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Fazisiran

Phase 2

Alpha 1-Antitrypsin Deficiency | RNA therapy | Rare Disease |Arrowhead Pharmaceuticals, Inc.|Trials Updated: Nov 4, 2025

Fazisiran target and mechanism

Target class-Siran (Sirna)
ModalityRNA therapy

Also known as Fazisiran Injection

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment40

FDA Designations

No designations recorded

Fazisiran clinical trials

Fazisiran · 1 trial · 1 indication

Phase 2 1
NCT03945292Safety, Tolerability and Pharmacodynamic Effect of Fazirsiran (TAK-999, ARO-AAT)Alpha 1-Antitrypsin Deficiency
COMPLETED40 Analytics
PHASE2COMPLETED
Safety, Tolerability and Pharmacodynamic Effect of Fazirsiran (TAK-999, ARO-AAT)
Alpha 1-Antitrypsin DeficiencyUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change From Baseline in Serum Z-Alpha-1 Antitrypsin (Z-AAT) at Week 16
Baseline, Week 16 (+/- 2 weeks)

Secondary Endpoints

Number of Participants With Treatment-Emergent Adverse Events (TEAEs) in the Double-Blind Phase
Double Blind Phase (up to Week 48): dose administration through end of study (EOS) or Early Termination or first dose of open-label phase fazirsiran.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) in the Open-Label Phase
From dose administration of the first dose of open-label phase fazirsiran through EOS or Early Termination (up to Week 196).
Absolute Change From Baseline in Total Liver Z-AAT (Insoluble + Soluble) Protein at Post-dose Biopsy for Participants With Fibrosis
Baseline, Week 48 (+/- 2 weeks), or Week 72 (+/- 4 weeks), or Week 96 (+/- 4 weeks)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Fazirsiran 25 mg DB/200 mg OLEXPERIMENTALDouble-blind (DB) Period: Participants with no fibrosis: Administered on Day 1 and Week 4. Participants with fibrosis: Administered on Day 1, Week 4, and Week 16, then every 12 weeks up to 18 total doses. Open-label (OL) Period: Participants with fibrosis at Screening who received double-blind (DB) fazirsiran 25 mg and who completed the post-dose liver biopsy at Week 48 (or Week 72 or Week 96) entered the open-label phase and received fazirsiran 200 mg every 12 weeks for the duration of the study.
Fazirsiran 100 mg DB/200 mg OLEXPERIMENTALDB Period: Participants with no fibrosis: Fazirsiran 100 mg administered on Day 1 and Week 4. Participants with fibrosis: Fazirsiran 100 mg administered on Day 1, Week 4, and Week 16, then every 12 weeks up to 18 total doses. OL Period: Participants with fibrosis at Screening who received double-blind (DB) fazirsiran 100 mg and who completed the post-dose liver biopsy at Week 48 (or Week 72 or Week 96) entered the open-label phase and received fazirsiran 200 mg every 12 weeks for the duration of the study.
Fazirsiran 200 mg DB/200 mg OLEXPERIMENTALDB Period: Participants with no fibrosis: Fazirsiran 200 mg administered on Day 1 and Week 4. Participants with fibrosis: Fazirsiran 200 mg administered on Day 1, Week 4, and Week 16, then every 12 weeks up to 18 total doses. OL Period: Participants with fibrosis at Screening who received double-blind (DB) fazirsiran 200 mg and who completed the post-dose liver biopsy at Week 48 (or Week 72 or Week 96) entered the open-label phase and received fazirsiran 200 mg every 12 weeks for the duration of the study
Placebo DB / Fazirsiran 200 mg OLPLACEBO_COMPARATORDB Period: Participants with no fibrosis: Placebo administered on Day 1 and Week 4. Participants with fibrosis: Placebo administered on Day 1, Week 4, and Week 16, then every 12 weeks up to 18 total doses. OL Period: Participants with fibrosis at Screening who received double-blind (DB) placebo and who completed the post-dose liver biopsy at Week 48 (or Week 72 or Week 96) entered the open-label phase and received fazirsiran 200 mg every 12 weeks for the duration of the study.

Interventions

NameTypeDescription
Fazisiran InjectionDRUGsolution for subcutaneous (sc) injection
PlaceboOTHERsterile normal saline (0.9% NaCl), calculated to match active comparator, for sc injection
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites21

Inclusion Criteria: * Diagnosis of AATD * Liver biopsy at Screening indicating liver fibrosis (score less than F4); a patient with no fibrosis may participate based on a previous biopsy conducted within one year * Women of childbearing potential must have a negative pregnancy test, cannot be breast...

Countries:United StatesGermanyItalyNetherlandsPortugalSpain
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Frequently asked questions about Fazisiran

What is Fazisiran used for?

Fazisiran is an investigational RNA therapy being developed for the treatment of Alpha 1-Antitrypsin Deficiency, a rare genetic disorder. It is designed to reduce the production of the abnormal alpha-1 antitrypsin protein that causes liver disease in affected patients. Fazisiran is not yet approved for any indication.

How does Fazisiran work?

Fazisiran is a small interfering RNA (siRNA) therapeutic, part of the -siran drug class. It works by targeting and degrading the messenger RNA that encodes alpha-1 antitrypsin, thereby reducing the synthesis of the mutant protein in the liver. This mechanism aims to lessen the accumulation of toxic protein that drives liver injury in Alpha 1-Antitrypsin Deficiency.

Who is developing Fazisiran?

Fazisiran is being developed by Arrowhead Pharmaceuticals, Inc., a biopharmaceutical company focused on RNA interference therapeutics. Arrowhead trades on the Nasdaq under the ticker symbol ARWR. The company is responsible for the clinical development of Fazisiran for Alpha 1-Antitrypsin Deficiency.

What phase is Fazisiran in?

Fazisiran is in Phase 2 clinical development. It has completed one Phase 2 trial and is not currently listed as active in any ongoing trials. The drug remains investigational and has not been approved by the FDA or any other regulatory agency for commercial use.

What clinical trials is Fazisiran in?

Fazisiran has been studied in a completed Phase 2 trial, NCT03945292, titled "Safety, Tolerability and Pharmacodynamic Effect of Fazisiran (TAK-999, ARO-AAT)." The trial enrolled 40 participants with Alpha 1-Antitrypsin Deficiency across the United States, Germany, Italy, Netherlands, Portugal, and Spain. It was randomized, double-blind, and placebo-controlled.

Is Fazisiran the same as Fazisiran Injection?

Yes, Fazisiran Injection is another name for Fazisiran. The drug is also known by the research codes TAK-999 and ARO-AAT, which appear in its clinical trial identifier. All these names refer to the same investigational siRNA therapy for Alpha 1-Antitrypsin Deficiency.