Study of Plozasiran (ARO-APOC3) in Adults With Severe Hypertriglyceridemia

Last updated: November 22, 2024
Sponsor: Arrowhead Pharmaceuticals
Overall Status: Active - Recruiting

Phase

3

Condition

Hypertriglyceridemia

Treatment

Placebo

Plozasiran Injection

Clinical Study ID

NCT06347003
AROAPOC3-3003
2023-509300-14
  • Ages > 18
  • All Genders

Study Summary

This Phase 3 study will evaluate the safety and efficacy of plozasiran injection (ARO-APOC3) in adult participants with severe hypertriglyceridemia (SHTG). After providing informed consent eligible participants will be randomized to receive 4 doses (once every 3 months) of plozasiran or placebo, and be evaluated for efficacy and safety. After month 12, eligible participants will be offered an opportunity to continue in an optional open-label extension under a separate protocol.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Established diagnosis of severe hypertriglyceridemia (SHTG) and prior documentedevidence (medical history) of fasting TG levels of ≥ 500 mg/dL (≥5.65mmol/L)

  • Mean fasting TG level ≥500 mg/dL (≥5.65 mmol/L) collected at 2 separate andconsecutive visits at least 7 days apart and no more than 17 days apart during thescreening period

  • Fasting low density lipoprotein-cholesterol (LDL-C) ≤130 mg/dL (≤3.37 mmol/L) atscreening

  • Screening HbA1C ≤8.5%

  • Willing to follow diet counseling and maintain a stable low-fat diet

  • Must be on standard of care lipid-lowering medications per local guidelines (unlessdocumented as intolerant as determined by the Investigator)

Exclusion

Exclusion Criteria:

  • Use of any hepatocyte-targeted small interfering ribonucleic acid (siRNA) thattargets lipids and/or triglycerides within 365 days before Day 1 (except inclisiran,which is permitted). Administration of investigational drug and inclisiran must beseparated by at least 4 weeks

  • Use of any other hepatocyte-targeted siRNA or antisense oligonucleotide moleculewithin 60 days or within 5-half-lives before Day 1 based on plasma pharmacokinetics (PK), whichever is longer

  • Known diagnosis of familial chylomicronemia syndrome (FCS) (type 1Hyperlipoproteinemia) by documentation of confirmed homozygote or doubleheterozygote for loss-of-function mutations in type 1-causing genes

  • Acute pancreatitis within 4 weeks prior to screening

  • Body mass index >45kg/m^2

Note: Additional Inclusion/Exclusion criteria may apply per protocol

Study Design

Total Participants: 405
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 3
Study Start date:
July 22, 2024
Estimated Completion Date:
October 31, 2026

Connect with a study center

  • Paratus Clinical Research Western Sydney

    Blacktown, New South Wales 2148
    Australia

    Active - Recruiting

  • Concord Repatriation General Hospital

    Concord, New South Wales 2139
    Australia

    Active - Recruiting

  • Hunter Diabetes Centre and Aim Centre

    Merewether, New South Wales 2291
    Australia

    Active - Recruiting

  • Eastern Clinical Research Unit - Endocrinology

    Box Hill, Victoria 3138
    Australia

    Active - Recruiting

  • Austin Health

    Heidelberg, Victoria 3084
    Australia

    Active - Recruiting

  • De Meulemeester, Marc

    Gozée, 6534
    Belgium

    Active - Recruiting

  • AZ Sint-Maarten

    Mechelen, 2800
    Belgium

    Active - Recruiting

  • Respisom

    Namur, 5101
    Belgium

    Active - Recruiting

  • BVBA Dr. Luc Capiau

    Wetteren, 9230
    Belgium

    Active - Recruiting

  • MHAT Heart and Brain

    Pleven, 5800
    Bulgaria

    Active - Recruiting

  • Medical Center Medconsult Pleven OOD

    Pleven, 5800
    Bulgaria

    Active - Recruiting

  • UMHAT "Pulmed" OOD

    Plovdiv, 4002
    Bulgaria

    Active - Recruiting

  • UMHAT Kaspela, EOOD

    Plovdiv, 4001
    Bulgaria

    Active - Recruiting

  • MHAT Sv. Sofia, OOD

    Sofia, 1404
    Bulgaria

    Active - Recruiting

  • UMHAT Sveta Ekaterina

    Sofia, 1431
    Bulgaria

    Active - Recruiting

  • Discovery Clinical Services

    Victoria, British Columbia V8T 5G4
    Canada

    Active - Recruiting

  • Centricity Research Brampton Endocrinology

    Brampton, Ontario L6S 0C6
    Canada

    Active - Recruiting

  • Bluewater Clinical Research Group Inc.

    Sarnia, Ontario N7T 4X3
    Canada

    Active - Recruiting

  • Clinical Research Solutions Inc.

    Waterloo, Ontario N2TOC1
    Canada

    Active - Recruiting

  • Institut de Recherches Cliniques de Montréal

    Montréal, Quebec H2W 1R7
    Canada

    Active - Recruiting

  • Clinique des Maladies Lipidiques de Québec

    Québec, Quebec G1V 4W2
    Canada

    Active - Recruiting

  • Nova Scotia Health Authority

    Halifax, B3H 1V7
    Canada

    Active - Recruiting

  • Yuncheng Central Hospital

    Yuncheng, Shanxi 44000
    China

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  • Peking University First Hospital

    Beijing, Xicheng 10034
    China

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  • Liaocheng People's Hospital

    Liaocheng, 252000
    China

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  • Special Hospital for Medical Rehabilitation

    Krapinske Toplice, 49217
    Croatia

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  • Clinical Hospital Dubrava

    Zagreb, 10000
    Croatia

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  • CCR Ostrava s.r.o.

    Ostrava, 70200
    Czechia

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  • MEDICAL PLUS, s.r.o.

    Uherské Hradiště, 68601
    Czechia

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  • Clinexpert Kft

    Budapest, 1033
    Hungary

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  • Privát Doktor Zrt.

    Budapest, 1132
    Hungary

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  • NZOZ Centrum Medyczne KERmed

    Bydgoszcz, 85-231
    Poland

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  • Krakowskie Centrum Medyczne

    Kraków, 31-501
    Poland

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  • S.C Centrul Medical Unirea S.R.L

    Braşov, Brasov 500091
    Romania

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  • Spitalul Angiocare SRL

    Cluj-Napoca, Cluj 400000
    Romania

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  • S.C Diana Barbonta S.R.L

    Alba Iulia, Jud. Alba 510053
    Romania

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  • CMI Dr Busegeanu Mihaela Magdalena

    Ploieşti, Jud. Prahova 100342
    Romania

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  • S.C Medicali s S.R.L

    Timişoara, Timis 300362
    Romania

    Active - Recruiting

  • S.C Clinica Medicala Data Plus S.R.L

    Bucuresti, 010192
    Romania

    Active - Recruiting

  • Kardiologicka a Interna Ambulancia

    Kosice, Košice Region 040 01
    Slovakia

    Active - Recruiting

  • Kardiologicka Ambulancia MEDI M&M s.r.o.

    Moldava Nad Bodvou, Košice Region 045 01
    Slovakia

    Active - Recruiting

  • Kardiointerna s r o

    Banska Bystrica, 97401
    Slovakia

    Active - Recruiting

  • Medivasa s.r.o.

    Žilina, 10010
    Slovakia

    Active - Recruiting

  • Rame Medical limited

    Torpoint, Cornwall PL11 2TB
    United Kingdom

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  • Knowle House Surgery

    Plymouth, Devpn PL5 3JB
    United Kingdom

    Active - Recruiting

  • Barts Health

    London, EC1M 6BQ
    United Kingdom

    Active - Recruiting

  • Velocity North London

    London, N12 8BU
    United Kingdom

    Active - Recruiting

  • National Institute of Clinical Research

    Garden Grove, California 92844
    United States

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  • Orange County Research Center

    Lake Forest, California 92630
    United States

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  • Catalina Research Institute

    Montclair, California 91763
    United States

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    Panorama City, California 91402
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    Redding, California 96001
    United States

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    Colorado Springs, Colorado 80909
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    Hialeah, Florida 33016
    United States

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  • East Coast Institute for Research, LLC

    Lake City, Florida 32055
    United States

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  • Panax Clinical Research

    Miami Lakes, Florida 33014
    United States

    Site Not Available

  • Adult Medicine of Lake County

    Mount Dora, Florida 32757
    United States

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  • Florida Institute for Clinical Research

    Orlando, Florida 32825
    United States

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  • Baptist Hospital Cardiology

    Pensacola, Florida 32503
    United States

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  • TBC Research

    Tamarac, Florida 33321
    United States

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  • R & B Medical Center

    Tampa, Florida 33614
    United States

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  • East Coast - Institute for Research

    Macon, Georgia 31210
    United States

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  • Meridian Clinical Research

    Savannah, Georgia 31401
    United States

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  • Advocate Lutheran General Hospital

    Park Ridge, Illinois 60068
    United States

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  • Ascension Saint Agnes Heart care

    Baltimore, Maryland 21229
    United States

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  • Elite Clinical Research Center

    Flint, Michigan 48532
    United States

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  • Olive Branch Family Medical Centre

    Olive Branch, Mississippi 38654
    United States

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  • Jefferson City Medical Group

    Jefferson City, Missouri 65109
    United States

    Active - Recruiting

  • St. Louis Heart and Vascular

    Saint Louis, Missouri 63136
    United States

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  • Methodist Physicians Clinic Heart Consultants

    Omaha, Nebraska 68114
    United States

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  • Midwest Regional Health Services LLC

    Omaha, Nebraska 68144
    United States

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  • Santa Rosa Medical Centers of Nevada

    Las Vegas, Nevada 89119
    United States

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  • CHEAR Center LLC

    Bronx, New York 10455
    United States

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  • Endocrine Associates of West Village

    Long Island City, New York 11106
    United States

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  • Vestal Velocity Clinical Research

    Vestal, New York 13850
    United States

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  • Carteret Medical Group

    Morehead City, North Carolina 28557
    United States

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  • The Ohio State University

    Columbus, Ohio 43210
    United States

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  • Lynn Institute of Norman

    Norman, Oklahoma 73072
    United States

    Active - Recruiting

  • Lynn Health Science Institute

    Oklahoma City, Oklahoma 73111
    United States

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  • Cardiovascular Research Center of Knoxville

    Powell, Tennessee 37849
    United States

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  • Dr. David Turbay MD PLLC

    El Paso, Texas 79905
    United States

    Active - Recruiting

  • Baylor College of Medicine-Center for Cardiometabolic Disease Prevention

    Houston, Texas 77030
    United States

    Active - Recruiting

  • Clinical Trial Network LLC

    Houston, Texas 77074
    United States

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  • Endocrine and Psychiatry Center

    Houston, Texas 77095
    United States

    Active - Recruiting

  • Gonzalez Research Institute

    Houston, Texas 77029
    United States

    Active - Recruiting

  • Houston Methodist Hospital Department of Medicine Research

    Houston, Texas 77030
    United States

    Active - Recruiting

  • PlanIt Research PLLC

    Houston, Texas 77079
    United States

    Active - Recruiting

  • Synergy Groups Medical LLC

    Houston, Texas 77061
    United States

    Active - Recruiting

  • Andres Garcia Zuniga MD PA

    Laredo, Texas 78041
    United States

    Active - Recruiting

  • Synergy Groups Medical

    Missouri City, Texas 77459
    United States

    Active - Recruiting

  • Stryde Research

    Plano, Texas 75093
    United States

    Active - Recruiting

  • VIP Trials

    San Antonio, Texas 78230
    United States

    Active - Recruiting

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