Evidence map›Paper›PMID 41937511›Full record

Trial reportMuscle & nerve2026

Eplontersen for Hereditary Transthyretin Amyloidosis With Polyneuropathy: An Exploratory Analysis of Treatment Effect in Male and Female Patients.

Márcia Waddington Cruz, John L Berk, Yeşim Parman, Morie Gertz, Sami Khella, Markus Weiler, T Jesse Kwoh, Maksym Pola, Barry Reicher, Jonatan Nåtman and 2 more

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Muscle & nerve, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are 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.

NCT01737398 phase2 / phase3completednot on this map

A Phase 2/3 Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of ISIS 420915 in Patients With Familial Amyloid Polyneuropathy (NEURO-TTR Study)

TypeinterventionalSponsorIonis Pharmaceuticals, Inc.Ran2013 to 2017Enrolled173ConditionsFAP, Familial Amyloid Polyneuropathy, TTR, TransthyretinArmsInotersen, Placebo
NCT04136184 phase3completednot on this map

A Phase 3 Global, Open-Label, Randomized Study to Evaluate the Efficacy and Safety of ION-682884 in Patients With Hereditary Transthyretin-Mediated Amyloid Polyneuropathy

TypeinterventionalSponsorIonis Pharmaceuticals, Inc.Ran2019 to 2023Enrolled168ConditionsHereditary Transthyretin-Mediated Amyloid PolyneuropathyArmsInotersen, Eplontersen
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Márcia Waddington CruzCEPARM, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0003-4853-2236
John L BerkBoston University School of Medicine, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-1768-2373
Yeşim Parmanİstanbul Üniversitesi - Istanbul Tıp Fakültesi, Istanbul, Turkey.ORCID https://orcid.org/0000-0001-9793-6590
Morie GertzDepartment of Hematology, Mayo Clinic, Rochester, Minnesota, USA.ORCID https://orcid.org/0000-0002-3853-5196
Sami KhellaUniversity of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-5684-119X
Markus WeilerAmyloidosis Center and Department of Neurology, Heidelberg University Hospital, Heidelberg, Germany.ORCID https://orcid.org/0000-0002-8942-7662
T Jesse KwohClinical Development, Ionis Pharmaceuticals, Inc., Carlsbad, California, USA.ORCID https://orcid.org/0009-0003-8726-3996
Maksym PolaLate Cardiovascular, Renal, Metabolism, BioPharmaceuticals R&D, Gothenburg, Sweden.ORCID https://orcid.org/0009-0000-2130-3033
Barry ReicherBioPharmaceuticals R&D, Gaithersburg, Maryland, USA.ORCID https://orcid.org/0000-0003-3420-7635
Jonatan NåtmanBioPharmaceuticals Business Unit, Gothenburg, Sweden.ORCID https://orcid.org/0009-0002-1604-2435
Noel R DasguptaIndiana University School of Medicine, Indianapolis, Indiana, USA.ORCID https://orcid.org/0009-0003-5880-9646
Jonas WixnerAmyloidosis Centre, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0002-1536-1277

Funding

AstraZenecaIonis Pharmaceuticals, Inc.
6 · The paper itself

Abstract

INTRODUCTION/

aimsEplontersen is approved in multiple regions for adults with hereditary transthyretin amyloidosis with polyneuropathy (ATTRv-PN). This exploratory analysis was conducted to evaluate the treatment effect of eplontersen by sex in patients with ATTRv-PN from the NEURO-TTRansform trial (NCT04136184).

methodsParticipants in NEURO-TTRansform who received ≥ 1 dose of eplontersen were included in this analysis; participants in the inotersen reference group who switched to eplontersen were excluded. Eplontersen was evaluated in the overall patient population and in a subgroup with cardiomyopathy. Change from baseline in the NEURO-TTRansform primary endpoints of serum transthyretin (TTR) levels to Week 65, modified Neuropathy Impairment Score +7 (mNIS+7) composite score to Week 66, and Norfolk Quality of Life-Diabetic Neuropathy (Norfolk QoL-DN) total score to Week 66 were evaluated. A historical placebo group from the NEURO-TTR trial (NCT01737398) was included as a control.

resultsThe eplontersen group comprised 100 (69.4%) male and 44 (30.6%) female patients. The placebo group comprised 41 (68.3%) male and 19 (31.7%) female patients. For both sexes, treatment with eplontersen decreased serum TTR levels by > 80% (vs. reductions of 3%-13% with placebo), maintained mNIS+7 scores, and improved Norfolk QoL-DN scores (vs. deterioration with placebo). The treatment effect of eplontersen was similar in male and female patients with cardiomyopathy. DISCUSSION: Eplontersen halted neuropathy impairment and improved quality of life versus placebo to a similar degree in both male and female patients with ATTRv-PN, including those with cardiomyopathy. These findings support the use of eplontersen as an effective treatment for ATTRv-PN regardless of sex.

Indexed as

Amyloid Neuropathies, FamilialOligonucleotidesPolyneuropathiesAdultAgedFemaleHumansMaleMiddle AgedPrealbuminQuality of LifeSex CharacteristicsSex FactorsTreatment OutcomeeplontersenOligonucleotidesPrealbuminATTRv‐PNeplontersenfemalemalequality of life

Identifiers

PMID41937511
PMCPMC13138353

What OpenQuestion holds

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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.