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Phase 2 N=40 Treatment

Doxycycline and TUDCA in Patients With Transthyretin Amyloid Cardiomyopathy

Amyloidosis; Heart (Manifestation) · Senile Cardiac Amyloidosis

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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