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Study of ARO-APOC3 in Adults With Mixed Dyslipidemia (MUIR)

Primary Purpose

Mixed Dyslipidemia

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ARO-APOC3
Placebo
Sponsored by
Arrowhead Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mixed Dyslipidemia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Based on medical history, evidence of TG ≥ 150 mg/dL but ≤ 499 mg/dL on more than one occasion

  • Fasting levels at Screening of non-HDL-C ≥ 100 mg/dL OR LDL-C ≥ 70 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 14 days apart
  • Willing to follow diet counseling as per Investigator judgment based on local standard of care
  • Participants of childbearing potential (males & females) must use highly-effective contraception during the study and for at least 24 weeks following the last dose of study medication. Males must not donate sperm and females must ot donate eggs during the study and for at least 24 weeks following the last dose of study medication.
  • Women of childbearing potential must have a negative pregnancy test at Screening and cannot be breastfeeding
  • Women of childbearing potential on hormonal contraceptives must be stable on the medication for ≥ 2 menstrual cycles prior to Day 1
  • Willing to provide written informed consent and to comply with study requirements

Exclusion Criteria:

  • 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 through end of study
  • Acute coronary syndrome event within 24 weeks of Day 1
  • Major surgery within 12 weeks of Day 1
  • Planned coronary intervention (e.g., stent placement or heart bypass) during the study
  • New York Heart Association Class II, III or IV heart failure or last known ejection fraction of <30%
  • Uncontrolled hypertension
  • Known history of 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

Sites / Locations

  • Westside Medical Associates of Los Angeles
  • Valley Clinical Trials, Inc
  • Preventive Cardiology Inc.
  • Invesclinic U.S.; LLC
  • Ocean Blue Medical Research Center, Inc.
  • A & R Research Group
  • Alta Pharmaceutical Research Center
  • Clinical Research of South Nevada
  • Mid Hudson Medical Research, PLLC
  • Primed Clinical Research
  • Prestige Clinical Research
  • Tribe Clinical Research
  • East Texas Cardiology PA
  • Baylor College of Medicine
  • BFHC Research
  • University of Sunshine Coast Morayfield
  • Royal Adelaide Hospital
  • Monash Health
  • Genesis Care Joondalup
  • LMC Diabetes & Endocrinology
  • Institut de Recherches Cliniques de Montreal
  • DRC Gyogyszervizsgalo
  • University of Debrecen-Clinical Center
  • Borbanya Praxis Kft.
  • Middlemore Hospital
  • Southern Clinical Trials Christchurch
  • Praktyka Lekarska Ewa Krzyzagorska
  • Centrum Medyczne Medyk
  • Instytut Centrum Zdrowia Matki Polki
  • All-MED Centrum Medyczne

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

ARO-APOC3

Placebo

Arm Description

2 doses of ARO-APOC3 by subcutaneous (sc) injection

calculated volume to match active treatment by sc injection

Outcomes

Primary Outcome Measures

Percent Change from Baseline in Fasting Triglycerides (TG) at Week 24

Secondary Outcome Measures

Percent Change from Baseline in Fasting TG
Percent Change from Baseline in Apolipoprotein (APO) C-III at Week 24
Percent Change from Baseline in APOC-III Over Time
Percent Change from Baseline in Fasting Non High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 24
Percent Change form Baseline in Non-HDL-C Over Time
Percent Change from Baseline in Fasting High Density Lipoprotein Cholesterol (HDL-C) at Week 24
Percent Change from Baseline in HDL-C Over Time
Percent Change from Baseline in Fasting Total Apolipoprotein B (ApoB) at Week 24
Percent Change from Baseline in ApoB Over Time
Percent Change from Baseline in Fasting Total Low Density Lipoprotein Cholesterol (LDL-C) Using Ultracentrifugation at Week 24
Percent Change from Baseline in Fasting Total LDL-C Using Ultracentrifugation Over Time
Number of Participants with Treatment-Emergent Adverse Events (AEs) and/or Serious Adverse Events (SAEs) at Week 24
Number of Participants with Treatment- Emergent AEs and/or SAEs Through Week 48
Change from Baseline in Plasma Concentrations of ARO-APOC3 Over Time
Pharmacokinetics (PK) of ARO-APOC3: Maximum Observed Plasma Concentration (Cmax)
PK of ARO-APOC3: Time to Maximum Plasma Concentration (Tmax)
PK of ARO-APOC3: Area Under the Plasma Concentration Versus Time Curve From Zero to Time of Last Measurable Concentration (AUClast)

Full Information

First Posted
August 3, 2021
Last Updated
September 1, 2023
Sponsor
Arrowhead Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT04998201
Brief Title
Study of ARO-APOC3 in Adults With Mixed Dyslipidemia
Acronym
MUIR
Official Title
A Double-Blind, Placebo-Controlled Phase 2b Study to Evaluate the Efficacy and Safety of ARO-APOC3 in Adults With Mixed Dyslipidemia
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
September 28, 2021 (Actual)
Primary Completion Date
February 10, 2023 (Actual)
Study Completion Date
August 14, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Arrowhead Pharmaceuticals

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Participants who have met all protocol eligibility criteria will be randomly assigned to treatment (ARO-APOC3 or placebo) in a double-blind fashion and will be evaluted for safety and efficacy over 48 weeks. Participants will be counseled to remain on a specified diet throughout the study, as recommended by the Investigator in accordance with local standard of care. After week 48, participants will be eligible and invited to consent and continue in an open-label extension study. All placebo participants who opt to continue will switch to active drug (ARO-APOC3) during the extension study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mixed Dyslipidemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
353 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ARO-APOC3
Arm Type
Experimental
Arm Description
2 doses of ARO-APOC3 by subcutaneous (sc) injection
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
calculated volume to match active treatment by sc injection
Intervention Type
Drug
Intervention Name(s)
ARO-APOC3
Intervention Description
ARO-APOC3 Injection
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Sterile Normal Saline (0.9% NaCl)
Primary Outcome Measure Information:
Title
Percent Change from Baseline in Fasting Triglycerides (TG) at Week 24
Time Frame
Baseline, Week 24
Secondary Outcome Measure Information:
Title
Percent Change from Baseline in Fasting TG
Time Frame
Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, Week 28, Week 36, Week 48
Title
Percent Change from Baseline in Apolipoprotein (APO) C-III at Week 24
Time Frame
Baseline, Week 24
Title
Percent Change from Baseline in APOC-III Over Time
Time Frame
Baseline, up to Week 48
Title
Percent Change from Baseline in Fasting Non High Density Lipoprotein Cholesterol (Non-HDL-C) at Week 24
Time Frame
Baseline, Week 24
Title
Percent Change form Baseline in Non-HDL-C Over Time
Time Frame
Baseline, up to Week 48
Title
Percent Change from Baseline in Fasting High Density Lipoprotein Cholesterol (HDL-C) at Week 24
Time Frame
Baseline, Week 24
Title
Percent Change from Baseline in HDL-C Over Time
Time Frame
Baseline, up to Week 48
Title
Percent Change from Baseline in Fasting Total Apolipoprotein B (ApoB) at Week 24
Time Frame
Baseline, Week 24
Title
Percent Change from Baseline in ApoB Over Time
Time Frame
Baseline, up to Week 48
Title
Percent Change from Baseline in Fasting Total Low Density Lipoprotein Cholesterol (LDL-C) Using Ultracentrifugation at Week 24
Time Frame
Baseline, Week 24
Title
Percent Change from Baseline in Fasting Total LDL-C Using Ultracentrifugation Over Time
Time Frame
Baseline, up to Week 48
Title
Number of Participants with Treatment-Emergent Adverse Events (AEs) and/or Serious Adverse Events (SAEs) at Week 24
Time Frame
Week 24
Title
Number of Participants with Treatment- Emergent AEs and/or SAEs Through Week 48
Time Frame
up to Week 48
Title
Change from Baseline in Plasma Concentrations of ARO-APOC3 Over Time
Time Frame
up to Week 24
Title
Pharmacokinetics (PK) of ARO-APOC3: Maximum Observed Plasma Concentration (Cmax)
Time Frame
up to Week 24
Title
PK of ARO-APOC3: Time to Maximum Plasma Concentration (Tmax)
Time Frame
up to Week 24
Title
PK of ARO-APOC3: Area Under the Plasma Concentration Versus Time Curve From Zero to Time of Last Measurable Concentration (AUClast)
Time Frame
up to Week 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Based on medical history, evidence of TG ≥ 150 mg/dL but ≤ 499 mg/dL on more than one occasion Fasting levels at Screening of non-HDL-C ≥ 100 mg/dL OR LDL-C ≥ 70 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 14 days apart Willing to follow diet counseling as per Investigator judgment based on local standard of care Participants of childbearing potential (males & females) must use highly-effective contraception during the study and for at least 24 weeks following the last dose of study medication. Males must not donate sperm and females must ot donate eggs during the study and for at least 24 weeks following the last dose of study medication. Women of childbearing potential must have a negative pregnancy test at Screening and cannot be breastfeeding Women of childbearing potential on hormonal contraceptives must be stable on the medication for ≥ 2 menstrual cycles prior to Day 1 Willing to provide written informed consent and to comply with study requirements Exclusion Criteria: 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 through end of study Acute coronary syndrome event within 24 weeks of Day 1 Major surgery within 12 weeks of Day 1 Planned coronary intervention (e.g., stent placement or heart bypass) during the study New York Heart Association Class II, III or IV heart failure or last known ejection fraction of <30% Uncontrolled hypertension Known history of 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
Facility Information:
Facility Name
Westside Medical Associates of Los Angeles
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90211
Country
United States
Facility Name
Valley Clinical Trials, Inc
City
Northridge
State/Province
California
ZIP/Postal Code
91325
Country
United States
Facility Name
Preventive Cardiology Inc.
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33434
Country
United States
Facility Name
Invesclinic U.S.; LLC
City
Fort Lauderdale
State/Province
Florida
ZIP/Postal Code
33308
Country
United States
Facility Name
Ocean Blue Medical Research Center, Inc.
City
Miami Springs
State/Province
Florida
ZIP/Postal Code
33166
Country
United States
Facility Name
A & R Research Group
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33024
Country
United States
Facility Name
Alta Pharmaceutical Research Center
City
Dunwoody
State/Province
Georgia
ZIP/Postal Code
30338
Country
United States
Facility Name
Clinical Research of South Nevada
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89121
Country
United States
Facility Name
Mid Hudson Medical Research, PLLC
City
New Windsor
State/Province
New York
ZIP/Postal Code
12553
Country
United States
Facility Name
Primed Clinical Research
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45419
Country
United States
Facility Name
Prestige Clinical Research
City
Franklin
State/Province
Ohio
ZIP/Postal Code
45005
Country
United States
Facility Name
Tribe Clinical Research
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29607
Country
United States
Facility Name
East Texas Cardiology PA
City
Houston
State/Province
Texas
ZIP/Postal Code
77002
Country
United States
Facility Name
Baylor College of Medicine
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
BFHC Research
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78249
Country
United States
Facility Name
University of Sunshine Coast Morayfield
City
Morayfield
State/Province
Queensland
ZIP/Postal Code
4506
Country
Australia
Facility Name
Royal Adelaide Hospital
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
5000
Country
Australia
Facility Name
Monash Health
City
Clayton
State/Province
Victoria
ZIP/Postal Code
3168
Country
Australia
Facility Name
Genesis Care Joondalup
City
Joondalup
State/Province
Western Australia
ZIP/Postal Code
6027
Country
Australia
Facility Name
LMC Diabetes & Endocrinology
City
Concord
State/Province
Ontario
ZIP/Postal Code
L4K 4M2
Country
Canada
Facility Name
Institut de Recherches Cliniques de Montreal
City
Montréal
State/Province
Quebec
ZIP/Postal Code
H2W2T2
Country
Canada
Facility Name
DRC Gyogyszervizsgalo
City
Balatonfüred
ZIP/Postal Code
H-8230
Country
Hungary
Facility Name
University of Debrecen-Clinical Center
City
Debrecen
ZIP/Postal Code
H-4032
Country
Hungary
Facility Name
Borbanya Praxis Kft.
City
Nyiregyhaza
ZIP/Postal Code
H-4405
Country
Hungary
Facility Name
Middlemore Hospital
City
Auckland
ZIP/Postal Code
2025
Country
New Zealand
Facility Name
Southern Clinical Trials Christchurch
City
Christchurch
ZIP/Postal Code
8013
Country
New Zealand
Facility Name
Praktyka Lekarska Ewa Krzyzagorska
City
Poznań
ZIP/Postal Code
61-655
Country
Poland
Facility Name
Centrum Medyczne Medyk
City
Rzeszów
ZIP/Postal Code
35-055
Country
Poland
Facility Name
Instytut Centrum Zdrowia Matki Polki
City
Łódź
ZIP/Postal Code
93-338
Country
Poland
Facility Name
All-MED Centrum Medyczne
City
Łódź
ZIP/Postal Code
94-048
Country
Poland

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study of ARO-APOC3 in Adults With Mixed Dyslipidemia

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