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A Study to Evaluate ALN-2232 in Participants With Obesity

A Phase 1/2, Randomized, Double-blind, Placebo-controlled, Study of the Safety, Tolerability, Efficacy, Pharmacokinetics, and Pharmacodynamics of ALN-2232 as Monotherapy and Co-initiated With Tirzepatide in Adult Participants With Obesity

Status
Recruiting
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07463846
Enrollment
156
Registered
2026-03-11
Start date
2026-03-02
Completion date
2028-03-02
Last updated
2026-09-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Obesity

Keywords

siRNA, RNAi therepeutic

Brief summary

The purpose of this study is to: * evaluate the safety, tolerability, efficacy, pharmacokinetics (PK), and pharmacodynamics (PD) of single ascending doses of ALN-2232 in patients with obesity * evaluate the safety, tolerability, efficacy, PK, and PD of multiple doses of ALN-2232 in patients with obesity * evaluate the safety, tolerability, efficacy, PK, and PD of multiple doses of ALN-2232 co-initiated with tirzepatide in patients with obesity

Interventions

DRUGALN-2232

ALN-2232 will be administered subcutaneously (SC)

DRUGPlacebo

Placebo will be administered SC

DRUGTirzepatide

Tirzepatide will be administered SC

Sponsors

Alnylam Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

All Parts: * Has a body mass index (BMI) of ≥30 kg/m\^2 and \<40 kg/m\^2 * Has a hemoglobin A1c (HbA1c) \<6.5%

Exclusion criteria

All Parts: * Has any clinically significant concomitant disease, medical condition, or abnormal laboratory finding that could compromise participant safety or confound interpretation of study results * Receiving therapies for chronic weight management or antidiabetic medications Note: other protocol defined inclusion/

Design outcomes

Primary

MeasureTime frame
Part A: Frequency of Adverse Events (AEs)Up to 12 months
Part B: Percent Change from Baseline in Body WeightBaseline up to Month 6
Part C: Percent Change from Baseline in Body WeightBaseline up to Month 6

Secondary

MeasureTime frameDescription
Part A: Change from Baseline in Proteins in Adipose TissueBaseline up to Month 12
Part A: Area Under the Plasma Concentration-time Curve (AUC) of ALN-2232 in PlasmaPredose and up to 15 days postdose
Part A: Maximum Observed Plasma Concentration (Cmax) of ALN-2232 in PlasmaPredose and up to 15 days postdose
Part A: Time to Maximum Plasma Concentration (Tmax) of ALN-2232 in PlasmaPredose and up to 15 days postdose
Part A: Fraction of ALN-2232 excreted in urinePredose and up to 8 days postdose (fe)
Part A: Percent Change from Baseline in Body WeightBaseline up to Month 12
Part B and Part C: Concentrations of ALN-2232 in PlasmaPredose and up to 6 months postdose
Part B and Part C: Percent Change from Baseline in Body WeightBaseline up to Month 12
Part B and Part C: Change from Baseline in Body Fat Mass and Lean MassBaseline up to Month 12Measured by dual x-ray absorptiometry (DXA)

Countries

Canada

Contacts

CONTACTAlnylam Clinical Trial Information Line
clinicaltrials@alnylam.com1-877-ALNYLAM
STUDY_DIRECTORMedical Director

Alnylam Pharmaceuticals

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Sep 17, 2026