First-in-human ARO-ALK7 for adults with obesity, with or without type 2 diabetes
Official title: A Phase 1/2A Dose-Escalating Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of ARO-ALK7 in Adult Volunteers With Obesity With and Without Type 2 Diabetes Mellitus
Run by Arrowhead Pharmaceuticals · NCT06937203 · Data updated 2026-11-12
This trial will test whether ARO-ALK7 injections are safe and can change weight and metabolic markers in adults with obesity, with or without type 2 diabetes.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Arrowhead Pharmaceuticals Industry-sponsored |
| Locations | 8 sites (Morayfield, QLC and 7 other locations) |
| Status | Recruiting |
| Started | May 9, 2025 |
| Main results expected | February 2027 |
| Study ends | February 2027 |
| Registry record updated | July 8, 2026 |
| Trial ID | NCT06937203 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with BMI 30–50 kg/m2 (weight ≤159 kg) who have tried and not sustained lifestyle-based weight loss and who meet other study criteria, including no GLP-1 receptor agonist use within 6 months, would be the intended participants.
✕Probably not a fit
People who recently gained or lost more than 5% body weight in the prior 3 months, those who used GLP-1 receptor agonists within 6 months, individuals outside the BMI/weight limits, and pregnant people are unlikely to qualify or benefit from this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 1/2a double-blind, placebo-controlled, dose-escalation trial gives single and multiple doses of ARO-ALK7 to adults with obesity, first in participants without type 2 diabetes (Part 1) and then in participants with and without type 2 diabetes receiving monotherapy or combination therapy with tirzepatide (Part 2). The study’s primary focus is safety and tolerability, with collection of pharmacokinetic and pharmacodynamic data and exploratory measures of weight and metabolic outcomes. Participants are enrolled into escalating dose cohorts with placebo control and blinding to treatment assignment. The design allows early human dosing information and signals of biological effect to guide further development.
Why it matters
Potential benefit: If successful, ARO-ALK7 could offer a new way to reduce body weight and improve metabolic control, possibly adding benefit when combined with existing drugs like tirzepatide.
How similar studies have gone: ARO-ALK7 is first-in-human so direct human data are not available, although other metabolic drug classes such as GLP-1 receptor agonists have produced substantial weight loss in humans.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Obesity, defined as body mass index (BMI) between 30-50 kilograms (kg)/square meter (m\^2), inclusive, with weight at Screening not to exceed 159 kg (350 pounds \[lbs\]) * At least one self-reported, unsuccessful attempt at weight loss with lifestyle modification * No abnormal finding of clinical relevance at Screening that could adversely impact participant safety during the study or adversely impact study results * Female participants of childbearing potential must agree to use highly effective contraception and male participants with female partners of childbearing potential must agree to use a condom during the study and for at least 90 days following the end of the study or last dose of study drug, whichever is later. Participants must not donate sperm or eggs during the study for at least 90 days following the end of the study or last dose of study drug, whichever is later Exclusion Criteria: * Self-reported (or documented) weight gain or loss \>5% within 3 months prior to Screening * Use of glucagon-like peptide-1 receptor agonist (GLP-1RAs) (liraglutide, semaglutide, etc.) for any indication within 6 months prior to Screening * Use of non-GLP-1R medications for weight loss within 3 months prior to Screening, including but not limited to naltrexone/bupropion, orlistat, phentermine/topiramate, and other prescription or over-the-counter medication or supplement taken for weight loss purposes * Obesity attributable primarily in the Investigator's opinion to medication use, monogenic or endocrinologic disorders (other than polycystic ovary syndrome) * History of prior surgical or device-based therapy for obesity (including endoscopic bariatric procedures) * Use of medications or therapies strongly associated with weight gain, alterations in body composition, or increase in muscle mass, within 3 months prior to Screening * Type 1 diabetes mellitus Note: Additional inclusion/exclusion criteria may apply per protocol.
Where it's running
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Research Site 8
Morayfield, Qlc, Australia Recruiting -
Research Site 5
Grafton, Auckland, New Zealand Recruiting -
Research Site 6
Papatoetoe, Auckland, New Zealand Recruiting -
Research Site 3
Takapuna, Auckland, New Zealand Recruiting -
Research Site 1
Auckland, New Zealand Recruiting -
Research Site 2
Christchurch, New Zealand Recruiting
Show 2 more locations
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Research Site 4
Rotorua, New Zealand Recruiting -
Research Site 7
Nedlands, Western Australia, Australia Not yet recruiting
Study contacts
- Study coordinator: Medical Monitor
- Email: AROALK71001@arrowheadpharma.com
- Phone: 626-304-3400
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.