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The purpose of this study was to evaluate the safety and clinical activity of long-term dosing with revusiran (ALN-TTRSC). Dosing has been discontinued; patients are being followed-up for safety.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Revusiran (ALN-TTRSC) | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Revusiran (ALN-TTRSC) | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability Results of Long-term Dosing With ALN-TTRSC (Revusiran) Transthyretin (TTR) Cardiac Amyloidosis Patients. | The proportion of subjects experiencing adverse events (AEs), serious adverse events (SAEs) and study [drug] discontinuation. | Day 0 up to 90 days post modified early termination visit (end of study); Mean duration of collection was 16 months |
| Serum TTR Levels | Pharmacodynamic (PD) effect of long-term dosing of ALN-TTRSC on serum levels of TTR | Day 0 up to 90 days post modified early termination visit (end of study); Mean duration of collection was 16 months |
| Measure | Description | Time Frame |
|---|---|---|
| Mortality | Total number of deaths in the study and total number of deaths adjudicated as being related to cardiovascular causes. Deaths were adjudicated by an independent adjudication committee as cardiovascular (CV) or non-CV events. | Day 0 up to 90 days post modified early termination visit (end of study); Mean duration of collection was 16 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jared Gollob, MD | Alnylam Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Trial Site | Boston | Massachusetts | 02155 | United States | ||
| Clinical Trial Site |
Not provided
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| ID | Title | Description |
|---|---|---|
| FG000 | Revusiran (ALN-TTRSC) | All patients who received at least 1 dose of revusiran |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
All patients who received at least 1 dose of revusiran
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| ID | Title | Description |
|---|---|---|
| BG000 | Revusiran (ALN-TTRSC) | All patients who received at least 1 dose of revusiran |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Safety and Tolerability Results of Long-term Dosing With ALN-TTRSC (Revusiran) Transthyretin (TTR) Cardiac Amyloidosis Patients. | The proportion of subjects experiencing adverse events (AEs), serious adverse events (SAEs) and study [drug] discontinuation. | Posted | Count of Participants | Participants | Day 0 up to 90 days post modified early termination visit (end of study); Mean duration of collection was 16 months |
|
|
All AEs that occurred after the start of study drug administration on Day 0 (Baseline) up to 90 days post modified early termination visit (End of Study); Mean duration of collection was 16 months.
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Revusiran (ALN-TTRSC) | All patients who received at least 1 dose of revusiran |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Neuropathy peripheral | Nervous system disorders | MedDRA18.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA18.0 | Systematic Assessment |
Safety and efficacy data are difficult to interpret due to the limited numbers of patients completing the study.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Chief Medical Officer | Alnylam Pharmaceuticals Inc | 866-330-0326 | Clinicaltrials@alnylam.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Mar 25, 2016 | Feb 21, 2018 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Oct 23, 2014 | Feb 21, 2018 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D009202 | Cardiomyopathies |
| D006333 | Heart Failure |
| D000544 | Alzheimer Disease |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D003704 | Dementia |
| D001927 | Brain Diseases |
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| ID | Term |
|---|---|
| C000614277 | revusiran |
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| Clinical Effects of Long-term Dosing of ALN-TTRSC on Hospitalization | Hospitalization events were adjudicated by an independent committee as cardiovascular (CV) or non-CV events | Day 0 up to 90 days post modified early termination visit (end of study); Mean duration of collection was 16 months |
| 6-minute Walk Test Performance | Distance in meters walked in 6 minutes | Baseline, Month 6, and Month 12 |
| New York |
| New York |
| 10034 |
| United States |
| Clinical Trial Site | Cleveland | Ohio | 44195 | United States |
| Clinical Trial Site | Calgary | Alberta | Canada |
| Clinical Trial Site | London | UK NW3 2PF | United Kingdom |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
|
| Primary | Serum TTR Levels | Pharmacodynamic (PD) effect of long-term dosing of ALN-TTRSC on serum levels of TTR | Long term samples not collected due to study termination; no data to analyze | Posted | Day 0 up to 90 days post modified early termination visit (end of study); Mean duration of collection was 16 months |
|
|
| Secondary | Mortality | Total number of deaths in the study and total number of deaths adjudicated as being related to cardiovascular causes. Deaths were adjudicated by an independent adjudication committee as cardiovascular (CV) or non-CV events. | Posted | Count of Participants | Participants | Day 0 up to 90 days post modified early termination visit (end of study); Mean duration of collection was 16 months |
|
|
|
| Secondary | Clinical Effects of Long-term Dosing of ALN-TTRSC on Hospitalization | Hospitalization events were adjudicated by an independent committee as cardiovascular (CV) or non-CV events | Posted | Count of Participants | Participants | Day 0 up to 90 days post modified early termination visit (end of study); Mean duration of collection was 16 months |
|
|
|
| Secondary | 6-minute Walk Test Performance | Distance in meters walked in 6 minutes | Number of participants analyzed differs from baseline to 6 and 12 months due to study discontinuations | Posted | Mean | Standard Deviation | meters | Baseline, Month 6, and Month 12 |
|
|
|
| 8 |
| 25 |
| 22 |
| 25 |
| 25 |
| 25 |
| Cardiac failure | Cardiac disorders | MedDRA18.0 | Systematic Assessment |
|
| Hypotension | Vascular disorders | MedDRA18.0 | Systematic Assessment |
|
| Blood lactic acid increased | Investigations | MedDRA18.0 | Systematic Assessment |
|
| Cardiac failure congestive | Cardiac disorders | MedDRA18.0 | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA18.0 | Systematic Assessment |
|
| Renal impairment | Renal and urinary disorders | MedDRA18.0 | Systematic Assessment |
|
| Atrial fibrillation | Cardiac disorders | MedDRA18.0 | Systematic Assessment |
|
| Cardiac arrest | Cardiac disorders | MedDRA18.0 | Systematic Assessment |
|
| Cardiac failure acute | Cardiac disorders | MedDRA18.0 | Systematic Assessment |
|
| Cardiogenic shock | Cardiac disorders | MedDRA18.0 | Systematic Assessment |
|
| Cerebrovascular accident | Nervous system disorders | MedDRA18.0 | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA18.0 | Systematic Assessment |
|
| Fluid overload | Metabolism and nutrition disorders | MedDRA18.0 | Systematic Assessment |
|
| Lower respiratory tract infection | Infections and infestations | MedDRA18.0 | Systematic Assessment |
|
| Neuralgia | Nervous system disorders | MedDRA18.0 | Systematic Assessment |
|
| Renal failure acute | Renal and urinary disorders | MedDRA18.0 | Systematic Assessment |
|
| Sepsis | Infections and infestations | MedDRA18.0 | Systematic Assessment |
|
| Fall | Injury, poisoning and procedural complications | MedDRA18.0 | Systematic Assessment |
|
| Lactic acidosis | Metabolism and nutrition disorders | MedDRA18.0 | Systematic Assessment |
|
| Generalised oedema | General disorders | MedDRA18.0 | Systematic Assessment |
|
| Rectal haemorrhage | Gastrointestinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Bradycardia | Cardiac disorders | MedDRA18.0 | Systematic Assessment |
|
| Amyloidosis | Immune system disorders | MedDRA18.0 | Systematic Assessment |
|
| Obstructive uropathy | Renal and urinary disorders | MedDRA18.0 | Systematic Assessment |
|
| Syncope | Nervous system disorders | MedDRA18.0 | Systematic Assessment |
|
| Left ventricular dysfunction | Cardiac disorders | MedDRA18.0 | Systematic Assessment |
|
| Atrial flutter | Cardiac disorders | MedDRA18.0 | Systematic Assessment |
|
| Cellulitis | Infections and infestations | MedDRA18.0 | Systematic Assessment |
|
| Large intestinal ulcer | Gastrointestinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Colon cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA18.0 | Systematic Assessment |
|
| Depressed level of consciousness | Nervous system disorders | MedDRA18.0 | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA18.0 | Systematic Assessment |
|
| Myopathy | Musculoskeletal and connective tissue disorders | MedDRA18.0 | Systematic Assessment |
|
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Vasoplegia syndrome | Injury, poisoning and procedural complications | MedDRA18.0 | Systematic Assessment |
|
| Completed suicide | Psychiatric disorders | MedDRA18.0 | Systematic Assessment |
|
| Electrocardiogram QRS complex prolonged | Investigations | MedDRA18.0 | Systematic Assessment |
|
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA18.0 | Systematic Assessment |
|
| Right ventricular failure | Cardiac disorders | MedDRA18.0 | Systematic Assessment |
|
| Renal failure chronic | Renal and urinary disorders | MedDRA18.0 | Systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA18.0 | Systematic Assessment |
|
| Asthenia | General disorders | MedDRA18.0 | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA18.0 | Systematic Assessment |
|
| Pleuritic pain | Respiratory, thoracic and mediastinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA18.0 | Systematic Assessment |
|
| Neuropathy peripheral | Nervous system disorders | MedDRA18.0 | Systematic Assessment |
|
| Fall | Injury, poisoning and procedural complications | MedDRA18.0 | Systematic Assessment |
|
| Hypotension | Vascular disorders | MedDRA18.0 | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA18.0 | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA18.0 | Systematic Assessment |
|
| Injection site erythema | General disorders | MedDRA18.0 | Systematic Assessment |
|
| Atrial fibrillation | Cardiac disorders | MedDRA18.0 | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA18.0 | Systematic Assessment |
|
| Weight decreased | Investigations | MedDRA18.0 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Injection site pruritus | General disorders | MedDRA18.0 | Systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA18.0 | Systematic Assessment |
|
| Blood lactic acid increased | Investigations | MedDRA18.0 | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA18.0 | Systematic Assessment |
|
| Fluid overload | Metabolism and nutrition disorders | MedDRA18.0 | Systematic Assessment |
|
| Injection site pain | General disorders | MedDRA18.0 | Systematic Assessment |
|
| International normalized ratio increased | Investigations | MedDRA18.0 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Renal failure acute | Renal and urinary disorders | MedDRA18.0 | Systematic Assessment |
|
| Lower respiratory tract infection | Infections and infestations | MedDRA18.0 | Systematic Assessment |
|
| Contusion | Injury, poisoning and procedural complications | MedDRA18.0 | Systematic Assessment |
|
| Injection site swelling | General disorders | MedDRA18.0 | Systematic Assessment |
|
| Liver function test abnormal | Investigations | MedDRA18.0 | Systematic Assessment |
|
| Orthostatic hypotension | Vascular disorders | MedDRA18.0 | Systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA18.0 | Systematic Assessment |
|
| Vitamin A decreased | Investigations | MedDRA18.0 | Systematic Assessment |
|
| Cardiac failure | Cardiac disorders | MedDRA18.0 | Systematic Assessment |
|
| Gamma-glutamyltransferase increased | Investigations | MedDRA18.0 | Systematic Assessment |
|
| Abdominal distension | Gastrointestinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Blood creatinine increased | Investigations | MedDRA18.0 | Systematic Assessment |
|
| Blood urea increased | Investigations | MedDRA18.0 | Systematic Assessment |
|
| Sinusitis | Infections and infestations | MedDRA18.0 | Systematic Assessment |
|
| Urinary retention | Renal and urinary disorders | MedDRA18.0 | Systematic Assessment |
|
| Excoriation | Injury, poisoning and procedural complications | MedDRA18.0 | Systematic Assessment |
|
| Tooth infection | Infections and infestations | MedDRA18.0 | Systematic Assessment |
|
| Flushing | Vascular disorders | MedDRA18.0 | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA18.0 | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA18.0 | Systematic Assessment |
|
| Laceration | Injury, poisoning and procedural complications | MedDRA18.0 | Systematic Assessment |
|
| Joint swelling | Musculoskeletal and connective tissue disorders | MedDRA18.0 | Systematic Assessment |
|
| Hyperglycemia | Metabolism and nutrition disorders | MedDRA18.0 | Systematic Assessment |
|
| Hyponatremia | Metabolism and nutrition disorders | MedDRA18.0 | Systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA18.0 | Systematic Assessment |
|
| Injection site discoloration | General disorders | MedDRA18.0 | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA18.0 | Systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA18.0 | Systematic Assessment |
|
| Abdominal discomfort | Gastrointestinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Hyperkalemia | Metabolism and nutrition disorders | MedDRA18.0 | Systematic Assessment |
|
| Pericardial effusion | Cardiac disorders | MedDRA18.0 | Systematic Assessment |
|
| Depression | Psychiatric disorders | MedDRA18.0 | Systematic Assessment |
|
| Rales | Respiratory, thoracic and mediastinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA18.0 | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA18.0 | Systematic Assessment |
|
| Injection site inflammation | General disorders | MedDRA18.0 | Systematic Assessment |
|
| Gout | Metabolism and nutrition disorders | MedDRA18.0 | Systematic Assessment |
|
| Increased tendency to bruise | Skin and subcutaneous tissue disorders | MedDRA18.0 | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Onychomycosis | Infections and infestations | MedDRA18.0 | Systematic Assessment |
|
| Carpal tunnel syndrome | Musculoskeletal and connective tissue disorders | MedDRA18.0 | Systematic Assessment |
|
| Erectile dysfunction | Reproductive system and breast disorders | MedDRA18.0 | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA18.0 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA18.0 | Systematic Assessment |
|
| Productive cough | Respiratory, thoracic and mediastinal disorders | MedDRA18.0 | Systematic Assessment |
|
| Tremor | Nervous system disorders | MedDRA18.0 | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA18.0 | Systematic Assessment |
|
| Dysgeusia | Nervous system disorders | MedDRA18.0 | Systematic Assessment |
|
| Traumatic haematoma | Injury, poisoning and procedural complications | MedDRA18.0 | Systematic Assessment |
|
| Vertigo | Ear and labyrinth disorders | MedDRA18.0 | Systematic Assessment |
|
| Intervertebral disk degeneration | Musculoskeletal and connective tissue disorders | MedDRA18.0 | Systematic Assessment |
|
| Benign prostatic hyperplasia | Reproductive system and breast disorders | MedDRA18.0 | Systematic Assessment |
|
| Decubitus ulcer | Skin and subcutaneous tissue disorders | MedDRA18.0 | Systematic Assessment |
|
| Injection site haematoma | General disorders | MedDRA18.0 | Systematic Assessment |
|
Not provided
| D002493 |
| Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D024801 | Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
|