Evidence map›Paper›PMID 42165759›Full record

ArticleJACC. Asia2026

Vutrisiran in East Asian Patients With Transthyretin Amyloidosis With Cardiomyopathy: Post-Hoc Analysis of HELIOS-B.

Jin Endo, Tetsuo Minamino, Jaewon Oh, Nobuhiro Tahara, Kenichi Tsujita, Chisato Izumi, Takahiro Okumura, Kenji Onoue, Hiroaki Kitaoka, Chongshu Chen and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in JACC. Asia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04153149 (HELIOS-B), 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.

NCT04153149 phase3active not recruitingnot on this map

HELIOS-B: A Phase 3, Randomized, Double-blind, Placebo-controlled, Multicenter Study to Evaluate the Efficacy and Safety of Vutrisiran in Patients With Transthyretin Amyloidosis With Cardiomyopathy (ATTR Amyloidosis With Cardiomyopathy)

TypeinterventionalSponsorAlnylam PharmaceuticalsRan2019 to 2026Enrolled655ConditionsTransthyretin Amyloidosis (ATTR) With CardiomyopathyArmsVutrisiran, Sterile Normal Saline (0.9% NaCl)
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

12 authors.

Jin EndoDepartment of Cardiology, Keio University School of Medicine, Tokyo, Japan.
Tetsuo MinaminoDepartment of Cardiorenal and Cerebrovascular Medicine, Kagawa University, Kita-gun, Japan.
Jaewon OhDivision of Cardiology, Severance Hospital, Yonsei University Health System, Seoul, South Korea.
Nobuhiro TaharaDivision of Cardiovascular Medicine, Department of Medicine, Kurume University School of Medicine, Kurume, Japan.
Kenichi TsujitaDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
Chisato IzumiDepartment of Heart Failure and Transplantation, National Cerebral and Cardiovascular Center, Suita, Japan.
Takahiro OkumuraDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan; Department of Advanced Cardiovascular Therapeutics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Kenji OnoueDepartment of Cardiovascular Medicine, Nara Medical University, Kashihara, Japan.
Hiroaki KitaokaDepartment of Cardiology and Geriatrics, Kochi University, Kochi, Japan.
Chongshu ChenClinical Science, Alnylam Pharmaceuticals, Cambridge, Massachusetts, USA.
Amy Chan-DanielsClinical Science, Alnylam Pharmaceuticals, Cambridge, Massachusetts, USA.
Darae KimDivision of Cardiology, Department of Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. Electronic address: daraekyrie@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the phase III Study to Evaluate Vutrisiran in Patients With Transthyretin Amyloidosis With Cardiomyopathy (HELIOS-B), vutrisiran significantly reduced all-cause mortality and recurrent cardiovascular events and preserved functional capacity and quality of life. However, data in East Asian populations remain limited.

objectivesThe authors aimed to assess the efficacy and safety of vutrisiran in East Asian patients with transthyretin amyloidosis with cardiomyopathy (ATTR-CM) enrolled in HELIOS-B.

methodsThis post-hoc analysis included 32 patients from Japan and South Korea randomized to vutrisiran (n = 17) or placebo (n = 15). The primary endpoint was a composite of all-cause mortality and recurrent cardiovascular events for up to 36 months. Secondary endpoints were changes from baseline to month 30 in the 6-minute walk test distance, Kansas City Cardiomyopathy Questionnaire Overall Summary (KCCQ-OS) score, and New York Heart Association (NYHA) functional class. Exploratory endpoints included changes in N-terminal pro-B-type natriuretic peptide and troponin I. Safety was also evaluated.

resultsBaseline characteristics were generally similar to the overall population, although baseline tafamidis use was lower in East Asian patients. Vutrisiran reduced the risk of the composite primary endpoint vs placebo (HR: 0.20; 95% CI: 0.04-0.93). Vutrisiran attenuated declines in 6-minute walk test distance and KCCQ-OS scores, and a greater proportion of patients maintained or improved NYHA functional class. Smaller increases in N-terminal pro-B-type natriuretic peptide and troponin I levels were observed with vutrisiran vs placebo. Similar trends were observed in patients not receiving baseline tafamidis. Safety was consistent with the overall population.

conclusionsIn East Asian patients with ATTR-CM from HELIOS-B, the efficacy and safety of vutrisiran were consistent with the overall population. (HELIOS-B: A Study to Evaluate Vutrisiran in Patients With Transthyretin Amyloidosis With Cardiomyopathy; NCT04153149).

Indexed as

Asiaheart failureHELIOS-BNT-proBNPtransthyretin amyloidosis with cardiomyopathyvutrisiran

Identifiers

PMID42165759
PMCPMC13458925

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.