GSK has agreed to pay up to $1.005 billion to partner with China's Siran Biotechnology on an experimental gene-silencing therapy aimed at reducing abdominal fat. The deal announced Wednesday highlights growing industry interest in the role of fat distribution, rather than just weight alone, in tackling chronic diseases. The agreement includes an unspecified upfront fee and grants GSK worldwide rights to SA030 outside China; SiranBio will lead early clinical work, after which the UK drugmaker assumes responsibility for development, regulatory filings and commercialisation. SiranBio stands to receive success-based milestones, along with tiered royalties on global sales. The long-acting siRNA oligonucleotide, which recently entered Phase I testing, is designed to silence activin receptor-like kinase 7 (ALK7), a type 1 receptor of the TGF-β superfamily predominantly expressed in white and brown adipose tissue. By inhibiting ALK7, SiranBio says SA030 may be able to selectively break down visceral adipose while preserving lean mass. That approach, according to the company, could improve insulin sensitivity, lipid profiles and fat-cell-driven inflammation, factors that can drive cardiometabolic risk across diseases affecting the liver, kidney and lungs. Additionally, it said the SA030 programme offers a "complementary and distinct mechanism to GLP-1 agonists and SGLT2 inhibitors," opening the door to future combination strategies aimed at further reducing cardiometabolic risk that isn't fully addressed with current drugs. Kaivan Khavandi, GSK's head of R&D for respiratory, immunology and inflammation, says "complementary approaches are urgently needed" to lower the risk. SA030 also "builds on our emerging pipeline targeting inflammation, fibrosis and vascular drivers of disease, and may help improve outcomes for patients," Khavandi added. The Phase I study is enrolling about 40 overweight or obese participants and is expected to wrap up early next year, according to ClinicalTrials.gov. Wednesday's deal puts GSK among a growing group of drugmakers exploring fat biology as a therapeutic target. In January, Arrowhead Pharmaceuticals reported early data from siRNA programmes targeting the Activin E/ALK7 pathway, including reductions in visceral fat. Separately, Pfizer entered a research collaboration with Gordian Bio earlier this year aimed at identifying new targets directly within visceral adipose tissue.