Evidence map›Paper›PMID 41149251›Full record

ArticleJournal of cardiovascular development and disease2025

Efficacy of Contractility Modulation Therapy in Patients with Transthyretin Amyloid Cardiomyopathy, Mildly Reduced to Reduced EF and NYHA III and IV: A Multicentric, Prospective Pilot Study for AMY-CCM Registry.

Procolo Marchese, Francesca Gennaro, Giovanni Mazzotta, Pierfrancesco Grossi, Luigi Cocchiara, Stefano Guarracini, Lorenzo Mazzocchetti, Matteo Ziacchi, Mauro Biffi, Roberta Magnano and 10 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05167799 (Cardiac Contractility Modulation Therapy in Amyloid Cardiomyopathy Patients With Heart Failure With Mid-range Ejection Fraction), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05167799 unknown statusnot on this map

Cardiac Contractility Modulation Therapy in Amyloid Cardiomyopathy Patients With Heart Failure With Mid-range Ejection Fraction: a Multicentre Registry

TypeobservationalSponsorOspedale C & G MazzoniRan2021 to 2024Enrolled25ConditionsAmyloidosis Cardiac, Heart FailureArmsCardiac Contractility Modulation (CCM)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

20 authors.

Procolo MarcheseCardiology Unit, Mazzoni Civil Hospital, AST Ascoli Piceno, 63100 Ascoli Piceno, Italy.ORCID 0000-0002-2677-9214
Francesca GennaroCardiology Unit, Mazzoni Civil Hospital, AST Ascoli Piceno, 63100 Ascoli Piceno, Italy.
Giovanni MazzottaCardiology Unit, Mazzoni Civil Hospital, AST Ascoli Piceno, 63100 Ascoli Piceno, Italy.
Pierfrancesco GrossiCardiology Unit, Mazzoni Civil Hospital, AST Ascoli Piceno, 63100 Ascoli Piceno, Italy.
Luigi CocchiaraDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80131 Naples, Italy.ORCID 0009-0002-6604-1756
Stefano GuarraciniDepartment of Cardiology, "Pierangeli" Hospital, 65129 Pescara, Italy.
Lorenzo MazzocchettiDepartment of Cardiology, "Pierangeli" Hospital, 65129 Pescara, Italy.
Matteo ZiacchiCardiology Unit, Cardiac Thoracic and Vascular Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Giuseppe Massarenti 9, 40138 Bologna, Italy.ORCID 0000-0003-3617-2739
Mauro BiffiCardiology Unit, Cardiac Thoracic and Vascular Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Giuseppe Massarenti 9, 40138 Bologna, Italy.ORCID 0000-0003-4590-8584
Roberta MagnanoCardiology Unit, Ospedale Civile Santo Spirito, 65100 Pescara, Italy.
Massimo Di MarcoCardiology Unit, Ospedale Civile Santo Spirito, 65100 Pescara, Italy.
Matteo RuzzoliniDepartment of Cardiovascular and Thoracic Sciences, Ospedale Isola Tiberina-Gemelli Isola, 00186 Rome, Italy.ORCID 0000-0002-0319-2621
Antonio BisignaniDepartment of Cardiovascular and Thoracic Sciences, Ospedale Isola Tiberina-Gemelli Isola, 00186 Rome, Italy.ORCID 0000-0003-3938-4948
Matteo BiancoSCDO Cardiology, Azienda Ospedaliera Universitaria San Luigi Gonzaga, 10043 Orbassano, Italy.ORCID 0000-0002-6751-6437
Paolo GarroneSCDO Cardiology, Azienda Ospedaliera Universitaria San Luigi Gonzaga, 10043 Orbassano, Italy.ORCID 0000-0002-5199-9155
Walter Grosso MarraDivision of Cardiology, Ivrea Hospital, ASLTO4, 10015 Ivrea, Italy.ORCID 0000-0003-4554-1110
Margherita CannilloDivision of Cardiology, Ivrea Hospital, ASLTO4, 10015 Ivrea, Italy.ORCID 0009-0008-6579-9040
Carlo LavalleDepartment of Internal Clinical, Anesthesiological and Cardiovascular Sciences, "Sapienza" University of Rome, 00185 Rome, Italy.
Daniele MasaroneHeart Failure Unit, Department of Cardiology, AORN dei Colli/Monaldi Hospital, 80131 Naples, Italy.ORCID 0000-0002-6781-7424
Cristina ChimentiDepartment of Internal Clinical, Anesthesiological and Cardiovascular Sciences, "Sapienza" University of Rome, 00185 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransthyretin cardiac amyloidosis (ATTR-CM) is an infiltrative cardiomyopathy that frequently progresses to symptomatic heart failure (HF), often with mildly reduced or reduced ejection fraction (EF). Standard therapies are limited in NYHA III-IV, and Tafamidis is approved only for the early stages. Cardiac contractility modulation (CCM) therapy has shown promise in HF with reduced EF, but its role in ATTR-CM remains unexplored.

methodsThis multicentric, prospective pilot study evaluated the safety and efficacy of CCM therapy in ten patients (

resultsIn this cohort (

conclusionThis pilot study suggests that CCM therapy is a feasible and potentially effective option for ATTR-CM patients with advanced HF who are not candidates for existing disease-modifying treatments. These findings support the rationale for larger studies, including the ongoing AMY-CCM registry (NCT05167799), to validate CCM's therapeutic role in this population.

Indexed as

amyloidosiscardiac contractility modulationheart failure

Identifiers

PMID41149251
PMCPMC12565599

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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.