- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04561518
ConTTRibute: A Global Observational Study of Patients With Transthyretin (TTR)-Mediated Amyloidosis (ATTR Amyloidosis) (ConTTRibute)
April 17, 2024 updated by: Alnylam Pharmaceuticals
ConTTRibute: A Global Observational Multicenter Long-Term Study of Patients With Transthyretin (TTR)-Mediated Amyloidosis (ATTR Amyloidosis)
The purpose of this study is to:
- Describe epidemiological and clinical characteristics, natural history and real-world clinical management of ATTR amyloidosis patients
- Characterize the safety and effectiveness of patisiran and vutrisiran as part of routine clinical practice in the real-world clinical setting
- Describe disease emergence/progression in pre-symptomatic carriers of a known disease-causing transthyretin (TTR) variant
Study Overview
Status
Recruiting
Study Type
Observational
Enrollment (Estimated)
1500
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Alnylam Clinical Trial Information Line
- Phone Number: 1-877-ALNYLAM
- Email: clinicaltrials@alnylam.com
Study Contact Backup
- Name: Alnylam Clinical Trial Information Line
- Phone Number: 1-877-256-9526
- Email: clinicaltrials@alnylam.com
Study Locations
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Salvador, Brazil
- Recruiting
- Clinical Trial Site
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Arhus, Denmark
- Recruiting
- Clinical Trial Site
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Copenhagen, Denmark
- Recruiting
- Clinical Trial Site
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Bordeaux, France
- Recruiting
- Clinical Trial Site
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Bron, France
- Recruiting
- Clinical Trial Site
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Le Kremlin-Bicêtre, France
- Recruiting
- Clinical Trial Site
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Marseille, France
- Recruiting
- Clinical Trial Site
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Hanover, Germany
- Recruiting
- Clinical Trial Site
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Jerusalem, Israel
- Recruiting
- Clinical Trial Site
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Ramat Gan, Israel
- Recruiting
- Clinical Trial Site
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Milan, Italy
- Recruiting
- Clinical Trial Site
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Naples, Italy
- Recruiting
- Clinical Trial Site
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Palermo, Italy
- Recruiting
- Clinical Trial Site
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Roma, Italy
- Recruiting
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Groningen, Netherlands
- Recruiting
- Clinical Trial Site
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Lisbon, Portugal
- Recruiting
- Clinical Trial Site
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Porto, Portugal
- Recruiting
- Clinical Trial Site
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Barcelona, Spain
- Recruiting
- Clinical Trial Site
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Madrid, Spain
- Not yet recruiting
- Clinical Trial Site
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Palma, Spain
- Recruiting
- Clinical Trial Site
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New Taipei City, Taiwan
- Recruiting
- Clinical Trial Site
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Taipei, Taiwan
- Recruiting
- Clinical Trial Site
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California
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La Jolla, California, United States, 92037
- Recruiting
- Clinical Trial Site
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Los Angeles, California, United States, 90095
- Recruiting
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Florida
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Jacksonville, Florida, United States, 32224
- Recruiting
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Iowa
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Iowa City, Iowa, United States, 52242
- Recruiting
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Kansas
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Kansas City, Kansas, United States, 66160
- Recruiting
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Maryland
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Baltimore, Maryland, United States, 21224
- Recruiting
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Massachusetts
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Boston, Massachusetts, United States, 02127
- Recruiting
- Clinical Trial Site
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New York
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New York, New York, United States, 10034
- Recruiting
- Clinical Trial Site
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North Carolina
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Durham, North Carolina, United States, 27710
- Recruiting
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Ohio
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Columbus, Ohio, United States, 43210
- Recruiting
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- Recruiting
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Texas
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Austin, Texas, United States, 78756
- Recruiting
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Houston, Texas, United States, 77030
- Recruiting
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
Patients with a diagnosis of ATTR amyloidosis, hereditary or wild type, and pre-symptomatic carriers with a known disease-causing TTR variant will be eligible for the study.
Description
Inclusion Criteria:
- Diagnosis of ATTR amyloidosis or documented known disease-causing TTR variant for the cohort of pre-symptomatic carriers
- Germany Only: Patients must be treated per the summary of product characteristics (SmPC) for any approved treatment for ATTR amyloidosis
Exclusion Criteria:
- Current enrollment in a clinical trial for any investigational agent
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
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Patients with ATTR amyloidosis
Patients with a diagnosis of ATTR amyloidosis, hereditary or wild type, will be eligible for the study and will follow routine clinical care.
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Pre-symptomatic Carriers
Pre-symptomatic carriers with a known disease-causing TTR variant will be eligible for the study and will follow routine clinical care.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Incidence of Adverse Events
Time Frame: From time of enrollment for up to 10 years
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From time of enrollment for up to 10 years
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Health Care Provider (HCP)-Assessed Polyneuropathy (PND) Disability Score
Time Frame: Up to 11 years
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PND Scores: Stage 0=No symptoms; Stage I=Sensory disturbances but preserved walking capabilities; Stage II=Impaired walking capacity, but ability to walk without a stick or crutches; Stage IIIA=Walking with help of 1 stick or crutch; Stage IIIB=Walking with the help of 2 sticks or crutches; Stage IV=confined to wheel chair or bedridden.
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Up to 11 years
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HCP-Assessed Familial Amyloidotic Polyneuropathy (FAP) Score
Time Frame: Up to 11 years
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FAP Scores: Stage 0=No symptoms; Stage I=Unimpaired ambulation; mostly mild sensory, motor and autonomic neuropathy in the lower limbs; Stage II=Assistance with ambulation required, mostly moderate impairment progression to the lower limbs, upper limbs, and trunk; Stage III=Wheelchair-bound or bedridden; severe sensory, motor, and autonomic involvement of all limbs.
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Up to 11 years
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HCP-Assessed Cardiomyopathy
Time Frame: Up to 11 years
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Cardiomyopathy will be assessed using New York Heart Association (NYHA) Class: I=No symptoms; II=Symptoms with ordinary physical activity; III=Symptoms with less than ordinary physical activity; IV=Symptoms at rest.
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Up to 11 years
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Norfolk Quality of Life - Diabetic Neuropathy (QOL-DN) Total Score
Time Frame: Up to 11 years
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Norfolk-QoL-DN: The Norfolk QOL-DN questionnaire is a standardized 35-item patient-reported outcomes measure that assesses 6 domains: physical function, large-fiber neuropathy, activities of daily living, symptoms, small-fiber neuropathy, and autonomic neuropathy.
The total score ranges from -4 points (best possible quality of life) to 136 points (worst possible quality of life).
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Up to 11 years
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Kansas City Cardiomyopathy Questionnaire (KCCQ)
Time Frame: Up to 11 years
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The KCCQ is a 23-item self-administered questionnaire developed to independently measure the patient's perception of health status, which includes heart failure symptoms, impact on physical and social function, and how their heart failure impacts their quality of life within a 2-week recall period.
The KCCQ quantifies 6 domains (symptoms, physical function, quality of life, social limitation, self-efficacy, and symptom stability) and 2 summary scores (clinical and overall summary [OS] scores).
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Up to 11 years
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Rasch-built Overall Disability Scale (R-ODS)
Time Frame: Up to 11 years
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The R-ODS is a 24-item self-administered questionnaire for assessment of the disability a patient experiences.
It uses a linearly weighted categorical rating scale that specifically captures domains of activity and social participation limitations in patients.
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Up to 11 years
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Selected Events of Interest in Patients with Hereditary Transthyretin-mediated (hATTR) Amyloidosis (ATTRv Amyloidosis)
Time Frame: From 1 year prior to enrollment for up to 10 years
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Selected events of interest are defined as hepatic events, cardiovascular events, renal events, ocular events and infusion-related reactions, hypersensitivity, and other events in patients diagnosed with hATTR amyloidosis.
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From 1 year prior to enrollment for up to 10 years
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HCP-Assessed Neuropathy Impairment Score (NIS)
Time Frame: Up to 11 years
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NIS : 74 items, assess muscle weakness, reflexes and sensation; scored separately for left, right limbs (37 items for each side).
Components of muscle weakness (hip and knee flexion, hip and knee extension, ankle dorsiflexors, ankle plantar flexors, toe extensors, toe flexors) scored on scale 0 (normal) to 4 (paralysis), higher score=greater weakness.
Components of reflexes (quadriceps femoris, triceps surae) and sensation (touch pressure, pin-prick, vibration, joint position) scored 0 = normal, 1= decreased, or 2 = absent.
Total possible NIS score range 0-244, higher score=greater impairment.
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Up to 11 years
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HCP- Assessed Cardiopulmonary Exercise Testing (CPET) Performance
Time Frame: Up to 11 years
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Up to 11 years
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Medical Director, Alnylam Pharmaceuticals
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
November 23, 2020
Primary Completion (Estimated)
September 1, 2030
Study Completion (Estimated)
September 1, 2030
Study Registration Dates
First Submitted
September 18, 2020
First Submitted That Met QC Criteria
September 18, 2020
First Posted (Actual)
September 23, 2020
Study Record Updates
Last Update Posted (Actual)
April 19, 2024
Last Update Submitted That Met QC Criteria
April 17, 2024
Last Verified
April 1, 2024
More Information
Terms related to this study
Keywords
- Polyneuropathies
- TTR
- Amyloidosis
- RNAi therapeutic
- Polyneuropathy
- ATTR
- Transthyretin
- TTR-mediated amyloidosis
- Hereditary Transthyretin-mediated (hATTR) Amyloidosis
- hATTR amyloidosis
- Hereditary ATTR amyloidosis
- Wild-type amyloidosis
- wtATTR amyloidosis
- ATTRv amyloidosis
- ATTRwt amyloidosis
- Familial amyloid polyneuropathies
- Transthyretin amyloidosis
- Amyloid neuropathies
- Amyloid neuropathies, familial
- Amyloidosis, familial
Additional Relevant MeSH Terms
Other Study ID Numbers
- ALN-TTR02-013
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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Alnylam PharmaceuticalsRecruitingPolyneuropathy | Hereditary Transthyretin-mediated (hATTR) AmyloidosisNetherlands, Spain, United States, Germany, France, Italy, Portugal