---
title: A Phase 1 Study of Givosiran (ALN-AS1) in Patients With Acute Intermittent Porphyria (AIP)
nct_id: NCT02452372
overall_status: COMPLETED
phase: PHASE1
sponsor: Alnylam Pharmaceuticals
study_type: INTERVENTIONAL
primary_condition: Acute Intermittent Porphyria
countries: United States, Sweden, United Kingdom
canonical_url: "https://parkinsonspathways.com/agent/trials/NCT02452372.md"
clinicaltrials_gov: "https://clinicaltrials.gov/study/NCT02452372"
ct_last_update_post_date: 2018-06-14
last_seen_at: "2026-05-12T07:12:48.885Z"
source: ClinicalTrials.gov (mirrored, no enrichment)
---
# A Phase 1 Study of Givosiran (ALN-AS1) in Patients With Acute Intermittent Porphyria (AIP)

**Official Title:** A Phase 1, Single-ascending Dose, Multiple-ascending Dose, and Multi-dose Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics Study of Subcutaneously Administered ALN AS1 in Patients With Acute Intermittent Porphyria (AIP)

**NCT ID:** [NCT02452372](https://clinicaltrials.gov/study/NCT02452372)

## Key Facts

- **Status:** COMPLETED
- **Phase:** PHASE1
- **Study Type:** INTERVENTIONAL
- **Target Enrollment:** 40
- **Lead Sponsor:** Alnylam Pharmaceuticals
- **Conditions:** Acute Intermittent Porphyria
- **Start Date:** 2015-05-06
- **Completion Date:** 2017-09-06
- **CT.gov Last Update:** 2018-06-14

## Brief Summary

The purpose of this study is to evaluate the safety and tolerability of givosiran (ALN-AS1) in AIP patients as well as to characterize pharmacokinetics (PK) and pharmacodynamics (PD) of ALN-AS1 in AIP patients.

## Eligibility

- **Minimum age:** 18 Years
- **Maximum age:** 65 Years
- **Sex:** ALL
- **Healthy Volunteers:** No

```
Parts A and B

Inclusion Criteria:

* Diagnosis of AIP
* Urine PBG at Screening indicating patient is a high excreter
* No clinically significant health concerns
* Women of child bearing potential must have a negative pregnancy test, not be nursing, and use effective contraception
* Willing to provide written informed consent and willing to comply with study requirements.

Exclusion Criteria:

* Porphyria attack within 6 months of screening
* Started a new prescription medication within 3 months of screening
* Clinically significant abnormal laboratory results
* Received an investigational agent within 90 days before the first dose of study drug or are in follow-up of another clinical study
* History of multiple drug allergies or intolerance to subcutaneous injection

Part C

Inclusion Criteria:

* Diagnosis of AIP
* Patient experienced a porphyria attack or was taking medication to prevent attacks recently
* No clinically significant health concerns
* Women of child bearing potential must have a negative pregnancy test, not be nursing, and use effective contraception
* Willing to provide written informed consent and willing to comply with study requirements.

Exclusion Criteria:

* Stared a new prescription medication within 3 months of screening
* Clinically significant abnormal laboratory results
* Received an investigational agent within 90 days before the first dose of study drug or are in follow-up of another clinical study
* History of multiple drug allergies or intolerance to subcutaneous injection
```

## Arms

- **givosiran (ALN-AS1)** (ACTIVE_COMPARATOR)
- **Sterile Normal Saline (0.9% NaCl)** (PLACEBO_COMPARATOR)

## Interventions

- **givosiran (ALN-AS1)** (DRUG) — Single or multiple doses of ALN-AS1 by subcutaneous (sc) injection
- **Sterile Normal Saline (0.9% NaCl)** (DRUG) — calculated volume to match active comparator

## Primary Outcomes

- **The safety of givosiran evaluated by the proportion of subjects experiencing adverse events (AEs), serious adverse events (SAEs), and AEs leading to study drug discontinuation** _(time frame: Part A (SAD phase): through day 42; Part B (MAD) phase: through Day 70; Part C (MD) phase: through Day 168)_

## Secondary Outcomes

- **Profile of Pharmacokinetics (PK) of givosiran** _(time frame: Part A (SAD) phase: predose - 42 days post-dose; Part B (MAD) phase: predose - 70 days post-dose; Part C (MD) phase: predose - 168 days post-dose)_
- **Profile of Pharmacokinetics (PK) of givosiran** _(time frame: Part A (SAD) phase: predose - 42 days post-dose; Part B (MAD) phase: predose - 70 days post-dose; Part C (MD) phase: predose - 168 days post-dose)_
- **Profile of Pharmacokinetics (PK) of givosiran** _(time frame: Part A (SAD) phase: predose - 42 days post-dose; Part B (MAD) phase: predose - 70 days post-dose; Part C (MD) phase: predose - 168 days post-dose)_
- **Profile of Pharmacokinetics (PK) of givosiran** _(time frame: Part A (SAD) phase: predose - 42 days post-dose; Part B (MAD) phase: predose - 70 days post-dose; Part C (MD) phase: predose - 168 days post-dose)_
- **The change in delta-aminolevulinic acid (ALA) from baseline** _(time frame: Part A (SAD) phase: screening - 42 days post-dose; Part B (MAD) phase: screening - 70 days post-dose; Part C (MD) phase: screening - 168 days post-dose)_
- **The change in Porphobilinogen (PBG) from baseline** _(time frame: Part A (SAD) phase: screening - 42 days post-dose; Part B (MAD) phase: screening - 70 days post-dose; Part C (MD) phase: screening - 168 days post-dose)_

## Locations (6)

- Clinical Trial Site, Birmingham, Alabama, United States
- Clinical Trial Site, San Francisco, California, United States
- Clinical Trial Site, New York, New York, United States
- Clinical Trial Site, Galveston, Texas, United States
- Clinical Trial Site, Stockholm, Sweden
- Clinical Trial Site, London, United Kingdom

## Recent Field Changes (last 30 days)

- `eligibility.minAge` — added _(2026-05-12)_
- `eligibility.maxAge` — added _(2026-05-12)_
- `eligibility.sex` — added _(2026-05-12)_
- `status.overallStatus` — added _(2026-05-12)_
- `status.primaryCompletionDate` — added _(2026-05-12)_
- `status.completionDate` — added _(2026-05-12)_
- `status.lastUpdatePostDate` — added _(2026-05-12)_
- `design.phases` — added _(2026-05-12)_
- `design.enrollmentCount` — added _(2026-05-12)_
- `eligibility.criteria` — added _(2026-05-12)_
- `outcomes.primary` — added _(2026-05-12)_
- `outcomes.secondary` — added _(2026-05-12)_
- `armsInterventions.arms` — added _(2026-05-12)_
- `armsInterventions.interventions` — added _(2026-05-12)_
- `sponsor.lead` — added _(2026-05-12)_
- `results.hasResults` — added _(2026-05-12)_
- `locations.clinical trial site|birmingham|alabama|united states` — added _(2026-05-12)_
- `locations.clinical trial site|san francisco|california|united states` — added _(2026-05-12)_
- `locations.clinical trial site|new york|new york|united states` — added _(2026-05-12)_
- `locations.clinical trial site|galveston|texas|united states` — added _(2026-05-12)_
- `locations.clinical trial site|stockholm||sweden` — added _(2026-05-12)_
- `locations.clinical trial site|london||united kingdom` — added _(2026-05-12)_

---

*Canonical: https://parkinsonspathways.com/agent/trials/NCT02452372.md*  
*Source data (authoritative): https://clinicaltrials.gov/study/NCT02452372*  
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