- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04153149
HELIOS-B: A Study to Evaluate Vutrisiran in Patients With Transthyretin Amyloidosis With Cardiomyopathy
HELIOS-B: A Phase 3, Randomized, Double-blind, Placebo-controlled, Multicenter Study to Evaluate the Efficacy and Safety of Vutrisiran in Patients With Transthyretin Amyloidosis With Cardiomyopathy (ATTR Amyloidosis With Cardiomyopathy)
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Buenos Aires, Argentina, C1199ABB
- Clinical Trial Site
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Buenos Aires, Argentina, C1428ART
- Clinical Trial Site
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Ciudad Autónoma de BuenosAires
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Buenos Aires, Ciudad Autónoma de BuenosAires, Argentina, C1093AAS
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Pilar
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Buenos Aires, Pilar, Argentina, B1629ODT
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New South Wales
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Darlinghurst, New South Wales, Australia, 2010
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Northmead, New South Wales, Australia, 2152
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Queensland
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Woolloongabba, Queensland, Australia, 4102
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South Australia
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Adelaide, South Australia, Australia, 5000
- Clinical Trial Site
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Victoria
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Melbourne, Victoria, Australia, 3004
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Graz, Austria, 8036
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Vienna, Austria, 1090
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Vienna, Austria, 1210
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Brussels, Belgium, 1070
- Clinical Trial Site
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Leuven, Belgium, 3000
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Oost-Vlaanderen
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Dendermonde, Oost-Vlaanderen, Belgium, 9200
- Clinical Trial Site
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Ghent, Oost-Vlaanderen, Belgium, 9000
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Ontario
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Toronto, Ontario, Canada, M5G 2C4
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Quebec
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Québec, Quebec, Canada, G1V4G5
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Zagreb, Croatia, 10000
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Olomoucký kraj
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Olomouc, Olomoucký kraj, Czechia, 779 00
- Clinical Trial Site
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Praha, Hlavní Mesto
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Prague, Praha, Hlavní Mesto, Czechia, 12000
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Aarhus N, Denmark, 8200
- Clinical Trial Site
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Region Syddanmark
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Odense, Region Syddanmark, Denmark, 5000
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Créteil, France, 94000
- Clinical Trial Site
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Marseille, France, 13385
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Paris, France, 75877
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Toulouse, France, 31059
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Essen, Germany, 45122
- Clinical Trial Site
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Göttingen, Germany, 37075
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Heidelberg, Germany, 69120
- Clinical Trial Site
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Münster, Germany, 48149
- Clinical Trial Site
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Würzburg, Germany, 97078
- Clinical Trial Site
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Hesse
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Frankfurt am Main, Hesse, Germany, 60313
- Clinical Trial Site
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Saxony
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Leipzig, Saxony, Germany, 04103
- Clinical Trial Site
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Budapest, Hungary, 1134
- Clinical Trial Site
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Budapest, Hungary, 1088
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Szeged, Hungary, 6725
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Dublin, Ireland, D07 A8NN
- Clinical Trial Site
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Dublin, Ireland, Dublin 8
- Clinical Trial Site
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Haifa, Israel, 3339419
- Clinical Trial Site
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Jerusalem, Israel, 9112000
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Ramat Gan, Israel, 5262000
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Fukuoka, Japan, 812-8582
- Clinical Trial Site
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Kumamoto, Japan, 860-8556
- Clinical Trial Site
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Aichi-ken
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Tsurumai-cho, Aichi-ken, Japan, 466-8560
- Clinical Trial Site
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Fukuoka
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Fukuoka, Fukuoka, Japan, 810-0001
- Clinical Trial Site
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Kurume, Fukuoka, Japan, 830-0011
- Clinical Trial Site
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Kagawa-ken
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Kita-gun, Kagawa-ken, Japan, 761-0793
- Clinical Trial Site
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Kochi
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Nankoku, Kochi, Japan, 783-8505
- Clinical Trial Site
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Nagano
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Matsumoto, Nagano, Japan, 390-8621
- Clinical Trial Site
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Nara
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Kashihara, Nara, Japan, 634-8522
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Osaka
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Suita, Osaka, Japan, 564-8565
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Suita, Osaka, Japan, 565-0871
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Tokyo
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Bunkyo-ku, Tokyo, Japan, 113-8655
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Bunkyo-ku, Tokyo, Japan, 113-8431
- Clinical Trial Site
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Shinjuku-Ku, Tokyo, Japan, 160-8582
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Riga, Latvia, LV-1002
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Beyrouth
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Hamra, Beyrouth, Lebanon, 1111
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Kaunas, Lithuania, LT-50161
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Pahang
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Kuantan, Pahang, Malaysia, 25100
- Clinical Trial Site
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Selangor
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Sungai Buloh, Selangor, Malaysia, 47000
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Chisinau, Moldova, MD2025
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Eindhoven, Netherlands, 5623 EJ
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Groningen, Netherlands, 9713 GZ
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Utrecht, Netherlands, 3584 CW
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Oslo, Norway, 0424
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Lima, Peru, 15088
- Clinical Trial Site
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Lima region
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San Isidro, Lima region, Peru, 15076
- Clinical Trial Site
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Katowice, Poland, 40-555
- Clinical Trial Site
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Lower Silesian Voivodeship
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Wroclaw, Lower Silesian Voivodeship, Poland, 50-556
- Clinical Trial Site
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Lódzkie
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Lodz, Lódzkie, Poland, 90-127
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Masovian Voivodeship
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Warsaw, Masovian Voivodeship, Poland, 01-192
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Pomeranian Voivodeship
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Gdansk, Pomeranian Voivodeship, Poland, 80-382
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Coimbra, Portugal, 3000-075
- Clinical Trial Site
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Faro, Portugal, 8000-386
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Guimarães, Portugal, 4835-044
- Clinical Trial Site
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Porto, Portugal, 4099-001
- Clinical Trial Site
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Lisbon District
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Lisbon, Lisbon District, Portugal, 1649-035
- Clinical Trial Site
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Riyadh, Saudi Arabia, 12372
- Clinical Trial Site
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Mecca Region
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Mecca, Mecca Region, Saudi Arabia, 21955
- Clinical Trial Site
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Ljubljana, Slovenia, 1000
- Clinical Trial Site
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Seoul, South Korea, 03080
- Clinical Trial Site
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Seoul, South Korea, 03722
- Clinical Trial Site
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Seoul, South Korea, 06351
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Seoul, South Korea, 06591
- Clinical Trial Site
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Barcelona, Spain, 08035
- Clinical Trial Site
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Bilbao, Spain, 48013
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Huelva, Spain, 21005
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Málaga, Spain, 29010
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Barcelona
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L'Hospitalet de Llobregat, Barcelona, Spain, 08907
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Madrid
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Majadahonda, Madrid, Spain, 28222
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Gothenburg, Sweden, 422 46
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Västerbotten County
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Göteborg, Västerbotten County, Sweden, 422 46
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Chiang Mai, Thailand, 50200
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Birmingham, United Kingdom, B15 2SQ
- Clinical Trial Site
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Cardiff, United Kingdom, CF15 9SS
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London, United Kingdom, NW3 2QG
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Manchester, United Kingdom, M15 6SE
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Lanarkshire
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Bellshill, Lanarkshire, United Kingdom, ML4 3NJ
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London, City of
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London, London, City of, United Kingdom, SE1 1YR
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Londonderry
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Londonderry, Londonderry, United Kingdom, BT47 6SB
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Northumberland
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Hexham, Northumberland, United Kingdom, NE46 1QJ
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California
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La Mesa, California, United States, 91942
- Clinical Trial Site
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Los Angeles, California, United States, 90033
- Clinical Trial Site
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Stanford, California, United States, 94305
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District of Columbia
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Washington D.C., District of Columbia, United States, 20010
- Clinical Trial Site
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Georgia
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Gainesville, Georgia, United States, 30501
- Clinical Trial Site
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Illinois
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Chicago, Illinois, United States, 60637
- Clinical Trial Site
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Evanston, Illinois, United States, 60201
- Clinical Trial Site
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Massachusetts
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Boston, Massachusetts, United States, 02118
- Clinical Trial Site
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Boston, Massachusetts, United States, 02115
- Clinical Trial Site
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Minnesota
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Rochester, Minnesota, United States, 55902
- Clinical Trial Site
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New York
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Manhasset, New York, United States, 11030
- Clinical Trial Site
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New York, New York, United States, 10032
- Clinical Trial Site
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North Carolina
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Durham, North Carolina, United States, 27710
- Clinical Trial Site
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Ohio
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Cleveland, Ohio, United States, 44195
- Clinical Trial Site
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Pennsylvania
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Allentown, Pennsylvania, United States, 18103
- Clinical Trial Site
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Philadelphia, Pennsylvania, United States, 19104
- Clinical Trial Site
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Texas
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Houston, Texas, United States, 77030
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Has a documented diagnosis of transthyretin (ATTR) amyloidosis with cardiomyopathy, classified as either hereditary ATTR (hATTR) amyloidosis with cardiomyopathy or wild-type ATTR (wtATTR) amyloidosis with cardiomyopathy meeting pre-specified diagnostic criteria
- Has medical history of heart failure (HF) with at least 1 prior hospitalization for HF OR clinical evidence of HF
Exclusion Criteria:
- Has known primary amyloidosis or leptomeningeal amyloidosis
- Has New York Heart Association (NYHA) Class IV heart failure
- Has NYHA Class III heart failure AND is at high risk based on pre-specified criteria
- Has a polyneuropathy disability (PND) Score IIIa, IIIb, or IV at the Screening visit
- Has estimated glomerular filtration rate (eGFR) <30 mL/min/1.73 m^2
- Has received prior TTR-lowering treatment
- Has other non-TTR cardiomyopathy, hypertensive cardiomyopathy, cardiomyopathy due to valvular heart disease, or cardiomyopathy due to ischemic heart disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Vutrisiran 25 mg
Participants received vutrisiran 25 milligrams (mg) administered subcutaneously (SC) once every 3 months (q3M) during the 36-month double-blind (DB) period.
After the DB period, participants continue receiving vutrisiran, 25 mg, SC injection, q3M for up to 24 months in the open-label treatment extension (OLE) period.
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Vutrisiran will be administered by SC injection.
Other Names:
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Placebo Comparator: Placebo
Participants received vutrisiran matching placebo administered SC q3M during the 36-month DB period.
After the DB period, participants receive vutrisiran, 25 mg, SC injection, q3M for up to 24 months in the OLE period.
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Vutrisiran will be administered by SC injection.
Other Names:
Sterile normal saline (0.9% NaCl) will be administered by SC injection.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Composite Endpoint of All-Cause Mortality and Recurrent Cardiovascular (CV) Events (CV Hospitalizations and Urgent Heart Failure [HF] Visits) in the Overall Population
Time Frame: Up to Month 36
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All-cause mortality and recurrent CV events (CV hospitalizations and urgent HF visits) were compared between treatment groups using a modified Andersen-Gill model with a robust variance.
All-cause mortality included heart transplantation and LVAD placement events along with deaths; recurrent CV events included CV hospitalizations and urgent HF visits.
The number of participants with at least one CV event or all-cause mortality event have been reported here.
No imputation was done for participants who dropped out early for the primary analysis of this composite outcome endpoint.
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Up to Month 36
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Composite Endpoint of All-Cause Mortality and Recurrent CV Events (CV Hospitalizations and Urgent HF Visits) in the Vutrisiran Monotherapy Subgroup
Time Frame: Up to Month 36
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All-cause mortality and recurrent CV events (CV hospitalizations and urgent HF visits) were compared between treatment groups using a modified Andersen-Gill model with a robust variance.
All-cause mortality included heart transplantation and LVAD placement events along with deaths; recurrent CV events included CV hospitalizations and urgent HF visits.
The number of participants with at least one CV event or all-cause mortality event have been reported here.
No imputation was done for participants who dropped out early for the primary analysis of this composite outcome endpoint.
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Up to Month 36
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Change From Baseline in 6-Minute Walk Test (6-MWT) in the Overall Population
Time Frame: Baseline to Month 30
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The 6-MWT is an assessment of functional exercise capacity.
Participants are instructed to walk back and forth along a flat, straight path, typically 30 meters in length, for a duration of 6 minutes.
The total distance covered in meters is recorded at the end of 6 minutes.
A longer distance reflects a better outcome.
Analysis was based on the mixed-effect model of repeated measures (MMRM).
Missing change values due to amyloidosis disease progression and death were imputed using sampling with replacement from the worst 10% of observed values, as specified in the statistical analysis plan (SAP).
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Baseline to Month 30
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Change From Baseline in 6-MWT in the Vutrisiran Monotherapy Subgroup
Time Frame: Baseline to Month 30
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The 6-MWT is an assessment of functional exercise capacity.
Participants are instructed to walk back and forth along a flat, straight path, typically 30 meters in length, for a duration of 6 minutes.
The total distance covered in meters is recorded at the end of 6 minutes.
A longer distance reflects a better outcome.
Analysis was based on the MMRM.
Missing change values due to amyloidosis disease progression and death were imputed using sampling with replacement from the worst 10% of observed values, as specified in the SAP.
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Baseline to Month 30
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Change From Baseline in the Kansas City Cardiomyopathy Questionnaire Overall Summary (KCCQ-OS) Score in the Overall Population
Time Frame: Baseline to Month 30
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The KCCQ is a 23-item self-administered questionnaire quantifying 6 domains (symptoms [frequency and burden], physical function, quality of life (QoL), social limitation, self-efficacy, and symptom stability) and 2 summary scores (clinical and overall summary [OS]).
Scores were generated for each domain and transformed to a range of 0-100, in which higher scores reflect better health status.
KCCQ- overall summary score was average of domains- physical function, total symptoms (average of symptom frequency and burden), QoL, and social limitation, and transformed to a single score which ranged from 0 (worst) - 100 (the best possible status), where the higher score reflected better health status.
Analysis was based on the MMRM.
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Baseline to Month 30
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Change From Baseline in the KCCQ-OS Score in the Vutrisiran Monotherapy Subgroup
Time Frame: Baseline to Month 30
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The KCCQ is a 23-item self-administered questionnaire quantifying 6 domains (symptoms [frequency and burden], physical function, QoL, social limitation, self-efficacy, and symptom stability) and 2 summary scores (clinical and OS).
Scores were generated for each domain and transformed to a range of 0-100, in which higher scores reflect better health status.
KCCQ- overall summary score was average of domains- physical function, total symptoms (average of symptom frequency and burden), QoL, and social limitation, and transformed to a single score which ranged from 0 (worst) - 100 (the best possible status), where the higher score reflected better health status.
Analysis was based on the MMRM.
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Baseline to Month 30
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All-cause Mortality in the Overall Population and Vutrisiran Monotherapy Subgroup
Time Frame: Up to 42 months
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All-cause mortality also included heart transplantation and LVAD placement events along with deaths; recurrent CV events included CV hospitalizations and urgent HF visits.
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Up to 42 months
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Percentage of Participants With Change in NYHA Class at Month 30 in the Overall Population
Time Frame: Baseline to Month 30
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NYHA class is a clinical assessment of symptoms resulting from heart failure. In NYHA functional classification system places participants in 1 of 4 categories based on limitations of physical activity. Class I denotes no symptoms and no limitation of physical activity; II, slight limitation, resulting in symptoms with ordinary physical activity; III, marked limitation, resulting in symptoms with less than ordinary physical activity; and IV, symptoms at rest. Here, the participants with a change in NYHA class have been reported in two categories: 1) participants who had no change or had improvement in the NYHA class (lower class) from baseline and 2) participants who had a worsened NYHA class from baseline (higher class). Values have been rounded off to a single decimal. |
Baseline to Month 30
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Percentage of Participants With Change in NYHA Class at Month 30 in the Vutrisiran Monotherapy Subgroup
Time Frame: Baseline to Month 30
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NYHA class is a clinical assessment of symptoms resulting from heart failure. In NYHA functional classification system places participants in 1 of 4 categories based on limitations of physical activity. Class I denotes no symptoms and no limitation of physical activity; II, slight limitation, resulting in symptoms with ordinary physical activity; III, marked limitation, resulting in symptoms with less than ordinary physical activity; and IV, symptoms at rest. Here, the participants with a change in NYHA class have been reported in two categories: 1) participants who had no change or had improvement in the NYHA class (lower class) from baseline and 2) participants who had a worsened NYHA class from baseline (higher class). Values have been rounded off to a single decimal. |
Baseline to Month 30
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Medical Director, Alnylam Pharmaceuticals
Publications and helpful links
General Publications
- Maurer MS, Berk JL, Damy T, Sheikh FH, Gonzalez-Costello J, Morbach C, Delgado D, Bondue A, Azevedo O, Poulsen SH, Jankowska EA, Yang L, Bender S, Eraly SA, Jay PY, Vest J, Fontana M. Impact of Vutrisiran on Cardiac Biomarkers in Patients With Transthyretin Amyloidosis With Cardiomyopathy From HELIOS-B. J Am Coll Cardiol. 2025 Aug 12;86(6):459-475. doi: 10.1016/j.jacc.2025.04.055.
- Witteles RM, Garcia-Pavia P, Damy T, Grogan M, Sheikh FH, Morbach C, Bender S, Exter J, Eraly SA, Fontana M. Vutrisiran Improves Survival and Reduces Cardiovascular Events in ATTR Amyloid Cardiomyopathy: HELIOS-B. J Am Coll Cardiol. 2025 Apr 30:S0735-1097(25)06170-4. doi: 10.1016/j.jacc.2025.04.008. Online ahead of print.
- Maurer MS, Witteles RM, Garcia-Pavia P, Sheikh FH, Morbach C, Rodriguez Duque D, Aldinc E, Eraly SA, Gillmore JD. Impact of Heart Failure Severity on Vutrisiran Efficacy in Transthyretin Amyloidosis With Cardiomyopathy. J Am Coll Cardiol. 2025 May 27;85(20):1927-1939. doi: 10.1016/j.jacc.2025.03.477. Epub 2025 Mar 17.
- Fontana M, Maurer MS, Gillmore JD, Bender S, Aldinc E, Eraly SA, Jay PY, Solomon SD. Outpatient Worsening Heart Failure in Patients With Transthyretin Amyloidosis With Cardiomyopathy in the HELIOS-B Trial. J Am Coll Cardiol. 2025 Feb 25;85(7):753-761. doi: 10.1016/j.jacc.2024.11.015. Epub 2024 Nov 18.
- Fontana M, Berk JL, Gillmore JD, Witteles RM, Grogan M, Drachman B, Damy T, Garcia-Pavia P, Taubel J, Solomon SD, Sheikh FH, Tahara N, Gonzalez-Costello J, Tsujita K, Morbach C, Pozsonyi Z, Petrie MC, Delgado D, Van der Meer P, Jabbour A, Bondue A, Kim D, Azevedo O, Hvitfeldt Poulsen S, Yilmaz A, Jankowska EA, Algalarrondo V, Slugg A, Garg PP, Boyle KL, Yureneva E, Silliman N, Yang L, Chen J, Eraly SA, Vest J, Maurer MS; HELIOS-B Trial Investigators. Vutrisiran in Patients with Transthyretin Amyloidosis with Cardiomyopathy. N Engl J Med. 2025 Jan 2;392(1):33-44. doi: 10.1056/NEJMoa2409134. Epub 2024 Aug 30.
- Jering KS, Fontana M, Lairez O, Longhi S, Azevedo O, Morbach C, Bender S, Jay PY, Vest J, Bulwer BE, Prasad N, Solomon SD, Skali H. Effects of vutrisiran on cardiac structure and function in patients with transthyretin amyloidosis with cardiomyopathy: secondary outcomes of the HELIOS-B trial. Nat Med. 2025 Oct;31(10):3560-3568. doi: 10.1038/s41591-025-03851-z. Epub 2025 Aug 6.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
- TTR
- Amyloidosis
- Cardiomyopathy
- RNAi therapeutic
- ATTR
- Transthyretin
- TTR-mediated amyloidosis
- Amyloidosis, Hereditary
- Amyloidosis, Hereditary, Transthyretin-Related
- Familial Amyloidosis
- Transthyretin amyloid cardiomyopathy
- TTR cardiomyopathy
- ATTR-CM
- Wild-type TTR
- V122I
- TTR amyloidosis
- Amyloidosis, Wild Type
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Heart Diseases
- Metabolism, Inborn Errors
- Genetic Diseases, Inborn
- Metabolic Diseases
- Proteostasis Deficiencies
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Nutritional and Metabolic Diseases
- Cardiomyopathies
- Amyloidosis
- Amyloidosis, Familial
- Amyloidosis, Hereditary, Transthyretin-Related
Other Study ID Numbers
- ALN-TTRSC02-003
- 2023-508366-15-00 (Ctis)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Access to Anonymized individual participant data that support these results is made available 12 months after study completion and not less than 12 months after the product and indication have been approved in the US and/or the EU.
Access to data may be declined where there is likelihood a patient could be identified or other feasibility issue, where there is a potential conflict of interest, a planned business activities or an actual or potential competitive risk. Data will be provided contingent upon the approval of a research proposal and the execution of a data sharing agreement. Timeframes for data access may vary and can take up to 6 months or more.
Requests for access to data can be submitted via the website www.vivli.org. Questions can also be directed to datasharing@alnylam.com.
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.
Clinical Trials on Transthyretin Amyloidosis (ATTR) With Cardiomyopathy
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Alnylam PharmaceuticalsNo longer availableTransthyretin-mediated Amyloidosis With Cardiomyopathy | ATTR Amyloidosis With CardiomyopathyUnited States
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Alnylam PharmaceuticalsCompletedTransthyretin Amyloidosis (ATTR) With CardiomyopathyUnited States, United Kingdom, Brazil, Portugal, Argentina, Japan, Taiwan, Australia, France, Czechia, Poland, Italy, Denmark, Netherlands, Bulgaria, Hong Kong, Mexico, New Zealand, South Korea, Sweden, Belgium, Chile
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University of Texas Southwestern Medical CenterNational Heart, Lung, and Blood Institute (NHLBI); BayerNot yet recruitingCardiomyopathy | Transthyretin Mediated Amyloidosis (ATTR) | ATTR Gene Mutation | ATTRUnited States
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BayerRecruitingTransthyretin Amyloid Cardiomyopathy (ATTR-CM)Germany
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Intellia TherapeuticsRegeneron PharmaceuticalsRecruitingTransthyretin Amyloidosis (ATTR) With CardiomyopathyUnited States, Denmark, Singapore, Belgium, Netherlands, Spain, Sweden, Taiwan, Germany, France, Australia, Israel, Mexico, Canada, Italy, Brazil, Czechia, Argentina, Japan, United Kingdom, New Zealand, Portugal, Austria, Hungary, Norway, South Korea
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BayerNot yet recruitingTransthyretin Amyloid Cardiomyopathy (ATTR-CM)Austria, Germany, Italy
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PfizerRecruitingATTR-CM (Transthyretin Amyloid Cardiomyopathy)Germany
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PfizerCompletedTransthyretin Amyloidosis Cardiomyopathy (ATTR-CM)United States
Clinical Trials on Vutrisiran
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Alnylam PharmaceuticalsEnrolling by invitationTransthyretin Amyloidosis (ATTR) With CardiomyopathyUnited States, Spain, United Kingdom, Brazil, Portugal, Argentina, Austria, France, Belgium, Italy, Denmark, Sweden, South Korea, Czechia, Netherlands, Norway, Taiwan
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Alnylam PharmaceuticalsRecruitingHereditary Transthyretin-Mediated Amyloidosis With Polyneuropathy | hATTR-PNUnited States, Taiwan, France, Italy, South Korea, Brazil, Malaysia, Japan, Portugal, Sweden
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Alnylam PharmaceuticalsCompletedTransthyretin Amyloidosis | Amyloidosis, HereditaryUnited States, Germany, Spain, United Kingdom, France, Portugal, Taiwan, Japan, Bulgaria, Belgium, Greece, Italy, Sweden, South Korea, Argentina, Australia, Brazil, Canada, Cyprus, Malaysia, Mexico, Netherlands