ClinicalTrials.gg
CompletedNCT03431896MED-hATTRUpdated Mar 12, 2026

Monitoring of Early Disease Progression in Hereditary Transthyretin Amyloidosis

An observational study in Amyloidosis, Amyloid and Amyloid Neuropathies, Familial, sponsored by The Cleveland Clinic. Completed at 1 site in United States. Per ClinicalTrials.gov, last updated 2026-03-12.

Sponsored by The Cleveland Clinic · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
37
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 141 studies in Amyloidosis with a site in United States — 39 open to participants now, 47 under way, 10 of them phase 3. Amyloidosis · United States.

Enrollment
30th of 41
37 · median 107
Started
2018
with 6 others
Observational
41 of 141
16 open now
Registered
65th of 141
by date
Lead sponsor
4 of 141
The Cleveland Clinic

Among the 141 studies in Amyloidosis with a site in United States, this one is the 30th largest by enrollment of the 41 observational ones that give a count, is one of 7 that started in 2018, is one of 41 observational ones, and was the 65th registered.

Amyloidosis

290 studies on the registry are indexed under Amyloidosis; 92 are open to participants now.

Browse Amyloidosis studies →

Open to participants now

39 of the 141 studies in Amyloidosis with a site in United States are open now. Recruiting first, the newest first:

34 more — sign in →

All 39 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 70 Amyloidosis studies recruiting now, 43 (61%) set no upper age limit and 3 (4%) stop at 75 or younger; 7 take children under 18; 9 take healthy volunteers.

This study: all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 141 studies in Amyloidosis with a site in United States, or all of them as a file.
02

Study summary

This study measures circulating, misfolded ATTR oligomers in asymptomatic ATTRm amyloidosis genetic carriers longitudinally over five years.

Read the detailed description

Recent advances in genetic testing have allowed for pathogenic mutation identification in family members of affected individuals prior to onset of symptoms. While the presence of mutation and the corresponding TTR kinetic stability have been directly linked to disease development, the molecular drivers of tissue specific degeneration have not been defined. We hypothesize that soluble misfolded TTR oligomer species may be circulating within the blood of these patients possibly years prior to amyloid deposition and could serve as an early biomarker and/or driver for disease development. In this line, The Scripps Research Institute has developed a peptide-based probe that specifically labels and integrates into misfolded TTR oligomers allowing the relative circulating concentration in the bloodstream to be determined. Longitudinal monitoring of untreated, asymptomatic TTR amyloid genetic carriers utilizing the Scripps probe is likely to provide novel insight into early disease progression. We also plan to utilize the Scripps probe to monitor disease progression in TTR amyloid genetic carriers currently undergoing treatment by observing how treatments affect the circulating misfolded TTR oligomers. Through enhanced understanding of early disease progression and treatment efficacy, our hope is to limit amyloid accumulation in cardiac and nerve tissue and delay the development of the invariably fatal TTR amyloid cardiomyopathy/neuropathy.

03

Conditions studied

  • Amyloidosis
  • Amyloid
  • Amyloid Neuropathies, Familial
  • Amyloid Cardiomyopathy
  • Amyloid - Primary
  • Transthyretin Amyloidosis
  • AL Amyloidosis
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Participants will be identified through clinical practice and from Amyloid support groups

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with known hereditary ATTR amyloidosis genetic mutations as identified by genetic testing.

Exclusion criteria

Exclusion Criteria:

  • Patients with ATTR amyloidosis identified as wild-type.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
37 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Primary

    1.) To evaluate the relative amount of misfolded ATTR oligomers in asymptomatic ATTR amyloid genetic carriers and correlate their levels with clinical symptoms and outcomes. 1. Determine if misfolded ATTR oligomers are elevated compared to healthy control data obtained by Scripps during probe development 2. Describe the levels longitudinally 3. Determine if treatment with ATTR-specific medications (examples: diflunisal, doxycycline, ursodiol, tauroursodeoxycholic acid (TUDCA), green tea extract, curcumin, tafamidis, inotersen, patisiran) lead to reduction in the probe levels in those with elevated levels at baseline

06

What researchers measure

Primary outcomes

  1. Average % change in oligomers in patients with new onset TTR amyloid symptoms

    Change (%) for oligomer level at the time of TTR amyloid symptoms compared to baseline

    Time frame: Annually over 5 years

Secondary outcomes

  1. % change of oligomer levels relative to baseline level in patients with ATTR specific medication changes

    Change (%) for oligomer level at the time of ATTR specific medication changes compared to baseline

    Time frame: Annually over 5 years

07

Study locations

1 site
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2018 to primary completion in Mar 2026, 97 months.

Of 52 observational studies under Amyloidosis, half reached primary completion within 97 months of starting (the median), counting those still running; a quarter within 29 and three quarters within 183. This study's 97 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 7, 2018
First posted
Feb 13, 2018
StartActual
Feb 1, 2018
Primary completionActual
Mar 9, 2026
CompletionActual
Mar 9, 2026
Last update
Mar 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03431896
Responsible party
Sponsor
First posted
Feb 13, 2018
Start date
Feb 1, 2018
Primary completion
Mar 9, 2026
Completion
Mar 9, 2026
Last update
Mar 12, 2026

Study contacts

Mazen A Hanna, MD
principal investigator · The Cleveland Clinic

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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