Evidence map›Paper›PMID 35213769›Full record

Trial reportAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2022

Patisiran treatment in patients with hereditary transthyretin-mediated amyloidosis with polyneuropathy after liver transplantation.

Hartmut H Schmidt, Jonas Wixner, Violaine Planté-Bordeneuve, Francisco Muñoz-Beamud, Laura Lladó, Julian D Gillmore, Anna Mazzeo, Xingyu Li, Seth Arum, Patrick Y Jay and 2 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase III
In one paragraph

Trial report in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03862807 (An Open-label Study to Evaluate Safety, Efficacy and Pharmacokinetics), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 4% 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.

NCT03862807 phase3completednot on this map

An Open-label Study to Evaluate Safety, Efficacy and Pharmacokinetics (PK) of Patisiran-LNP in Patients With Hereditary Transthyretin-mediated Amyloidosis (hATTR Amyloidosis) With Disease Progression Post-Orthotopic Liver Transplant

TypeinterventionalSponsorAlnylam PharmaceuticalsRan2019 to 2020Enrolled24ConditionsAmyloidosis, Familial, Transthyretin AmyloidosisArmsPatisiran
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Patisiran treatment in patients with hereditary transthyretin-mediated amyloidosis with polyneuropathy after liver transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Trial
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Long-term treatment of hereditary transthyretin amyloidosis with patisiran: multicentre, real-world experience in Italy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Observational
  12. Gene-based therapies for neuromuscular disorders.Arquivos de neuro-psiquiatria · 2024
    Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. RNA Targeting and Gene Editing Strategies for Transthyretin Amyloidosis.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2023
    Review
  20. Review
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

12 authors at 8 institutions in 7 countries.

Hartmut H SchmidtDepartment of Gastroenterology, Hepatology and Transplant Medicine, University Hospital Essen, University of Duisburg-Essen (formerly of University Hospital Munster, Munster, Germany), Essen, Germany.ORCID 0000-0002-2402-7764
Jonas WixnerDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Violaine Planté-BordeneuveDepartment of Neurology, East Paris University, Hospital Henri Mondor - Public Assistance Hospital of Paris, Créteil, France.
Francisco Muñoz-BeamudHereditary Amyloidosis Unit, Department of Internal Medicine, Juan Ramón Jiménez Hospital, Huelva, Spain.
Laura LladóLiver Transplantation Unit, Department of Surgery, and the Multidisciplinary Familial Amyloidosis Unit, Hospital Universitari de Bellvitge, Barcelona, Spain.ORCID 0000-0002-3717-3306
Julian D GillmoreNational Amyloidosis Centre, Division of Medicine, University College London Medical School, London, UK.
Anna MazzeoUnit of Neurology and Neuromuscular Diseases, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.ORCID 0000-0003-1914-6184
Xingyu LiAlnylam Pharmaceuticals, Inc, Cambridge, Massachusetts, USA.
Seth ArumAlnylam Pharmaceuticals, Inc, Cambridge, Massachusetts, USA.
Patrick Y JayAlnylam Pharmaceuticals, Inc, Cambridge, Massachusetts, USA.
David AdamsNeurology Department, Université Paris-Saclay, U1195, INSERM, Le Kremlin Bicêtre, France.
Patisiran Post-LT Study Group
Alnylam Pharmaceuticals (United States) · USInserm · FRBellvitge University Hospital · ESHospital Juan Ramón Jiménez · ESUmeå University · SEUniversity College London · GBUniversity Hospital Münster · DEUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hereditary transthyretin-mediated (hATTR) amyloidosis, or ATTRv amyloidosis, is a progressive disease, for which liver transplantation (LT) has been a long-standing treatment. However, disease progression continues post-LT. This Phase 3b, open-label trial evaluated efficacy and safety of patisiran in patients with ATTRv amyloidosis with polyneuropathy progression post-LT. Primary endpoint was median transthyretin (TTR) reduction from baseline. Twenty-three patients received patisiran for 12 months alongside immunosuppression regimens. Patisiran elicited a rapid, sustained TTR reduction (median reduction [Months 6 and 12 average], 91.0%; 95% CI: 86.1%-92.3%); improved neuropathy, quality of life, and autonomic symptoms from baseline to Month 12 (mean change [SEM], Neuropathy Impairment Score, -3.7 [2.7]; Norfolk Quality of Life-Diabetic Neuropathy questionnaire, -6.5 [4.9]; least-squares mean [SEM], Composite Autonomic Symptom Score-31, -5.0 [2.6]); and stabilized disability (Rasch-built Overall Disability Scale) and nutritional status (modified body mass index). Adverse events were mild or moderate; five patients experienced ≥1 serious adverse event. Most patients had normal liver function tests. One patient experienced transplant rejection consistent with inadequate immunosuppression, remained on patisiran, and completed the study. In conclusion, patisiran reduced serum TTR, was well tolerated, and improved or stabilized key disease impairment measures in patients with ATTRv amyloidosis with polyneuropathy progression post-LT (www.clinicaltrials.gov NCT03862807).

Indexed as

Amyloid Neuropathies, FamilialLiver TransplantationPolyneuropathiesHumansPrealbuminQuality of LifeRNA, Small InterferingpatisiranPrealbuminRNA, Small Interferingclinical research/practiceclinical trialliver allograft function/dysfunctionliver transplantation/hepatologymolecular biology: small interfering RNAneurologypatient survivalpharmacology

Identifiers

PMID35213769
PMCPMC9310767
OpenAlexW4214500398

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.