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Mixed DyslipidemiaPhase 2ARCHES-2NCT04832971

Study of ARO-ANG3 in Adults With Mixed Dyslipidemia

A Phase 2 study testing ARO-ANG3 in people with Mixed Dyslipidemia, run by Arrowhead Pharmaceuticals at 24 sites in 4 countries.

Completed

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

Official record
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Trial summary

The purpose of AROANG3-2001 is to evaluate the efficacy and safety of ARO-ANG3 in participants with mixed dyslipidemia. Participants will initially receive 2 subcutaneous injections of ARO-ANG3 or placebo. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Mixed Dyslipidemia
What is being tested?
ARO-ANG3
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
204 participants
Where
24 sitesin 4 countries
Study dates
28 Jun 2021to 25 Sep 2024
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Based on medical history, evidence of triglycerides (TG) ≥ 150 mg/dL but ≤ 499 mg/dL
  • Fasting levels at Screening of LDL-C ≥ 70 mg/dL OR non-HDL-C ≥ 100 mg/dL after at least 4 weeks of stable diet and stable optimal statin therapy
  • Mean fasting TG ≥ 150 mg/dL and ≤ 499 mg/dL during Screening collected at two separate and consecutive visits and at least 7 days apart and not more than 17 days apart
  • Willing to follow diet counseling and maintain a stable diet per Investigator judgment based on local standard of care
  • Participants of childbearing potential must agree to use highly-effective contraception during the study and for at least 24 weeks from last dose of study medication
  • Women of childbearing potential must have a negative pregnancy test and cannot be breastfeeding
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  • Women of childbearing potential on hormonal contraceptives must be stable on the medication for ≥ 2 menstrual cycles prior to Day 1
  • Men must not donate sperm during the study and for at least 24 weeks following the last dose of study medication
  • Able and willing to provide written informed consent and to comply with study requirements

Who cannot join

  • Current use or use within 365 days from Day 1 of any hepatocyte targeted siRNA or antisense oligonucleotide molecule
  • Active pancreatitis within 12 weeks prior to Day 1
  • Any planned bariatric surgery or similar procedures to induce weight loss from consent to end of study
  • Acute coronary syndrome event within 24 weeks of Day 1
  • Major surgery within 12 weeks of Day 1 or planned surgery during the study
  • Planned coronary intervention (e.g., stent placement or heart bypass) during the study
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  • Uncontrolled hypertension
  • Human immunodeficiency virus (HIV) infection, seropositive for Hepatitis B (HBV), seropositive for Hepatitis C (HCV)
  • Uncontrolled hypothyroidism or hyperthyroidism
  • Hemorrhagic stroke within 24 weeks of Day 1
  • History of bleeding diathesis or coagulopathy
  • Current diagnosis of nephrotic syndrome
  • Systemic use of corticosteroids or anabolic steroids within 4 weeks prior to Day 1 or planned use during the study
  • Malignancy within the last 2 years prior to date of consent requiring systemic treatment (some exceptions apply)
  • Note: additional inclusion/exclusion criteria may apply per protocol

Trial locations and contacts

24 sites in 4 countries.

24 sites in 4 countries

United States13 sites
  • Research Site 4

    Camp Hill, Pennsylvania, 17011

  • Research Site 15

    Greensboro, North Carolina, 27408

  • Research Site 7

    Hialeah, Florida, 33012

  • Research Site 11

    Houston, Texas, 77030

  • Research Site 5

    Huntington Park, California, 90255

  • Research Site 23

    Las Vegas, Nevada, 89121

  • Research Site 1

    Marion, Ohio, 43302

  • Research Site 17

    Miami, Florida, 33144

  • Research Site 24

    Minneapolis, Minnesota, 55455

  • Research Site 2

    Morehead City, North Carolina, 28557

  • Research Site 22

    New York, New York, 10029

  • Research Site 10

    Omaha, Nebraska, 68114

  • Research Site 8

    Port Orange, Florida, 32127

Other trials in United States

Canada4 sites
  • Research Site 16

    Chicoutimi, Quebec, G7H 7K9

  • Research Site 25

    London, Ontario, N6A 5A5

  • Research Site 12

    Québec, G1G 3Z4

  • Research Site 9

    Québec, H7T2P5

Other trials in Canada

New Zealand4 sites
  • Research Site 19

    Birkenhead, 0626

  • Research Site 13

    Christchurch, 8011

  • Research Site 20

    Hamilton, 3200

  • Research Site 14

    Rotorua, 3010

Other trials in New Zealand

Australia3 sites
  • Research Site 6

    Blacktown, New South Wales, 2148

  • Research Site 18

    Nedlands, 6009

  • Research Site 21

    Sippy Downs, Queensland, 4556

Other trials in Australia

About this study

Official title: A Double-blind, Placebo-controlled Phase 2b Study to Evaluate the Efficacy and Safety of ARO-ANG3 in Adults With Mixed Dyslipidemia

The purpose of AROANG3-2001 is to evaluate the efficacy and safety of ARO-ANG3 in participants with mixed dyslipidemia. Participants will initially receive 2 subcutaneous injections of ARO-ANG3 or placebo. Participants who complete the double-blind treatment period may opt to continue in an open-label extension during which they will receive up to 8 doses of ARO-ANG3.

Being tested
ARO-ANG3, Placebo

What participants receive

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

  • ARO-ANG3Drug

    ARO-ANG3 Injection

  • PlaceboDrug

    Sterile Normal Saline (0.9% NaCl)

Study groups in NCT04832971
Study groupRoleWhat they receive
ARO-ANG3 50 mgExperimentalTwo doses of ARO-ANG3 by subcutaneous (sc) injection at Day 1 and Week 12 during double-blind treatment period. Up to 8 doses of ARO-ANG3 by sc injection during the open-label extension period.
Receives: Drug: ARO-ANG3
ARO-ANG3 100 mgExperimentalTwo doses of ARO-ANG3 bysc injection at Day 1 and Week 12 during double-blind treatment period. Up to 8 doses of ARO-ANG3 by sc injection during the open-label extension period.
Receives: Drug: ARO-ANG3
ARO-ANG3 200 mgExperimentalTwo doses of ARO-ANG3 by sc injection at Day 1 and Week 12 during double-blind treatment period. Up to 8 doses of ARO-ANG3 by sc injection during the open-label extension period.
Receives: Drug: ARO-ANG3
PlaceboPlacebo comparatorCalculated volume to match active treatment by sc injection at Day 1 and Week 12 during the double-blind treatment period. Up to 8 doses of ARO-ANG3 by sc injection during the open-label extension period.
Receives: Drug: ARO-ANG3; Drug: Placebo

What is being measured

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

  1. Percent Change From Baseline in Fasting TG at Week 24

    Measured: Baseline, Week 24

Secondary outcomes (21)
  1. Percent Change From Baseline in Fasting TG Over Time

    Measured: Baseline, up to Week 36 (double-blind treatment period)

  2. Percent Change From Baseline in Fasting Non-High-Density Lipoprotein-Cholesterol (Non-HDL-C) at Week 24

    Measured: Baseline, Week 24

  3. Percent Change From Baseline in Fasting Non-HDL-C Over Time

    Measured: Baseline, up to Week 36 (double-blind treatment period)

  4. Percent Change From Baseline in Fasting Total Apolipoprotein B (ApoB) at Week 24

    Measured: Baseline, Week 24

  5. Percent Change From Baseline in Fasting Total ApoB Over Time

    Measured: Baseline, up to Week 36 (double-blind treatment period)

  6. Percent Change From Baseline in Fasting Low-density Lipoprotein-Cholesterol (LDL-C) Using Ultracentrifugation at Week 24

    Measured: Baseline, Week 24

  7. Percent Change From Baseline in Fasting LDL-C Using Ultracentrifugation Over Time

    Measured: Baseline, up to Week 36 (double-blind treatment period)

  8. Percent Change From Baseline in Angiopoietin-like Protein 3 (ANGPTL3) at Week 24

    Measured: Baseline, Week 24

  9. Percent Change From Baseline in ANGPTL3 Over Time

    Measured: Baseline, up to Week 36 (double-blind treatment period)

  10. Percent Change From Baseline in Fasting High-Density Lipoprotein-Cholesterol (HDL-C) at Week 24

    Measured: Baseline, Week 24

  11. Percent Change From Baseline in Fasting HDL-C Over Time

    Measured: Baseline, up to Week 36 (double-blind treatment period)

  12. Plasma Pharmacokinetic (PK) Concentration for ARO-ANG3 Over Time in the Double-Blind Treatment Period

    Measured: Baseline, Day 1: pre-dose, 15 minutes, 1, 3, 6 hours post-dose; Day 2: 24 hours post-dose; Week 12: pre-dose, 15 minutes, 1, 3, 6, 24 hours post-dose (double-blind treatment period)

  13. Number of Participants With Treatment Emergent Adverse Events (TEAEs) and/or Serious TEAEs up to Week 24

    TEAEs are adverse events (AEs) that occur following IP administration or a pre-existing condition exacerbated following IP administration. An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. A serious adverse event (SAE) is an AE that: results in death; is life-threatening; requires inpatient hospitalization or prolongation of an existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; or is a medically important event or reaction.

    Measured: From first dose of IP up to Week 24

  14. Number of Participants With TEAEs and/or SAEs Over Time in the Double-Blind Treatment Period

    Adverse event (AE)=any untoward medical occurrence that does not necessarily have to have a causal relationship with this treatment. TEAEs=AEs with onset after administration of the study drug, or when a pre-existing medical condition increases in severity or frequency after study drug administration. Serious adverse event (SAE)= an AE that results in death; is life-threatening; requires inpatient hospitalization or prolongation of an existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; is a medically important event or reaction.

    Measured: up to Week 36 (double-blind treatment period)

  15. Number of Participants With AEs and/or SAEs Over Time in the Open-Label Extension (OLE) Period

    Adverse event (AE)=any untoward medical occurrence that does not necessarily have to have a causal relationship with this treatment. TEAEs=AEs with onset after administration of the study drug, or when a pre-existing medical condition increases in severity or frequency after study drug administration. Serious adverse event (SAE)= an AE that results in death; is life-threatening; requires inpatient hospitalization or prolongation of an existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; is a medically important event or reaction.

    Measured: From first dose of study drug in the OLE up to Month 24 (open-label extension)

  16. Percent Change From Baseline in Fasting TG Over Time in the Open Label Extension (OLE) Period

    Measured: Baseline, OLE Baseline, Months 1-24 (open-label extension)

  17. Percent Change From Baseline in Fasting Non-HDL-C Over Time in the Open Label Extension (OLE) Period

    Measured: Baseline, OLE Baseline, Months 1-24 (open-label extension)

  18. Percent Change From Baseline in Fasting Total ApoB Over Time in the Open Label Extension (OLE) Period

    Measured: Baseline, OLE Baseline, Months 1-24 (open-label extension)

  19. Percent Change From Baseline in Fasting LDL-C Using Ultracentrifugation Over Time in the Open Label Extension (OLE) Period

    Measured: Baseline, OLE Baseline, Months 1-24 (open-label extension)

  20. Percent Change From Baseline in ANGPTL3 Over Time in the Open Label Extension (OLE) Period

    Measured: Baseline, OLE Baseline, Months 1-24 (open-label extension)

  21. Percent Change From Baseline in Fasting HDL-C Over Time in the Open Label Extension (OLE) Period

    Measured: Baseline, OLE Baseline, Months 1-24 (open-label extension)

Timeline

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

  1. First posted6 Apr 2021
  2. Study start28 Jun 2021
  3. Primary completion30 Aug 2022
  4. Study completion25 Sep 2024

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
204 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04832971
Sponsor's protocol ID
AROANG3-2001
Acronym
ARCHES-2
Status last verified
Dec 2025
First submitted
2 Apr 2021
Last updated
3 Dec 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Rosenson RS, Gaudet D, Ballantyne CM, Nicholls SJ, Lucas KJ, Leeper NJ, Zhou R, Aiyer L, Hellawell J, Watts GF. Longer-Term Efficacy and Safety of Zodasiran in Patients with Mixed Hyperlipidaemia. Eur J Prev Cardiol. 2026 Jul 24:zwag376. doi: 10.1093/eurjpc/zwag376. Online ahead of print.

    PubMed 42496147
  • Rosenson RS, Gaudet D, Hegele RA, Ballantyne CM, Nicholls SJ, Lucas KJ, San Martin J, Zhou R, Muhsin M, Chang T, Hellawell J, Watts GF; ARCHES-2 Trial Team. Zodasiran, an RNAi Therapeutic Targeting ANGPTL3, for Mixed Hyperlipidemia. N Engl J Med. 2024 Sep 12;391(10):913-925. doi: 10.1056/NEJMoa2404147. Epub 2024 May 29.

    PubMed 38809174
  • Dimitriadis K, Theofilis P, Iliakis P, Pyrpyris N, Dri E, Sakalidis A, Soulaidopoulos S, Tsioufis P, Fragkoulis C, Chrysohoou C, Tsiachris D, Tsioufis K. Management of dyslipidemia in coronary artery disease: the present and the future. Coron Artery Dis. 2024 Sep 1;35(6):516-524. doi: 10.1097/MCA.0000000000001375. Epub 2024 Apr 29.

    PubMed 38682459

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ARO-ANG3 in people with Mixed Dyslipidemia, run by Arrowhead Pharmaceuticals at 24 sites in 4 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 9 inclusion and 15 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 3 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in United States, Canada, New Zealand, Australia. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 16 Jan 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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 From Baseline in Fasting TG at Week 24 (time frame: Baseline, Week 24). 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 NCT04832971, which also lists 3 linked publications.

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 3 Dec 2025.

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