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Solbinsiran

Phase 2

Severe Hypertriglyceridemia | RNA therapy | Metabolic |Eli Lilly and Company|Trials Updated: Oct 8, 2026

Solbinsiran development status

Highest phase Phase 2
Registered trials 3 across 1 sponsor since Nov 2020

Solbinsiran target and mechanism

Molecular targetAPOC3
Target class-Siran (Sirna)
ModalityRNA therapy

Also known as LY3561774

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment339

FDA Designations

No designations recorded

Solbinsiran clinical trials

Solbinsiran · 3 trials · 5 indications

Phase 2 2Phase 1 1
NCT07269210A Study of Solbinsiran (LY3561774) in Participants With Severe HypertriglyceridemiaSevere Hypertriglyceridemia
RECRUITING60 Analytics
NCT05256654A Study of LY3561774 in Participants With Mixed DyslipidemiaDyslipidemias
COMPLETED205 Analytics
PHASE2RECRUITING
A Study of Solbinsiran (LY3561774) in Participants With Severe Hypertriglyceridemia
Severe HypertriglyceridemiaUnlock trial analytics
PHASE2COMPLETED
A Study of LY3561774 in Participants With Mixed Dyslipidemia
DyslipidemiasUnlock trial analytics

Study Endpoints

Primary Endpoints

Change from Baseline in Triglycerides
Baseline, Weeks 16-24 (Time-Average)
Percent Change From Baseline for Apolipoprotein B (ApoB) at Day 180
Baseline, Day 180

Change in apoB levels from baseline to Day 180 expressed as a percentage of the baseline levels. Least Square Mean (LS mean) using Mixed Model for Repeated Measures (MMRM) model adjusted for baseline.

Number of Participants with One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration
Baseline up to Week 53

A summary of SAEs and other non-serious adverse events (AEs), regardless of causality, will be reported in the Reported Adverse Events module

Secondary Endpoints

Change from Baseline in Angiopoietin-like-3 (ANGPTL3)
Baseline, Week 24
Change from Baseline in Very-Low-Density Lipoprotein-Cholesterol (VLDL-C)
Baseline, Week 24
Change from Baseline in Non-High-Density Lipoprotein-Cholesterol (non-HDL-C)
Baseline, Week 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SolbinsiranEXPERIMENTALParticipants will receive solbinsiran subcutaneously (SC)
PlaceboPLACEBO_COMPARATORParticipants will receive placebo SC
LY3561774 100 mgEXPERIMENTALParticipants received 100 milligram (mg) LY3561774 subcutaneously (SC) on Day 0 and Day 90 (-5 to +10 days). Follow up was continued until Day 360.
LY3561774 400 mgEXPERIMENTALParticipants received 400 mg LY3561774 SC on Day 0 and Day 90 (-5 to +10 days). Follow up was continued until Day 360.
LY3561774 800 mgEXPERIMENTALParticipants received 800 mg LY3561774 SC on Day 0 and Day 90 (-5 to +10 days). Follow up was continued until Day 360.
LY3561774 (Part A)EXPERIMENTALSingle ascending doses of LY3561774 administered subcutaneously (SC).
LY3561774 (Part B)EXPERIMENTALRepeat doses of LY3561774 administered SC.
LY3561774 (Part C)EXPERIMENTALSingle doses of LY3561774 administered SC in Japanese Participants.
Placebo (Part A, B & C)PLACEBO_COMPARATORPlacebo administered SC.

Interventions

NameTypeDescription
SolbinsiranDRUGAdministered SC
PlaceboDRUGAdministered SC
LY3561774DRUGAdministered SC
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites41

Inclusion Criteria: * History of fasting triglyceride levels of ≥500 milligrams per deciliter (mg/dL), based on medical history * Fasting triglyceride level ≥500 mg/dL at two separate visits during screening (at least 7 days apart) * Have a body mass index (BMI) within the range of 18.5 to 45.0 kil...

Countries:United StatesCanadaChinaJapanArgentinaMexicoPolandTurkey (Türkiye)
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Recent Changes (Last 90 Days)

LOWOct 8, 2026NCT07269210lastUpdatePostDate: changed
LOWOct 8, 2026NCT07269210lastUpdatePostDate: changed
LOWSep 22, 2026NCT07269210lastUpdatePostDate: changed
LOWSep 22, 2026NCT07269210lastUpdatePostDate: changed
LOWSep 8, 2026NCT07269210lastUpdatePostDate: changed
LOWSep 8, 2026NCT07269210lastUpdatePostDate: changed
LOWAug 24, 2026NCT07269210lastUpdatePostDate: changed
LOWAug 24, 2026NCT07269210lastUpdatePostDate: changed

Frequently asked questions about Solbinsiran

What is Solbinsiran?

Solbinsiran is an investigational RNA therapy being developed by Eli Lilly and Company for severe hypertriglyceridemia, a metabolic condition marked by very high blood triglyceride levels. It is a small interfering RNA (siRNA) designed to target APOC3 and is currently in Phase 2 clinical development. It is not yet approved for any indication.

What is Solbinsiran used for in severe hypertriglyceridemia?

Solbinsiran is being studied as a treatment for severe hypertriglyceridemia, a condition characterized by markedly elevated triglyceride levels in the blood. The Phase 2 trial enrolls adults with this condition across the United States, Canada, China, and Japan. Solbinsiran remains investigational and has not been approved for clinical use.

What does Solbinsiran target?

Solbinsiran targets APOC3, the gene encoding apolipoprotein C-III. As a small interfering RNA (siRNA) therapy, it is designed to reduce APOC3 expression. Lowering apolipoprotein C-III is the intended mechanism for reducing triglyceride levels in patients with severe hypertriglyceridemia. The drug is in Phase 2 development.

Who makes Solbinsiran?

Solbinsiran is being developed by Eli Lilly and Company, which trades on the New York Stock Exchange under the ticker LLY. Lilly is running the Phase 2 clinical program evaluating the siRNA therapy in patients with severe hypertriglyceridemia. The asset is also referenced in trial documentation under the code LY3561774.

What phase is Solbinsiran in?

Solbinsiran is in Phase 2 clinical development. It is an investigational siRNA therapy for severe hypertriglyceridemia and has not been approved by the FDA or any other regulatory agency. The ongoing Phase 2 study is currently recruiting participants and has an planned enrollment of 60 patients.

What clinical trials is Solbinsiran in?

Solbinsiran is being evaluated in one active Phase 2 trial, NCT07269210, titled A Study of Solbinsiran (LY3561774) in Participants With Severe Hypertriglyceridemia. The trial is recruiting approximately 60 adults aged 18 and older across the United States, Canada, China, and Japan. It is randomized, double-blind, and placebo-controlled.