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ARO-APOC3

Phase 3FDA approved 2025

Dyslipidemias | RNA therapy | Cardiovascular |Arrowhead Pharmaceuticals, Inc.|Trials Updated: Oct 9, 2026

ARO-APOC3 development status

FDA approval Nov 18, 2025 as Redemplo
Approval holderArrowhead
ApplicationNDA219947
Highest phase Phase 3 (NCT05902598)
Phase scored for ARWRPhase 2
Registered trials 12 across 2 sponsors since Dec 2018

Label indication REDEMPLO is indicated as an adjunct to diet to reduce triglycerides in adults with familial chylomicronemia syndrome (FCS). REDEMPLO is an apolipoprotein C-III ( apoC-III )-directed small interfering ribonucleic acid (siRNA) indicated as an adjunct to diet to reduce triglycerides in adults with familial chylomicronemia syndrome (FCS). ( 1 ) FDA label

ARO-APOC3 target and mechanism

ModalityRNA therapy

Also known as Plozasiran, Plozasiran Injection, Redemplo, SAR449124, VSA001

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials12
Total Enrollment4,459

FDA Designations

No designations recorded

ARO-APOC3 clinical trials

ARO-APOC3 · 12 trials · 7 indications

Phase 3 7Phase 2 3Phase 1 2
NCT06880770Study of Plozasiran in Adults With Severe Hypertriglyceridemia at Risk of Acute PancreatitisSevere Hypertriglyceridemia
RECRUITING288 Analytics
NCT06822790Long-Term Safety and Efficacy of Plozasiran in Adults With HypertriglyceridemiaHypertriglyceridemia
ACTIVE NOT_RECRUITING710 Analytics
NCT06347016Study of Plozasiran in Adults With Severe HypertriglyceridemiaSevere Hypertriglyceridemia
COMPLETED311 Analytics
NCT06347003Study of Plozasiran (ARO-APOC3) in Adults With Severe HypertriglyceridemiaSevere Hypertriglyceridemia
COMPLETED446 Analytics
NCT06347133Phase 3 Study of Plozasiran in Adults With HypertriglyceridemiaHypertriglyceridemia
COMPLETED1,456 Analytics
NCT05902598A Phase 3 Study of ARO-APOC3 / VSA001 / SAR449124 (Plozasiran) in Chinese Adults With Familial Chylomicronemia SyndromeFamilial Chylomicronemia Syndrome
COMPLETED37 Analytics
NCT05089084Study of ARO-APOC3 (Plozasiran) in Adults With Familial Chylomicronemia Syndrome (FCS)Familial Chylomicronemia
COMPLETED75 Analytics
PHASE3RECRUITING
Study of Plozasiran in Adults With Severe Hypertriglyceridemia at Risk of Acute Pancreatitis
Severe HypertriglyceridemiaUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Long-Term Safety and Efficacy of Plozasiran in Adults With Hypertriglyceridemia
HypertriglyceridemiaUnlock trial analytics
PHASE3COMPLETED
Study of Plozasiran in Adults With Severe Hypertriglyceridemia
Severe HypertriglyceridemiaUnlock trial analytics
PHASE3COMPLETED
Study of Plozasiran (ARO-APOC3) in Adults With Severe Hypertriglyceridemia
Severe HypertriglyceridemiaUnlock trial analytics
PHASE3COMPLETED
Phase 3 Study of Plozasiran in Adults With Hypertriglyceridemia
HypertriglyceridemiaUnlock trial analytics
PHASE3COMPLETED
A Phase 3 Study of ARO-APOC3 / VSA001 / SAR449124 (Plozasiran) in Chinese Adults With Familial Chylomicronemia Syndrome
Familial Chylomicronemia SyndromeUnlock trial analytics
PHASE3COMPLETED
Study of ARO-APOC3 (Plozasiran) in Adults With Familial Chylomicronemia Syndrome (FCS)
Familial ChylomicronemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Time to First Occurrence of Positively Adjudicated AP Event (Event Occurring More Than 10 Days After First Dose of Study Drug)
Randomization up to end of Double Blind Treatment Period compared to placebo (Approximate Maximum 50 Months)]
Number of Participants with Treatment-Emergent Adverse Events (TEAEs)
From first dose of study drug through Month 24
Percent change in fasting serum TG levels from baseline to Month 12 compared to placebo
Baseline, Month 12
Percent Change in Fasting Serum Triglyceride (TG) Levels from Baseline to Month 12 Compared to Placebo
Baseline, Month 12
Percent Change From Baseline in Fasting Serum Triglyceride (TG) at Month 10
Baseline to Month 10

Blood samples for lipid parameters were collected at the specified time points. Fasting serum TG at Month 10 was defined as geometric mean of 2 measurements taken during Month 10, or the other non-missing measurement if any one of the two measurements was missing during Month 10. Analysis was performed on the basis of the handling strategy for intercurrent events, missing fasting serum was imputed mainly based on the Pattern Mixture Models (PMM). Descriptive statistics were calculated based on non-imputed data.

Percent Change From Baseline at Month 10 in Fasting Triglycerides (TG)
Baseline, Month 10
Percent Change From Baseline at Week 24 in Fasting TG
Baseline, Week 24

Least square (LS) mean and standard error (SE) were calculated using mixed model repeated measures (MMRM) which included treatment arm, study visit, and baseline value as model terms and treatment by visit and treatment by baseline as interaction terms.

Percent Change From Baseline at Week 24 in Fasting Triglycerides (TG)
Baseline, Week 24
Safety and tolerability
85 days

Incidence, frequency, and severity of adverse events (AEs) and serious adverse events (SAEs), and the relationship with VSA-01001. Clinically significant abnormalities in laboratory tests, vital signs, physical examination, 12-lead electrocardiograms (ECG).

Number of Participants with Adverse Events (AEs) Possibly or Probably Related to Treatment
Up to Day 113 (+/- 3 days)

Secondary Endpoints

Percent Change from Baseline in Fasting Serum Triglyceride (TG) Levels
Baseline up to end of Double Blind Treatment Period compared to placebo (Approximate Maximum 50 Months)
Proportion of Participants Who Achieve Average Fasting TG Levels of < 880 mg/dL (10 mmol/L)
From Month 3 up to end of Double Blind Treatment Period compared to placebo (Approximate Maximum 50 Months)
Proportion of Participants Who Achieve Fasting TG Levels of < 500 mg/dL (5.65 mmol/L)
From Month 3 up to end of Double Blind Treatment Period compared to placebo (Approximate Maximum 50 Months)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Plozasiran InjectionEXPERIMENTALPlozasiran by SC injection every 3 months (Q3M) through completion of the randomized period Plozasiran by SC injection Q3M through completion of the OLE period
PlaceboEXPERIMENTALcalculated volume to match active treatment by SC injection (randomized period)
Plozasiran 25 mgEXPERIMENTALPlozasiran 25 mg administered every 3 months for 12 months (randomized period), followed by an open-label period of 12 months
Plozasiran 50 mgEXPERIMENTALPlozasiran 50 mg administered every 3 months for 12 months (randomized period), followed by an open-label period of 12 months
ARO-APOC3 (Plozasiran) 25 mgEXPERIMENTALRandomized Period: plozasiran 25 mg Q3M for a total of 4 doses. Open-label Period (Parts A and B): plozasiran 25 mg Q3M for a total of 8 doses.
Placebo for ARO-APOC3 (Plozasiran) 25 mgPLACEBO_COMPARATORRandomized Period: volume-matched placebo every 3 months (Q3M) for a total of 4 doses. Open-label Period (Parts A and B): plozasiran 25 mg Q3M for a total of 8 doses.
ARO-APOC3 (Plozasiran) 50 mgEXPERIMENTALRandomized Period: plozasiran 25 mg Q3M for a total of 4 doses. Open-label Period: plozasiran 50 mg (Part A), then 25 mg (Part B) Q3M for a total of 8 doses.
Placebo for ARO-APOC3 (Plozasiran) 50 mgPLACEBO_COMPARATORRandomized Period: volume-matched placebo every 3 months (Q3M) for a total of 4 doses. Open-label Period: plozasiran 50 mg (Part A), then 25 mg (Part B) Q3M for a total of 8 doses.
ARO-APOC3EXPERIMENTAL1 dose of ARO-APOC3 by subcutaneous (sc) injection every 3 months
ARO-APOC3 10 mg Q12WEXPERIMENTALARO-APOC3 10 milligrams (mg) subcutaneous (SC) injection on Day 1 and Week 12 (Q12W) for a total of 2 injections
ARO-APOC3 25 mg Q12WEXPERIMENTALARO-APOC3 25 mg SC injection on Day 1 and Week 12 (Q12W) for a total of 2 injections
ARO-APOC3 50 mg Q12WEXPERIMENTALARO-APOC3 50 mg SC injection on Day 1 and Week 12 (Q12W) for a total of 2 injections
ARO-APOC3 50 mg Q24WEXPERIMENTALARO-APOC3 50 mg SC injection on Day 1 and Week 24 (Q24W) for a total of 2 injections
Placebo, Day 1 and Week 12EXPERIMENTALParticipants received a total of 2 placebo SC injections on Day 1 and Week 12 for a total of 2 injections.
ARO-APOC3 10 mgEXPERIMENTALParticipants received a total of 2 ARO-APOC3 10 mg SC injections on Day 1 and Week 12 for a total of 2 injections.
ARO-APOC3 25 mgEXPERIMENTALParticipants received a total of 2 ARO-APOC3 25 mg SC injections on Day 1 and Week 12 for a total of 2 injections.
ARO-APOC3 50 mgEXPERIMENTALParticipants received a total of 2 ARO-APOC3 50 mg SC injections on Day 1 and Week 12 for a total of 2 injections.
VSA001 injectionACTIVE_COMPARATORA single dose of active drug (VSA001, low or high dose) will be administered by subcutaneous injection on Day 1.

Interventions

NameTypeDescription
PlozasiranDRUGARO-APOC3 injection
PlaceboDRUGsterile normal saline (0.9% NaCl)
Plozasiran InjectionDRUGARO-APOC3 injection
PlacebonDRUGSubcutaneous injection
ARO-APOC3DRUGARO-APOC3 Injection
VSA001 injectionDRUGThe active drug is VSA001 injection. The active pharmaceutical ingredient (API) contained in VSA001 is a synthetic, double-stranded, hepatocyte targeted NAG-conjugated RNAi.
sterile normal saline (0.9% NaCl)DRUGcalculated volume to match active treatment
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites140

Inclusion Criteria: * Males, or nonpregnant (who do not plan to become pregnant) nonlactating females * Established diagnosis of SHTG and prior documented evidence of fasting TG levels of ≥ 880 mg/dL (≥ 10 mmol/L) * Documented evidence of at least 1 prior AP event not attributed to other etiologies...

Countries:United StatesArgentinaAustriaBelgiumBrazilBulgariaCanadaChinaColombiaCroatiaCzechiaGeorgiaHungaryIsraelJordanLatviaLithuaniaMexicoOmanSaudi ArabiaSerbiaSingaporeSlovakiaSouth KoreaSwedenUnited Arab EmiratesUnited KingdomAustraliaFranceGermanyItalyJapanNew ZealandPolandRomaniaSouth AfricaSpainIrelandTurkey (Türkiye)Netherlands
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Recent Changes (Last 90 Days)

HIGHOct 9, 2026NCT06347016Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHOct 9, 2026NCT06347016Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHOct 8, 2026NCT06347003Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHOct 8, 2026NCT06347003Status: ACTIVE_NOT_RECRUITING → COMPLETED
MEDIUMOct 1, 2026NCT06822790Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMOct 1, 2026NCT06822790Status: RECRUITING → ACTIVE_NOT_RECRUITING
HIGHSep 25, 2026NCT06347133Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHSep 25, 2026NCT06347133Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWSep 21, 2026NCT06880770lastUpdatePostDate: changed
LOWSep 21, 2026NCT06880770lastUpdatePostDate: changed
LOWSep 2, 2026NCT06880770lastUpdatePostDate: changed
LOWSep 2, 2026NCT06880770lastUpdatePostDate: changed
LOWSep 2, 2026NCT06880770lastUpdatePostDate: changed
LOWAug 12, 2026NCT06822790lastUpdatePostDate: changed
LOWAug 12, 2026NCT06822790lastUpdatePostDate: changed
LOWAug 6, 2026NCT06347016primaryCompletionDate: changed
LOWAug 6, 2026NCT06347016primaryCompletionDate: changed
LOWJul 24, 2026NCT06880770lastUpdatePostDate: changed
LOWJul 24, 2026NCT06880770lastUpdatePostDate: changed

Frequently asked questions about ARO-APOC3

What is ARO-APOC3?

ARO-APOC3 is an investigational RNA therapy developed by Arrowhead Pharmaceuticals for dyslipidemias, including hypertriglyceridemia, mixed dyslipidemia, and severe hypertriglyceridemia. It is designed to reduce apolipoprotein C3 production. It has completed Phase 2 clinical testing and is not approved for any indication.

What is ARO-APOC3 used for?

ARO-APOC3 is being studied for the treatment of dyslipidemias, including hypertriglyceridemia, mixed dyslipidemia, and severe hypertriglyceridemia. It is an investigational therapy and has not been approved for commercial use. All clinical trials of ARO-APOC3 to date have been completed.

Who makes ARO-APOC3?

ARO-APOC3 is developed by Arrowhead Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker ARWR. Arrowhead is a biopharmaceutical company focused on RNA-based therapies. ARO-APOC3 is one of its clinical-stage cardiovascular candidates.

What phase is ARO-APOC3 in?

ARO-APOC3 has completed Phase 2 clinical development. It is an investigational RNA therapy and is not FDA approved. No active trials of ARO-APOC3 are currently listed, and the completed studies enrolled a total of 418 participants across the Phase 1 and Phase 2 programs.

What clinical trials is ARO-APOC3 in?

ARO-APOC3 has been evaluated in completed trials including NCT05413135 in adults with dyslipidemia, NCT04998201 in mixed dyslipidemia, NCT04720534 in severe hypertriglyceridemia, and NCT03783377 in healthy volunteers, hypertriglyceridemic patients, and patients with familial chylomicronemia syndrome. These studies were conducted across the United States, Australia, Canada, Europe, and New Zealand.

Is ARO-APOC3 the same as plozasiran?

Yes, plozasiran is an alternative name for ARO-APOC3. The Phase 2 trial NCT04998201 is titled as a study of plozasiran (ARO-APOC3) in adults with mixed dyslipidemia, confirming that both names refer to the same investigational RNA therapy developed by Arrowhead Pharmaceuticals.