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Arrowhead Pharmaceuticals Presents Plozasiran Data Highlighting Sustained Triglyceride Reductions and Reduced Acute Pancreatitis Rates

  • Pooled SHASTA-3 & SHASTA-4 analysis showed plozasiran reduced acute pancreatitis event rates by 78% overall & 91% in sHTG patients with recent pancreatitis history versus placebo.
  • PALISADE open-label extension demonstrated sustained triglyceride & APOC3 reductions for up to 36 months in FCS patients, with median reductions of 76% & 89% respectively.
  • Single doses of investigational ARO-DIMER-PA produced mean LDL-C reductions of 26% to 65% & median triglyceride reductions of 56% to 78% in mixed hyperlipidemia patients.
  • ARO-DIMER-PA also achieved mean PCSK9 reductions of 50% to 89%, APOC3 reductions of 43% to 95%, ApoB reductions of 32% to 66%, & remnant cholesterol reductions of 52% to 73%.
  • SHASTA-3 & SHASTA-4 pooled data identified recent acute pancreatitis history as a key risk marker, with event rates reduced by 82% in patients with prior pancreatitis & baseline TGs of 500-880 mg/dL.
  • Safety data for plozasiran in SHASTA-3/4 showed treatment-emergent adverse events in 73% of patients, with worsening glycemic control reported in 14% of the plozasiran group.
  • PALISADE extension reported three adjudicated acute pancreatitis events, increased HbA1c in 8% of patients, & one death due to cardiac arrhythmia assessed as unrelated to treatment.
  • ARO-DIMER-PA Phase 1/2a interim results indicated injection-site erythema was the most common adverse event, occurring in 20 of 21 treated participants, with no serious adverse events or deaths reported.
  • Arrowhead Pharmaceuticals presented these cardiometabolic RNAi therapies at the American Heart Association Scientific Sessions 2026 in Chicago.
  • The company stated ARO-DIMER-PA utilizes its TRiM platform to target two genes simultaneously, aiming to address both LDL cholesterol & triglyceride-rich lipoproteins.