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Severe HypertriglyceridemiaPhase 3SHASTA-4NCT06347016

Study of Plozasiran in Adults With Severe Hypertriglyceridemia

A Phase 3 study testing Plozasiran Injection in people with Severe Hypertriglyceridemia, run by Arrowhead Pharmaceuticals at 149 sites in 16 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial 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… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Severe Hypertriglyceridemia
What is being tested?
Plozasiran Injection
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
311 participants
Where
149 sitesin 16 countries
Study dates
23 Jul 2024to 10 Sep 2026
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Established diagnosis of severe hypertriglyceridemia (SHTG) and prior documented evidence (medical history) of fasting TG levels of ≥500 mg/dL (≥5.65 mmol/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%
  • Must be on standard of care lipid-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)

Who cannot join

  • 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 (except inclisiran, which is permitted)
  • 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
  • Body mass index >45kg/m^2
  • Note: Additional Inclusion/Exclusion criteria may apply per protocol

Trial locations and contacts

149 sites in 16 countries.

149 sites in 16 countries

United States50 sites
  • Research Site 20

    Annapolis, Maryland, 21401

  • Research Site 28

    Asheboro, North Carolina, 27203

  • Research Site 30

    Beavercreek, Ohio, 45431

  • Research Site 3

    Beverly Hills, California, 90211

  • Research Site 1

    Birmingham, Alabama, 35205

  • Research Site 47

    Bountiful, Utah, 84010

  • Research Site 4

    Canoga Park, California, 91303

  • Research Site 39

    Chattanooga, Tennessee, 37411

  • Research Site 9

    Clearwater, Florida, 33756

  • Research Site 31

    Columbus, Ohio, 43214

  • Research Site 14

    Elkhart, Indiana, 46514

  • Research Site 37

    Fort Mill, South Carolina, 29707

  • Research Site 40

    Fort Worth, Texas, 76132

  • Research Site 22

    Fremont, Nebraska, 68025

  • Research Site 38

    Greenville, South Carolina, 29607

  • Research Site 33

    Horsham, Pennsylvania, 19044

  • Research Site 41

    Houston, Texas, 77040

  • Research Site 42

    Houston, Texas, 77090

  • Research Site 43

    Houston, Texas, 77090

  • Research Site 5

    Huntington Beach, California, 92648

  • Research Site 15

    Indianapolis, Indiana, 46290

  • Research Site 21

    Jackson, Mississippi, 39202

  • Research Site 12

    Lawrenceville, Georgia, 30044

  • Research Site 6

    Lincoln, California, 95648

  • Research Site 7

    Long Beach, California, 90822

  • Research Site 49

    Manassas, Virginia, 20110

  • Research Site 19

    Metairie, Louisiana, 70001

  • Research Site 2

    Mobile, Alabama, 36604

  • Research Site 24

    Morristown, New Jersey, 07960

  • Research Site 26

    New York, New York, 10029

  • Research Site 34

    Newport, Pennsylvania, 17074

  • Research Site 23

    Norfolk, Nebraska, 68701

  • Research Site 10

    North Miami, Florida, 33162

  • Research Site 32

    Oklahoma City, Oklahoma, 73112

  • Research Site 17

    Overland Park, Kansas, 66211

  • Research Site 8

    Oxnard, California, 93030

  • Research Site 35

    Philadelphia, Pennsylvania, 19104

  • Research Site 36

    Philadelphia, Pennsylvania, 19104

  • Research Site 27

    Riverhead, New York, 11901

  • Research Site 50

    Roanoke, Virginia, 24014

  • Research Site 11

    Sarasota, Florida, 34239

  • Research Site 16

    South Bend, Indiana, 46617

  • Research Site 48

    St. George, Utah, 84790

  • Research Site 13

    Sugar Hill, Georgia, 30518

  • Research Site 44

    Sugar Land, Texas, 77479

  • Research Site 25

    The Bronx, New York, 10461

  • Research Site 45

    Tomball, Texas, 77375

  • Research Site 18

    Topeka, Kansas, 66606

  • Research Site 46

    Victoria, Texas, 77901

  • Research Site 29

    Wilmington, North Carolina, 28412

Other trials in United States

Bulgaria14 sites
  • Research Site 64

    Byala, 7100

  • Research Site 65

    Dimitrovgrad, 6400

  • Research Site 66

    Haskovo, 6300

  • Research Site 67

    Kyustendil, 2500

  • Research Site 68

    Rousse, 7013

  • Research Site 69

    Sevlievo, 5400

  • Research Site 76

    Sofia, 1202

  • Research Site 70

    Sofia, 1431

  • Research Site 73

    Sofia, 1431

  • Research Site 71

    Sofia, 1510

  • Research Site 75

    Sofia, 1616

  • Research Site 72

    Sofia, 1680

  • Research Site 74

    Sofia, 1750

  • Research Site 77

    Stara Zagora, 6003

Other trials in Bulgaria

South Africa12 sites
  • Research Site 144

    Cape Town, Western Cape, 7441

  • Research Site 139

    Cape Town, Western Cape, 7500

  • Research Site 140

    Cape Town, Western Cape, 7500

  • Research Site 143

    Cape Town, Western Cape, 7530

  • Research Site 145

    Cape Town, Western Cape, 7925

  • Research Site 135

    Centurion, Gauteng, 0157

  • Research Site 138

    Durban, KwaZulu-Natal, 4449

  • Research Site 136

    Krugersdorp, Gauteng, 1739

  • Research Site 146

    Mossel Bay, Western Cape, 6500

  • Research Site 142

    Plettenberg Bay, Western Cape, 6600

  • Research Site 137

    Pretoria, Gauteng, 0184

  • Research Site 141

    Somerset West, Western Cape, 7570

Other trials in South Africa

Poland9 sites
  • Research Site 122

    Bydgoszcz, 85-065

  • Research Site 123

    Gdynia, 81-338

  • Research Site 124

    Katowice, 40-156

  • Research Site 129

    Lodz, 94-255

  • Research Site 125

    Malbork, 82-200

  • Research Site 126

    Szczecin, 71-500

  • Research Site 130

    Torun, 87-100

  • Research Site 127

    Wroclaw, 51-314

  • Research Site 128

    Zamość, 22-400

Other trials in Poland

Brazil8 sites
  • Research Site 62

    Aracaju, Sergipe, 49055-530

  • Research Site 59

    Belo Horizonte, Minas Gerais, 30150

  • Research Site 56

    Brasília, Federal District, 70710

  • Research Site 57

    Campinas, São Paulo, 13060

  • Research Site 63

    Recife, 52051-380

  • Research Site 61

    Salvador, Estado de Bahia, 40170

  • Research Site 58

    Santo André, São Paulo, 09080

  • Research Site 60

    São José do Rio Preto, São Paulo, 15090

Other trials in Brazil

Latvia8 sites
  • Research Site 107

    Daugavpils, LV-5410

  • Research Site 105

    Daugavpils, LV-5417

  • Research Site 106

    Daugavpils, LV-5417

  • Research Site 108

    Kuldīga, LV-3301

  • Research Site 109

    Riga, LV-1002

  • Research Site 110

    Riga, LV-1038

  • Research Site 111

    Riga, LV-1050

  • Research Site 112

    Tukums, LV-3101

Other trials in Latvia

Czechia7 sites
  • Research Site 83

    Brno, 65691

  • Research Site 84

    Náchod, 547 01

  • Research Site 85

    Olomouc, 77900

  • Research Site 86

    Prague, 100 00

  • Research Site 88

    Slaný, 15006

  • Research Site 89

    Teplice, 41501

  • Research Site 87

    Trutnov, 541 01

Other trials in Czechia

Hungary6 sites
  • Research Site 99

    Békéscsaba, 5600

  • Research Site 100

    Kaposvár, 7400

  • Research Site 101

    Miskolc, 3530

  • Research Site 102

    Pécs, 7623

  • Research Site 104

    Pécs, 7635

  • Research Site 103

    Zalaegerszeg, 8900

Other trials in Hungary

Lithuania6 sites
  • Research Site 115

    Kaunas, LT-48259

  • Research Site 113

    Kaunas, LT-49387

  • Research Site 114

    Kaunas, LT-50177

  • Research Site 118

    Šiauliai, LT-76206

  • Research Site 116

    Vilnius, LT-08406

  • Research Site 117

    Vilnius, LT-08406

Other trials in Lithuania

Argentina5 sites
  • Research Site 52

    CABA, Buenos Aires, 1128

  • Research Site 51

    Ciudad Autónoma de Buenos Aires, Buenos Aires, C1056ABJ

  • Research Site 54

    Córdoba, Córdoba Province, 5003

  • Research Site 53

    Godoy Cruz, Mendoza Province, 5501

  • Research Site 55

    Rosario, Santa Fe Province, 2000

Other trials in Argentina

Canada5 sites
  • Research Site 79

    Chicoutimi, Quebec, G7H 7K9

  • Research Site 80

    Laval, Quebec, H7T 2P5

  • Research Site 78

    North Vancouver, British Columbia, V7M 2H4

  • Research Site 81

    Québec, Quebec, G1G 3Y8

  • Research Site 82

    Terrebonne, Quebec, J6V2H2

Other trials in Canada

France5 sites
  • Research Site 93

    Bayonne, Pyrenees Atlantiques, 64100

  • Research Site 94

    Lyon, Rhone, 69007

  • Research Site 91

    Marseille, Bouches-du-Rhône, 13005

  • Research Site 90

    Paris, 75013

  • Research Site 92

    Pessac, Gironde, 33604

Other trials in France

Germany4 sites
  • Research Site 98

    Berlin, 13353

  • Research Site 95

    Deggingen, Baden-Wurttemberg, 73326

  • Research Site 97

    Magdeburg, Saxony-Anhalt

  • Research Site 96

    Wallerfing, Bavaria, 94574

Other trials in Germany

Slovakia4 sites
  • Research Site 134

    Bratislava, 83101

  • Research Site 131

    Nové Zámky, 94002

  • Research Site 132

    Prešov, 08001

  • Research Site 133

    Rožňava, 04801

Other trials in Slovakia

New Zealand3 sites
  • Research Site 119

    Christchurch, 8011

  • Research Site 120

    New Plymouth, 4310

  • Research Site 121

    Newtown, 6021

Other trials in New Zealand

Spain3 sites
  • Research Site 149

    A Coruña, La Coruña, 15006

  • Research Site 147

    Madrid, 28041

  • Research Site 148

    Seville, 41013

Other trials in Spain

About this study

Official title: Double-blind, Placebo-controlled, Phase 3 Study to Evaluate the Efficacy and Safety of Plozsiran in Adults With Severe Hypertriglyceridemia

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.

Being tested
Plozasiran Injection, Placebo
Medical subject headings
Hypertriglyceridemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Plozasiran InjectionDrug

    Also called ARO-APOC3

    ARO-APOC3 Injection

  • PlaceboDrug

    sterile normal saline (0.9% NaCl)

Study groups in NCT06347016
Study groupRoleWhat they receive
Plozasiran InjectionExperimental4 doses of plozasiran (ARO-APOC3) by subcutaneous (sc) injection
Receives: Drug: Plozasiran Injection
PlaceboPlacebo comparatorcalculated volume to match active treatment by sc injection
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent change in fasting serum TG levels from baseline to Month 12 compared to placebo

    Measured: Baseline, Month 12

Secondary outcomes (19)
  1. Percent Change in Fasting Serum TG Levels from Baseline to Month 10 Compared to Placebo

    Measured: Baseline, Month 10

  2. Proportion of subjects who achieve fasting TG levels of <500 mg/dL (<5.65 mmol/L) at Month 12 compared to placebo

    Measured: Baseline, Month 12

  3. Proportion of Subjects Who Achieve Fasting TG Levels of < 150 mg/dL (<1.69 mmol/L) at Month 12 compared to placebo

    Measured: Baseline, Month 12

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

    Measured: Baseline, Month 12

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

    Measured: Baseline, Month 12

  6. Adjudicated AP Event Rate During the Treatment Period Compared to Placebo From Day 1 to Month 12

    Measured: Month 12

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

    Measured: From first dose of study drug through Month 12

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

    Measured: From first dose of study drug through Month 12

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

    Measured: From first dose of study drug through Month 12

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

    Measured: From first dose of study drug through Month 12

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

    Measured: From first dose of study drug through Month 12

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

    Measured: From first dose of study drug through Month 12

  13. Change from Baseline in C-Peptide During the Treatment Period Compared to Placebo

    Measured: From first dose of study drug through Month 12

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

    Measured: From first dose of study drug through Month 12

  15. 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

    Measured: From first dose of study drug through Month 12

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

    Measured: From first dose of study drug through Month 12

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

    Measured: From first dose of study drug through Month 12

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

    Measured: From first dose of study drug through Month 12

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

    Measured: From first dose of study drug through Month 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Apr 2024
  2. Study start23 Jul 2024
  3. Primary completion17 Jun 2026
  4. Study completion10 Sep 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
311 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06347016
Sponsor's protocol ID
AROAPOC3-3004
Other IDs
2023-509301-80, 2023
Acronym
SHASTA-4
Status last verified
Oct 2026
First submitted
29 Mar 2024
Last updated
9 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Watts GF, Ballantyne CM, Blanco Echevarria A, Smith J, Rosenson RS, Subramanian S, Trippi J, Lepor N, Bajaj A, Blaha V, Scott R, Baass A, Goldberg IJ, Gallo A, Diaz JL, Saxena M, Li J, Zhou R, Aiyer L, Hellawell J, Hamilton J, Gaudet D; SHASTA-3 and SHASTA-4 Study Groups. Plozasiran for Severe Hypertriglyceridemia and Risk of Pancreatitis. N Engl J Med. 2026 Nov 5;395(18):1805-1817. doi: 10.1056/NEJMoa2610014.

    PubMed 42981569

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Plozasiran Injection in people with Severe Hypertriglyceridemia, run by Arrowhead Pharmaceuticals at 149 sites in 16 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 149 sites in United States, Bulgaria, South Africa, Poland, Brazil and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent change in fasting serum TG levels from baseline to Month 12 compared to placebo (time frame: Baseline, Month 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06347016, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Oct 2026.

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