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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04832971
Registration number
NCT04832971
Ethics application status
Date submitted
2/04/2021
Date registered
6/04/2021
Titles & IDs
Public title
Study of ARO-ANG3 in Adults With Mixed Dyslipidemia
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Scientific title
A Double-blind, Placebo-controlled Phase 2b Study to Evaluate the Efficacy and Safety of ARO-ANG3 in Adults With Mixed Dyslipidemia
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Secondary ID [1]
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AROANG3-2001
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Universal Trial Number (UTN)
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Trial acronym
ARCHES-2
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Mixed Dyslipidemia
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Condition category
Condition code
Cardiovascular
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Other cardiovascular diseases
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Blood
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Other blood disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - ARO-ANG3
Treatment: Drugs - Placebo
Experimental: ARO-ANG3 50 mg - Two doses of ARO-ANG3 by subcutaneous (sc) injection at Day 1 and Week 12 during double-blind treatment period. Up to 8 doses of ARO-ANG3 by sc injection during the open-label extension period.
Experimental: ARO-ANG3 100 mg - Two doses of ARO-ANG3 bysc injection at Day 1 and Week 12 during double-blind treatment period. Up to 8 doses of ARO-ANG3 by sc injection during the open-label extension period.
Experimental: ARO-ANG3 200 mg - Two doses of ARO-ANG3 by sc injection at Day 1 and Week 12 during double-blind treatment period. Up to 8 doses of ARO-ANG3 by sc injection during the open-label extension period.
Placebo comparator: Placebo - Calculated volume to match active treatment by sc injection at Day 1 and Week 12 during the double-blind treatment period. Up to 8 doses of ARO-ANG3 by sc injection during the open-label extension period.
Treatment: Drugs: ARO-ANG3
ARO-ANG3 Injection
Treatment: Drugs: Placebo
Sterile Normal Saline (0.9% NaCl)
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Percent Change From Baseline in Fasting TG at Week 24
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Assessment method [1]
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Timepoint [1]
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Baseline, Week 24
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Secondary outcome [1]
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Percent Change From Baseline in Fasting TG Over Time
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Assessment method [1]
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Timepoint [1]
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Baseline, up to Week 36 (double-blind treatment period), up to Month 24 (open-label extension)
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Secondary outcome [2]
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Percent Change From Baseline in Fasting Non-High-Density Lipoprotein-Cholesterol (Non-HDL-C) at Week 24
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Assessment method [2]
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Timepoint [2]
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Baseline, Week 24
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Secondary outcome [3]
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Percent Change From Baseline in Fasting Non-HDL-C Over Time
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Assessment method [3]
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Timepoint [3]
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Baseline, up to Week 36 (double-blind treatment period), up to Month 24 (open-label extension)
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Secondary outcome [4]
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Percent Change From Baseline in Fasting Total Apolipoprotein B (ApoB) at Week 24
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Assessment method [4]
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Timepoint [4]
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Baseline, Week 24
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Secondary outcome [5]
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Percent Change From Baseline in Fasting Total ApoB Over Time
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Assessment method [5]
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Timepoint [5]
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Baseline, up to Week 36 (double-blind treatment period), up to Month 24 (open-label extension)
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Secondary outcome [6]
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Percent Change From Baseline in Fasting Low-density Lipoprotein-Cholesterol (LDL-C) Using Ultracentrifugation at Week 24
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Assessment method [6]
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Timepoint [6]
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Baseline, Week 24
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Secondary outcome [7]
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Percent Change From Baseline in Fasting LDL-C Using Ultracentrifugation Over Time
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Assessment method [7]
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Timepoint [7]
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Baseline, up to Week 36 (double-blind treatment period), up to Month 24 (open-label extension)
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Secondary outcome [8]
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Percent Change From Baseline in Angiopoietin-like Protein 3 (ANGPTL3) at Week 24
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Assessment method [8]
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Timepoint [8]
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Baseline, Week 24
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Secondary outcome [9]
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Percent Change From Baseline in ANGPTL3 Over Time
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Assessment method [9]
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Timepoint [9]
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Baseline, up to Week 36 (double-blind treatment period), up to Month 24 (open-label extension)
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Secondary outcome [10]
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Percent Change From Baseline in Fasting High-Density Lipoprotein-Cholesterol (HDL-C) at Week 24
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Assessment method [10]
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Timepoint [10]
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Baseline, Week 24
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Secondary outcome [11]
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Percent Change From Baseline in Fasting HDL-C Over Time
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Assessment method [11]
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Timepoint [11]
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Baseline, up to Week 36 (double-blind treatment period), up to Month 24 (open-label extension)
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Secondary outcome [12]
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Plasma Concentrations of ARO-ANG3 Over Time
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Assessment method [12]
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Timepoint [12]
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Baseline, up to Week 12 (double-blind treatment period), up to Month 24 (open-label extension)
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Secondary outcome [13]
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Number of Participants With Treatment Emergent Adverse Events (TEAEs) and/or Serious TEAEs up to Week 24
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Assessment method [13]
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TEAEs are adverse events (AEs) that occur following IP administration or a pre-existing condition exacerbated following IP administration. An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. A serious adverse event (SAE) is an AE that: results in death; is life-threatening; requires inpatient hospitalization or prolongation of an existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; or is a medically important event or reaction.
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Timepoint [13]
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From first dose of IP up to Week 24
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Secondary outcome [14]
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Number of Participants With AEs and/or SAEs Over Time in the Double-Blind Treatment Period
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Assessment method [14]
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Timepoint [14]
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up to Week 36 (double-blind treatment period)
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Secondary outcome [15]
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Number of Participants With AEs and/or SAEs Over Time in the Open-Label Extension
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Assessment method [15]
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Timepoint [15]
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up to Month 24 (open-label extension)
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Eligibility
Key inclusion criteria
* Based on medical history, evidence of TG = 150 mg/dL but = 499 mg/dL
* Fasting levels at Screening of LDL-C = 70 mg/dL OR non-HDL-C = 100 mg/dL after at least 4 weeks of stable diet and stable optimal statin therapy
* Mean fasting TG = 150 mg/dL and = 499 mg/dL during Screening collected at two separate and consecutive visits and at least 7 days apart and not more than 17 days apart
* Willing to follow diet counseling and maintain a stable diet per Investigator judgment based on local standard of care
* Participants of childbearing potential must agree to use highly-effective contraception during the study and for at least 24 weeks from last dose of study medication
* Women of childbearing potential must have a negative pregnancy test and cannot be breastfeeding
* Women of childbearing potential on hormonal contraceptives must be stable on the medication for = 2 menstrual cycles prior to Day 1
* Men must not donate sperm during the study and for at least 24 weeks following the last dose of study medication
* Able and willing to provide written informed consent and to comply with study requirements
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Current use or use within 365 days from Day 1 of any hepatocyte targeted siRNA or antisense oligonucleotide molecule
* Active pancreatitis within 12 weeks prior to Day 1
* Any planned bariatric surgery or similar procedures to induce weight loss from consent to end of study
* Acute coronary syndrome event within 24 weeks of Day 1
* Major surgery within 12 weeks of Day 1 or planned surgery during the study
* Planned coronary intervention (e.g., stent placement or heart bypass) during the study
* Uncontrolled hypertension
* Human immunodeficiency virus (HIV) infection, seropositive for Hepatitis B (HBV), seropositive for Hepatitis C (HCV)
* Uncontrolled hypothyroidism or hyperthyroidism
* Hemorrhagic stroke within 24 weeks of Day 1
* History of bleeding diathesis or coagulopathy
* Current diagnosis of nephrotic syndrome
* Systemic use of corticosteroids or anabolic steroids within 4 weeks prior to Day 1 or planned use during the study
* Malignancy within the last 2 years prior to date of consent requiring systemic treatment (some exceptions apply)
Note: additional inclusion/exclusion criteria may apply per protocol
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/06/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/12/2024
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Actual
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Sample size
Target
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Accrual to date
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Final
204
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Recruitment in Australia
Recruitment state(s)
NSW,QLD
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Recruitment hospital [1]
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Paratus Clinical Research - Blacktown
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Recruitment hospital [2]
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University of the Sunshine Coast Clinical Trials Centre - Sippy Downs
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Recruitment hospital [3]
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Linear Clinical Research - Nedlands
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Recruitment postcode(s) [1]
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2148 - Blacktown
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Recruitment postcode(s) [2]
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4556 - Sippy Downs
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Recruitment postcode(s) [3]
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6009 - Nedlands
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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United States of America
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State/province [2]
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Florida
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Country [3]
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United States of America
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State/province [3]
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Minnesota
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Country [4]
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United States of America
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State/province [4]
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Nebraska
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Country [5]
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United States of America
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State/province [5]
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Nevada
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Country [6]
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United States of America
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State/province [6]
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New York
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Country [7]
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United States of America
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State/province [7]
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North Carolina
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Country [8]
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United States of America
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State/province [8]
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Ohio
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Country [9]
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United States of America
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State/province [9]
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Pennsylvania
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Country [10]
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United States of America
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State/province [10]
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Texas
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Country [11]
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Canada
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State/province [11]
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Ontario
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Country [12]
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Canada
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State/province [12]
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Quebec
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Country [13]
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Canada
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State/province [13]
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Québec
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Country [14]
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New Zealand
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State/province [14]
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Birkenhead
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Country [15]
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New Zealand
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State/province [15]
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Christchurch
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Country [16]
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New Zealand
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State/province [16]
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Hamilton
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Country [17]
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New Zealand
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State/province [17]
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Rotorua
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Arrowhead Pharmaceuticals
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
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.
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Trial website
https://clinicaltrials.gov/study/NCT04832971
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
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Address
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/71/NCT04832971/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/71/NCT04832971/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT04832971