Evidence map›Paper›PMID 36780092›Full record

ArticleAmerican journal of cardiovascular drugs : drugs, devices, and other interventions2023

Real-World Characteristics of Patients with Wild-Type Transthyretin Amyloid Cardiomyopathy: An Analysis of Electronic Healthcare Records in the United States.

Rahul Bhambri, A Carmine Colavecchia, Marianna Bruno, Yong Chen, Jose Alvir, Anuja Roy, Jason Kemner, Aaron Crowley, Darrin Benjumea, Lauren Gilstrap

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in American journal of cardiovascular drugs : drugs, devices, and other interventions, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01994889 (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), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 19% 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
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Current treatment decisions in cardiac transthyretin amyloidosis: a multicentre analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  5. Observational
  6. Article
  7. Article
  8. 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

10 authors at 2 institutions in 1 country.

Rahul BhambriPfizer Inc, New York, NY, USA. Rahul.Bhambri@pfizer.com.
A Carmine ColavecchiaPfizer Inc, Houston, TX, USA.
Marianna BrunoPfizer Inc, New York, NY, USA.
Yong ChenPfizer Inc, Collegeville, PA, USA.
Jose AlvirPfizer Inc, New York, NY, USA.
Anuja RoyPfizer Inc, New York, NY, USA.
Jason KemnerPfizer Inc, Collegeville, PA, USA.
Aaron CrowleyGenesis Research, Hoboken, NJ, USA.
Darrin BenjumeaGenesis Research, Hoboken, NJ, USA.
Lauren GilstrapCardiovascular Medicine Section, Dartmouth Health, Heart and Vascular Center, The Dartmouth Institute, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Pfizer (United States) · USDartmouth Institute for Health Policy and Clinical Practice · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTafamidis was approved for the treatment of hereditary and wild-type transthyretin amyloid cardiomyopathy (ATTRwt-CM) in May 2019, based on findings from the Tafamidis in Transthyretin Cardiomyopathy Clinical Trial (ATTR-ACT).

methodsThis retrospective cohort study evaluated the factors associated with tafamidis prescription after diagnosis of ATTRwt-CM in the real world. Between May 2019 and December 2020, 430 patients with 6 months' database activity were indexed from the de-identified US Optum electronic healthcare records at first diagnosis of ATTRwt-CM or prescription of tafamidis, then followed until last activity or death. Of these, 209 patients were prescribed tafamidis during follow-up, 167 (80%) within 1 month, 98% by 6 months, and 100% by 9 months. Median time from index to tafamidis prescription, calculated using the Kaplan-Meier method, was 5.8 months (95% confidence interval [CI] 2.4-not evaluable).

resultsFactors associated with tafamidis prescription in a multivariable Cox proportional hazards regression (hazard ratio [95% CI]) included age ≥ 65 years (2.1 [1.07-4.05]), male sex (1.6 [1.07-2.28]), having heart failure/cardiomyopathy (2.4 [1.54-3.82]), and having had technetium-99m pyrophosphate myocardial scintigraphy (1.7 [1.28-2.28]).

conclusionsThe clinical characteristics of patients with ATTRwt-CM who were prescribed tafamidis in the real world were broadly comparable with those who took part in ATTR-ACT. Further studies are needed to evaluate hereditary and ATTRwt-CM patient populations in the real world and assess the long-term outcomes associated with disease management pathways. CLINICAL TRIALS REGISTRATION: ClinicalTrials.gov identifier: NCT01994889.

Indexed as

Amyloid Neuropathies, FamilialCardiomyopathiesAgedDelivery of Health CareDisease ProgressionElectronicsHumansMalePrealbuminRetrospective StudiesUnited StatesPrealbumin

Identifiers

PMID36780092
PMCPMC10006039
OpenAlexW4320486588

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.