Evidence map›Paper›PMID 31853709›Full record

Trial reportJournal of neurology2020

Inotersen preserves or improves quality of life in hereditary transthyretin amyloidosis.

Teresa Coelho, Aaron Yarlas, Marcia Waddington-Cruz, Michelle K White, Asia Sikora Kessler, Andrew Lovley, Michael Pollock, Spencer Guthrie, Elizabeth J Ackermann, Steven G Hughes and 12 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01737398 (A Phase 2/3 Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of ISIS 420915 in Patients With Familial Amyloid Polyneuropathy), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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.

NCT01737398 phase2 / phase3completednot on this map

A Phase 2/3 Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of ISIS 420915 in Patients With Familial Amyloid Polyneuropathy (NEURO-TTR Study)

TypeinterventionalSponsorIonis Pharmaceuticals, Inc.Ran2013 to 2017Enrolled173ConditionsFAP, Familial Amyloid Polyneuropathy, TTR, TransthyretinArmsInotersen, Placebo
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Mechanisms of Action of the US Food and Drug Administration-Approved Antisense Oligonucleotide Drugs.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2024
    Review
  8. Article
  9. [Neurological manifestations of ATTR amyloidosis].Innere Medizin (Heidelberg, Germany) · 2023
    Review
  10. Review
  11. Article
  12. Novel approaches to diagnosis and management of hereditary transthyretin amyloidosis.Journal of neurology, neurosurgery, and psychiatry · 2022
    Review
  13. Review
  14. Review
  15. Article
  16. Current and Emerging Therapies for Hereditary Transthyretin Amyloidosis: Strides Towards a Brighter Future.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
    Review
  17. Review
  18. Article
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

22 authors at 14 institutions in 5 countries.

Teresa CoelhoHospital Santo António, Centro Hospitalar Universitário do Porto, Porto, Portugal.
Aaron YarlasOptum, 1301 Atwood Avenue, Johnston, RI, 02919, USA. ayarlas@qualitymetric.com.ORCID http://orcid.org/0000-0003-4600-259X
Marcia Waddington-CruzHospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Michelle K WhiteOptum, 1301 Atwood Avenue, Johnston, RI, 02919, USA.
Asia Sikora KesslerOptum, 1301 Atwood Avenue, Johnston, RI, 02919, USA.
Andrew LovleyOptum, 1301 Atwood Avenue, Johnston, RI, 02919, USA.
Michael PollockAkcea Therapeutics, Boston, MA, USA.
Spencer GuthrieAurora Bio, San Francisco, CA, USA.
Elizabeth J AckermannOtonomy, Inc., San Diego, CA, USA.
Steven G HughesOrganovo Holdings, Inc., San Diego, CA, USA.
Chafic KaramDepartment of Neurology, Oregon Health and Science University, Portland, OR, USA.
Sami KhellaUniversity of Pennsylvania, Philadelphia, PA, USA.
Morie GertzDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Giampaolo MerliniAmyloidosis Research and Treatment Center, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Laura ObiciAmyloidosis Research and Treatment Center, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Hartmut H SchmidtUniversity of Münster, Münster, Germany.
Michael PolydefkisJohns Hopkins University School of Medicine, Baltimore, MD, USA.
P James B DyckDepartment of Neurology, Mayo Clinic, Rochester, MN, USA.
Thomas H Brannagan IiiColumbia University, New York, NY, USA.
Isabel ConceiçãoFaculdade de Medicina, Hospital de Santa Maria, CHULN, Universidade de Lisboa, Lisboa, Portugal.
Merrill D BensonIndiana University School of Medicine, Indianapolis, IN, USA.
John L BerkBoston University School of Medicine, Boston, MA, USA.
Optum (United States) · USMayo Clinic in Arizona · USUniversity of Pavia · ITAkebia Therapeutics (United States) · USColumbia University · USIndiana University School of MedicineJohns Hopkins University · USOregon Health & Science University · USOrganovo (United States) · USOtonomy (United States) · USUniversidade Federal do Rio de Janeiro · BRUniversity of Lisbon · PTUniversity of Münster · DEUniversity of Pennsylvania · US

Funding

Pathogenesis and Treatment of AA AmyloidosisI01CX001631 · VA · RLR VA MEDICAL CENTER · PI BENSON, MERRILL D · 2018 to 2021
–
Akcea Therapeutics N/ACSRD VA I01 CX001631Ionis Pharmaceuticals N/A
6 · The paper itself

Abstract

objectiveTo examine the impact on quality of life (QOL) of patients with hATTR amyloidosis with polyneuropathy treated with inotersen (Tegsedi™) versus placebo.

methodsData were from the NEURO-TTR trial (ClinicalTrials.gov Identifier: NCT01737398), a phase 3, multinational, randomized, double-blind, placebo-controlled study of inotersen in patients with hATTR amyloidosis with polyneuropathy. At baseline and week 66, QOL measures-the Norfolk-QOL-Diabetic Neuropathy (DN) questionnaire and SF-36v2

resultsStatistically significant mean differences between treatment arms were observed for three of five Norfolk-QOL-DN domains and five of eight SF-36v2 domains, with better outcomes for inotersen than placebo in physical functioning, activities of daily living, neuropathic symptoms, pain, role limitations due to health problems, and social functioning. A larger percentage of patients in the inotersen arm than the placebo arm showed preservation or improvement in Norfolk-QOL-DN and SF-36v2 scores from baseline to week 66. Responses at week 66 showed more substantial problems with daily activities and functioning for patients in the placebo arm than in the inotersen arm.

conclusionPatients with hATTR amyloidosis with polyneuropathy treated with inotersen showed preserved or improved QOL at 66 weeks compared to those who received placebo.

Indexed as

Activities of Daily LivingOutcome Assessment, Health CareQuality of LifeSeverity of Illness IndexAdultAgedAged, 80 and overAmyloid Neuropathies, FamilialDouble-Blind MethodDrug Administration ScheduleFemaleHumansMaleMiddle AgedMobility LimitationOligodeoxyribonucleotides, AntisenseInotersenOligodeoxyribonucleotides, AntisenseOligonucleotidesPhysical functionPolyneuropathyQuality of lifeRare diseaseTransthyretin amyloidosis

Identifiers

PMID31853709
PMCPMC7109169
OpenAlexW2995315593

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.