Phase 3 Study of Plozasiran in Adults With Hypertriglyceridemia

Phase
Recruitment status
Active, not recruiting
Participants
Lead sponsor
Arrowhead Pharmaceuticals
Start date
Number of sites

Summary
This Phase 3 study will evaluate the safety and efficacy of plozasiran injection (ARO-APOC3) in adult participants with hypertriglyceridemia (HTG). 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.
Acronym
Short title
Phase 3 Study of Plozasiran in Adults With Hypertriglyceridemia
Official title
Double-blind, Placebo-controlled, Phase 3 Study to Evaluate the Efficacy and Safety of Plozasiran in Adults With Hypertriglyceridemia

Control arm
Registry reports results
Listing at source
Recruitment status
Active, not recruiting
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Actual participants
Participants
Participant count basis
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
Arrowhead Pharmaceuticals
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Treatment
Masking
Quadruple masking
Masked roles
Participants, Care providers, Investigators, Outcome assessors
Sources for study design

  1. Percent Change in Fasting Serum Triglyceride (TG) Levels from Baseline to Month 12 Compared to Placebo

    Timeframe: Baseline, Month 12

  1. Percent Change in Fasting Serum TG Levels from Baseline to Month 10 Compared to Placebo

    Timeframe: Baseline, Month 10

  2. Proportion of Participants who Achieve Fasting TG Levels of <150 mg/dL (<1.69 mmol/L) at Month 12 Compared to Placebo

    Timeframe: Month 12

  3. Percent change in remnant cholesterol (VLDL-C) from baseline to Month 12 compared to placebo.

    Timeframe: Baseline, Month 12

  4. Percent change in non-HDL-C from baseline to Month 12 compared to placebo

    Timeframe: Baseline, Month 12

  5. Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) Over Time through Month 12 as Compared to Placebo

    Timeframe: From first dose of study drug through Month 12

  6. Incidence Rates of New-Onset Diabetes Mellitus (NODM) Throughout the Course of Treatment

    Timeframe: From first dose of study drug through Month 12

  7. Incidence Rates of Impaired Glucose Tolerance Throughout the Course of Treatment

    Timeframe: From first dose of study drug through Month 12

  8. Incidence Rates of Worsening of Existing Diabetes Throughout the Course of Treatment

    Timeframe: From first dose of study drug through Month 12

  9. Change from Baseline in Hemoglobin A1c (HbA1c) and Other Glycemic Control Parameters During the Treatment Period Compared to Placebo

    Timeframe: From first dose of study drug through Month 12

  10. Change from Baseline in Fasting Blood Glucose During the Treatment Period Compared to Placebo

    Timeframe: From first dose of study drug through Month 12

  11. Change from Baseline in C-peptide During the Treatment Period Compared to Placebo

    Timeframe: From first dose of study drug through Month 12

  12. Change from Baseline in Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) During the Treatment Period Compared to Placebo

    Timeframe: From first dose of study drug through Month 12

  13. Change from Baseline in Treatment-Emergent Adverse Events (TEAEs) and Treatment-Related Adverse Events (TRAEs) Associated with Worsening Glycemic Control During the Treatment Period Compared to Placebo

    Timeframe: From first dose of study drug through Month 12

  14. Initiation of New Medication for Hyperglycemia Among Study Participants Not Known to Have Pre-existing Diabetes Mellitus During the Treatment Period Compared to Placebo

    Timeframe: From first dose of study drug through Month 12

  15. Adjudicated Major Adverse Cardiovascular Events (MACE) Rates During the Treatment Period Compared to Placebo

    Timeframe: From first dose of study drug through Month 12

  16. Incidence of Anti-drug Antibodies (ADA) to Plozasiran in Participants Receiving Plozasiran Over Time Through Month 12

    Timeframe: From first dose of study drug through Month 12

  17. Titers of Anti-drug Antibodies (ADA) to Plozasiran in Participants Receiving Plozasiran Over Time Through Month 12

    Timeframe: From first dose of study drug through Month 12

Sources for outcomes

Sex
All
Age groups
Adults, Older adults
Minimum age
18 Years
Healthy volunteers
No

  • Males, or nonpregnant (who do not plan to become pregnant) nonlactating females, who are ≥18 years of age at screening
  • Established diagnosis of hypertriglyceridemia (HTG) and prior documented evidence (medical history) of mean fasting TG level ≥150 mg/dL (≥1.69 mm/L) and ≤499 mg/dL (≤5.64 mmol/L)
  • Mean fasting TG level ≥150 mg/dL (≥1.69 mmol/L) and ≤499 mg/dL (≤5.64 mmol/L) collected at 2 separate and consecutive visits at least 7 days apart and no more than 17 days apart during the screening period
  • Fasting low density lipoprotein-cholesterol (LDL-C) ≤ 130 mg/dL (≤3.37 mmol/L) at screening
  • Screening HbA1c ≤9.0%
  • Willing to follow diet counseling and maintain a stable low-fat diet
  • Must be on standard of care lipid and TG-lowering medications per local guidelines (unless documented as intolerant as determined by the Investigator, including an inability to safely administer or re-administer a specific drug because of fear, preference, genetic, clinical, or metabolic considerations, or due a previous adverse reaction associated with, attributed to, or caused by specific drug) prior to collection of qualifying TG levels.

  • Use of any hepatocyte-targeted small interfering ribonucleic acid (siRNA) that targets lipids and/or triglycerides within 365 days before Day 1 (except inclisiran, which is permitted). Administration of investigational drug and inclisiran must be separated by at least 4 weeks.
  • Use of any other hepatocyte targeted siRNA or antisense Oligonucleotide molecule within 60 days or within 5-half-lives before Day 1 based on plasma pharmacokinetics (PK), whichever is longer
  • Acute pancreatitis within 4 weeks prior to screening
  • Body mass index >45 kg/m^2

Note: Additional Inclusion/Exclusion criteria may apply per protocol

Sources for eligibility

  • Research Site 1Birmingham, United States
  • Research Site 2Mobile, United States
  • Research Site 3Beverly Hills, United States
  • Research Site 4Canoga Park, United States
  • Research Site 5Garden Grove, United States
  • Research Site 6Huntington Beach, United States
  • Research Site 7Lake Forest, United States
  • Research Site 8Lincoln, United States
  • Research Site 9Long Beach, United States
  • Research Site 10Montclair, United States
  • Research Site 11Oxnard, United States
  • Research Site 12Redding, United States
  • Research Site 13Van Nuys, United States
  • Research Site 14Colorado Springs, United States
  • Research Site 15Clearwater, United States
  • Research Site 16Hialeah, United States
  • Research Site 17Lake City, United States
  • Research Site 18Miami Lakes, United States
  • Research Site 19Mt. Dora, United States
  • Research Site 20North Miami Beach, United States
  • Research Site 21Orlando, United States
  • Research Site 22Pensacola, United States
  • Research Site 23Sarasota, United States
  • Research Site 24Tamarac, United States
  • Research Site 25Lawrenceville, United States

And 210 more, listed on the interactive page.

Sources for sites

  • 2023
  • 2023-509302-30
Sources for references

Related records

Drugs (1)

Lead sponsors (1)

Conditions (1)