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Active, Not Recruiting

NCT Number: NCT06347133

Phase 3 Study of Plozasiran in Adults With Hypertriglyceridemia

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.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Research Site 100, CABA, Buenos Aires, Argentina

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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.

Exclusion criteria

  • 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

Treatment and study plan

Plozasiran Injection

Drug

ARO-APOC3 Injection

Other names: ARO-APOC3

Placebo

Drug

sterile normal saline (0.9% NaCl)

Primary outcomes

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

    Time frame: Baseline, Month 12

Secondary outcomes

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

    Time frame: 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

    Time frame: Month 12

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

    Time frame: Baseline, Month 12

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

    Time frame: 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

    Time frame: From first dose of study drug through Month 12

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

    Time frame: From first dose of study drug through Month 12

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

    Time frame: From first dose of study drug through Month 12

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

    Time frame: 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

    Time frame: From first dose of study drug through Month 12

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

    Time frame: From first dose of study drug through Month 12

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

    Time frame: 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

    Time frame: 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

    Time frame: 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

    Time frame: From first dose of study drug through Month 12

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

    Time frame: 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

    Time frame: 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

    Time frame: From first dose of study drug through Month 12

Sponsors and collaborators

Lead sponsor

Arrowhead Pharmaceuticals

Industry

Registry information

Official study title

Double-blind, Placebo-controlled, Phase 3 Study to Evaluate the Efficacy and Safety of Plozasiran in Adults With Hypertriglyceridemia

Acronym: MUIR-3

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Apr 4, 2024
Registry last updated
Jun 26, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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