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Phase 2 N=12 Treatment

The Study of an Investigational Drug, Revusiran (ALN-TTRSC), for the Treatment of Transthyretin (TTR)-Mediated Amyloidosis in Patients Whose Disease Has Continued to Worsen Following Liver Transplant

Transthyretin (TTR)-Mediated Amyloidosis · Familial Amyloidotic Polyneuropathy (FAP) · ATTR Amyloidosis · Familial Amyloid Neuropathies

Enrolled (actual)
12
Serious AEs
66.7%
Results posted
Mar 2019
Primary outcome: Primary: Percentage Change From Baseline in Serum TTR at Month 6 — -72.0 percentage change from baseline in TTR

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Revusiran (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Alnylam Pharmaceuticals
Primary completion
Feb 2017

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage Change From Baseline in Serum TTR at Month 6
-72.0
SECONDARY
Percentage Change From Baseline in Serum TTR Over 18 Months
-75.1; -79.0; -73.0; -73.5; -73.4; -72.0
SECONDARY
Change From Baseline in Modified Neurological Impairment Score (mNIS +7) Composite Score Over 18 Months
90.4; 6.9
SECONDARY
Norfolk Quality of Life-Diabetic Neuropathy (QoL-DN) Questionnaire Score
61.3; 77.1
SECONDARY
Number of Participants in Each Polyneuropathy Disability (PND) Stage Based on Worst Post-Baseline Score
0; 0; 0; 0; 0; 0

Summary

The purpose of this study was to evaluate the safety and effectiveness of revusiran (ALN-TTRSC) in adults with transthyretin-mediated amyloidosis (ATTR), whose disease has continued to worsen after liver transplantation. Dosing has been discontinued; patients are being followed-up for safety.

Eligibility Criteria

Inclusion Criteria

  • Diagnosis of FAP (familial amyloidotic polyneuropathy) with documented TTR mutation
  • Received an orthotopic liver transplant ≥12 months before the date of informed consent
  • An increase in polyneuropathy disability (PND) score post-transplant
  • Polyneuropathy Disability score of ≤3b

Exclusion Criteria

  • New York Heart Association (NYHA) classification of >2
  • Other known causes of sensorimotor or autonomic neuropathy (eg, autoimmune disease)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02595983). 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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