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  <headerData>
    <submissionType>144</submissionType>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0001780117</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>



    </filerInfo>
  </headerData>
  <formData>
    <issuerInfo>
      <issuerCik>0002036042</issuerCik>
      <issuerName>Sionna Therapeutics, Inc.</issuerName>
      <secFileNumber>001-42504</secFileNumber>
      <issuerAddress>
        <com:street1>21 HICKORY DRIVE, SUITE 500</com:street1>
        <com:city>WALTHAM</com:city>
        <com:stateOrCountry>MA</com:stateOrCountry>
        <com:zipCode>02451</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>617-819-2020</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>RA Capital Nexus Fund, L.P.</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Director</relationshipToIssuer>
        <relationshipToIssuer>10% Stockholder</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>BTIG, LLC</name>
        <address>
          <com:street1>350 Bush Street</com:street1>
          <com:street2>9th Floor</com:street2>
          <com:city>San Francisco</com:city>
          <com:stateOrCountry>CA</com:stateOrCountry>
          <com:zipCode>94104</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>9924</noOfUnitsSold>
      <aggregateMarketValue>433281.84</aggregateMarketValue>
      <noOfUnitsOutstanding>44628788</noOfUnitsOutstanding>
      <approxSaleDate>11/21/2025</approxSaleDate>
      <securitiesExchangeName>NASDAQ GM</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>09/18/2020</acquiredDate>
      <natureOfAcquisitionTransaction>Private Transaction</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Sionna Therapeutics</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>9924</amountOfSecuritiesAcquired>
      <paymentDate>09/18/2020</paymentDate>
      <natureOfPayment>Wire</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>RA Capital Nexus Fund, L.P.</name>
        <address>
          <com:street1>200 BERKELEY STREET</com:street1>
          <com:city>BOSTON</com:city>
          <com:stateOrCountry>MA</com:stateOrCountry>
          <com:zipCode>02116</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>10/24/2025</saleDate>
      <amountOfSecuritiesSold>122271</amountOfSecuritiesSold>
      <grossProceeds>4829704.50</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>RA Capital Nexus Fund, L.P</name>
        <address>
          <com:street1>200 BERKELEY STREET</com:street1>
          <com:city>BOSTON</com:city>
          <com:stateOrCountry>MA</com:stateOrCountry>
          <com:zipCode>02116</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>10/28/2025</saleDate>
      <amountOfSecuritiesSold>31392</amountOfSecuritiesSold>
      <grossProceeds>1242555.00</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>RA Capital Nexus Fund, L.P</name>
        <address>
          <com:street1>200 BERKELEY STREET</com:street1>
          <com:street2>18TH FLOOR</com:street2>
          <com:city>BOSTON</com:city>
          <com:stateOrCountry>MA</com:stateOrCountry>
          <com:zipCode>02116</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>11/17/2025</saleDate>
      <amountOfSecuritiesSold>32310</amountOfSecuritiesSold>
      <grossProceeds>1311488.75</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>RA Capital Nexus Fund, L.P</name>
        <address>
          <com:street1>200 BERKELEY STREET,</com:street1>
          <com:street2>18TH FLOOR</com:street2>
          <com:city>BOSTON</com:city>
          <com:stateOrCountry>MA</com:stateOrCountry>
          <com:zipCode>02116</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>11/18/2025</saleDate>
      <amountOfSecuritiesSold>2728</amountOfSecuritiesSold>
      <grossProceeds>107945.60</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>RA Capital Nexus Fund, L.P</name>
        <address>
          <com:street1>200 BERKELEY STREET</com:street1>
          <com:street2>18TH FLOOR</com:street2>
          <com:city>BOSTON</com:city>
          <com:stateOrCountry>MA</com:stateOrCountry>
          <com:zipCode>02116</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>11/19/2025</saleDate>
      <amountOfSecuritiesSold>18696</amountOfSecuritiesSold>
      <grossProceeds>748122.31</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>RA Capital Nexus Fund, L.P</name>
        <address>
          <com:street1>200 BERKELEY STREET</com:street1>
          <com:street2>18TH FLOOR</com:street2>
          <com:city>BOSTON</com:city>
          <com:stateOrCountry>MA</com:stateOrCountry>
          <com:zipCode>02116</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>11/20/2025</saleDate>
      <amountOfSecuritiesSold>2023</amountOfSecuritiesSold>
      <grossProceeds>81182.38</grossProceeds>
    </securitiesSoldInPast3Months>
    <noticeSignature>
      <noticeDate>11/21/2025</noticeDate>
      <signature>Rajeev Shah</signature>
    </noticeSignature>
  </formData>
</edgarSubmission>
