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Trial · NCT05089084

Study of ARO-APOC3 (Plozasiran) in Adults With Familial Chylomicronemia Syndrome (FCS)

NCT05089084, Phase 3, Completed, Arrowhead Pharmaceuticals; results first posted 2026-02-04

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of ARO-APOC3 (Plozasiran) in Adults With Familial Chylomicronemia Syndrome (FCS). Trials, record NCT05089084. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05089084

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of ARO-APOC3 (Plozasiran) in Adults With Familial Chylomicronemia Syndrome (FCS)
NCT number
NCT05089084
Status
Completed
Phases
Phase 3
Enrollment
75 participants, actual
Lead sponsor
Arrowhead Pharmaceuticals
Conditions
Familial Chylomicronemia
Interventions
Plozasiran, Placebo
First posted
2021-10-22
Last updated
2026-06-05
Results first posted
2026-02-04

Source ClinicalTrials.gov

Registered outcomes18

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercent Change From Baseline at Month 10 in Fasting Triglycerides (TG)Baseline, Month 10
SecondaryPercent Change From Baseline in Fasting TG at Month 10 and Month 12 (Averaged)Baseline, Month 10, Month 12
SecondaryPercent Change From Baseline in Apolipoprotein C-III (APOC3) at Month 10Baseline, Month 10
SecondaryPercent Change From Baseline in Fasting APOC3 at Month 12Baseline, Month 12
SecondaryPercentage of Participants With Positively Adjudicated Events of Acute Pancreatitis (Randomized Period)From first dose of study drug through Month 12 (Randomized Period)
All adverse events (AEs) and serious adverse events (SAEs) reported by the Investigator during the study that are consistent with an event of acute pancreatitis will be adjudicated by a blinded, independent committee according to the 2013 Atlanta definition meeting 2 of the following 3 criteria: 1. Abdominal pain consistent with acute pancreatitis (acute onset of a persistent, severe, epigastric pain often radiating to the back) 2. Serum lipase activity (or amylase activity) ≥3 times the upper limit of normal (×ULN) 3. Characteristic findings of acute pancreatitis on contrast-enhanced computed tomography (CECT), magnetic resonance imaging (MRI), or transabdominal ultrasonography.
SecondaryPercentage of Participants With Positively Adjudicated Events of Acute Pancreatitis (Open-Label Period)From first dose of study drug through Month 36 (Open-Label Period)
All adverse events (AEs) and serious adverse events (SAEs) reported by the Investigator during the study that are consistent with an event of acute pancreatitis will be adjudicated by a blinded, independent committee according to the 2013 Atlanta definition meeting 2 of the following 3 criteria: 1. Abdominal pain consistent with acute pancreatitis (acute onset of a persistent, severe, epigastric pain often radiating to the back) 2. Serum lipase activity (or amylase activity) ≥3 times the upper limit of normal (×ULN) 3. Characteristic findings of acute pancreatitis on contrast-enhanced computed tomography (CECT), magnetic resonance imaging (MRI), or transabdominal ultrasonography.
SecondaryPercent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Month 10Baseline, Month 10
SecondaryPercent Change From Baseline in Non-HDL-C at Month 12Baseline, Month 12
SecondaryPercent Change From Baseline in High Density Lipoprotein Cholesterol (HDL-C) at Month 10Baseline, Month 10
SecondaryPercent Change From Baseline in HDL-C at Month 12Baseline, Month 12

Outcomes18

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercent Change From Baseline at Month 10 in Fasting Triglycerides (TG)Baseline, Month 10
Full Analysis Set: all randomized participants regardless of adherence to the treatment, analyzed according to the treatment assigned at randomization. Participants with an assessment at baseline and Month 10.
percentage changeMEDIAN
SECONDARYPercent Change From Baseline in Fasting TG at Month 10 and Month 12 (Averaged)Baseline, Month 10, Month 12
Full Analysis Set: all randomized participants regardless of adherence to the treatment, analyzed according to the treatment assigned at randomization. Participants with an assessment at baseline and Months 10 and 12.
percentage changeMEDIAN
SECONDARYPercent Change From Baseline in Apolipoprotein C-III (APOC3) at Month 10Baseline, Month 10
Full Analysis Set: all randomized participants regardless of adherence to the treatment, analyzed according to the treatment assigned at randomization. Participants with an assessment at baseline and Month 10.
percentage changeMEDIAN
SECONDARYPercent Change From Baseline in Fasting APOC3 at Month 12Baseline, Month 12
Full Analysis Set: all randomized participants regardless of adherence to the treatment, analyzed according to the treatment assigned at randomization. Participants with an assessment at baseline and Month 12.
percentage changeMEDIAN
SECONDARYPercentage of Participants With Positively Adjudicated Events of Acute Pancreatitis (Randomized Period)From first dose of study drug through Month 12 (Randomized Period)
Full Analysis Set: all randomized participants regardless of adherence to the treatment, analyzed according to the treatment assigned at randomization. The Statistical Analysis Plan pre-specified that the ARO-APOC3 25 mg and 50 mg groups were to be pooled together to be compared with placebo for the Randomized Period.
percentage of participantsNUMBER
SECONDARYPercentage of Participants With Positively Adjudicated Events of Acute Pancreatitis (Open-Label Period)From first dose of study drug through Month 36 (Open-Label Period)
SECONDARYPercent Change From Baseline in Non-High Density Lipoprotein Cholesterol (Non-HDL-C) at Month 10Baseline, Month 10
Full Analysis Set: all randomized participants regardless of adherence to the treatment, analyzed according to the treatment assigned at randomization. A pattern-mixture model is used as the imputation method for the missing values of Month 10 in fasting non-HDL-Cs.
percentage changeLEAST_SQUARES_MEAN
SECONDARYPercent Change From Baseline in Non-HDL-C at Month 12Baseline, Month 12
Full Analysis Set: all randomized participants regardless of adherence to the treatment, analyzed according to the treatment assigned at randomization. A pattern-mixture model is used as the imputation method for the missing values of Month 12 in fasting non-HDL-Cs.
percentage changeLEAST_SQUARES_MEAN
SECONDARYPercent Change From Baseline in High Density Lipoprotein Cholesterol (HDL-C) at Month 10Baseline, Month 10
Full Analysis Set: all randomized participants regardless of adherence to the treatment, analyzed according to the treatment assigned at randomization. A pattern-mixture model is used as the imputation method for the missing values of Month 10 in fasting HDL-Cs.
percentage changeLEAST_SQUARES_MEAN
SECONDARYPercent Change From Baseline in HDL-C at Month 12Baseline, Month 12
Full Analysis Set: all randomized participants regardless of adherence to the treatment, analyzed according to the treatment assigned at randomization. A pattern-mixture model is used as the imputation method for the missing values of Month 12 in fasting HDL-Cs.
percentage changeLEAST_SQUARES_MEAN

Results by group158

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percent Change From Baseline at Month 10 in Fasting Triglycerides (TG)Placebo (Pooled)-17.1Inter-Quartile Range -49.1 to 47.0percentage change
Percent Change From Baseline at Month 10 in Fasting Triglycerides (TG)ARO-APOC3 (Plozasiran) 25 mg-80.1Inter-Quartile Range -89.9 to -61.0percentage change
Percent Change From Baseline at Month 10 in Fasting Triglycerides (TG)ARO-APOC3 (Plozasiran) 50 mg-77.6Inter-Quartile Range -87.7 to -48.6percentage change
Percent Change From Baseline in Fasting TG at Month 10 and Month 12 (Averaged)Placebo (Pooled)-2.6Inter-Quartile Range -45.0 to 33.3percentage change
Percent Change From Baseline in Fasting TG at Month 10 and Month 12 (Averaged)ARO-APOC3 (Plozasiran) 25 mg-77.7Inter-Quartile Range -89.0 to -59.2percentage change
Percent Change From Baseline in Fasting TG at Month 10 and Month 12 (Averaged)ARO-APOC3 (Plozasiran) 50 mg-71.0Inter-Quartile Range -86.7 to -52.6percentage change
Percent Change From Baseline in Apolipoprotein C-III (APOC3) at Month 10Placebo (Pooled)-1.25Inter-Quartile Range -16.59 to 26.46percentage change
Percent Change From Baseline in Apolipoprotein C-III (APOC3) at Month 10ARO-APOC3 (Plozasiran) 25 mg-92.95Inter-Quartile Range -97.58 to -87.86percentage change
Percent Change From Baseline in Apolipoprotein C-III (APOC3) at Month 10ARO-APOC3 (Plozasiran) 50 mg-96.20Inter-Quartile Range -97.71 to -89.88percentage change
Percent Change From Baseline in Fasting APOC3 at Month 12Placebo (Pooled)7.69Inter-Quartile Range -33.65 to 31.28percentage change

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo (Pooled)25
Overall StudySTARTEDARO-APOC3 (Plozasiran) 25 mg26
Overall StudySTARTEDARO-APOC3 (Plozasiran) 50 mg24
Overall StudyCOMPLETEDPlacebo (Pooled)19
Overall StudyCOMPLETEDARO-APOC3 (Plozasiran) 25 mg23
Overall StudyCOMPLETEDARO-APOC3 (Plozasiran) 50 mg22
Overall StudyNOT COMPLETEDPlacebo (Pooled)6
Overall StudyNOT COMPLETEDARO-APOC3 (Plozasiran) 25 mg3
Overall StudyNOT COMPLETEDARO-APOC3 (Plozasiran) 50 mg2

Adverse events141

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherPalpitationsCardiac disordersPlacebo (Pooled)025
otherPalpitationsCardiac disordersARO-APOC3 (Plozasiran) 25 mg326
otherPalpitationsCardiac disordersARO-APOC3 (Plozasiran) 50 mg024
otherAbdominal painGastrointestinal disordersPlacebo (Pooled)725
otherAbdominal painGastrointestinal disordersARO-APOC3 (Plozasiran) 25 mg726
otherAbdominal painGastrointestinal disordersARO-APOC3 (Plozasiran) 50 mg724
otherNauseaGastrointestinal disordersPlacebo (Pooled)225
otherNauseaGastrointestinal disordersARO-APOC3 (Plozasiran) 25 mg426
otherNauseaGastrointestinal disordersARO-APOC3 (Plozasiran) 50 mg324
otherDiarrhoeaGastrointestinal disordersPlacebo (Pooled)225

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo (Pooled)025
Total, all-cause mortalityARO-APOC3 (Plozasiran) 25 mg026
Total, all-cause mortalityARO-APOC3 (Plozasiran) 50 mg024
Total, other adverse eventsPlacebo (Pooled)1725
Total, other adverse eventsARO-APOC3 (Plozasiran) 25 mg2126
Total, other adverse eventsARO-APOC3 (Plozasiran) 50 mg1824
Total, serious adverse eventsPlacebo (Pooled)725
Total, serious adverse eventsARO-APOC3 (Plozasiran) 25 mg526
Total, serious adverse eventsARO-APOC3 (Plozasiran) 50 mg224

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
39225259DERIVEDPubMed
41923352DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05089084

GET https://conductscience.org/api/trials/v1/NCT05089084/results?page=2