Evidence map›Paper›PMID 34923848›Full record

ArticleCirculation. Heart failure2022

Long-Term Survival With Tafamidis in Patients With Transthyretin Amyloid Cardiomyopathy.

Perry Elliott, Brian M Drachman, Stephen S Gottlieb, James E Hoffman, Scott L Hummel, Daniel J Lenihan, Ben Ebede, Balarama Gundapaneni, Benjamin Li, Marla B Sultan and 1 more

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Circulation. Heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 121 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 2 pooled it
9.9field-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.

NCT01994889 phase3completednot on this map

A multicenter, international, phase 3, double-blind, placebo-controlled, randomized study to evaluate the efficacy, safety, and tolerability of daily oral dosing of tafamidis meglumine (pf-06291826) 20 mg or 80 mg in comparison to placebo in subjects diagnosed with transthyretin cardiomyopathy (ttr-cm)

TypeinterventionalSponsorPfizerRan2013 to 2018Enrolled441ConditionsTransthyretin (TTR) Amyloid CardiomyopathyArmsTafamidis, Placebo
NCT02791230 phase3completednot on this map

A phase 3 multicenter, open-label study to evaluate the safety of daily oral dosing of tafamidis meglumine (pf-06291826-83) 20 mg or 80 mg [or tafamidis (pf-06291826-00) 61 mg] in subjects diagnosed with transthyretin cardiomyopathy (attr-cm)

TypeinterventionalSponsorPfizerRan2016 to 2023Enrolled1,733ConditionsTransthyretin (TTR) Amyloid CardiomyopathyArmsTafamidis
3 · Its place in the literature

Who cites it

121 citing papers in PubMed, 2 syntheses or guidelines pooled it, 185 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Unraveling cardiac amyloidosis in Egypt: diagnostic challenges and disease outcomes.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2026
    Article
  6. Review
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  13. Biologics for cardiovascular diseases: from bench to bedside.Signal transduction and targeted therapy · 2026
    Review
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  15. Therapy of amyloidosis: stabilizers and silencers.European heart journal supplements : journal of the European Society of Cardiology · 2026
    Article
  16. Pathogenesis and kidney prognosis of renal amyloidosis.Cellular and molecular life sciences : CMLS · 2026
    Review
  17. Review
  18. Article
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  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 2 countries.

Perry ElliottUniversity College London, United Kingdom (P.E.).ORCID 0000-0003-3383-3984
Brian M DrachmanPenn Presbyterian Medical Center, University of Pennsylvania Health System, Philadelphia (B.M.D.).
Stephen S GottliebUniversity of Maryland School of Medicine, Baltimore (S.S.G.).ORCID 0000-0002-8922-1840
James E HoffmanUniversity of Miami, FL (J.E.H.).
Scott L HummelUniversity of Michigan and Ann Arbor Veterans Affairs Health System (S.L.H.).ORCID 0000-0002-0924-3135
Daniel J LenihanWashington University School of Medicine, St. Louis, MO (D.J.L.).ORCID 0000-0001-9458-0154
Ben EbedePfizer Inc, Collegeville, PA (B.E.).
Balarama GundapaneniPfizer Inc, Groton, CT (B.G.).
Benjamin LiPfizer Inc, New York, NY (B.L., M.B.S.).
Marla B SultanPfizer Inc, New York, NY (B.L., M.B.S.).
Sanjiv J ShahDivision of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL (S.J.S.).ORCID 0000-0002-5655-8201
Pfizer (United States) · USNorthwestern University · USUniversity College London · GBUniversity of Maryland, Baltimore · USUniversity of Miami · USUniversity of Pennsylvania Health System · USVA Ann Arbor Healthcare System · USWashington University in St. Louis · US

Funding

Transition from Risk Factors to Early HF: Prevalence, Pathogenesis, and PhenomicsR01HL127028 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BERTONI, ALAIN GERALD, SHAH, SANJIV J · 2015 to 2018
$6.5M
Study of Cardiac Mechanics in Systemic HypertensionR01HL107577 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SHAH, SANJIV J · 2011 to 2019
$4.1M
Machine learning for the automated identification and tracking of rare myocardial diseasesR01HL140731 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MACRAE, CALUM A., SHAH, SANJIV J · 2018 to 2021
$2.8M
Precision Medicine for Dilated Cardiomyopathy—Novel Assessment of Cardiac Mechanics via Speckle Tracking Echocardiography to Identify Early PhenotypesR01HL149423 · NHLBI · OHIO STATE UNIVERSITY · PI HERSHBERGER, RAY E., KINNAMON, DANIEL DAVIS · 2019 to 2022
$1.6M
NHLBI NIH HHS R01 HL107577NHLBI NIH HHS R01 HL127028NHLBI NIH HHS R01 HL140731NHLBI NIH HHS R01 HL149423
6 · The paper itself

Abstract

backgroundTafamidis is approved in many countries for the treatment of transthyretin amyloid cardiomyopathy. This study reports data on the long-term efficacy of tafamidis from an ongoing long-term extension (LTE) to the pivotal ATTR-ACT (Tafamidis in Transthyretin Cardiomyopathy Clinical Trial).

methodsPatients with transthyretin amyloid cardiomyopathy who completed ATTR-ACT could enroll in an LTE, continuing with the same tafamidis dose or, if previously treated with placebo, randomized (2:1) to tafamidis meglumine 80 or 20 mg. All patients in the LTE transitioned to tafamidis free acid 61 mg (bioequivalent to tafamidis meglumine 80 mg) following a protocol amendment. In this interim analysis, all-cause mortality was assessed in patients treated with tafamidis meglumine 80 mg in ATTR-ACT continuing in the LTE, compared with those receiving placebo in ATTR-ACT transitioning to tafamidis in the LTE.

resultsMedian follow-up was 58.5 months in the continuous tafamidis group (n=176) and 57.1 months in the placebo to tafamidis group (n=177). There were 79 (44.9%) deaths with continuous tafamidis and 111 (62.7%) with placebo to tafamidis (hazard ratio, 0.59 [95% CI, 0.44-0.79];

conclusionsIn the LTE, patients initially treated with tafamidis in ATTR-ACT had substantially better survival than those first treated with placebo, highlighting the importance of early diagnosis and treatment in transthyretin amyloid cardiomyopathy. Registration: URL: https://www.clinicaltrials.gov; Unique identifier: NCT01994889 and NCT02791230.

Indexed as

TimeAgedAged, 80 and overAmyloid Neuropathies, FamilialBenzoxazolesCardiomyopathiesFemaleHeart FailureHospitalizationHumansMaleMiddle AgedPrealbuminProportional Hazards ModelsBenzoxazolesPrealbumintafamidisamyloidcardiomyopathiesheart failuremutationphenotype

Identifiers

PMID34923848
PMCPMC8763250
OpenAlexW4225938291

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.