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HypertriglyceridemiaPhase 3MUIR-3NCT06347133

Phase 3 Study of Plozasiran in Adults With Hypertriglyceridemia

A Phase 3 study testing Plozasiran Injection in people with Hypertriglyceridemia, run by Arrowhead Pharmaceuticals at 235 sites in 15 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 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… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
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
1,456 participants
Where
235 sitesin 15 countries
Study dates
21 May 2024to 8 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

  • 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.

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
  • Acute pancreatitis within 4 weeks prior to screening
  • Body mass index >45 kg/m^2
  • Note: Additional Inclusion/Exclusion criteria may apply per protocol

Trial locations and contacts

235 sites in 15 countries.

235 sites in 15 countries

United States97 sites
  • Research Site 37

    Annapolis, Maryland, 21401

  • Research Site 56

    Asheboro, North Carolina, 27203

  • Research Site 38

    Baltimore, Maryland, 21229

  • Research Site 60

    Beavercreek, Ohio, 45431

  • Research Site 3

    Beverly Hills, California, 90211

  • Research Site 1

    Birmingham, Alabama, 35205

  • Research Site 94

    Bountiful, Utah, 84010

  • Research Site 4

    Canoga Park, California, 91303

  • Research Site 74

    Chattanooga, Tennessee, 37411

  • Research Site 61

    Cincinnati, Ohio, 45267

  • Research Site 15

    Clearwater, Florida, 33756

  • Research Site 14

    Colorado Springs, Colorado, 80909

  • Research Site 63

    Columbus, Ohio, 43210

  • Research Site 62

    Columbus, Ohio, 43214

  • Research Site 76

    El Paso, Texas, 79905

  • Research Site 30

    Elkhart, Indiana, 46514

  • Research Site 39

    Flint, Michigan, 48532

  • Research Site 72

    Fort Mill, South Carolina, 29707

  • Research Site 77

    Fort Worth, Texas, 76132

  • Research Site 5

    Garden Grove, California, 92844

  • Research Site 73

    Greenville, South Carolina, 29607

  • Research Site 16

    Hialeah, Florida, 33016

  • Research Site 67

    Horsham, Pennsylvania, 19044

  • Research Site 86

    Houston, Texas, 77029

  • Research Site 84

    Houston, Texas, 77030

  • Research Site 85

    Houston, Texas, 77030

  • Research Site 78

    Houston, Texas, 77040

  • Research Site 80

    Houston, Texas, 77061

  • Research Site 83

    Houston, Texas, 77074

  • Research Site 82

    Houston, Texas, 77079

  • Research Site 79

    Houston, Texas, 77090

  • Research Site 81

    Houston, Texas, 77095

  • Research Site 6

    Huntington Beach, California, 92648

  • Research Site 31

    Indianapolis, Indiana, 46290

  • Research Site 42

    Jefferson City, Missouri, 65109

  • Research Site 17

    Lake City, Florida, 32055

  • Research Site 7

    Lake Forest, California, 92630

  • Research Site 87

    Laredo, Texas, 78041

  • Research Site 47

    Las Vegas, Nevada, 89119

  • Research Site 25

    Lawrenceville, Georgia, 30044

  • Research Site 8

    Lincoln, California, 95648

  • Research Site 9

    Long Beach, California, 90822

  • Research Site 35

    Louisville, Kentucky, 40202

  • Research Site 26

    Macon, Georgia, 31210

  • Research Site 96

    Manassas, Virginia, 20110

  • Research Site 18

    Miami Lakes, Florida, 33014

  • Research Site 40

    Minneapolis, Minnesota, 55455

  • Research Site 88

    Missouri City, Texas, 77459

  • Research Site 2

    Mobile, Alabama, 36604

  • Research Site 10

    Montclair, California, 91763

  • Research Site 57

    Morehead City, North Carolina, 28557

  • Research Site 19

    Mt. Dora, Florida, 32757

  • Research Site 52

    New York, New York, 10016

  • Research Site 51

    New York, New York, 10029

  • Research Site 68

    Newport, Pennsylvania, 17074

  • Research Site 69

    Newport, Pennsylvania, 17074

  • Research Site 44

    Norfolk, Nebraska, 68701

  • Research Site 64

    Norman, Oklahoma, 73072

  • Research Site 20

    North Miami Beach, Florida, 33162

  • Research Site 66

    Oklahoma City, Oklahoma, 73111

  • Research Site 65

    Oklahoma City, Oklahoma, 73112

  • Research Site 41

    Olive Branch, Mississippi, 38654

  • Research Site 46

    Omaha, Nebraska, 68114

  • Research Site 45

    Omaha, Nebraska, 68144

  • Research Site 21

    Orlando, Florida, 32825

  • Research Site 33

    Overland Park, Kansas, 66211

  • Research Site 11

    Oxnard, California, 93030

  • Research Site 29

    Park Ridge, Illinois, 60068

  • Research Site 22

    Pensacola, Florida, 32503

  • Research Site 70

    Philadelphia, Pennsylvania, 19104

  • Research Site 89

    Plano, Texas, 75093

  • Research Site 75

    Powell, Tennessee, 37849

  • Research Site 12

    Redding, California, 96001

  • Research Site 53

    Riverhead, New York, 11901

  • Research Site 54

    Rochester, New York, 14642

  • Research Site 90

    San Antonio, Texas, 78230

  • Research Site 23

    Sarasota, Florida, 34239

  • Research Site 27

    Savannah, Georgia, 31406

  • Research Site 97

    Seattle, Washington, 98109

  • Research Site 32

    South Bend, Indiana, 46617

  • Research Site 43

    St Louis, Missouri, 63136

  • Research Site 95

    St. George, Utah, 84790

  • Research Site 28

    Sugar Hill, Georgia, 30518

  • Research Site 91

    Sugar Land, Texas, 77479

  • Research Site 48

    Summit, New Jersey, 07901

  • Research Site 24

    Tamarac, Florida, 33321

  • Research Site 49

    The Bronx, New York, 10455

  • Research Site 50

    The Bronx, New York, 10461

  • Research Site 92

    Tomball, Texas, 77375

  • Research Site 34

    Topeka, Kansas, 66606

  • Research Site 13

    Van Nuys, California, 91402

  • Research Site 55

    Vestal, New York, 13850

  • Research Site 93

    Victoria, Texas, 77901

  • Research Site 71

    Wilkes-Barre, Pennsylvania, 18711

  • Research Site 58

    Wilmington, North Carolina, 28412

  • Research Site 59

    Winston-Salem, North Carolina, 27157

  • Research Site 36

    Zachary, Louisiana, 70791

Other trials in United States

Bulgaria27 sites
  • Research Site 111

    Blagoevgrad, 2700

  • Research Site 112

    Burgas, 8000

  • Research Site 113

    Byala, 7100

  • Research Site 114

    Dimitrovgrad, 6400

  • Research Site 115

    Haskovo, 6300

  • Research Site 116

    Kyustendil, 2500

  • Research Site 117

    Pleven, 5800

  • Research Site 118

    Pleven, 5800

  • Research Site 120

    Plovdiv, 4001

  • Research Site 119

    Plovdiv, 4002

  • Research Site 121

    Plovdiv, 4004

  • Research Site 122

    Rousse, 7013

  • Research Site 123

    Sevlievo, 5400

  • Research Site 137

    Sofia, 1202

  • Research Site 133

    Sofia, 1336

  • Research Site 126

    Sofia, 1431

  • Research Site 129

    Sofia, 1431

  • Research Site 132

    Sofia, 1431

  • Research Site 130

    Sofia, 1510

  • Research Site 131

    Sofia, 1527

  • Research Site 135

    Sofia, 1527

  • Research Site 124

    Sofia, 1616

  • Research Site 125

    Sofia, 1618

  • Research Site 127

    Sofia, 1680

  • Research Site 134

    Sofia, 1680

  • Research Site 128

    Sofia, 1750

  • Research Site 136

    Stara Zagora, 6010

Other trials in Bulgaria

Poland19 sites
  • Research Site 200

    Bydgoszcz, 85-065

  • Research Site 202

    Bydgoszcz, 85-231

  • Research Site 192

    Elblag, 82-300

  • Research Site 193

    Gdynia, 81-338

  • Research Site 190

    Katowice, 40-156

  • Research Site 197

    Krakow, 30-727

  • Research Site 204

    Krakow, 31-501

  • Research Site 201

    Lodz, 91-363

  • Research Site 191

    Lodz, 94-255

  • Research Site 194

    Malbork, 82-200

  • Research Site 199

    Szczecin, 71-500

  • Research Site 207

    Torun, 87-100

  • Research Site 205

    Warsaw, 00-215

  • Research Site 198

    Warsaw, 03-291

  • Research Site 196

    Wroclaw, 51-314

  • Research Site 208

    Wroclaw, 53-030

  • Research Site 206

    Wroclaw, 53-673

  • Research Site 195

    Zamość, 22-400

  • Research Site 203

    Żarów, 58-130

Other trials in Poland

Czechia14 sites
  • Research Site 157

    Brno, 602 00

  • Research Site 154

    Hodonín, 69501

  • Research Site 159

    Hradec Králové, 500 05

  • Research Site 160

    Náchod, 547 01

  • Research Site 162

    Olomouc, 779 00

  • Research Site 155

    Ostrava, 702 00

  • Research Site 151

    Prague, Prague, 140 21

  • Research Site 152

    Prague, 101 00

  • Research Site 156

    Praha 4-Krc, 140 59

  • Research Site 150

    Slaný, 27401

  • Research Site 163

    Teplice, 41501

  • Research Site 158

    Trutnov, 541 01

  • Research Site 161

    Uherské Hradiště, 686 01

  • Research Site 153

    Ústí nad Labem, 40113

Other trials in Czechia

Hungary13 sites
  • Research Site 171

    Békéscsaba, 5600

  • Research Site 175

    Budapest, 1033

  • Research Site 183

    Budapest, 1051

  • Research Site 179

    Budapest, 1132

  • Research Site 184

    Budapest, 1135

  • Research Site 180

    Budapest, 1152

  • Research Site 182

    Kaposvár, 7400

  • Research Site 176

    Miskolc, 3530

  • Research Site 172

    Pécs, 7623

  • Research Site 177

    Pécs, 7635

  • Research Site 178

    Szeged, 6725

  • Research Site 173

    Veszprém, 8200

  • Research Site 174

    Zalaegerszeg, 8900

Other trials in Hungary

Canada12 sites
  • Research Site 142

    Brampton, Ontario, L6S 0C6

  • Research Site 145

    Chicoutimi, Quebec, G7H 7K9

  • Research Site 138

    Halifax, B3H 1V7

  • Research Site 146

    Laval, Quebec, H7T 2P5

  • Research Site 149

    Montreal, Quebec, H2W 1R7

  • Research Site 140

    North Vancouver, British Columbia, V7M 2H4

  • Research Site 147

    Québec, Quebec, G1V 4W2

  • Research Site 148

    Québec, Quebec, J6X 4P7

  • Research Site 139

    Québec, G1G 3Y8

  • Research Site 143

    Sarnia, Ontario, N7T 4X3

  • Research Site 141

    Victoria, British Columbia, V8T 5G4

  • Research Site 144

    Waterloo, Ontario, N2T0C1

Other trials in Canada

Slovakia10 sites
  • Research Site 214

    Banská Bystrica, 97401

  • Research Site 212

    Bardejov, 8501

  • Research Site 217

    Bratislava, 81109

  • Research Site 216

    Bratislava, 83101

  • Research Site 210

    Košice, 040 01

  • Research Site 213

    Moldava nad Bodvou, 045 01

  • Research Site 209

    Nové Zámky, 94002

  • Research Site 211

    Prešov, 8001

  • Research Site 215

    Rožňava, 4801

  • Research Site 218

    Žilina, 01001

Other trials in Slovakia

South Africa10 sites
  • Research Site 227

    Cape Town, Western Cape, 7500

  • Research Site 219

    Cape Town, Western Cape, 7530

  • Research Site 223

    Cape Town, Western Cape, 7550

  • Research Site 225

    Cape Town, Western Cape, 7925

  • Research Site 221

    Centurion, Gauteng, 0157

  • Research Site 224

    Durban, KwaZulu-Natal, 4449

  • Research Site 222

    Krugersdorp, Gauteng, 1739

  • Research Site 228

    Pretoria, Gauteng, 0181

  • Research Site 226

    Pretoria, 0184

  • Research Site 220

    Somerset West, Western Cape, 7130

Other trials in South Africa

Argentina9 sites
  • Research Site 102

    CABA, Buenos Aires, 1128

  • Research Site 100

    CABA, Buenos Aires, 1417

  • Research Site 103

    Ciudad Autonoma Buenos Aires, Buenos Aires, C1430CKE

  • Research Site 104

    Córdoba, Córdoba Province, 5000

  • Research Site 98

    Córdoba, Córdoba Province, 5006

  • Research Site 106

    Córdoba, 5000

  • Research Site 101

    Godoy Cruz, Mendoza Province, 5501

  • Research Site 105

    Rosario, Santa Fe Province, 2000

  • Research Site 99

    Rosario, Santa Fe Province, 2000

Other trials in Argentina

Spain6 sites
  • Research Site 229

    A Coruña, La Coruña, 15006

  • Research Site 230

    Barcelona, 08023

  • Research Site 234

    Barcelona, 08035

  • Research Site 232

    Madrid, 28041

  • Research Site 231

    Valencia, 46010

  • Research Site 233

    Zaragoza, 50009

Other trials in Spain

Italy5 sites
  • Research Site 189

    Bologna, 40138

  • Research Site 185

    Brescia, 25123

  • Research Site 188

    Milan, 20162

  • Research Site 187

    Palermo, Sicily, 90127

  • Research Site 186

    Rozzano, Milano, 20089

Other trials in Italy

Australia4 sites
  • Research Site 107

    Blacktown, New South Wales, 2148

  • Research Site 110

    Clayton, Victoria, 3168

  • Research Site 109

    Heidelberg Heights, Victoria, 3081

  • Research Site 108

    Merewether, New South Wales, 2291

Other trials in Australia

France4 sites
  • Research Site 166

    Lyon, Rhone, 69007

  • Research Site 164

    Marseille, Bouches Du Rhone, 13005

  • Research Site165

    Paris, 75013

  • Research Site 167

    Pessac, Gironde, 33604

Other trials in France

Germany3 sites
  • Research Site 170

    Deggingen, Baden-Wurttemberg, 73326

  • Research Site 168

    Magdeburg, Saxony-Anhalt, 39120

  • Research Site 169

    Wallerfing, Bavaria, 94574

Other trials in Germany

United Kingdom2 sites
  • Research Site 235

    London, EC1M 6BQ

  • Research Site 236

    Plymouth, Devon, PL5 3JB

Other trials in United Kingdom

About this study

Official title: Double-blind, Placebo-controlled, Phase 3 Study to Evaluate the Efficacy and Safety 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.

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 NCT06347133
Study groupRoleWhat they receive
Plozasiran InjectionExperimental4 doses of plozasiran 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 Triglyceride (TG) Levels from Baseline to Month 12 Compared to Placebo

    Measured: Baseline, Month 12

Secondary outcomes (17)
  1. Percent Change in Fasting Serum TG Levels from Baseline to Month 10 Compared to Placebo

    Measured: 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

    Measured: Month 12

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

    Measured: Baseline, Month 12

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

    Measured: 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

    Measured: From first dose of study drug through Month 12

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

    Measured: From first dose of study drug through Month 12

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

    Measured: From first dose of study drug through Month 12

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

    Measured: 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

    Measured: From first dose of study drug through Month 12

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

    Measured: From first dose of study drug through Month 12

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

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: From first dose of study drug through Month 12

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

    Measured: 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

    Measured: 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

    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 start21 May 2024
  3. Primary completion1 Jun 2026
  4. Study completion8 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
1,456 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06347133
Sponsor's protocol ID
AROAPOC3-3009
Other IDs
2023-509302-30, 2023
Acronym
MUIR-3
Status last verified
Sep 2026
First submitted
29 Mar 2024
Last updated
25 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Plozasiran Injection in people with Hypertriglyceridemia, run by Arrowhead Pharmaceuticals at 235 sites in 15 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 7 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 25 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 235 sites in United States, Bulgaria, Poland, Czechia, Hungary and 10 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 Triglyceride (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?
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 25 Sep 2026.

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