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Fazirsiran

Phase 3

Alpha1-Antitrypsin Deficiency | Small molecule | Rare Disease |Takeda Pharmaceutical Company Limited|Last Updated: May 13, 2026

Target and mechanism

Target class-Siran (Sirna)
ModalitySmall molecule

Also known as Fazirsiran Injection

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment241

FDA Designations

No designations recorded

Clinical trial landscape

Fazirsiran · 4 trials · 2 indications

Phase 3 3Phase 1 1
NCT06165341Study to Learn About the Safety of Fazirsiran and if it Can Help People With Alpha-1 Antitrypsin Liver Disease With Mild Liver Scarring (Fibrosis)Alpha1-Antitrypsin Deficiency
RECRUITING50 Analytics
NCT05899673An Extension Study to Learn About the Long-Term Safety of Fazirsiran and if Fazirsiran Can Help People With Alpha-1 Antitrypsin Liver DiseaseAlpha1-Antitrypsin Deficiency
ACTIVE NOT_RECRUITING31 Analytics
NCT05677971Study to Check the Safety of Fazirsiran and Learn if Fazirsiran Can Help People With Liver Disease and Scarring (Fibrosis) Due to an Abnormal Version of Alpha-1 Antitrypsin ProteinAlpha1-Antitrypsin Deficiency
RECRUITING160 Analytics
PHASE3RECRUITING
Study to Learn About the Safety of Fazirsiran and if it Can Help People With Alpha-1 Antitrypsin Liver Disease With Mild Liver Scarring (Fibrosis)
Alpha1-Antitrypsin DeficiencyUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
An Extension Study to Learn About the Long-Term Safety of Fazirsiran and if Fazirsiran Can Help People With Alpha-1 Antitrypsin Liver Disease
Alpha1-Antitrypsin DeficiencyUnlock trial analytics
PHASE3RECRUITING
Study to Check the Safety of Fazirsiran and Learn if Fazirsiran Can Help People With Liver Disease and Scarring (Fibrosis) Due to an Abnormal Version of Alpha-1 Antitrypsin Protein
Alpha1-Antitrypsin DeficiencyUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs)
From start of study drug administration up to End of study (EOS) (Week 124)

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of the study intervention, whether or not it is considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of the study intervention. An SAE is defined as any untoward medical occurrence that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, congenital anomaly/birth defect, suspected transmission of any infectious agent, an important medical event. AEs and SAEs including any pulmonary AEs or SAEs indicative of worsening pulmonary condition (example, pulmonary exacerbation, respiratory infection, significant pulmonary function test decline) will be reported.

Number of Participants With Clinically Significant Change From Baseline in Pulmonary Function Parameters
From start of study drug administration up to EOS (Week 124)

Standard pulmonary function parameters will be used to study lung function. Clinical significance of pulmonary function parameters will be determined at the investigator's discretion.

Change From Baseline in Whole Lung 15th Percentile Density as Measured by Computed Tomography (CT) Lung Densitometry
Baseline up to Week 100

Change from baseline in whole lung 15th percentile density as measured by CT lung densitometry will be assessed.

Number of Participants With Clinically Significant Changes in Vital Signs
From start of study drug administration up to EOS (Week 124)

Vital signs include body temperature, respiratory rate, blood pressure (systolic and diastolic), pulse (beats per minute) and pulse oximetry. Clinical significance of vital signs will be determined at the investigator's discretion.

Number of Participants with Clinically Significant Changes in Electrocardiogram (ECG) Parameters
From start of study drug administration up to EOS (Week 124)

12-lead ECG will be evaluated. Any clinically significant change in ECG assessments will be determined at the investigator's discretion.

Number of Participants With Clinically Significant Changes in Clinical Laboratory Parameters
From start of study drug administration up to EOS (Week 124)

Laboratory parameters assessments include hematology, biochemistry including liver tests, coagulation, and urinalysis. Clinical significance of laboratory parameters will be determined at the investigator's discretion.

Number of Participants With Clinically Significant Changes From Baseline in Pulmonary Function Parameters
Baseline (current study), up to EOS (current study up to 10 years])

Standard pulmonary function parameters measured will be used to study lung function. Clinical significance of pulmonary function parameters will be determined at the investigator's discretion.

Number of Participants With Clinically Significant Changes in Laboratory Parameters
From start of study drug administration (in current study) up to EOS (current study [up to 10 years])

Laboratory parameters include hematology, biochemistry including liver tests, coagulation, and urinalysis. Clinical significance of laboratory parameters will be determined at the investigator's discretion.

Reduction From Baseline of at Least 1 Stage of Histologic Fibrosis (METAVIR Staging) in the Centrally Read Liver Biopsy at Week 106 in AATD-LD With METAVIR Stage F2 and F3 Fibrosis
Baseline, Week 106

Reduction from baseline of at least 1 stage of histologic fibrosis METAVIR staging in the centrally read liver biopsy at Week 106 in AATD-LD with METAVIR stage F2 and F3 fibrosis will be assessed.

Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) for Fazirsiran
From pre-dose up to Month 6 post-dose
Area Under the Plasma Concentration-time Curve from Time 0 to Infinity (AUC0-inf) for Fazirsiran
From pre-dose up to Month 6 post-dose
Maximum Observed Plasma Concentration (Cmax) for Fazirsiran
From pre-dose up to Month 6 post-dose

Secondary Endpoints

Change From Baseline in Serum Z-AAT Protein Over Time to Week 106
Baseline up to Week 106
Percent Change From Baseline in Intrahepatic Liver Z-AAT Protein at Week 106
Baseline up to Week 106
Change From Baseline in Intrahepatic Z-AAT Protein Polymer Burden Assessed by Periodic Acid Schiff Plus Diastase (PAS+D) Staining in Liver Biopsy at Week 106
Baseline up to Week 106
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Fazirsiran 200 mgEXPERIMENTALParticipants will receive fazirsiran 200 milligrams (mg), injection, subcutaneously on Day 1, at Week 4 and then every 12 weeks (Q12W) for up to Week 100.
PlaceboPLACEBO_COMPARATORParticipants will receive fazirsiran matching placebo injection, subcutaneously on Day 1, at Week 4 and Q12W for up to Week 100.
FazirsiranEXPERIMENTALParticipants will receive fazirsiran 200 milligram per milliliter (mg/ml) subcutaneous (SC) injection on Day 1, at Week 4, and then every 12 weeks (Q12 W) thereafter up to Week 196.
Arm 1, Mild HI: Fazirsiran 200 mgEXPERIMENTALParticipants with mild hepatic impairment (HI) will receive fazirsiran 200 milligrams (mg) subcutaneous (SC) injection on Day 1.
Arm 2, Moderate HI: Fazirsiran 200 mgEXPERIMENTALParticipants with moderate HI will receive fazirsiran 200 mg SC injection on Day 1. The dose may be modified after review of available safety and PK data by the sponsor study team in consultation with the investigator.
Arm 3, Severe HI: Fazirsiran 200 mgEXPERIMENTALParticipants with severe HI will receive fazirsiran 200 mg SC injection on Day 1. The dose may be modified after review of available safety and PK data by the sponsor study team in consultation with the investigator.
Arm 4, Normal Hepatic Function: Fazirsiran 200 mgEXPERIMENTALParticipants with normal hepatic function will receive fazirsiran 200 mg SC injection on Day 1. The dose may be modified after review of available safety and PK data by the sponsor study team in consultation with the investigator.

Interventions

NameTypeDescription
Fazirsiran InjectionDRUGFazirsiran will be injected subcutaneously.
PlaceboDRUGFazirsiran matching placebo.
FazirsiranDRUGFazirsiran SC injection
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites41

Inclusion Criteria: * In the opinion of the investigator, the participant is capable of understanding and fully complying with the protocol requirements and adhering to the protocol schedule. * The participant is able to read, understand, and complete the study questionnaires electronically per the...

Countries:United StatesAustriaBelgiumCanadaFranceGermanyItalyPolandPortugalSpainSwedenSwitzerlandUnited KingdomAustraliaBrazilCzechiaDenmarkIrelandNetherlandsHungarySlovakia
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Frequently asked questions about Fazirsiran

What is Fazirsiran used for?

Fazirsiran is an investigational small molecule being developed for Alpha1-Antitrypsin Deficiency with hepatic impairment and liver disease. It is a siRNA therapeutic targeting the abnormal alpha-1 antitrypsin protein that causes liver damage and fibrosis. Fazirsiran is currently in Phase 3 clinical trials for these rare disease indications.

How does Fazirsiran work?

Fazirsiran is a small interfering RNA (siRNA) therapeutic. It works by targeting the messenger RNA that encodes the abnormal alpha-1 antitrypsin protein, reducing its production. This helps prevent the accumulation of the toxic protein in the liver, which is responsible for liver disease and fibrosis in patients with Alpha1-Antitrypsin Deficiency.

Who is developing Fazirsiran?

Fazirsiran is being developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. The company is conducting Phase 3 clinical trials to evaluate the safety and efficacy of Fazirsiran in patients with Alpha1-Antitrypsin Deficiency and liver disease.

What phase is Fazirsiran in?

Fazirsiran is currently in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The Phase 3 program includes trials evaluating its safety and efficacy in patients with Alpha1-Antitrypsin Deficiency and liver fibrosis, as well as a long-term extension study.

What clinical trials is Fazirsiran in?

Fazirsiran is being studied in several clinical trials. NCT05677971 is a Phase 3 trial in Alpha1-Antitrypsin Deficiency with liver fibrosis, enrolling 160 participants. NCT05899673 is a Phase 3 extension study for long-term safety. NCT06165341 is a Phase 3 trial in patients with mild liver fibrosis. A Phase 1 trial, NCT05891158, studied Fazirsiran in people with and without liver problems.

Is Fazirsiran the same as Fazirsiran Injection?

Yes, Fazirsiran is also known as Fazirsiran Injection. The drug is administered as an injection and is being developed by Takeda Pharmaceutical Company Limited for the treatment of Alpha1-Antitrypsin Deficiency-related liver disease.