Evidence map›Paper›PMID 26338094›Full record

Trial reportOrphanet journal of rare diseases2015

Efficacy and safety of patisiran for familial amyloidotic polyneuropathy: a phase II multi-dose study.

Ole B Suhr, Teresa Coelho, Juan Buades, Jean Pouget, Isabel Conceicao, John Berk, Hartmut Schmidt, Márcia Waddington-Cruz, Josep M Campistol, Brian R Bettencourt and 3 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Orphanet journal of rare diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01617967 (A Phase 2, Open-Label, Multi-Dose, Dose Escalation Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Intravenous Infusions of ALN-TTR02 in Patients With TTR Amyloidosis), which is not on this map. Cited by 143 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
143citing papers in PubMed, 4 pooled it
12.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01617967 phase2completednot on this map

A Phase 2, Open-Label, Multi-Dose, Dose Escalation Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Intravenous Infusions of ALN-TTR02 in Patients With TTR Amyloidosis

TypeinterventionalSponsorAlnylam PharmaceuticalsRan2012 to 2014Enrolled29ConditionsTTR-mediated AmyloidosisArmsPatisiran
3 · Its place in the literature

Who cites it

143 citing papers in PubMed, 4 syntheses or guidelines pooled it, 322 citations in OpenAlex.

  1. Pooled it
  2. Overview of treatments used in transthyretin-related hereditary amyloidosis: a systematic review.European journal of hospital pharmacy : science and practice · 2020
    Pooled it
  3. Guideline
  4. Pharmacological treatment for familial amyloid polyneuropathy.The Cochrane database of systematic reviews · 2020
    Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Clinical Proof of Concept for a Novel Hepatocyte-Targeting GalNAc-siRNA Conjugate.Molecular therapy : the journal of the American Society of Gene Therapy · 2017
    Trial
  10. Review
  11. RNA therapeutics: A promising therapy for future cardiology.Journal of cardiovascular and thoracic research · 2026
    Article
  12. Article
  13. Amplified genome editing bybioRxiv : the preprint server for biology · 2026
    Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Targeted delivery ofActa pharmaceutica Sinica. B · 2025
    Article

83 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 11 institutions in 7 countries.

Ole B SuhrDepartment of Public Health and Clinical Medicine, Umeå University, 901 87, Umeå, Sweden. Ole.suhr@medicin.umu.se.
Teresa CoelhoHospital de Santo António, Centro Hospitalar do Porto, 4099-001, Porto, Portugal. tcoelho@netcabo.pt.
Juan BuadesServicio de Medicina Interna, Hospital Son Llatzer, Carretera Manacor KM, 7198, Palma de Mallorca, Spain. doctorjuanbuades@gmail.com.
Jean PougetHôpital de La Timone, 264 rue Saint Pierre, 13005, Marseille, France. jeanyves.pouget@ap-hm.fr.
Isabel ConceicaoCentro Hospitalar Lisboa Norte-Hospital de Santa Maria, Piso 7, Av, Prof Eqas Moniz, Lisboa, 1649-028, Portugal. imsconceicao@gmail.com.
John BerkBoston University, 72 East Concord Street, K-503, Boston, MA, 02118, USA. jberk@bu.edu.
Hartmut SchmidtUniversitätsklinikum Münster, Transplant Hepatology, Domagkstr. 3A, Munster, 48149, Germany. hepar@ukmuenster.de.
Márcia Waddington-CruzHospital Universitário Clementino Fraga Filho, Federal University of Rio de Janeiro, Ilha do Fundao, Rio de Janeiro, CEP21941-913, Brazil. mwaddingtoncruz@gmail.com.
Josep M CampistolHospital Clinic, University of Barcelona, IDIBAPS, Escalera 12 (5 Planta), C/ Villarroel, 170, Barcelona, 8036, Spain. jmcampis@clinic.ub.es.
Brian R BettencourtAlnylam Pharmaceuticals, 300 Third Street, Cambridge, MA, 02142, USA. bbettencourt@alnylam.com.
Akshay VaishnawAlnylam Pharmaceuticals, 300 Third Street, Cambridge, MA, 02142, USA. avaishnaw@alnylam.com.
Jared GollobAlnylam Pharmaceuticals, 300 Third Street, Cambridge, MA, 02142, USA. jgollob@alnylam.com.
David AdamsNational Reference Center for FAP (NNERF)/ APHP/ INSERM U 1191/ Hôpital de Bicêtre, 78, rue du General Leclerc, 94275, Le Kremlin-Bicêtre, France. david.adams@bct.aphp.fr.
Alnylam Pharmaceuticals (United States) · USBoston University · USCentro Hospitalar do Porto · PTHôpital de la Timone · FRHospital de Santa Maria · PTHospital Son Llatzer · ESInserm · FRUmeå University · SEUniversidade Federal do Rio de Janeiro · BRUniversitat de Barcelona · ESUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransthyretin-mediated amyloidosis is an inherited, progressively debilitating disease caused by mutations in the transthyretin gene. This study evaluated the safety, tolerability, pharmacokinetics, and pharmacodynamics of multiple doses of patisiran (ALN-TTR02), a small interfering RNA encapsulated within lipid nanoparticles, in patients with transthyretin-mediated familial amyloid polyneuropathy (FAP).

methodsIn this phase II study, patients with FAP were administered 2 intravenous infusions of patisiran at one of the following doses: 0.01 (n = 4), 0.05 (n = 3), 0.15 (n = 3), or 0.3 (n = 7) mg/kg every 4 weeks (Q4W), or 0.3 mg/kg (n = 12) every 3 weeks (Q3W).

resultsOf 29 patients in the intent-to-treat population, 26 completed the study. Administration of patisiran led to rapid, dose-dependent, and durable knockdown of transthyretin, with the maximum effect seen with patisiran 0.3 mg/kg; levels of mutant and wild-type transthyretin were reduced to a similar extent in Val30Met patients. A mean level of knockdown exceeding 85 % after the second dose, with maximum knockdown of 96 %, was observed for the Q3W dose. The most common treatment-related adverse event (AE) was mild-to-moderate infusion-related reactions in 10.3 % of patients. Four serious AEs (SAEs) were reported in 1 patient administered 0.3 mg/kg Q3W (urinary tract infection, sepsis, nausea, vomiting), and 1 patient administered 0.3 mg/kg Q4W had 1 SAE (extravasation-related cellulitis).

conclusionsPatisiran was generally well tolerated and resulted in significant dose-dependent knockdown of transthyretin protein in patients with FAP. Patisiran 0.3 mg/kg Q3W is currently in phase III development. TRIAL REGISTRATION NUMBER: NCT01617967 .

Indexed as

AgedAmyloid Neuropathies, FamilialDose-Response Relationship, DrugFemaleHumansMaleMiddle AgedRNA, Small InterferingpatisiranRNA, Small Interfering

Identifiers

PMID26338094
PMCPMC4559363
OpenAlexW1808439685

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.