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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04153149
Registration number
NCT04153149
Ethics application status
Date submitted
4/11/2019
Date registered
6/11/2019
Titles & IDs
Public title
HELIOS-B: A Study to Evaluate Vutrisiran in Patients With Transthyretin Amyloidosis With Cardiomyopathy
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Scientific title
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)
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Secondary ID [1]
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2019-003153-28
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Secondary ID [2]
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ALN-TTRSC02-003
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Transthyretin Amyloidosis (ATTR) With Cardiomyopathy
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Neurological
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Other neurological disorders
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Metabolic and Endocrine
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Other metabolic disorders
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Metabolic and Endocrine
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Metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Vutrisiran
Treatment: Drugs - Sterile Normal Saline (0.9% NaCl)
Experimental: Vutrisiran 25 mg - Participants will receive vutrisiran 25 mg administered subcutaneously (SC) once every 3 months (q3M) during the double-blind period.
Placebo comparator: Placebo - Participants will receive placebo during the double-blind period.
Treatment: Drugs: Vutrisiran
Vutrisiran 25 mg will be administered by SC injection q3M.
Treatment: Drugs: Sterile Normal Saline (0.9% NaCl)
Sterile normal saline (0.9% NaCl) will be administered by SC injection q3M.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Composite Endpoint of All-Cause Mortality and Recurrent Cardiovascular (CV) Events (CV Hospitalizations and Urgent Heart Failure [HF] Visits) in the Overall Population
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Assessment method [1]
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All-cause mortality and recurrent CV events (CV hospitalizations and urgent HF visits) will be compared between treatment groups using an Andersen-Gill model.
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Timepoint [1]
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Up to Month 36
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Primary outcome [2]
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Composite Endpoint of All-Cause Mortality and Recurrent CV Events (CV Hospitalizations and Urgent HF Visits) in the Vutrisiran Monotherapy Subgroup
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Assessment method [2]
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All-cause mortality and recurrent CV events (CV hospitalizations and urgent HF visits) will be compared between treatment groups using an Andersen-Gill model. The vutrisiran monotherapy subgroup is defined as the group of participants not on tafamidis at the study baseline.
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Timepoint [2]
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Up to Month 36
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Secondary outcome [1]
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Change from Baseline in 6-Minute Walk Test (6-MWT) in the Overall Population and Vutrisiran Monotherapy Subgroup
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Assessment method [1]
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Timepoint [1]
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Baseline to Month 30
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Secondary outcome [2]
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Change from Baseline in the Kansas City Cardiomyopathy Questionnaire Overall Summary (KCCQ-OS) in the Overall Population and Vutrisiran Monotherapy Subgroup
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Assessment method [2]
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The KCCQ is a 23-item self-administered questionnaire quantifying 6 domains (symptoms, physical function, quality of life, social limitation, self-efficacy, and symptom stability) and 2 summary scores (clinical and overall summary \[OS\]). Scores are transformed to a range of 0-100, in which higher scores reflect better health status.
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Timepoint [2]
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Baseline to Month 30
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Secondary outcome [3]
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All-cause Mortality in the Overall Population and Vutrisiran Monotherapy Subgroup
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Assessment method [3]
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Timepoint [3]
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Up to 42 months
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Secondary outcome [4]
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Change from Baseline in New York Heart Association (NYHA) Class in the Overall Population and Vutrisiran Monotherapy Subgroup
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Assessment method [4]
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Timepoint [4]
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Baseline to Month 30
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Eligibility
Key inclusion criteria
* Has a documented diagnosis of transthyretin (ATTR) amyloidosis with cardiomyopathy, classified as either hereditary ATTR (hATTR) amyloidosis with cardiomyopathy or wild-type ATTR (wtATTR) amyloidosis with cardiomyopathy meeting pre-specified diagnostic criteria
* Has medical history of heart failure (HF) with at least 1 prior hospitalization for HF OR clinical evidence of HF
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Minimum age
18
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Maximum age
85
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Has known primary amyloidosis or leptomeningeal amyloidosis
* Has New York Heart Association (NYHA) Class IV heart failure
* Has NYHA Class III heart failure AND is at high risk based on pre-specified criteria
* Has a polyneuropathy disability (PND) Score IIIa, IIIb, or IV at the Screening visit
* Has estimated glomerular filtration rate (eGFR) <30 mL/min/1.73 m^2
* Has received prior TTR-lowering treatment
* Has other non-TTR cardiomyopathy, hypertensive cardiomyopathy, cardiomyopathy due to valvular heart disease, or cardiomyopathy due to ischemic heart disease
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
26/11/2019
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Date of last participant enrolment
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Actual
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Date of last data collection
Anticipated
1/12/2026
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Actual
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Sample size
Target
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Accrual to date
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Final
655
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Recruitment in Australia
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Recruitment hospital [1]
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Clinical Trial Site - Adelaide
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Clinical Trial Site - Melbourne
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Clinical Trial Site - Westmead
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Clinical Trial Site - Woolloongabba
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- Adelaide
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- Melbourne
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- Sydney
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- Westmead
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- Woolloongabba
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Alnylam Pharmaceuticals
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This study will evaluate the efficacy and safety of vutrisiran 25 mg administered subcutaneously (SC) once every 3 months (q3M) compared to placebo in patients with ATTR amyloidosis with cardiomyopathy.
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Trial website
https://clinicaltrials.gov/study/NCT04153149
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Medical Director
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Address
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Alnylam Pharmaceuticals
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04153149