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ARO-INHBE

Phase 2

Metabolic Dysfunction-Associated Steatohepatitis | Small molecule | Metabolic |Arrowhead Pharmaceuticals, Inc.|Trials Updated: Oct 6, 2026

ARO-INHBE development status

Highest phase Phase 2
Registered trials 2 across 1 sponsor since Nov 2024

ARO-INHBE target and mechanism

Molecular targetINHBE
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment432

FDA Designations

No designations recorded

ARO-INHBE clinical trials

ARO-INHBE · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT07859813A Trial to Evaluate the Efficacy and Safety of ARO-INHBE in Adults With Metabolic Dysfunction-Associated SteatohepatitisMetabolic Dysfunction-Associated Steatohepatitis
NOT YET_RECRUITING252 Analytics
PHASE2NOT YET_RECRUITING
A Trial to Evaluate the Efficacy and Safety of ARO-INHBE in Adults With Metabolic Dysfunction-Associated Steatohepatitis
Metabolic Dysfunction-Associated SteatohepatitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change From Baseline in Liver Fat Content (LFC) by Magnetic Resonance Imaging-proton Density Fat Fraction (MRI-PDFF) at Week 48
Baseline, Week 48
Number of Participants with Treatment-Emergent Adverse Events (TEAEs)
Up to Day 365

Secondary Endpoints

Percentage of Participants With Resolution of Steatohepatitis and No Worsening of Liver Fibrosis (Histology)
Week 48
Percentage of Participants With Improvement in Liver Fibrosis by ≥1 Stage and No Worsening of Steatohepatitis (Histology)
Week 48
Change From Baseline in Non-alcoholic Fatty Liver Disease Activity Score (NAS) Total Score and Individual Subscores (Steatosis, Hepatocyte Ballooning, and Lobular Inflammation) at Week 48
Baseline, Week 48
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ARO-INHBE Low DoseEXPERIMENTALParticipants will receive ARO-INHBE at a low dose on Days 1, 85, 169, and 253.
Placebo for ARO-INHBE Low DosePLACEBO_COMPARATORParticipants will receive placebo on Days 1, 85, 169, and 253.
ARO-INHBE High Dose (Schedule 1)EXPERIMENTALParticipants will receive ARO-INHBE at a high dose on Days 1, 85, 169, and 253.
Placebo for ARO-INHBE High Dose (Schedule 1)PLACEBO_COMPARATORParticipants will receive placebo on Days 1, 85, 169, and 253.
ARO-INHBE High Dose (Schedule 2)EXPERIMENTALParticipants will receive ARO-INHBE at a high dose on Days 1, 85, and 169.
Placebo for ARO-INHBE High Dose (Schedule 2)EXPERIMENTALParticipants will receive placebo on Days 1, 85, and 169.
Part 1: ARO-INHBEEXPERIMENTALARO-INHBE in single (Day 1) or multiple (Days 1 and 29) ascending doses
Part 1: PlaceboPLACEBO_COMPARATORPlacebo in single (Day 1) or multiple (Days 1 and 29) matching doses
Part 2: ARO-INHBE + TirzepatideEXPERIMENTALARO-INHBE at ascending doses on Days 1 and 29 plus weekly doses of tirzepatide (2.5 to 5 milligrams \[mg\]) starting Day 15 through Day 169
Part 2: Placebo + TirzepatidePLACEBO_COMPARATORPlacebo dose on Days 1 and 29 plus weekly doses of tirzepatide (2.5 to 5 mg) starting Day 15 through Day 169
Part 3: ARO-INHBEEXPERIMENTALARO-INHBE on Days 1, 85, 169, and 253
Part 3: PlaceboPLACEBO_COMPARATORPlacebo doses on Days 1, 85, 169, and 253
Part 3: ARO-INHBE + TirzepatideEXPERIMENTALARO-INHBE at ascending doses on Days 1, 85, 169, and 253 plus weekly doses of tirzepatide (2.5 to 15 mg \[or the maximally tolerated dose\]) starting Day 15 through Day 365
Part 3: Placebo + TirzepatidePLACEBO_COMPARATORPlacebo doses on Days 1, 85, 169, and 253 plus weekly doses of tirzepatide (2.5 to 15 mg \[or the maximally tolerated dose\]) starting Day 15 through Day 365

Interventions

NameTypeDescription
ARO-INHBEDRUGSubcutaneous (SC) injection
PlaceboDRUGSC injection
TirzepatideDRUGSC injection
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo

Key Inclusion Criteria: * BMI between 30.0 to 50.0 kilograms (kg)/square meter (m\^2) (inclusive) with body weight ≤159 kg at Screening * Stable body weight * Participants on background glucagon-like peptide-1 (GLP-1) (or GLP-1/glucose-dependent insulinotropic polypeptide \[GIP\]) therapy must be o...

Countries:AustraliaCanadaGeorgiaNew Zealand
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Recent Changes (Last 90 Days)

LOWOct 6, 2026NCT07859813NEW_TRIAL: changed
LOWOct 6, 2026NCT07859813NEW_TRIAL: changed
LOWSep 25, 2026NCT06700538lastUpdatePostDate: changed
LOWSep 25, 2026NCT06700538lastUpdatePostDate: changed
LOWAug 19, 2026NCT06700538lastUpdatePostDate: changed
LOWAug 19, 2026NCT06700538lastUpdatePostDate: changed
LOWAug 19, 2026NCT06700538lastUpdatePostDate: changed

Frequently asked questions about ARO-INHBE

What is ARO-INHBE?

ARO-INHBE is an investigational medicine being developed by Arrowhead Pharmaceuticals for metabolic conditions, specifically metabolic dysfunction-associated steatohepatitis (MASH) and obesity. It is in Phase 2 clinical development and has not been approved by any regulatory agency. It is designed to act on the INHBE target.

What is ARO-INHBE used for?

ARO-INHBE is being studied for the treatment of metabolic dysfunction-associated steatohepatitis (MASH) and obesity. These are the two indications under investigation in its clinical program. Because it remains investigational, it is not currently available as a prescribed treatment outside of clinical trials.

What does ARO-INHBE target?

ARO-INHBE targets INHBE. INHBE is the molecular target of the investigational therapy, and Arrowhead Pharmaceuticals is developing the drug around this target for metabolic dysfunction-associated steatohepatitis and obesity. The candidate is in Phase 2 development.

Who is developing ARO-INHBE?

ARO-INHBE is being developed by Arrowhead Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker ARWR. The company is the sponsor of the clinical program evaluating the drug in metabolic dysfunction-associated steatohepatitis and obesity.

What phase is ARO-INHBE in?

ARO-INHBE is in Phase 2 clinical development. A Phase 2 trial in adults with metabolic dysfunction-associated steatohepatitis is planned, and a first-in-human Phase 1 study in adults with obesity, with and without type 2 diabetes mellitus, is recruiting. The drug is investigational and has not been approved.

What clinical trials is ARO-INHBE in?

ARO-INHBE is being evaluated in two registered trials. NCT07859813 is a Phase 2 trial in adults with metabolic dysfunction-associated steatohepatitis that is not yet recruiting, with planned enrollment of 252 participants. NCT06700538 is a recruiting Phase 1 first-in-human study in adults with obesity, with and without type 2 diabetes mellitus, enrolling 180 participants in Australia, Canada, Georgia, and New Zealand.