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ALN-4324

Phase 2

Type 2 Diabetes Mellitus (T2DM) | Small molecule | Metabolic |Alnylam Pharmaceuticals, Inc.|Trials Updated: Oct 20, 2026

ALN-4324 development status

Highest phase Phase 2
Registered trials 2 across 1 sponsor since Feb 2025

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment129

FDA Designations

No designations recorded

ALN-4324 clinical trials

ALN-4324 · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT07465224A Study to Evaluate ALN-4324 on Insulin Sensitivity in Adults With Type 2 Diabetes MellitusType 2 Diabetes Mellitus (T2DM)
RECRUITING24 Analytics
PHASE2RECRUITING
A Study to Evaluate ALN-4324 on Insulin Sensitivity in Adults With Type 2 Diabetes Mellitus
Type 2 Diabetes Mellitus (T2DM)Unlock trial analytics

Study Endpoints

Primary Endpoints

Change from Baseline in M-value
Baseline up to Month 3

M-value is measured as the glucose infusion rate at steady state

Part A: Frequency of Adverse Events (AEs)
Up to 9 months
Part B: Frequency of Adverse Events
Up to 12 months

Secondary Endpoints

Frequency of Adverse Events (AEs)
Up to Month 9
Change from Baseline in M/I
Baseline up to Month 6
Change from Baseline in M-value
Baseline up to Month 6
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ALN-4324EXPERIMENTALParticipants will be administered a single dose of ALN-4324.
PlaceboPLACEBO_COMPARATORParticipants will be administered a single dose of placebo.
Part A: ALN-4324EXPERIMENTALParticipants will be administered a single dose of ALN-4324.
Part A: PlaceboPLACEBO_COMPARATORParticipants will be administered a single dose of placebo.
Part B: ALN-4324EXPERIMENTALParticipants will be administered multiple doses of ALN-4324
Part B: PlaceboPLACEBO_COMPARATORParticipants will be administered multiple doses of placebo

Interventions

NameTypeDescription
ALN-4324DRUGALN-4324 will be administered subcutaneously (SC).
PlaceboDRUGPlacebo will be administered SC.
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Is an adult patient with a confirmed diagnosis of T2DM * Has a body mass index (BMI) of ≥23 kg/m\^2 to ≤39.9 kg/m\^2 * Has a hemoglobin A1c (HbA1c) ≥6.5% to \<10.5% * Is on a stable dose of metformin, sodium-glucose cotransporter 2 inhibitor (SGLT2i), or dipeptidyl peptidase-4...

Countries:United StatesArgentinaCanadaChileGermanyPoland
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Recent Changes (Last 90 Days)

LOWOct 20, 2026NCT07465224lastUpdatePostDate: changed
LOWOct 20, 2026NCT06845202lastUpdatePostDate: changed
LOWOct 20, 2026NCT07465224lastUpdatePostDate: changed
LOWOct 20, 2026NCT06845202lastUpdatePostDate: changed
LOWSep 16, 2026NCT07465224lastUpdatePostDate: changed
LOWSep 16, 2026NCT06845202lastUpdatePostDate: changed
LOWSep 16, 2026NCT07465224lastUpdatePostDate: changed
LOWSep 16, 2026NCT06845202lastUpdatePostDate: changed
LOWAug 14, 2026NCT06845202lastUpdatePostDate: changed
LOWAug 14, 2026NCT06845202lastUpdatePostDate: changed
LOWAug 12, 2026NCT07465224lastUpdatePostDate: changed
LOWAug 12, 2026NCT07465224lastUpdatePostDate: changed
HIGHJul 24, 2026NCT07465224Enrollment: 40 → 24
HIGHJul 24, 2026NCT06845202Status: RECRUITING → ACTIVE_NOT_RECRUITING
HIGHJul 24, 2026NCT07465224Enrollment: 40 → 24
HIGHJul 24, 2026NCT06845202Status: RECRUITING → ACTIVE_NOT_RECRUITING

Frequently asked questions about ALN-4324

What is ALN-4324?

ALN-4324 is an investigational small molecule drug being developed by Alnylam Pharmaceuticals, Inc. for the treatment of Type 2 Diabetes Mellitus (T2DM). It is currently in Phase 2 clinical development and has not been approved by the FDA. The drug is being studied for its effects on insulin sensitivity and in overweight to obese patients with T2DM.

What is ALN-4324 used for in Type 2 Diabetes Mellitus?

ALN-4324 is being studied for use in Type 2 Diabetes Mellitus (T2DM). One Phase 2 trial is evaluating its effect on insulin sensitivity in adults with T2DM, while a Phase 1 trial includes overweight to obese healthy volunteers and overweight to obese patients with T2DM. It is investigational and not approved for any use.

Who makes ALN-4324?

ALN-4324 is being developed by Alnylam Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker ALNY. Alnylam is the sponsor of the clinical trials evaluating ALN-4324 in Type 2 Diabetes Mellitus and in overweight to obese populations.

What phase is ALN-4324 in?

ALN-4324 is in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA. Two trials are listed: a Phase 2 study evaluating insulin sensitivity in adults with Type 2 Diabetes Mellitus and a Phase 1 study in overweight to obese healthy volunteers and patients with T2DM.

What clinical trials is ALN-4324 in?

ALN-4324 is being evaluated in two registered clinical trials. NCT07465224 is a recruiting Phase 2 study of ALN-4324 on insulin sensitivity in adults with Type 2 Diabetes Mellitus in the United States, with 24 participants. NCT06845202 is an active, not recruiting Phase 1 study in overweight to obese healthy volunteers and patients with T2DM across six countries, with 105 participants.

Is ALN-4324 FDA approved?

No, ALN-4324 is not FDA approved. It is an investigational small molecule in Phase 2 clinical development for Type 2 Diabetes Mellitus. Both of its registered trials, the Phase 2 insulin sensitivity study NCT07465224 and the Phase 1 study NCT06845202, are ongoing, with no completed trials reported.