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The Study of ALN-TTR02 (Patisiran) for the Treatment of Transthyretin (TTR)-Mediated Amyloidosis in Patients Who Have Already Been Treated With ALN-TTR02 (Patisiran)

Phase 2
Completed
Conditions
TTR-mediated Amyloidosis
Interventions
Drug: ALN-TTR02 (patisiran) administered by intravenous (IV) infusion
Registration Number
NCT01961921
Lead Sponsor
Alnylam Pharmaceuticals
Brief Summary

The purpose of this study is to evaluate the safety and tolerability of long-term dosing with ALN-TTR02 (patisiran) in patients with transthyretin (TTR) mediated amyloidosis (ATTR).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
27
Inclusion Criteria
  • Previously received and tolerated ALN-TTR02 (patisiran) in Study ALN-TTR02-002.
  • Adequate Karnofsky performance status, liver function, and renal function.
Exclusion Criteria
  • Pregnant or nursing.
  • Has had a liver transplant.
  • Has a New York Heart Association heart failure classification >2.
  • Has unstable angina.
  • Has uncontrolled clinically significant cardiac arrhythmia.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
ALN-TTR02 (patisiran)ALN-TTR02 (patisiran) administered by intravenous (IV) infusion-
Primary Outcome Measures
NameTimeMethod
The Number of Participants Experiencing Adverse Events (AEs), Serious Adverse Events (SAEs) and Study Drug DiscontinuationFrom Baseline up to 56 days post last dose

An AE is any untoward medical occurrence in a patient or clinical investigational patient administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.

Secondary Outcome Measures
NameTimeMethod
Change in Gait Speed With 10-meter Walk TestBaseline, Month 24

The 10-meter walk test measures the time (in seconds) that it takes a patient to walk 10 meters.

Mean Change From Baseline in Hand Grip StrengthBaseline, Month 24

The mean (SEM) hand grip strength change from baseline at 24 months between patients who used patisiran with or without a concomitant TTR stabilizer.

Percentage Change From Baseline in Serum TTR LevelsFrom Baseline up to 56 days post last dose

TTR levels, measured using the enzyme-linked immunosorbent assay (ELISA) method.

Change From Baseline in the Modified Neuropathy Impairment Score +7 (mNIS+7)Baseline, Month 24

The mNIS+7 assessment is a composite measure of neurologic impairment that provides a comprehensive measure of large and small fiber function that encompasses the totality of the motor, sensory, and autonomic deficits seen in hereditary transthyretin-mediated amyloidosis (hATTR) patients with polyneuropathy. The minimum and maximum values are 0 and 304, respectively. A higher score indicates a worse outcome.

Change From Baseline in Quality of Life and Disability as Assessed by the EuroQoL (Quality of Life)-5 Dimensions (EQ-5D), EuroQoL Visual Analog Scale (EQ-VAS) Questionnaires and Rasch-built Overall Disability Scale (R-ODS)Baseline, Month 24

The overall EQ-5D is measured on a scale from 0 to 1, with 0 being worst and 1 best. The EQ-VAS is measured on a scale of 0-100, with 0 being the worst and 100 the best. The R-ODS captures activity and social participation limitations in patients. The R-ODS score ranges from 0 (most severe activity and social participation limitations) to 100 (no activity and social participation limitations).

Change From Baseline in Nutritional Status (Modified Body Mass Index, mBMI)Baseline, Month 24

Nutritional status of patients was evaluated using the mBMI, calculated as BMI (kg/m\^2) multiplied by albumin (g/L). An increase from baseline in mBMI suggests improvement, and a decrease from baseline suggests worsening.

Trial Locations

Locations (1)

Clinical Trial Site

🇸🇪

Umeå, Sweden

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