Study of Plozasiran (ARO-APOC3) in Adults With Severe Hypertriglyceridemia (SHASTA-3)
Double-blind, Placebo-controlled, Phase 3 Study to Evaluate the Efficacy and Safety of Plozasiran in Adults With Severe Hypertriglyceridemia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Medical Monitor
- Phone Number: 626-304-3400
- Email: plozasiran@arrowheadpharma.com
Study Locations
-
-
-
Buenos Aires, Argentina, C1417
- Research Center 6
-
Buenos Aires, Argentina, C1425AGC
- Research Center 2
-
Buenos Aires, Argentina, C1430
- Research Center 1
-
Córdoba, Argentina, X5000AAW
- Research Center 5
-
Córdoba, Argentina, X5006CBI
- Research Center 3
-
-
Buenos Aires
-
Ramos Mejía, Buenos Aires, Argentina, B1704ETD
- Research Center 8
-
San Isidro, Buenos Aires, Argentina, 1642
- Research Center 10
-
Temperley, Buenos Aires, Argentina, B1834GUK
- Research Center 7
-
-
Córdoba Province
-
Córdoba, Córdoba Province, Argentina, 5000
- Research Center 4
-
Córdoba, Córdoba Province, Argentina, 5008
- Research Center 9
-
-
-
-
New South Wales
-
Blacktown, New South Wales, Australia, 2148
- Research Center 1
-
Concord, New South Wales, Australia, 2139
- Research Center 4
-
Merewether, New South Wales, Australia, 2291
- Research Center 5
-
-
Victoria
-
Box Hill, Victoria, Australia, 3138
- Research Center 2
-
Clayton, Victoria, Australia, 3168
- Research Center 7
-
Heidelberg, Victoria, Australia, 3084
- Research Center 3
-
-
Western Australia
-
Crawley, Western Australia, Australia, 6009
- Research Center 6
-
-
-
-
-
Gozée, Belgium, 6534
- Research Center 4
-
Hasselt, Belgium, 3500
- Research Center 6
-
Mechelen, Belgium, 2800
- Research Center 3
-
Namur, Belgium, 5101
- Research Center 2
-
Roeselare, Belgium, 8800
- Research Center 5
-
Wetteren, Belgium, 9230
- Research Center 1
-
-
-
-
Espírito Santo
-
Vitória, Espírito Santo, Brazil, 29055-450
- Research Center 10
-
-
Estado de Bahia
-
Salvador, Estado de Bahia, Brazil, 40050-410
- Research Center 12
-
Salvador, Estado de Bahia, Brazil, 40323-010
- Research Center 13
-
Salvador, Estado de Bahia, Brazil, 41810-010
- Research Center 14
-
-
Minas Gerais
-
Belo Horizonte, Minas Gerais, Brazil, 30220-140
- Research Center 5
-
-
Paraná
-
Campina Grande do Sul, Paraná, Brazil, 83430-000
- Research Center 8
-
Curitiba, Paraná, Brazil, 80730-150
- Research Center 2
-
-
Pará
-
Belém, Pará, Brazil, 66073-000
- Research Center 4
-
-
Rio Grande do Sul
-
Porto Alegre, Rio Grande do Sul, Brazil, 90035-903
- Research Center 6
-
Porto Alegre, Rio Grande do Sul, Brazil, 90430-001
- Research Center 9
-
-
São Paulo
-
Campinas, São Paulo, Brazil, 13083-190
- Research Center 1
-
São Paulo, São Paulo, Brazil, 04266-010
- Research Center 7
-
São Paulo, São Paulo, Brazil, 05403-000
- Research Center 11
-
Votuporanga, São Paulo, Brazil, 15501-405
- Research Center 3
-
-
-
-
-
Blagoevgrad, Bulgaria, 2700
- Research Center 12
-
Burgas, Bulgaria, 8000
- Research Center 8
-
Kardzhali, Bulgaria, 6600
- Research Center 10
-
Pleven, Bulgaria, 5800
- Research Center 1
-
Pleven, Bulgaria, 5800
- Research Center 3
-
Plovdiv, Bulgaria, 4001
- Research Center 4
-
Plovdiv, Bulgaria, 4002
- Research Center 2
-
Plovdiv, Bulgaria, 4004
- Research Center 9
-
Rousse, Bulgaria, 7000
- Research Center 11
-
Sofia, Bulgaria, 1336
- Research Center 13
-
Sofia, Bulgaria, 1404
- Research Center 6
-
Sofia, Bulgaria, 1431
- Research Center 5
-
Sofia, Bulgaria, 1680
- Research Center 14
-
Sofia, Bulgaria, 1527
- Research Center 15
-
Sofia, Bulgaria, 1527
- Research Center 7
-
-
-
-
-
Halifax, Canada, B3H 1V7
- Research Center 7
-
-
British Columbia
-
Victoria, British Columbia, Canada, V8T 5G4
- Research Center 3
-
-
Ontario
-
Brampton, Ontario, Canada, L6S 0C6
- Research Center 1
-
London, Ontario, Canada, N6A 5A5
- Research Center 8
-
Sarnia, Ontario, Canada, N7T 4X3
- Research Center 2
-
Waterloo, Ontario, Canada, N2TOC1
- Research Center 5
-
-
Quebec
-
Montreal, Quebec, Canada, H2W 1R7
- Research Center 6
-
Québec, Quebec, Canada, G1V 4W2
- Research Center 4
-
-
-
-
-
Hangzhou, China, 311100
- Research Center 5
-
Liaocheng, China, 252000
- Research Center 3
-
Nanchang, China, 330006
- Research Center 14
-
-
Anhui
-
Bengbu, Anhui, China, 233004
- Research Center 11
-
-
Beijing Municipality
-
Beijing, Beijing Municipality, China, 100191
- Research Center 23
-
Beijing, Beijing Municipality, China, 100730
- Research Center 22
-
-
Guangdong
-
Guangzhou, Guangdong, China, 510180
- Research Center 7
-
Guanzhou, Guangdong, China, 510080
- Research Center 19
-
-
Guangxi Zhuang
-
Liuzhou, Guangxi Zhuang, China, 545006
- Research Center 8
-
-
Hebei
-
Xingtai, Hebei, China, 054099
- Research Center 13
-
-
Henan
-
Luoyang, Henan, China, 471003
- Research Center 6
-
-
Hubei
-
Wuhan, Hubei, China, 430060
- Research Center 21
-
-
Hunan
-
Changsha, Hunan, China, 410011
- Research Center 4
-
Changsha, Hunan, China, 410015
- Research Center 18
-
-
Inner Mongolia
-
Baotou, Inner Mongolia, China, 14010
- Research Center 16
-
-
Jiangsu
-
Suzhou, Jiangsu, China, 215002
- Research Center 10
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, China, 2000040
- Research Center 9
-
Shanghai, Shanghai Municipality, China, 200050
- Research Center 12
-
-
Shanxi
-
Yuncheng, Shanxi, China, 44000
- Research Center 2
-
-
Sichuan
-
Chengdu, Sichuan, China, 610072
- Research Center 17
-
-
Tianjin Municipality
-
Tianjin, Tianjin Municipality, China, 300121
- Research Center 20
-
-
Xicheng
-
Beijing, Xicheng, China, 10034
- Research Center 1
-
-
Zhejiang
-
Wenzhou, Zhejiang, China, 325000
- Research Center 15
-
-
-
-
-
Krapinske Toplice, Croatia, 49217
- Research Center 2
-
Zagreb, Croatia, 10000
- Research Center 3
-
Zagreb, Croatia, 10000
- Research Center 4
-
Zagreb, Croatia, 10000
- Research Center 1
-
-
-
-
-
Hodonín, Czechia, 69501
- Research Center 3
-
Hradec Králové, Czechia, 50005
- Research Center 6
-
Ostrava, Czechia, 70200
- Research Center 1
-
Praha 1-Nove Mesto, Czechia, 11000
- Research Center 7
-
Praha 4-Krc, Czechia, 140 59
- Research Center 5
-
Uherské Hradiště, Czechia, 68601
- Research Center 2
-
Ústí nad Labem, Czechia, 40113
- Research Center 9
-
-
Prague
-
Prague, Prague, Czechia, 140 21
- Research Center 8
-
Prague, Prague, Czechia, 140 59
- Research Center 4
-
-
-
-
-
Budapest, Hungary, 1033
- Research Center 1
-
Budapest, Hungary, 1051
- Research Center 4
-
Budapest, Hungary, 1132
- Research Center 2
-
Budapest, Hungary, 1152
- Research Center 6
-
Szeged, Hungary, 6725
- Research Center 3
-
Veszprém, Hungary, 8200
- Research Center 5
-
-
-
-
-
Bologna, Italy, 40138
- Research Center 6
-
Brescia, Italy, 25123
- Research Center 5
-
Milan, Italy, 20162
- Research Center 4
-
Roma, Italy, 00168
- Research Center 1
-
-
Milano
-
Rozzano, Milano, Italy, 20089
- Research Center 3
-
-
Sicily
-
Palermo, Sicily, Italy, 90127
- Research Center 2
-
-
-
-
-
Bydgoszcz, Poland, 85-231
- Research Center 7
-
Elblag, Poland, 82-300
- Research Center 11
-
Katowice, Poland, 40-752
- Research Center 10
-
Krakow, Poland, 30-727
- Research Center 13
-
Krakow, Poland, 31-202
- Research Center 17
-
Krakow, Poland, 31-501
- Research Center 8
-
Lodz, Poland, 91-363
- Research Center 12
-
Warsaw, Poland, 00-215
- Research Center 18
-
Warsaw, Poland, 03-291
- Research Center 9
-
Wroclaw, Poland, 53-030
- Research Center 16
-
Wroclaw, Poland, 53-673
- Research Center 14
-
-
Swidnica
-
Żarów, Swidnica, Poland, 58-130
- Research Center 15
-
-
-
-
-
Bucharest, Romania, 010192
- Research Center 1
-
Deva, Romania, 330084
- Research Center 8
-
Galati, Romania, 800291
- Research Center 7
-
Târgu Mureş, Romania, 540136
- Research Center 9
-
-
Brașov County
-
Brasov, Brașov County, Romania, 500091
- Research Center 3
-
-
Cluj
-
Cluj-Napoca, Cluj, Romania, 400000
- Research Center 2
-
-
Jud. Alba
-
Alba Iulia, Jud. Alba, Romania, 510053
- Research Center 6
-
-
Jud. Prahova
-
Ploieşti, Jud. Prahova, Romania, 100342
- Research Center 4
-
-
Timiș County
-
Timișoara, Timiș County, Romania, 300362
- Research Center 5
-
-
-
-
-
Banská Bystrica, Slovakia, 97401
- Research Center 4
-
Bardejov, Slovakia, 08501
- Research Center 6
-
Bratislava, Slovakia, 81109
- Research Center 5
-
Žilina, Slovakia, 10010
- Research Center 2
-
-
Košice Region
-
Košice, Košice Region, Slovakia, 040 01
- Research Center 1
-
Moldava nad Bodvou, Košice Region, Slovakia, 045 01
- Research Center 3
-
-
-
-
-
Barcelona, Spain, 08023
- Research Center 2
-
Barcelona, Spain, 08035
- Research Center 3
-
Valencia, Spain, 46010
- Research Center 1
-
Zaragoza, Spain, 50009
- Research Center 4
-
-
-
-
-
London, United Kingdom, EC1M 6BQ
- Research Center 1
-
London, United Kingdom, N12 8BU
- Research Center 4
-
-
Cornwall
-
Torpoint, Cornwall, United Kingdom, PL11 2TB
- Research Center 3
-
-
Devon
-
Torquay, Devon, United Kingdom, TQ2 7AA
- Research Center 5
-
-
Devpn
-
Plymouth, Devpn, United Kingdom, PL5 3JB
- Research Center 2
-
-
-
-
California
-
Garden Grove, California, United States, 92844
- Research Center 1
-
Lake Forest, California, United States, 92630
- Research Center 2
-
Montclair, California, United States, 91763
- Research Center 3
-
Panorama City, California, United States, 91402
- Research Center 4
-
Redding, California, United States, 96001
- Research Center 5
-
-
Colorado
-
Colorado Springs, Colorado, United States, 80909
- Research Center 6
-
-
Florida
-
Hialeah, Florida, United States, 33016
- Research Center 7
-
Lake City, Florida, United States, 32055
- Research Center 8
-
Miami Lakes, Florida, United States, 33014
- Research Center 9
-
Mt. Dora, Florida, United States, 32757
- Research Center 10
-
Orlando, Florida, United States, 32825
- Research Center 11
-
Pensacola, Florida, United States, 32503
- Research Center 12
-
Tamarac, Florida, United States, 33321
- Research Center 13
-
Tampa, Florida, United States, 33614
- Research Center 14
-
-
Georgia
-
Macon, Georgia, United States, 31210
- Research Center 15
-
Savannah, Georgia, United States, 31401
- Research Center 16
-
-
Illinois
-
Park Ridge, Illinois, United States, 60068
- Research Center 17
-
-
Louisiana
-
Eunice, Louisiana, United States, 70535
- Research Center 18
-
-
Maryland
-
Baltimore, Maryland, United States, 21229
- Research Center 19
-
-
Michigan
-
Flint, Michigan, United States, 48532
- Research Center 20
-
-
Minnesota
-
Minneapolis, Minnesota, United States, 55455
- Research Center 21
-
-
Mississippi
-
Olive Branch, Mississippi, United States, 38654
- Research Center 22
-
-
Missouri
-
Jefferson City, Missouri, United States, 65109
- Research Center 23
-
St Louis, Missouri, United States, 63136
- Research Center 24
-
-
Nebraska
-
Omaha, Nebraska, United States, 68114
- Research Center 26
-
Omaha, Nebraska, United States, 68144
- Research Center 25
-
-
Nevada
-
Las Vegas, Nevada, United States, 89119
- Research Center 27
-
-
New York
-
Long Island City, New York, United States, 11106
- Research Center 29
-
New York, New York, United States, 10016
- Research Center 30
-
Rochester, New York, United States, 14642
- Research Center 31
-
The Bronx, New York, United States, 10455
- Research Center 28
-
Vestal, New York, United States, 13850
- Research Center 32
-
-
North Carolina
-
Morehead City, North Carolina, United States, 28557
- Research Center 33
-
Winston-Salem, North Carolina, United States, 27157
- Research Center 34
-
-
Ohio
-
Cincinnati, Ohio, United States, 45219
- Research Center 35
-
Columbus, Ohio, United States, 43210
- Research Center 36
-
-
Oklahoma
-
Norman, Oklahoma, United States, 73072
- Research Center 37
-
Oklahoma City, Oklahoma, United States, 73111
- Research Center 38
-
-
Tennessee
-
Powell, Tennessee, United States, 37849
- Research Center 39
-
-
Texas
-
El Paso, Texas, United States, 79905
- Research Center 40
-
Houston, Texas, United States, 77029
- Research Center 47
-
Houston, Texas, United States, 77030
- Research Center 45
-
Houston, Texas, United States, 77030
- Research Center 46
-
Houston, Texas, United States, 77061
- Research Center 42
-
Houston, Texas, United States, 77074
- Research Center 44
-
Houston, Texas, United States, 77079
- Research Center 43
-
Houston, Texas, United States, 77095
- Research Center 41
-
Laredo, Texas, United States, 78041
- Research Center 48
-
Missouri City, Texas, United States, 77459
- Research Center 49
-
Plano, Texas, United States, 75093
- Research Center 50
-
San Antonio, Texas, United States, 78230
- Research Center 51
-
-
Washington
-
Seattle, Washington, United States, 98109
- Research Center 52
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
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 severe hypertriglyceridemia (SHTG) and prior documented evidence (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 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 to a previous adverse reaction associated with, attributed to, or caused by specific drug)
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
- Known diagnosis of familial chylomicronemia syndrome (FCS) (type 1 Hyperlipoproteinemia) by documentation of confirmed homozygote or double heterozygote 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 Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
calculated volume to match active treatment by sc injection
|
sterile normal saline (0.9% NaCl)
|
|
Experimental: Plozasiran Injection
4 doses of plozasiran (ARO-APOC3) by subcutaneous (sc) injection
|
ARO-APOC3 Injection
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Percent Change in Fasting Serum Triglyceride (TG) Levels from Baseline to Month 12 Compared to Placebo
Time Frame: Baseline, Month 12
|
Baseline, Month 12
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Percent Change in Fasting Serum TG Levels from Baseline to Month 10 Compared to Placebo
Time Frame: Baseline, Month 10
|
Baseline, Month 10
|
|
Incidence Rates of New-Onset Diabetes Mellitus (NODM) Throughout the Course of Treatment
Time Frame: From first dose of study drug through Month 12
|
From first dose of study drug through Month 12
|
|
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
|
From first dose of study drug through Month 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
|
From first dose of study drug through Month 12
|
|
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
|
From first dose of study drug through Month 12
|
|
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
|
From first dose of study drug through Month 12
|
|
Change from Baseline in C-peptide During the Treatment Period Compared to Placebo
Time Frame: From first dose of study drug through Month 12
|
From first dose of study drug through Month 12
|
|
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
|
From first dose of study drug through Month 12
|
|
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
|
From first dose of study drug through Month 12
|
|
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
|
From first dose of study drug through Month 12
|
|
Percent change in non-HDL-C from baseline to Month 12 compared to placebo
Time Frame: Baseline, Month 12
|
Baseline, Month 12
|
|
Proportion of Participants Who Achieve Fasting TG Levels of <500 mg/dL (<5.65 mmol/L) at Month 12 Compared to Placebo
Time Frame: Baseline, Month 12
|
Baseline, Month 12
|
|
Proportion of Participants Who Achieve Fasting TG Levels of <150 mg/dL (<1.69 mmol/L) at Month 12 Compared to Placebo
Time Frame: Baseline, Month 12
|
Baseline, Month 12
|
|
Percent change in remnant cholesterol (VLDL-C) from baseline to Month 12 compared to placebo
Time Frame: Baseline, Month 12
|
Baseline, Month 12
|
|
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
|
From first dose of study drug through Month 12
|
|
Incidence rates of impaired glucose tolerance throughout the course of treatment
Time Frame: From first dose of study drug through Month 12
|
From first dose of study drug through Month 12
|
|
Incidence rates of worsening of existing diabetes throughout the course of treatment
Time Frame: From first dose of study drug through Month 12
|
From first dose of study drug through Month 12
|
|
Change from baseline in HbA1c during the treatment period compared to placebo.
Time Frame: From first dose of study drug through Month 12
|
From first dose of study drug through Month 12
|
|
Change and/or percent change from baseline to Month 12 in liver fat content using MRI-PDFF, only in a subset of subjects
Time Frame: Baseline, Month 12
|
Baseline, Month 12
|
|
Adjudicated AP Event Rate During the Treatment Period Compared to Placebo From Day 1 to Month 12
Time Frame: Month 12
|
Month 12
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- AROAPOC3-3003
- 2023-509300-14 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.