- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00628745
Transthyretin Amyloidosis Outcome Survey (THAOS) (THAOS)
Transthyretin Amyloidosis Outcomes Survey (THAOS): A Global, Multi-Center, Longitudinal, Observational Survey of Patients With Documented Transthyretin Gene Mutations or Wild-Type Transthyretin Amyloidosis.
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Buenos Aires, Argentina, 1199ABB
- Hospital Italiano de Buenos Aires (HIBA)
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Ciudad Autonoma De Buenos Aires, Argentina
- Instituto De Investigaciones Medicas Dr Alfredo Lanari
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Ciudad Autonoma de Buenos aires, Argentina, C1428AQK
- FLENI
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Leuven, Belgium, 3000
- Afdeling Klinische Cardiologie, O&N I
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Rio de Janeiro, Brazil, 21941-913
- Hospital Universitário Clementino Fraga Filho -HUCFF Universidade Federal do Rio de Janeiro
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Sao Paulo, Brazil, 04012-909
- Instituto Dante Pazzanese de Cardiologia
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Sofia, Bulgaria, 1431
- Alexandrovska University Hospital Clinic of Neurology
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Alberta
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Calgary, Alberta, Canada, T2N 4Z6
- University of Alberta Foothills Medical Centre
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Ontario
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Toronto, Ontario, Canada, M5G 2N2
- Toronto General Hospital
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Toronto, Ontario, Canada, M5G 2C4
- Toronto General Hospital-University Health Network
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Nicosia, Cyprus, 23462
- Cyprus Institute of Neurology and Genetics
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Aarhus, Denmark, 8200
- Aarhus University Hospital, Skejby
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Cedex, France, 94275
- CHU de Bicêtre
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Colmar, France, 68024
- Hôpital Louis Pasteur
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Créteil, France, 94000
- CHU Henri Mondor
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Fort De France, France, 97200
- CHU de Fort de France
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Lille, France, 59037
- CHRU de Lille, Hopital Claude Huriez
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Lille, France, 59037
- Hopital Salengro - CHRU de Lille
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Toulouse cedex 09, France, 31059
- CHU de Toulouse - Hôpital Rangueil
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Aachen, Germany, 52074
- University Hospital of RWTH Aachen
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Berlin, Germany, 13353
- Charite CAmpus Rudolf-Virchow-Klinikum
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Heidelberg, Germany, D-69120
- Medical University of Heidelberg
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Mainz, Germany, 55131
- Johann-Gutenberg-Universität
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Mainz, Germany, 55131
- University Medical Center, Johannes Gutenberg-University Mainz
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Mainz, Germany, 55131
- Universitätsmedizin der Johannes Gutenberg Universität Mainz KöR
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Muenster, Germany, 48149
- Universitatsklinikum Muenster - Transplant Hepatology
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Holon, Israel, 58100
- Wolfson Medical Center
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Ramat Gan, Israel, 52621
- Sheba Medical Center
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Bologna, Italy, 40138
- Comitato Etico Indipendente dell Azienda
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Firenze, Italy, 50134
- Azienda Ospedaliero-Universitaria di Careggi
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Messina, Italy, 98125
- AOU Policlinico G. Martino - Messina - Comitato Etico Scientifico
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Messina, Italy, 98125
- AOU Policlinico G. Martino - Messina - Dr. Vita
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Pavia, Italy, 27100
- Centro per lo Studio e la Cura delle Amiloidosi Sistemiche - Pavia - Prof. Merlini
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Pavia, Italy, 27100
- Comitato di Bioetica della Fondazione IRCCS Policlinico S. Matteo
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Pisa, Italy, 56126
- Fondazione Toscana Gabriele Monasterio Per La Ricerca Medica E Di Sanita Pubblica (Ftgm)
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Roma, Italy, 00168
- Fondazione Policlinico Gemelli - Universita Cattolica del Sacro Cuore
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Chiba, Japan, 260-8677
- Chiba University Hospital
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Kumamoto, Japan, 860-8556
- Kumamoto University
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JP
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Matsumoto, JP, Japan, 390-8621
- Shinshu University School of Medicine
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Seoul, Korea, Republic of, 143-729
- Konkuk University Medical Center
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Seoul, Korea, Republic of, 135-710
- Samsung Medical Center, Sungkyunkwan University School of Medicine
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Wilayah Persekutuan
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Kuala Lumpur, Wilayah Persekutuan, Malaysia, 59100
- University Malaya Medical Centre (UMMC)
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Distrito Federal, Mexico, 14000
- Instituto Nacional de Ciencia Medicas y Nutricion Salvador Zubiran
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Groningen, Netherlands, 9713 GZ
- University Medical Center Groningen
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Guimaraes, Portugal, 4835-004
- Centro Hospitalar Do Alto Ave, Epe
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Lisboa, Portugal, 1649-035
- Hospital Santa Maria
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Lisboa, Portugal, 1649-035
- Centro Hospitalar Lisboa Norte (CHLN) EPE - Hospital de Santa Maria
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Porto, Portugal, 4099-001
- Unidade Clinica de Paramiloidose-Centro Hospitalar Porto,EPE-Hospital Geral Santo Antonio
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Bucuresti, Romania, 022328
- Institutul De Cardiologie Prof. Dr. C. C. Iliescu Spitalului Fundeni
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Riyadh, Saudi Arabia, 11564
- King Faisal Specialist Hospital and Research Center
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Barcelona, Spain, 08907
- Hospital Universitari de Bellvitge
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Barcelona, Spain, 08036
- Institut Clinic de Nefrologia i Urologia - ICNU, Hospital Clinic i Provincial de Barcelona
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Granada, Spain, 18013
- Hospital de Rehabilitacion y Traumatologia Virgen de las Nieves
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Huelva, Spain, 21005
- Hospital Juan Ramón Jimenez
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Madrid, Spain, 28040
- Hospital Clinico San Carlos
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Madrid, Spain, 28007
- Hospital Gregorio Marañón
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Palma de Mallorca, Spain, 07198
- Hospital Son Llatzer
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Donostia
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Gipuzkoa - SanSebastian, Donostia, Spain, 20014
- Hospital Universitario Donostia
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Madrid
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Majadahonda, Madrid, Spain, 28220
- Hospital Universitario Puerta de Hierro
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Piteå, Sweden, 941 50
- Piteå Älvdals Hospital
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Stockholm, Sweden, 141 86
- Karolinska University Hospital, Huddinge
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Umeå, Sweden
- Umeå University Hospital
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Taipei, Taiwan, 100
- National Taiwan University Hospital
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Taipei, Taiwan, 10018
- National Taiwan University Hospital
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Istanbul, Turkey, 34093
- Istanbul University,Istanbul Faculty of Medicine,Department of Neurology
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Abu Dhabi, United Arab Emirates
- Cleveland Clinic Abu Dhabi LLC
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Alabama
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Birmingham, Alabama, United States, 35294
- University of Alabama at Birmingham
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Arizona
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Phoenix, Arizona, United States, 85054
- Mayo Clinic Arizona
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California
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Los Angeles, California, United States, 90073
- VA Greater Los Angeles Healthcare System
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Orange, California, United States, 92868
- University of California, Irvine
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San Francisco, California, United States, 94117
- University of California - San Francisco, UCSF Department of Neurology
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San Francisco, California, United States, 94143
- Office of Sponsored Research
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Stanford, California, United States, 94305-5406
- Stanford University School of Medicine
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Colorado
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Aurora, Colorado, United States, 80045
- UC Denver
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Connecticut
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New Haven, Connecticut, United States, 06510
- Smilow Cancer Hospital at Yale-New Haven
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Florida
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Deerfield Beach, Florida, United States, 33442
- UHealth Deerfield Beach
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Miami, Florida, United States, 33136
- University of Miami Hospital & Clinics
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Plantation, Florida, United States, 33324
- UHealth Plantation
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Illinois
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Chicago, Illinois, United States, 60611
- Northwestern University
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Chicago, Illinois, United States, 60637
- University of Chicago Medical Center
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Chicago, Illinois, United States, 60611
- Clinical Trials Unit
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Chicago, Illinois, United States, 60637
- University of Chicago Medical Center IRB
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Oak Lawn, Illinois, United States, 60453
- Advocate Christ Medical Centre
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Louisiana
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New Orleans, Louisiana, United States, 70121
- John Ochsner Heart & Vascular Institute
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Maryland
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Baltimore, Maryland, United States, 21201
- University of Maryland
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Baltimore, Maryland, United States, 21287
- Johns Hopkins Hospital
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Baltimore, Maryland, United States, 21201
- University of Maryland School of Medicine
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Harvard Vanguard Medical Associates
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Michigan
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Ann Arbor, Michigan, United States, 48109
- University of Michigan
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Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic
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Missouri
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Saint Louis, Missouri, United States, 63110
- Washington University School of Medicine
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New York
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Bronx, New York, United States, 10461
- Cardiology Clinic at Montefiore Hutchinson Campus
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Bronx, New York, United States, 10461
- Montefiore Medical Center-Jack D. Weiler Hospital
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Bronx, New York, United States, 10467
- Congestive Heart Failure Clinic
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Bronx, New York, United States, 10467
- Montefiore Moses Division
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New York, New York, United States, 10016
- NYU Medical Center
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New York, New York, United States, 10034
- Columbia University Medical Center
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Ohio
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic Foundation
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Columbus, Ohio, United States, 43210
- The Ohio University College of Medicine
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Columbus, Ohio, United States, 43221
- OSU Wexner Medical Center
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Oregon
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Portland, Oregon, United States, 97239
- Oregon Health and Science University
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Pennsylvania
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McMurray, Pennsylvania, United States, 15317
- Peters Township Health and Wellness Pavillion
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Philadelphia, Pennsylvania, United States, 19140
- Temple University School of Medicine
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Philadelphia, Pennsylvania, United States, 19104
- University of Pennsylvania - Perelman Center for Advanced Medicine
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Philadelphia, Pennsylvania, United States, 19104
- Penn Presbyterian Medical Center-University of Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15212
- Allegheny General Hospital
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Pittsburgh, Pennsylvania, United States, 15213
- University of Pittsburgh Medical Center (UPMC)
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Pittsburgh, Pennsylvania, United States, 15213
- Admin
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Wexford, Pennsylvania, United States, 15090
- Wexford Health and Wellness Pavillion
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Tennessee
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Nashville, Tennessee, United States, 37232
- Vanderbilt University School of Medicine
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Nashville, Tennessee, United States, 37232
- IRB
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Utah
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Salt Lake City, Utah, United States, 84132
- The University of Utah Health Sciences Center
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Wisconsin
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Milwaukee, Wisconsin, United States, 53226
- Medical College of Wisconsin
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria: Patients must meet all of the following inclusion criteria to be eligible for inclusion into THAOS:
- Evidence of a personally signed and dated informed consent document indicating that the participant (or a legally acceptable representative) has been informed of all pertinent aspects of the study.
- Males and females greater than or equal to 18 years of age.
Confirmed genotyped TTR mutation with or without a diagnosis of hereditary or wild-type ATTR amyloidosis. Confirmation of ATTRwt amyloidosis will be determined by genotyped confirmation that patient does not possess a known mutation in TTR gene (ie, is a carrier of wild-type allele only) via genetic testing and one of the following set of criteria (a, b, or c):
- Presence of amyloid in cardiac biopsy tissue confirmed as TTR amyloid by mass spectrometry or immunohistochemistry; or
- Evidence of cardiac involvement by echocardiogram as defined by left ventricle wall thickness of >12 mm, and presence of amyloid in non-cardiac tissue confirmed as TTR amyloid by mass spectrometry or immunohistochemistry; or
- Evidence of cardiac involvement by echocardiogram as defined by left ventricle wall thickness of >12 mm, and presence of amyloid in cardiac tissue indirectly confirmed by scintigraphy with a "bone seeking tracer" eg, 99mTC-DPD [99mTC-3,3-diphosphono-1,2-propano-dicarboxylic acid], 99mTC- PYP [Pyrophosphate], and 99mTC-HMDP [hydroxymethylene diphosphonate] with Perugini grade greater than or equal to 2.
Exclusion Criteria
Patients meeting any of the following will not be included in the study:
1. Patient has evidence of primary (light chain) or secondary amyloidosis.
Study Plan
How is the study designed?
Design Details
- Observational Models: Other
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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Observational
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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The objectives of THAOS are to describe the population of patients affected with TTR amyloidosis and to enhance the understanding of the disease natural history, including the variability and progression of the hereditary and acquired forms of disease.
Time Frame: Dec 2007 to June 2023
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Cardiovascular and Neurological efficacy endpoints for analysis of clinical outcomes on all enrolled patients with available data.
Outcomes will be examined for the entire patient group, as well as through subgroups based on important variables.
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Dec 2007 to June 2023
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Pfizer CT.gov Call Center, Pfizer
Publications and helpful links
General Publications
- Huber P, Flynn A, Sultan MB, Li H, Rill D, Ebede B, Gundapaneni B, Schwartz JH. A comprehensive safety profile of tafamidis in patients with transthyretin amyloid polyneuropathy. Amyloid. 2019 Dec;26(4):203-209. doi: 10.1080/13506129.2019.1643714. Epub 2019 Jul 27.
- Dispenzieri A, Coelho T, Conceicao I, Waddington-Cruz M, Wixner J, Kristen AV, Rapezzi C, Plante-Bordeneuve V, Gonzalez-Moreno J, Maurer MS, Grogan M, Chapman D, Amass L; THAOS investigators. Clinical and genetic profile of patients enrolled in the Transthyretin Amyloidosis Outcomes Survey (THAOS): 14-year update. Orphanet J Rare Dis. 2022 Jun 18;17(1):236. doi: 10.1186/s13023-022-02359-w.
- Campbell CM, LoRusso S, Dispenzieri A, Kristen AV, Maurer MS, Rapezzi C, Lairez O, Drachman B, Garcia-Pavia P, Grogan M, Chapman D, Amass L; THAOS investigators. Sex Differences in Wild-Type Transthyretin Amyloidosis: An Analysis from the Transthyretin Amyloidosis Outcomes Survey (THAOS). Cardiol Ther. 2022 Sep;11(3):393-405. doi: 10.1007/s40119-022-00265-7. Epub 2022 May 18.
- Barroso FA, Coelho T, Dispenzieri A, Conceicao I, Waddington-Cruz M, Wixner J, Maurer MS, Rapezzi C, Plante-Bordeneuve V, Kristen AV, Gonzalez-Duarte A, Chapman D, Stewart M, Amass L; THAOS investigators. Characteristics of patients with autonomic dysfunction in the Transthyretin Amyloidosis Outcomes Survey (THAOS). Amyloid. 2022 Sep;29(3):175-183. doi: 10.1080/13506129.2022.2043270. Epub 2022 Apr 22.
- Nativi-Nicolau J, Siu A, Dispenzieri A, Maurer MS, Rapezzi C, Kristen AV, Garcia-Pavia P, LoRusso S, Waddington-Cruz M, Lairez O, Witteles R, Chapman D, Amass L, Grogan M; THAOS Investigators. Temporal Trends of Wild-Type Transthyretin Amyloid Cardiomyopathy in the Transthyretin Amyloidosis Outcomes Survey. JACC CardioOncol. 2021 Oct 19;3(4):537-546. doi: 10.1016/j.jaccao.2021.08.009. eCollection 2021 Oct.
- Gonzalez-Moreno J, Losada-Lopez I, Cisneros-Barroso E, Garcia-Pavia P, Gonzalez-Costello J, Munoz-Beamud F, Campistol JM, Fernandez-Torron R, Chapman D, Amass L. A Descriptive Analysis of ATTR Amyloidosis in Spain from the Transthyretin Amyloidosis Outcomes Survey. Neurol Ther. 2021 Dec;10(2):833-845. doi: 10.1007/s40120-021-00267-y. Epub 2021 Jul 30.
- Gentile L, Tournev I, Amass L, Chapman D, Mazzeo A; THAOS investigators. Phenotypic Differences of Glu89Gln Genotype in ATTR Amyloidosis From Endemic Loci: Update From THAOS. Cardiol Ther. 2021 Dec;10(2):481-490. doi: 10.1007/s40119-021-00226-6. Epub 2021 Jun 19.
- Waddington-Cruz M, Wixner J, Amass L, Kiszko J, Chapman D, Ando Y; THAOS investigators. Characteristics of Patients with Late- vs. Early-Onset Val30Met Transthyretin Amyloidosis from the Transthyretin Amyloidosis Outcomes Survey (THAOS). Neurol Ther. 2021 Dec;10(2):753-766. doi: 10.1007/s40120-021-00258-z. Epub 2021 May 22.
- Gonzalez-Duarte A, Barroso F, Mundayat R, Shapiro B. Blood pressure and orthostatic hypotension as measures of autonomic dysfunction in patients from the transthyretin amyloidosis outcomes survey (THAOS). Auton Neurosci. 2019 Dec;222:102590. doi: 10.1016/j.autneu.2019.102590. Epub 2019 Oct 23.
- Pinto MV, Pinto LF, Dias M, Rosa RS, Mundayat R, Pedrosa RC, Waddington-Cruz M. Late-onset hereditary ATTR V30M amyloidosis with polyneuropathy: Characterization of Brazilian subjects from the THAOS registry. J Neurol Sci. 2019 Aug 15;403:1-6. doi: 10.1016/j.jns.2019.05.030. Epub 2019 May 28.
- Damy T, Kristen AV, Suhr OB, Maurer MS, Plante-Bordeneuve V, Yu CR, Ong ML, Coelho T, Rapezzi C; THAOS Investigators. Transthyretin cardiac amyloidosis in continental Western Europe: an insight through the Transthyretin Amyloidosis Outcomes Survey (THAOS). Eur Heart J. 2019 Apr 1;43(5):391-400. doi: 10.1093/eurheartj/ehz173. Online ahead of print.
- Cruz MW, Pinto MV, Pinto LF, Gervais R, Dias M, Perez C, Mundayat R, Ong ML, Pedrosa RC, Foguel D. Baseline disease characteristics in Brazilian patients enrolled in Transthyretin Amyloidosis Outcome Survey (THAOS). Arq Neuropsiquiatr. 2019 Feb;77(2):96-100. doi: 10.1590/0004-282X20180156.
- Rubin J, Steidley DE, Carlsson M, Ong ML, Maurer MS. Myocardial Contraction Fraction by M-Mode Echocardiography Is Superior to Ejection Fraction in Predicting Mortality in Transthyretin Amyloidosis. J Card Fail. 2018 Aug;24(8):504-511. doi: 10.1016/j.cardfail.2018.07.001. Epub 2018 Aug 17.
- Mundayat R, Stewart M, Alvir J, Short S, Ong ML, Keohane D, Rill D, Sultan MB. Positive Effectiveness of Tafamidis in Delaying Disease Progression in Transthyretin Familial Amyloid Polyneuropathy up to 2 Years: An Analysis from the Transthyretin Amyloidosis Outcomes Survey (THAOS). Neurol Ther. 2018 Jun;7(1):87-101. doi: 10.1007/s40120-018-0097-9. Epub 2018 Apr 9.
- Kristen AV, Maurer MS, Rapezzi C, Mundayat R, Suhr OB, Damy T; THAOS investigators. Impact of genotype and phenotype on cardiac biomarkers in patients with transthyretin amyloidosis - Report from the Transthyretin Amyloidosis Outcome Survey (THAOS). PLoS One. 2017 Apr 6;12(4):e0173086. doi: 10.1371/journal.pone.0173086. eCollection 2017.
- Maurer MS, Hanna M, Grogan M, Dispenzieri A, Witteles R, Drachman B, Judge DP, Lenihan DJ, Gottlieb SS, Shah SJ, Steidley DE, Ventura H, Murali S, Silver MA, Jacoby D, Fedson S, Hummel SL, Kristen AV, Damy T, Plante-Bordeneuve V, Coelho T, Mundayat R, Suhr OB, Waddington Cruz M, Rapezzi C; THAOS Investigators. Genotype and Phenotype of Transthyretin Cardiac Amyloidosis: THAOS (Transthyretin Amyloid Outcome Survey). J Am Coll Cardiol. 2016 Jul 12;68(2):161-72. doi: 10.1016/j.jacc.2016.03.596.
- Damy T, Maurer MS, Rapezzi C, Plante-Bordeneuve V, Karayal ON, Mundayat R, Suhr OB, Kristen AV. Clinical, ECG and echocardiographic clues to the diagnosis of TTR-related cardiomyopathy. Open Heart. 2016 Feb 8;3(1):e000289. doi: 10.1136/openhrt-2015-000289. eCollection 2016.
- Coelho T, Maurer MS, Suhr OB. THAOS - The Transthyretin Amyloidosis Outcomes Survey: initial report on clinical manifestations in patients with hereditary and wild-type transthyretin amyloidosis. Curr Med Res Opin. 2013 Jan;29(1):63-76. doi: 10.1185/03007995.2012.754348. Epub 2012 Dec 13.
- Coelho T, Conceicao I, Waddington-Cruz M, Keohane D, Sultan MB, Chapman D, Amass L; THAOS investigators. A natural history analysis of asymptomatic TTR gene carriers as they develop symptomatic transthyretin amyloidosis in the Transthyretin Amyloidosis Outcomes Survey (THAOS). Amyloid. 2022 Dec;29(4):228-236. doi: 10.1080/13506129.2022.2070470. Epub 2022 Jun 22.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Metabolic Diseases
- Nervous System Diseases
- Genetic Diseases, Inborn
- Neuromuscular Diseases
- Neurodegenerative Diseases
- Peripheral Nervous System Diseases
- Proteostasis Deficiencies
- Metabolism, Inborn Errors
- Heredodegenerative Disorders, Nervous System
- Amyloidosis, Familial
- Amyloid Neuropathies
- Amyloidosis
- Amyloid Neuropathies, Familial
Other Study ID Numbers
- B3461001
- FX-R-001 (Other Identifier: Alias Study Number)
- THAOS (Other Identifier: Alias Study Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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