Transthyretin Amyloidosis (ATTR) With Cardiomyopathy
Conditions
Keywords
TTR, Amyloidosis, Cardiomyopathy, NTLA-2001, ATTR-CM, Transthyretin, ATTR, TTR-mediated amyloidosis, Amyloidosis, Hereditary, Amyloidosis, Hereditary, Transthyretin-Related Amyloidosis, Transthyretin amyloid cardiomyopathy, TTR cardiomyopathy, Wild-type TTR, V122I, Amyloidosis, Wild Type, CRISPR/Cas9
Brief summary
To evaluate the efficacy and safety of a single dose of NTLA-2001 compared to placebo in participants with ATTR-CM.
Detailed description
This is a multinational, multicenter, double-blind, placebo-controlled study in approximately 1200 participants, who will be randomized to receive a single infusion of either NTLA-2001 or placebo.
Interventions
NTLA-2001 (55mg) by IV infusion
Normal saline (0.9% NaCl) by IV infusion
Sponsors
Study design
Intervention model description
Participants will be randomized in a 2:1 ratio to NTLA-2001 or placebo
Eligibility
Inclusion criteria
* Documented diagnosis of ATTR amyloidosis with cardiomyopathy * Medical history of heart failure (HF) * Symptoms of HF are optimally managed and clinically stable within 28 days prior to administration of study intervention * Screening NT-proBNP, a blood marker of HF severity, greater than or equal to 600 pg/mL and less than 10,000 pg/mL
Exclusion criteria
* New York Heart Association (NYHA) Class IV HF * Polyneuropathy Disability score of IV (confined to wheelchair or bed) * Has hepatitis B, hepatitis C or human immunodeficiency virus (HIV) infection * History of active malignancy within 3 years prior to screening * RNA silencer therapy (patisiran, inotersen and/or eplontersen) within 12 months prior to dosing. Any prior vutrisiran use is not allowed * Initiation of tafamidis or acoramidis within 56 days prior to study dosing * Estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73m\^2 * History of liver disease * Uncontrolled blood pressure * Unable or unwilling to take vitamin A supplementation for the duration of the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Composite outcome of cardiovascular (CV) mortality and CV events | Maximum study duration is dependent on event rates and is estimated to be at least 18 months and up to approximately 5 years |
Secondary
| Measure | Time frame |
|---|---|
| Change in baseline to month 18 in serum TTR | Baseline, Month 18 |
| Change from baseline to month 18 in KCCQ-OS score | Baseline, Month 18 |
Countries
Argentina, Australia, Austria, Belgium, Brazil, Canada, Czechia, Denmark, France, Germany, Hungary, Israel, Italy, Japan, Mexico, Netherlands, New Zealand, Norway, Portugal, Singapore, South Korea, Spain, Sweden, Taiwan, United Kingdom, United States