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Impact of RNAi therapeutics on cardiac parameters in patients with hereditary transthyretin amyloidosis initially treated with stabilizers: A French real-world study - PubMed

5 hours ago
  • #real-world study
  • #ATTRv cardiomyopathy
  • #RNAi therapeutics
  • Study focuses on the impact of RNAi therapeutics on cardiac parameters in hereditary transthyretin amyloidosis (ATTRv) patients initially treated with stabilizers.
  • Data from 50 patients (median age 63, 66% male) from 10 French centers were analyzed retrospectively.
  • Patients switched from tafamidis monotherapy to RNAi therapeutics (patisiran or vutrisiran) or added RNAi to their treatment.
  • Primary reason for switching/adding RNAi was neurological progression (80% of cases).
  • Under tafamidis monotherapy, 24% of patients worsened, while 76% remained stable.
  • After switching/adding RNAi, 90% of patients were stable, 10% improved, and none worsened.
  • Study highlights potential benefits of early RNAi intervention in patients with insufficient cardiac response to tafamidis.
  • First real-world switch/add-on study in mixed ATTRv phenotypes.