Phase 2
N=40
Doxycycline and TUDCA in Patients With Transthyretin Amyloid Cardiomyopathy
Amyloidosis; Heart (Manifestation) · Senile Cardiac Amyloidosis
Bottom Line
View on ClinicalTrials.gov: NCT01855360 ↗Enrolled (actual)
40
Serious AEs
2.5%
Results posted
Dec 2020
Primary outcome: Primary: Changes in Strain Echocardiography — 9.1 percent LV shortening
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Tauroursodeoxycholic Acid and Doxycycline (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Brigham and Women's Hospital
- Primary completion
- May 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Changes in Strain Echocardiography |
9.1 | — |
| SECONDARY Number of Patients With Adverse Events |
7 | — |
Summary
The objective of the study is to determine whether the combination of the bile acid TUDCA, and doxycycline will slow the progression of familial and senile amyloidosis.
Eligibility Criteria
Inclusion Criteria
- Documented transthyretin cardiac amyloidosis by biopsy and staining using immunohistochemistry or mass spectrometry
- Echocardiographic appearance of left ventricular wall thickness of 13mm or more in the absence of hypertensive heart disease
- Confirmed ATTR or SSA by genetic testing
- Age 18-90
- Male or non-pregnant, non-lactating females
- Willingness to return to the treatment center for follow-up
Exclusion Criteria
- Prior liver transplantation or liver transplantation anticipated in less than 6 months
- Alanine Transaminase and/or Aspartate Transaminase ≥2 x upper normal limit (UNL)
- Alkaline Phosphatase ≥2 x UNL
- Creatinine clearance <20 mL/min
- Any other lab values that in the opinion of the investigator might place the subject at unacceptable risk for participation in the study
- History of poor compliance
- History of hypersensitivity to any of the ingredients of the study therapies
- Any investigational drug within 4 weeks prior to study entry or during the study
- Current use of diflunisal for therapy of amyloidosis
Data sourced from ClinicalTrials.gov (NCT01855360). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.