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NCT04832971: ARCHES-2

Study of ARO-ANG3 in Adults With Mixed Dyslipidemia

Completed Phase 2 Results posted Last updated 3 December 2025
What this trial tests

Phase 2 trial testing ARO-ANG3 in Mixed Dyslipidemia in 204 participants. Completed in 25 September 2024.

Timeline
28 June 2021
Primary endpoint
30 August 2022
25 September 2024

Quick facts

Lead sponsorArrowhead Pharmaceuticals
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment204
Start date28 June 2021
Primary completion30 August 2022
Estimated completion25 September 2024
Sites24 locations across New Zealand, Canada, United States, Australia

Drugs / interventions tested

Conditions studied

Sponsor

Arrowhead Pharmaceuticals — full company profile →

Who can join

18 and older, any sex, with Mixed Dyslipidemia. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percent Change From Baseline in Fasting TG at Week 24 Primary · Baseline, Week 24
GroupValue95% CI
Placebo7.55± 3.774
ARO-ANG3 50 mg-43.67± 3.770
ARO-ANG3 100 mg-49.01± 3.777
ARO-ANG3 200 mg-55.57± 3.726
Percent Change From Baseline in Fasting TG Over Time Secondary · Baseline, up to Week 36 (double-blind treatment period)
Week 4
GroupValue95% CI
Placebo7.00± 3.583
ARO-ANG3 50 mg-41.52± 3.604
ARO-ANG3 100 mg-52.22± 3.658
ARO-ANG3 200 mg-56.21± 3.619
Week 8
GroupValue95% CI
Placebo13.58± 4.188
ARO-ANG3 50 mg-41.01± 4.217
ARO-ANG3 100 mg-47.73± 4.250
ARO-ANG3 200 mg-52.55± 4.257
Week 12
GroupValue95% CI
Placebo2.17± 4.305
ARO-ANG3 50 mg-42.79± 4.269
ARO-ANG3 100 mg-41.71± 4.274
ARO-ANG3 200 mg-49.84± 4.183
Week 16
GroupValue95% CI
Placebo17.18± 6.952
ARO-ANG3 50 mg-48.48± 6.947
ARO-ANG3 100 mg-51.99± 6.942
ARO-ANG3 200 mg-58.73± 6.820
Week 20
GroupValue95% CI
Placebo11.54± 5.930
ARO-ANG3 50 mg-48.70± 5.928
ARO-ANG3 100 mg-52.73± 5.942
ARO-ANG3 200 mg-57.97± 5.790
Week 24
GroupValue95% CI
Placebo7.55± 3.774
ARO-ANG3 50 mg-43.67± 3.770
ARO-ANG3 100 mg-49.01± 3.777
ARO-ANG3 200 mg-55.57± 3.726
Week 28
GroupValue95% CI
Placebo7.24± 3.950
ARO-ANG3 50 mg-41.38± 3.966
ARO-ANG3 100 mg-43.95± 4.039
ARO-ANG3 200 mg-54.39± 3.920
Week 36
GroupValue95% CI
Placebo-0.43± 3.798
ARO-ANG3 50 mg-34.49± 3.809
ARO-ANG3 100 mg-38.33± 3.850
ARO-ANG3 200 mg-51.63± 3.750
Percent Change From Baseline in Fasting Non-High-Density Lipoprotein-Cholesterol (Non-HDL-C) at Week 24 Secondary · Baseline, Week 24
GroupValue95% CI
Placebo4.2± 3.31
ARO-ANG3 50 mg-25.1± 3.31
ARO-ANG3 100 mg-24.6± 3.31
ARO-ANG3 200 mg-32.2± 3.26
Percent Change From Baseline in Fasting Non-HDL-C Over Time Secondary · Baseline, up to Week 36 (double-blind treatment period)
Week 4
GroupValue95% CI
Placebo5.2± 2.51
ARO-ANG3 50 mg-23.5± 2.52
ARO-ANG3 100 mg-25.3± 2.55
ARO-ANG3 200 mg-32.9± 2.50
Week 8
GroupValue95% CI
Placebo3.7± 3.02
ARO-ANG3 50 mg-24.4± 3.04
ARO-ANG3 100 mg-22.8± 3.04
ARO-ANG3 200 mg-30.3± 3.02
Week 12
GroupValue95% CI
Placebo3.4± 3.06
ARO-ANG3 50 mg-22.8± 3.04
ARO-ANG3 100 mg-18.4± 3.04
ARO-ANG3 200 mg-28.1± 2.97
Week 16
GroupValue95% CI
Placebo2.5± 2.86
ARO-ANG3 50 mg-26.8± 2.86
ARO-ANG3 100 mg-28.3± 2.85
ARO-ANG3 200 mg-37.0± 2.81
Week 20
GroupValue95% CI
Placebo0.8± 2.71
ARO-ANG3 50 mg-28.1± 2.70
ARO-ANG3 100 mg-26.5± 2.69
ARO-ANG3 200 mg-34.1± 2.64
Week 24
GroupValue95% CI
Placebo4.2± 3.31
ARO-ANG3 50 mg-25.1± 3.31
ARO-ANG3 100 mg-24.6± 3.31
ARO-ANG3 200 mg-32.2± 3.26
Week 28
GroupValue95% CI
Placebo1.2± 3.00
ARO-ANG3 50 mg-23.1± 3.01
ARO-ANG3 100 mg-22.3± 3.04
ARO-ANG3 200 mg-30.0± 2.96
Week 36
GroupValue95% CI
Placebo-1.5± 3.19
ARO-ANG3 50 mg-20.2± 3.21
ARO-ANG3 100 mg-17.3± 3.23
ARO-ANG3 200 mg-24.1± 3.14
Percent Change From Baseline in Fasting Total Apolipoprotein B (ApoB) at Week 24 Secondary · Baseline, Week 24
GroupValue95% CI
Placebo2.27± 2.807
ARO-ANG3 50 mg-16.40± 2.835
ARO-ANG3 100 mg-12.91± 2.805
ARO-ANG3 200 mg-19.64± 2.788
Percent Change From Baseline in Fasting Total ApoB Over Time Secondary · Baseline, up to Week 36 (double-blind treatment period)
Week 4
GroupValue95% CI
Placebo2.57± 2.074
ARO-ANG3 50 mg-14.00± 2.116
ARO-ANG3 100 mg-11.71± 2.093
ARO-ANG3 200 mg-18.47± 2.105
Week 8
GroupValue95% CI
Placebo1.51± 2.518
ARO-ANG3 50 mg-15.85± 2.553
ARO-ANG3 100 mg-10.66± 2.525
ARO-ANG3 200 mg-15.05± 2.556
Week 12
GroupValue95% CI
Placebo2.26± 2.656
ARO-ANG3 50 mg-14.96± 2.653
ARO-ANG3 100 mg-7.69± 2.617
ARO-ANG3 200 mg-15.10± 2.606
Week 16
GroupValue95% CI
Placebo-1.36± 2.524
ARO-ANG3 50 mg-15.72± 2.543
ARO-ANG3 100 mg-14.33± 2.513
ARO-ANG3 200 mg-21.66± 2.509
Week 20
GroupValue95% CI
Placebo-0.28± 2.350
ARO-ANG3 50 mg-17.99± 2.370
ARO-ANG3 100 mg-14.52± 2.329
ARO-ANG3 200 mg-18.58± 2.326
Week 24
GroupValue95% CI
Placebo2.27± 2.807
ARO-ANG3 50 mg-16.40± 2.835
ARO-ANG3 100 mg-12.91± 2.805
ARO-ANG3 200 mg-19.64± 2.788
Week 28
GroupValue95% CI
Placebo0.51± 2.688
ARO-ANG3 50 mg-15.39± 2.725
ARO-ANG3 100 mg-12.47± 2.703
ARO-ANG3 200 mg-17.03± 2.680
Week 36
GroupValue95% CI
Placebo-2.30± 2.777
ARO-ANG3 50 mg-12.85± 2.801
ARO-ANG3 100 mg-9.07± 2.791
ARO-ANG3 200 mg-13.21± 2.756
Percent Change From Baseline in Fasting Low-density Lipoprotein-Cholesterol (LDL-C) Using Ultracentrifugation at Week 24 Secondary · Baseline, Week 24
GroupValue95% CI
Placebo5.0± 4.53
ARO-ANG3 50 mg-11.0± 4.58
ARO-ANG3 100 mg-4.3± 4.56
ARO-ANG3 200 mg-15.1± 4.51
Percent Change From Baseline in Fasting LDL-C Using Ultracentrifugation Over Time Secondary · Baseline, up to Week 36 (double-blind treatment period)
Week 4
GroupValue95% CI
Placebo5.1± 3.95
ARO-ANG3 50 mg-8.3± 4.03
ARO-ANG3 100 mg-3.4± 4.02
ARO-ANG3 200 mg-13.7± 3.98
Week 8
GroupValue95% CI
Placebo3.7± 4.78
ARO-ANG3 50 mg-10.1± 4.85
ARO-ANG3 100 mg-0.7± 4.83
ARO-ANG3 200 mg-10.8± 4.81
Week 12
GroupValue95% CI
Placebo7.7± 7.31
ARO-ANG3 50 mg-7.6± 7.36
ARO-ANG3 100 mg7.9± 7.34
ARO-ANG3 200 mg-12.1± 7.23
Week 16
GroupValue95% CI
Placebo3.6± 4.51
ARO-ANG3 50 mg-9.5± 4.56
ARO-ANG3 100 mg-7.4± 4.52
ARO-ANG3 200 mg-19.5± 4.48
Week 20
GroupValue95% CI
Placebo1.8± 4.26
ARO-ANG3 50 mg-12.2± 4.31
ARO-ANG3 100 mg-6.9± 4.28
ARO-ANG3 200 mg-15.3± 4.22
Week 24
GroupValue95% CI
Placebo5.0± 4.53
ARO-ANG3 50 mg-11.0± 4.58
ARO-ANG3 100 mg-4.3± 4.56
ARO-ANG3 200 mg-15.1± 4.51
Week 28
GroupValue95% CI
Placebo0.2± 4.67
ARO-ANG3 50 mg-9.1± 4.75
ARO-ANG3 100 mg-2.4± 4.74
ARO-ANG3 200 mg-11.3± 4.66
Week 36
GroupValue95% CI
Placebo3.1± 5.75
ARO-ANG3 50 mg-8.9± 5.81
ARO-ANG3 100 mg3.7± 5.82
ARO-ANG3 200 mg-4.4± 5.71
Percent Change From Baseline in Angiopoietin-like Protein 3 (ANGPTL3) at Week 24 Secondary · Baseline, Week 24
GroupValue95% CI
Placebo1.24± 2.801
ARO-ANG3 50 mg-53.02± 2.829
ARO-ANG3 100 mg-68.52± 2.807
ARO-ANG3 200 mg-72.45± 2.761
Percent Change From Baseline in ANGPTL3 Over Time Secondary · Baseline, up to Week 36 (double-blind treatment period)
Week 4
GroupValue95% CI
Placebo5.54± 2.353
ARO-ANG3 50 mg-62.11± 2.388
ARO-ANG3 100 mg-75.25± 2.401
ARO-ANG3 200 mg-79.15± 2.365
Week 8
GroupValue95% CI
Placebo2.97± 3.023
ARO-ANG3 50 mg-56.09± 3.074
ARO-ANG3 100 mg-69.01± 3.066
ARO-ANG3 200 mg-73.47± 3.045
Week 12
GroupValue95% CI
Placebo7.38± 3.599
ARO-ANG3 50 mg-47.72± 3.635
ARO-ANG3 100 mg-63.17± 3.608
ARO-ANG3 200 mg-66.62± 3.542
Week 16
GroupValue95% CI
Placebo8.48± 2.379
ARO-ANG3 50 mg-63.73± 2.400
ARO-ANG3 100 mg-75.61± 2.379
ARO-ANG3 200 mg-80.52± 2.345
Week 20
GroupValue95% CI
Placebo4.35± 2.338
ARO-ANG3 50 mg-60.50± 2.360
ARO-ANG3 100 mg-73.10± 2.347
ARO-ANG3 200 mg-76.25± 2.299
Week 24
GroupValue95% CI
Placebo1.24± 2.801
ARO-ANG3 50 mg-53.02± 2.829
ARO-ANG3 100 mg-68.52± 2.807
ARO-ANG3 200 mg-72.45± 2.761
Week 28
GroupValue95% CI
Placebo5.18± 2.879
ARO-ANG3 50 mg-49.57± 2.920
ARO-ANG3 100 mg-61.43± 2.921
ARO-ANG3 200 mg-68.19± 2.852
Week 36
GroupValue95% CI
Placebo3.73± 3.110
ARO-ANG3 50 mg-41.70± 3.158
ARO-ANG3 100 mg-53.41± 3.155
ARO-ANG3 200 mg-59.85± 3.066
Percent Change From Baseline in Fasting High-Density Lipoprotein-Cholesterol (HDL-C) at Week 24 Secondary · Baseline, Week 24
GroupValue95% CI
Placebo3.1± 2.91
ARO-ANG3 50 mg-9.0± 2.94
ARO-ANG3 100 mg-18.5± 2.96
ARO-ANG3 200 mg-21.5± 2.89
Percent Change From Baseline in Fasting HDL-C Over Time Secondary · Baseline, up to Week 36 (double-blind treatment period)
Week 4
GroupValue95% CI
Placebo-0.3± 2.59
ARO-ANG3 50 mg-13.9± 2.63
ARO-ANG3 100 mg-25.5± 2.68
ARO-ANG3 200 mg-24.8± 2.61
Week 8
GroupValue95% CI
Placebo0.4± 2.67
ARO-ANG3 50 mg-14.5± 2.71
ARO-ANG3 100 mg-25.0± 2.74
ARO-ANG3 200 mg-25.8± 2.69
Week 12
GroupValue95% CI
Placebo2.0± 3.10
ARO-ANG3 50 mg-7.0± 3.11
ARO-ANG3 100 mg-18.7± 3.14
ARO-ANG3 200 mg-18.2± 3.05
Week 16
GroupValue95% CI
Placebo2.1± 2.99
ARO-ANG3 50 mg-15.8± 3.02
ARO-ANG3 100 mg-28.5± 3.04
ARO-ANG3 200 mg-30.2± 2.96
Week 20
GroupValue95% CI
Placebo3.4± 2.89
ARO-ANG3 50 mg-11.3± 2.92
ARO-ANG3 100 mg-25.1± 2.94
ARO-ANG3 200 mg-27.1± 2.86
Week 24
GroupValue95% CI
Placebo3.1± 2.91
ARO-ANG3 50 mg-9.0± 2.94
ARO-ANG3 100 mg-18.5± 2.96
ARO-ANG3 200 mg-21.5± 2.89
Week 28
GroupValue95% CI
Placebo3.0± 2.78
ARO-ANG3 50 mg-5.5± 2.82
ARO-ANG3 100 mg-14.7± 2.87
ARO-ANG3 200 mg-18.6± 2.77
Week 36
GroupValue95% CI
Placebo6.4± 2.78
ARO-ANG3 50 mg-1.4± 2.82
ARO-ANG3 100 mg-13.7± 2.86
ARO-ANG3 200 mg-9.4± 2.75

Adverse events — posted to ClinicalTrials.gov

Time frame: All-cause mortality: From randomization through Month 24. Adverse events: From first dose of study drug through Week 36 (double-blind period); from first dose of open-label study drug up to Month 24 (open-label extension).. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 4/51 (8%)
Deaths: 1/51
ARO-ANG3 50 mg
Serious: 5/50 (10%)
Deaths: 0/50
ARO-ANG3 100 mg
Serious: 0/51 (0%)
Deaths: 0/51
ARO-ANG3 200 mg
Serious: 1/52 (2%)
Deaths: 0/52
Placebo/ARO-ANG3 50 mg
Serious: 3/13 (23%)
Deaths: 0/13
ARO-ANG3 50 mg/ARO-ANG3 50 mg
Serious: 4/36 (11%)
Deaths: 0/36
Placebo/ARO-ANG3 100 mg
Serious: 2/14 (14%)
Deaths: 0/14
ARO-ANG3 100 mg/ARO-ANG3 100 mg
Serious: 5/39 (13%)
Deaths: 1/39
Placebo/ARO-ANG3 200 mg
Serious: 2/13 (15%)
Deaths: 0/13
ARO-ANG3 200mg/ARO-ANG3 200 mg
Serious: 5/41 (12%)
Deaths: 0/41

Serious adverse events (40 terms)

ReactionSystemPlaceboARO-ANG3 50 mgARO-ANG3 100 mgARO-ANG3 200 mgPlacebo/ARO-ANG3 50 mgARO-ANG3 50 mg/ARO-ANG3 50…Placebo/ARO-ANG3 100 mgARO-ANG3 100 mg/ARO-ANG3 1…Placebo/ARO-ANG3 200 mgARO-ANG3 200mg/ARO-ANG3 20…
Acute kidney injuryRenal and urinary disorders
Acute myocardial infarctionCardiac disorders
Angina unstableCardiac disorders
Arteriosclerosis coronary arteryCardiac disorders
Atrial fibrillationCardiac disorders
Bundle branch block leftCardiac disorders
Cardiac failureCardiac disorders
Coronary artery stenosisCardiac disorders
Myocardial infarctionCardiac disorders
Silent myocardial infarctionCardiac disorders
Supraventricular tachycardiaCardiac disorders
Incarcerated umbilical herniaGastrointestinal disorders
Inguinal herniaGastrointestinal disorders
PancreatitisGastrointestinal disorders
Pancreatitis acuteGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
DeathGeneral disorders
Non-cardiac chest painGeneral disorders
COVID-19 pneumoniaInfections and infestations
CellulitisInfections and infestations
InfluenzaInfections and infestations
PneumoniaInfections and infestations
PyelonephritisInfections and infestations
SepsisInfections and infestations
Ankle fractureInjury, poisoning and procedural complications
Other adverse events (189 terms — click to expand)

ReactionSystemPlaceboARO-ANG3 50 mgARO-ANG3 100 mgARO-ANG3 200 mgPlacebo/ARO-ANG3 50 mgARO-ANG3 50 mg/ARO-ANG3 50…Placebo/ARO-ANG3 100 mgARO-ANG3 100 mg/ARO-ANG3 1…Placebo/ARO-ANG3 200 mgARO-ANG3 200mg/ARO-ANG3 20…
COVID-19Infections and infestations
Urinary tract infectionInfections and infestations
Upper respiratory tract infectionInfections and infestations
HeadacheNervous system disorders
Back painMusculoskeletal and connective tissue disorders
Injection site painGeneral disorders
Type 2 diabetes mellitusMetabolism and nutrition disorders
Injection site erythemaGeneral disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
DiarrhoeaGastrointestinal disorders
BronchitisInfections and infestations
GastroenteritisInfections and infestations
Lower respiratory tract infectionInfections and infestations
SinusitisInfections and infestations
FallInjury, poisoning and procedural complications
Blood glucose increasedInvestigations
Glycosylated haemoglobin increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
CataractEye disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
Influenza like illnessGeneral disorders
Non-cardiac chest painGeneral disorders
ConjunctivitisInfections and infestations
DiverticulitisInfections and infestations
InfluenzaInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
ContusionInjury, poisoning and procedural complications
Muscle strainInjury, poisoning and procedural complications
Skin lacerationInjury, poisoning and procedural complications
Amylase increasedInvestigations
Blood creatine phosphokinase increasedInvestigations
Lipase increasedInvestigations

Most-reported serious reactions: Acute kidney injury, Acute myocardial infarction, Angina unstable, Arteriosclerosis coronary artery, Atrial fibrillation, Bundle branch block left, Cardiac failure, Coronary artery stenosis.

Data from ClinicalTrials.gov NCT04832971 adverse events section.

Sponsor's own description

The purpose of AROANG3-2001 is to evaluate the efficacy and safety of ARO-ANG3 in participants with mixed dyslipidemia. Participants will initially receive 2 subcutaneous injections of ARO-ANG3 or placebo. Participants who complete the double-blind treatment period may opt to continue in an open-label extension during which they will receive up to 8 doses of ARO-ANG3.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Therapeutic siRNA: State-of-the-Art and Future Perspectives.
    Friedrich M, Aigner A. · · 2022 · cited 256× · PMID 35997897 · DOI 10.1007/s40259-022-00549-3
  2. Zodasiran, an RNAi Therapeutic Targeting ANGPTL3, for Mixed Hyperlipidemia.
    Rosenson RS, Gaudet D, Hegele RA, Ballantyne CM, et al · · 2024 · cited 143× · PMID 38809174 · DOI 10.1056/nejmoa2404147
  3. Where should siRNAs go: applicable organs for siRNA drugs.
    Ahn I, Kang CS, Han J. · · 2023 · cited 100× · PMID 37430086 · DOI 10.1038/s12276-023-00998-y
  4. RNA therapeutics: updates and future potential.
    Zhang C, Zhang B. · · 2023 · cited 81× · PMID 36100838 · DOI 10.1007/s11427-022-2171-2
  5. RNA interference targeting ANGPTL3 for triglyceride and cholesterol lowering: phase 1 basket trial cohorts.
    Watts GF, Schwabe C, Scott R, Gladding PA, et al · · 2023 · cited 76× · PMID 37626170 · DOI 10.1038/s41591-023-02494-2
  6. Landscape of small nucleic acid therapeutics: moving from the bench to the clinic as next-generation medicines.
    Liu M, Wang Y, Zhang Y, Hu D, et al · · 2025 · cited 62× · PMID 40059188 · DOI 10.1038/s41392-024-02112-8
  7. Small non-coding RNA therapeutics for cardiovascular disease.
    Shah AM, Giacca M. · · 2022 · cited 60× · PMID 36106499 · DOI 10.1093/eurheartj/ehac463
  8. Updates in Drug Treatment of Severe Hypertriglyceridemia.
    Gouni-Berthold I, Schwarz J, Berthold HK. · · 2023 · cited 38× · PMID 37642858 · DOI 10.1007/s11883-023-01140-z

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