro or
ex vivo method for transferring the second conjugate or the third conjugate of the invention from outside a
cell to inside said
cell.