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临床试验/jRCT2031260175
jRCT2031260175暂停不适用

A Study to Evaluate the Efficacy and Safety of Concomitant Use of Eplontersen and ALXN2220 Compared With Eplontersen and Placebo for Adults Participants With ATTR-CM. (ATTRiumph)

未提供0 个研究点目标入组 20 人开始时间: 待定
适应症

试验速览

阶段
不适用
状态
暂停
入组人数
20

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Randomized

入排标准

年龄范围
18age old over 至 No limit(—)
性别
All

入选标准

  • Participant must be >_ 18 years to <_ 85 years at the time of signing the informed consent.
  • Participants who have a diagnosis of ATTR-CM with either wild-type or variant TTR genotype based on 1 of the following:
  • Endomyocardial biopsy with confirmatory TTR amyloid typing OR
  • Grade 2 or 3 cardiac uptake on 99mTc scintigraphy in the absence of monoclonal gammopathy OR
  • Grade 2 or 3 cardiac uptake on 99mTc scintigraphy AND confirmatory TTR amyloid typing in the presence of monoclonal gammopathy.
  • NYHA Class I to III at Screening and life expectancy of >_ 1 year as per the Investigator's judgement.
  • End-diastolic IVST >_ 12 mm on echocardiography.
  • NT-proBNP >_ 600pg/mL for participants without ongoing atrial fibrillation/flutter at Screening or NT-proBNP >_ 1200pg/mL for participants with ongoing atrial fibrillation/flutter at Screening.
  • Able to complete symptom-limited maximal CPET at Screening based on the following test criteria:
  • Able to exercise to near exhaustion during CPET as exhibited by RER >_ 1.0 during symptom-limited CPET conducted during screening.
  • If participant does not achieve RER >_1.0, the CPET may be repeated once, at least 48 hours but less than 2 weeks (but before randomization) after the initial test.
  • Treated according to locally recognised guidelines on standard-of-care treatment for patients with HF.
  • Therapy should have been individually optimised and stable for >_ 4 weeks (except diuretics) and include, unless contraindicated or not tolerated, treatment of high BP (targeting SBP < 130 mmHg as suggested in 2022 American College of Cardiology/American Heart Association/Heart Failure Society of America HF guidelines), and ischaemic heart disease.
  • Willingness to adhere to daily self-administered vitamin A supplementation (3000 IU).

排除标准

  • Known leptomeningeal amyloidosis.
  • Known light chain (AL) or secondary (amyloid A) amyloidosis, or any other form of systemic amyloidosis.
  • Cardiomyopathy not primarily caused by ATTR-CM, for example, cardiomyopathy primarily due to hypertension, valvular heart disease, or ischaemic heart disease per Investigator's assessment.
  • Acute coronary syndrome, unstable angina, stroke, transient ischaemic attack, coronary revascularisation, cardiac device implantation, cardiac valve repair, or major surgery within 12 weeks of Screening.
  • Uncontrolled hypertension (average resting SBP > 160 mmHg or DBP > 100 mmHg at Screening).
  • Average resting SBP < 90 mmHg or symptomatic orthostatic hypotension, despite appropriate treatment, at Screening per Investigator's assessment.
  • Uncontrolled ventricular clinically significant cardiac arrhythmia, per Investigator's assessment.
  • Left ventricular ejection fraction < 30% on echocardiography measured locally at Screening.
  • Severe pulmonary impairment (SpO2 <_ 92%) defined as resting SpO2 below 92% on room air, measured by pulse oximetry, indicative of severe lung disease. Participants requiring supplemental oxygen to maintain SpO2 >_ 92%.
  • Participants with renal failure requiring dialysis.
  • History of solid organ transplantation or ventricular assist device or listing for heart transplantation at Screening. Note: prior history of planned corneal transplant is not an exclusion criterion.
  • Suspected or known intolerance/allergy to proteins or any components of the study intervention.

研究者

发起方
未提供

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