ClinicalTrials.gg
RecruitingNCT07473843SPRUCEUpdated Oct 26, 2026

Study of Zodasiran in Adolescent Participants With Homozygous Familial Hypercholesterolemia

A Phase 3 interventional study of Zodasiran in Homozygous Familial Hypercholesterolemia, sponsored by Arrowhead Pharmaceuticals. Recruiting at 3 sites in 3 countries. Open to participants aged 12 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-10-26.

Sponsored by Arrowhead Pharmaceuticals · Phase 3, Interventional, and Treatment

Updated Oct 26, 2026Now RecruitingFirst sites in Denmark, United States and Poland+4 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
12 Years to 17 Years
Sex
All
01

Study summary

This study will evaluate the efficacy and safety of zodasiran subcutaneous (sc) injection in participants 12 to \<18 years of age with genetically or clinically diagnosed homozygous familial hypercholesterolemia (HoFH) and low-density lipoprotein cholesterol (LDL-C) ≥116 milligrams per deciliter (mg/dL) on maximally tolerated lipid-lowering therapy.

02

Conditions studied

  • Homozygous Familial Hypercholesterolemia

Keywords

  • Hyperlipoproteinemia Type II
  • Lipid Metabolism, Inborn Errors
  • Metabolism, Inborn Errors
  • Genetic Diseases, Inborn
  • Congenital, Hereditary, and Neonatal Diseases and Abnormalities
  • Hyperlipoproteinemias
  • Hyperlipidemias
  • Dyslipidemias
  • Lipid Metabolism Disorders
  • Metabolic Diseases
  • Nutritional and Metabolic Diseases
  • Homozygous Familial Hypercholesterolemia
  • Zodasiran
03

In context

Homozygous Familial Hypercholesterolemia

68 studies on the registry are indexed under Homozygous Familial Hypercholesterolemia; 13 are open to participants now.

This study's planned enrollment of 10 is below the median of 21 across 51 interventional studies indexed under Homozygous Familial Hypercholesterolemia.

Browse Homozygous Familial Hypercholesterolemia studies →

Lead sponsor

Arrowhead Pharmaceuticals is the lead sponsor of 50 studies on the registry; 9 are open to participants now.

Of its 24 completed or terminated interventional studies of FDA-regulated products, 12 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

The criteria were revised on the registry on Sep 30, 2026. See what changed

Ages eligible
12 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adolescents 12 to \<18 years of age who are nonpregnant, nonlactating, and do not plan to become pregnant during the study
  • Body weight ≥35 kilograms (kg) at screening
  • HoFH based on a supportive genetic test (from a source-verifiable medical record or based on screening genotype) or clinical diagnosis
  • Screening LDL-C ≥116 mg/dL (3 mmol/L)
  • Screening (HbA1c) ≤9.5%
  • Total \<2× (ULN), unless in previously confirmed cases of Gilbert's syndrome
  • or aspartate aminotransferase \<3×ULN

Exclusion criteria

Exclusion Criteria:

  • Use of a hepatocyte-targeted siRNA within 365 days before Day 1 (except inclisiran, which is permitted; administration of inclisiran and study drug must be separated by at least 4 weeks)
  • Use of an antisense oligonucleotide molecule within 3 months before Day 1
  • Use of evinacumab within 3 months before Day 1
  • Use of systemic (unless used as replacement therapy for pituitary/adrenal disease with a stable regimen)

NOTE: Additional inclusion/exclusion criteria may apply per protocol

Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    Zodasiran

    Drug: Zodasiran

Interventions

  • By sc injection

    Also known as: ARO-ANG3

06

What researchers measure

Primary outcomes

  1. Percent Change from Baseline to Month 12 in Fasting LDL-C

    Time frame: Baseline, Month 12

Secondary outcomes

  1. Percent Change from Baseline to Month 12 in Fasting Apolipoprotein B (ApoB)

    Time frame: Baseline, Month 12

  2. Change from Baseline to Month 12 in Fasting ApoB

    Time frame: Baseline, Month 12

  3. Percent Change from Baseline to Month 12 in Fasting Non-High Density Lipoprotein Cholesterol (non-HDL-C)

    Time frame: Baseline, Month 12

  4. Change from Baseline to Month 12 in Fasting Non-HDL-C

    Time frame: Baseline, Month 12

  5. Change from Baseline to Month 12 in Fasting LDL-C

    Time frame: Baseline, Month 12

  6. Area Under the Plasma Concentration Versus the Time Curve (AUC) from Baseline to Month 12 for Fasting LDL-C

    Time frame: Baseline, Month 12

  7. Percent Change from Baseline to Month 12 in Fasting Triglycerides (TGs)

    Time frame: Baseline, Month 12

  8. Change from Baseline to Month 12 in Fasting TGs

    Time frame: Baseline, Month 12

  9. Percent Change from Baseline to Month 12 in Fasting Angiopoietin-like Protein 3 (ANGPTL3)

    Time frame: Baseline, Month 12

  10. Change from Baseline to Month 12 in Fasting ANGPTL3

    Time frame: Baseline, Month 12

  11. Percent Change from Baseline to Month 12 in Fasting Total Cholesterol

    Time frame: Baseline, Month 12

  12. Change from Baseline to Month 12 in Fasting Total Cholesterol

    Time frame: Baseline, Month 12

  13. Percent Change from Baseline to Month 12 in Fasting HDL-C

    Time frame: Baseline, Month 12

  14. Change from Baseline to Month 12 in Fasting HDL-C

    Time frame: Baseline, Month 12

  15. Number of Participants who Meet European Union (EU) LDL-C Apheresis Eligibility Criteria (per German Apheresis Working Group) at Month 12

    Time frame: Month 12

  16. Number of Participants who Meet United States (US) Apheresis Eligibility Criteria (per National Lipid Association) at Month 12

    Time frame: Month 12

  17. Number of Participants with Fasting LDL-C <100 mg/dL at Month 12

    Time frame: Month 12

  18. Percent Change from Baseline in Fasting LDL-C Over Time

    Time frame: Baseline, up to Month 12

  19. Change from Baseline in Fasting LDL-C Over Time

    Time frame: Baseline, up to Month 12

  20. Number of Participants with Treatment-Emergent Adverse Events (TEAEs)

    Time frame: Up to 30.5 months

07

Study locations

3 of 3 sites recruiting
  • Research Site
    St Louis, Missouri 63110, United States
    Recruiting
  • Research Site
    Viborg, 8800, Denmark
    Recruiting
  • Research Site
    Warsaw, 04-501, Poland
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

3 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Oct 2026; primary completion for Jul 2028, 21 months later.

Of 20 phase 3 interventional studies under Homozygous Familial Hypercholesterolemia, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 34. This study's planned 21 months is close to that.

Start moved once since we started tracking on Sep 25, 2026: Aug 2026 → Oct 2026, on Sep 30, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Mar 11, 2026
First posted
Mar 16, 2026
StartEst.
Oct 2026was Aug 2026
Primary completionEst.
Jul 2028
CompletionEst.
Aug 2028
Last update
Oct 26, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Recruiting
changed Oct 6, 2026
Sites
3 sites added — first sites in Denmark, United States and Poland
Show 3 added (1 United States, 1 Denmark, 1 Poland)
  • Research Site · St Louis, United States
  • Research Site · Viborg, Denmark
  • Research Site · Warsaw, Poland
across 2 updates, Oct 6, 2026 – Oct 26, 2026
Start date
Aug 2026→Oct 2026
Sep 30, 2026
Enrollment
12→10
Sep 30, 2026
Eligibility
1 exclusion criterion removed
What changed in the criteria
Exclusion criteria
  • RemovedNon-response to evinacumab, defined as LDL-C reduction <15% from baseline after 2 doses
Sep 30, 2026
Secondary outcomes
1 time frame changed
What changed in the outcomes
  • Time frameNumber of Participants with Treatment-Emergent Adverse Events (TEAEs)Up to 27.5 months → Up to 30.5 months
Sep 30, 2026
Show all 3 updates
  1. Oct 26, 2026
    1 site added — first site in Poland
    Show site
    • Research Site · Warsaw, Poland
  2. Oct 6, 2026
    Not yet recruiting→Recruiting
    2 sites added — first sites in Denmark and United States
    Show 2 added (1 United States, 1 Denmark)
    • Research Site · St Louis, United States
    • Research Site · Viborg, Denmark
    + 1 other change: verification date
  3. Sep 30, 2026
    Start date Aug 2026→Oct 2026
    Enrollment 12→10
    Eligibility 1 exclusion criterion removed
    What changed in the criteria
    Exclusion criteria
    • RemovedNon-response to evinacumab, defined as LDL-C reduction <15% from baseline after 2 doses
    Secondary outcomes 1 time frame changed
    What changed in the outcomes
    • Time frameNumber of Participants with Treatment-Emergent Adverse Events (TEAEs)Up to 27.5 months → Up to 30.5 months
    + 2 other changes: identifiers and verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07473843
Responsible party
Sponsor
First posted
Mar 16, 2026
Start date
Oct 2026 (estimated)
Primary completion
Jul 2028 (estimated)
Completion
Aug 2028 (estimated)
Last update
Oct 26, 2026

Study contacts

Medical Monitor
Contact
SPRUCE@arrowheadpharma.com
626-304-3400

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Zodasiran

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