Evidence map›Paper›PMID 27494299›Full record

Trial reportAmyloid : the international journal of experimental and clinical investigation : the official journal of the International Society of Amyloidosis2016

Early intervention with tafamidis provides long-term (5.5-year) delay of neurologic progression in transthyretin hereditary amyloid polyneuropathy.

Márcia Waddington Cruz, Leslie Amass, Denis Keohane, Jeffrey Schwartz, Huihua Li, Balarama Gundapaneni

3 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Amyloid : the international journal of experimental and clinical investigation : the official journal of the International Society of Amyloidosis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
8.0field-weighted citation impact, top 2% 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.

NCT00409175 phase2 / phase3completednot on this map

Safety and Efficacy of Orally Administered Fx-1006A in Patients With Familial Amyloid Polyneuropathy (FAP): A Randomized, Double-blind, Placebo-controlled Study

TypeinterventionalSponsorPfizerRan2007 to 2009Enrolled128ConditionsFamilial Amyloid PolyneuropathyArmsFx-1006A, Placebo
NCT00791492 phase2 / phase3completednot on this map

An Open-Label Extension Of Study Fx-005 Evaluating Long-Term Safety And Clinical Outcomes Of Fx-1006A In Patients With Transthyretin Amyloid Polyneuropathy

TypeinterventionalSponsorPfizerRan2008 to 2010Enrolled86ConditionsFamilial Amyloid Polyneuropathy, ATTR-PNArmsFx-1006A
NCT00925002 phase3completednot on this map

Open-label safety and efficacy evaluation of fx-1006a in subjects with transthyretin (ttr) amyloidosis

TypeinterventionalSponsorPfizerRan2009 to 2020Enrolled93ConditionsATTR-PNArmsTafamidis
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Overview of treatments used in transthyretin-related hereditary amyloidosis: a systematic review.European journal of hospital pharmacy : science and practice · 2020
    Pooled it
  2. Pharmacological treatment for familial amyloid polyneuropathy.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Trial
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  16. [Neurological manifestations of ATTR amyloidosis].Innere Medizin (Heidelberg, Germany) · 2023
    Review
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  18. Article
  19. Article
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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

6 authors at 2 institutions in 2 countries.

Márcia Waddington Cruza Hospital Universitário Clementino Fraga Filho (HUCFF), Universidade Federal do Rio de Janeiro (UFRJ) , Rio de Janeiro , Brazil.
Leslie Amassb Pfizer , New York , NY , USA , and.
Denis Keohaneb Pfizer , New York , NY , USA , and.
Jeffrey Schwartzb Pfizer , New York , NY , USA , and.
Huihua Lib Pfizer , New York , NY , USA , and.
Balarama Gundapanenic inVentiv Health Inc. , Burlington , MA , USA.
Pfizer (United States) · USUniversidade Federal do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transthyretin hereditary amyloid polyneuropathy, also traditionally known as transthyretin familial amyloid polyneuropathy (ATTR-FAP), is a rare, relentless, fatal hereditary disorder. Tafamidis, an oral, non-NSAID, highly specific transthyretin stabilizer, demonstrated safety and efficacy in slowing neuropathy progression in early-stage ATTRV30M-FAP in a 1.5-year, randomized, double-blind, placebo-controlled trial, and 1-year open-label extension study, with a second long-term open-label extension study ongoing. Subgroup analysis of the effectiveness of tafamidis in the pivotal study and its open-label extensions revealed a relatively cohesive cohort of patients with mild neuropathy (i.e. Neuropathy Impairment Score for Lower Limbs [NIS-LL] ≤ 10) at the start of active treatment. Early treatment with tafamidis for up to 5.5 years (≥1 dose of tafamidis meglumine 20 mg once daily during the original trial or after switching from placebo in its extension) resulted in sustained delay in neurologic progression and long-term preservation of nutritional status in this cohort. Mean (95% CI) changes from baseline in NIS-LL and mBMI were 5.3 (1.6, 9.1) points and -7.8 (-44.3, 28.8) kg/m

trial registrationClincalTrials.gov Identifier: NCT00409175, NCT00791492, and NCT00925002.

Indexed as

AdultAgedAmyloid Neuropathies, FamilialAnti-Inflammatory Agents, Non-SteroidalBenzoxazolesDouble-Blind MethodDrug Administration ScheduleFemaleHumansMaleMiddle AgedProspective StudiesSecondary PreventionAnti-Inflammatory Agents, Non-SteroidalBenzoxazolestafamidisAmyloidosisATTRV30Mdisease modificationtransthyretin amyloidosisTTR Val30Met

Identifiers

PMID27494299
PMCPMC5359776
OpenAlexW2501376604

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.