Evidence map›Paper›PMID 39552102›Full record

Trial reportMuscle & nerve2025

Estimating Meaningful Differences in Measures of Neuropathic Impairment, Health-Related Quality of Life, and Nutritional Status in Patients With Hereditary Transthyretin Amyloidosis.

Folke Folkvaljon, Morie Gertz, Julian D Gillmore, Sami Khella, Ahmad Masri, Mathew S Maurer, Márcia Waddington Cruz, Jonas Wixner, Jersey Chen, Barry Reicher and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Muscle & nerve, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. 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

13 authors.

Folke FolkvaljonHTA Statistics & Data Science, BioPharmaceuticals Medical, AstraZeneca, Barcelona, Spain.
Morie GertzMayo Clinic, Rochester, Minnesota, USA.
Julian D GillmoreNational Amyloidosis Centre, University College London, Royal Free Hospital, London, UK.
Sami KhellaUniversity of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.
Ahmad MasriOHSU Center for Hypertrophic Cardiomyopathy and Amyloidosis, Portland, Oregon, USA.
Mathew S MaurerColumbia University Irving Medical Center, New York, New York, USA.
Márcia Waddington CruzCEPARM, Amyloidosis Center, University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Jonas WixnerUmeå University, Umeå, Sweden.
Jersey ChenLate Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, Maryland, USA.
Barry ReicherLate Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, Maryland, USA.
Jesse KwohIonis, Carlsbad, California, USA.
Aaron YarlasIonis, Carlsbad, California, USA.
John L BerkBoston University School of Medicine, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-1768-2373

Funding

AstraZenecaIonis Pharmaceuticals, Inc.
6 · The paper itself

Abstract

INTRODUCTION/

aimsThe degree of change in neuropathic impairment and quality of life (QoL) that is clinically meaningful to patients with hereditary transthyretin amyloidosis with polyneuropathy (ATTRv-PN) is not established. This study aimed to estimate the magnitude of treatment differences that are meaningful to patients in measures of neuropathy and QoL and to determine whether eplontersen achieved a meaningful improvement versus placebo.

methodsData from the NEURO-TTRansform trial on patients with ATTRv-PN treated with eplontersen (n = 141) or historical placebo (n = 59) were used. Anchor-based approaches were used to estimate thresholds for meaningful differences in the modified Neuropathy Impairment Score +7 (mNIS+7) composite score, Norfolk QoL-Diabetic Neuropathy (Norfolk QoL-DN) total score, Neuropathy Symptoms and Change (NSC) total score, and modified body mass index (mBMI). Differences between the least squares means of the treatment groups were analyzed.

resultsMeaningful improvement in mNIS+7 was estimated as -4.0 points and deterioration as 1.8 points. The estimated ranges of meaningful improvement and deterioration in Norfolk QoL-DN were -12.8 to -4.0 points, and 5.9 to 14.7 points, respectively. For NSC, ranges were -2.4 to -1.3 points for meaningful improvement, and 0.6 to 5.8 points for deterioration. The estimated meaningful improvement in mBMI was 9.8 kg/m DISCUSSION: Eplontersen demonstrated a clinically meaningful effect on neuropathic impairment, QoL, and nutritional status. Such estimates have implications for clinical practice and trials.

Indexed as

Amyloid Neuropathies, FamilialNutritional StatusQuality of LifeAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedPolyneuropathiesanchor‐based estimatesantisense oligonucleotideeplontersenhereditary transthyretin amyloidosis with polyneuropathymeaningful difference

Identifiers

PMID39552102
PMCPMC11632571

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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.