Prevention & lipids

Longer-term efficacy and safety of zodasiran in patients with mixed hyperlipidaemia

Eur J Prev CardiolPublished Open-label extension of the ARCHES-2 randomised trial

Authors' conclusion

Zodasiran produced sustained reductions in triglycerides and atherogenic lipoproteins over 30 months and was well tolerated

Study context

Population
Adults with mixed hyperlipidaemia (fasting TG 1.7–5.6 mmol/L and LDL-C ≥ 1.8 mmol/L or non-HDL-C ≥ 2.59 mmol/L) who completed 9 months of randomised treatment with placebo or zodasiran82% of 191 completers
Participants
156 adults
Primary endpoint
% change in median TG from baseline (randomised double-blind study)
Follow-up
Month 6
Methodological detailsPhase 2b parent trial
  • Phase 2b parent trial

Primary result

As reported in the abstract

Median TG, % change from baseline (open-label extension (OLE)) · Month 21

Median TG reduction by Month 21

−55%

95% CI 64, 43

Further findings

Remnant cholesterol, % change · Month 21

Remnant cholesterol reduction by Month 21
−57% (SD: 32)

LDL-C, % change · Month 21

LDL-C reduction by Month 21
−5% (SD: 40)

ApoB, % change · Month 21

ApoB reduction by Month 21
−13% (SD: 21)

Safety

OutcomeValues
Discontinuation due to adverse events · 24 monthsZodasiran 3.2%

Injection site reactions

Injection site reactions were mild; generally well tolerated

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Longer-term efficacy and safety of zodasiran in patients with mixed hyperlipidaemia. Eur J Prev Cardiol. Published 24 July 2026. doi:10.1093/eurjpc/zwag376

Composed by AI from the published abstract and checked against it. How Briefs are made →

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