Evidence map›Paper›PMID 38622453›Full record

Observational studyNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2024

Long-term treatment of hereditary transthyretin amyloidosis with patisiran: multicentre, real-world experience in Italy.

Luca Gentile, Anna Mazzeo, Chiara Briani, Silvia Casagrande, Marcella De Luca, Gian Maria Fabrizi, Christian Gagliardi, Chiara Gemelli, Francesca Forcina, Marina Grandis and 17 more

Erratum issuedOpen access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 14 institutions in 1 country.

Luca GentileUnit of Neurology and Neuromuscular Diseases, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.ORCID http://orcid.org/0000-0001-7947-8610
Anna MazzeoUnit of Neurology and Neuromuscular Diseases, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.ORCID http://orcid.org/0000-0003-1914-6184
Chiara BrianiDepartment of Neurosciences, Neurology Unit, University of Padova, Padua, Italy.ORCID http://orcid.org/0000-0001-8035-0200
Silvia CasagrandeDepartment of Neurosciences, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0002-4111-1810
Marcella De LucaUnit of Neurology and Neuromuscular Diseases, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.ORCID http://orcid.org/0009-0006-4913-9232
Gian Maria FabriziDepartment of Neurological Sciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0001-6804-0226
Christian GagliardiCardiology Unit, IRCCS Azienda Ospedaliero-Universitaria of Bologna, Bologna, Italy.ORCID http://orcid.org/0000-0001-7432-8023
Chiara GemelliIRCCS Policlinico San Martino Hospital, Genoa, Italy.ORCID http://orcid.org/0000-0003-1911-2726
Francesca ForcinaDepartment of Neuroscience, Mental Health and Sensory Organs (NESMOS), Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0009-0002-2572-5801
Marina GrandisIRCCS Policlinico San Martino Hospital, Genoa, Italy.ORCID http://orcid.org/0000-0001-6637-4425
Valeria GuglielminoDipartimento Di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID http://orcid.org/0000-0002-9049-5988
Giacomo IabichellaUnit of Neurology and Neuromuscular Diseases, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.ORCID http://orcid.org/0009-0000-9256-0184
Luca LeonardiDepartment of Neuroscience, Mental Health and Sensory Organs (NESMOS), Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0002-1267-864X
Alessandro LozzaAmyloidosis Research and Treatment Centre, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.ORCID http://orcid.org/0000-0001-5622-2647
Fiore ManganelliDepartment of Neuroscience, Reproductive and Odontostomatological Science, University of Naples "Federico II", Naples, Italy.ORCID http://orcid.org/0000-0002-1442-9604
Roberta MussinelliAmyloidosis Research and Treatment Centre, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.ORCID http://orcid.org/0000-0003-2950-3413
Filomena MyDepartment of Neurology, "Vito Fazzi" Hospital, Lecce, Italy.
Giuseppe OcchipintiUnit of Neurology and Neuromuscular Diseases, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.ORCID http://orcid.org/0009-0005-8061-7645
Silvia FenuS.C. Malattie Neurologiche Rare, Dipartimento di Neuroscienze Cliniche, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID http://orcid.org/0000-0002-5233-6580
Massimo RussoUnit of Neurology and Neuromuscular Diseases, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.ORCID http://orcid.org/0000-0002-6017-370X
Angela RomanoDipartimento Di Neuroscienze, Organi Di Senso e Torace, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0002-2061-1509
Alessandro SalvalaggioDepartment of Neurosciences, Neurology Unit, University of Padova, Padua, Italy.ORCID http://orcid.org/0000-0002-1273-7566
Matteo TagliapietraDepartment of Neurological Sciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0002-3048-1453
Stefano TozzaDepartment of Neuroscience, Reproductive and Odontostomatological Science, University of Naples "Federico II", Naples, Italy.ORCID http://orcid.org/0000-0002-9672-4577
Giovanni PalladiniAmyloidosis Research and Treatment Centre, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.ORCID http://orcid.org/0000-0001-5994-5138
Laura ObiciAmyloidosis Research and Treatment Centre, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy. L.Obici@smatteo.pv.it.ORCID http://orcid.org/0000-0001-7468-700X
Marco LuigettiDipartimento Di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID http://orcid.org/0000-0001-7539-505X
University of Messina · ITPoliclinico San Matteo Fondazione · ITOspedale Policlinico San Martino · ITSapienza University of Rome · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Naples Federico II · ITUniversity of Padua · ITUniversity of Verona · ITAgostino Gemelli University Polyclinic · ITAzienda USL di Bologna · ITFondazione IRCCS Istituto Neurologico Carlo Besta · ITOspedale Vito Fazzi · ITUniversity of Florence · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHereditary transthyretin (ATTRv, v for variant) amyloidosis with polyneuropathy is a rare disease caused by mutations in the transthyretin gene. In ATTRv amyloidosis, multisystem extracellular deposits of amyloid cause tissue and organ dysfunction. Patisiran is a small interfering RNA molecule drug that reduces circulating levels of mutant and wild-type TTR proteins. Prior to its regulatory approval, patisiran was available in Italy through a compassionate use programme (CUP). The aim of this study was to analyse the long-term outcomes of patients who entered into the CUP.

methodsThis was a multicentre, observational, retrospective study of patients with ATTRv amyloidosis treated with patisiran. The analysis included change from baseline to 12, 24, 36 and 48 months in familial amyloid polyneuropathy (FAP) stage, polyneuropathy disability (PND) class, neuropathy impairment score (NIS), modified body mass index (mBMI), Compound Autonomic Dysfunction Test (CADT), Karnofsky Performance Status (KPS) scale and Norfolk Quality of Life-Diabetic Neuropathy (QoL-DN) questionnaire. Safety data were also analysed.

resultsForty patients from 11 Italian centres were enrolled: 23 in FAP 1 (6 in PND 1 and 17 in PND 2) and 17 in FAP 2 (8 in PND 3a and 9 in PND 3b) stage. In this population, the mean NIS at baseline was 71.4 (± 27.8); mBMI, 917.1 (± 207) kg/m

conclusionsPatisiran largely stabilised disease in patients with ATTRv amyloidosis.

Indexed as

Amyloid Neuropathies, FamilialAgedFemaleHumansItalyMaleMiddle AgedQuality of LifeRetrospective StudiesRNA, Small InterferingTreatment OutcomepatisiranRNA, Small InterferingCompassionate use programmeHereditary transthyretin amyloidosisPatisiranReal-world

Identifiers

PMID38622453
PMCPMC11306272
OpenAlexW4394818783

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Registered trials

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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.