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Not yet recruitingNCT04270058Updated Aug 19, 2025

TEGSEDI Pregnancy Surveillance Program

An observational study in Hereditary Transthyretin-mediated Amyloidosis With Polyneropathy and Pregnancy, sponsored by Akcea Therapeutics. Not yet recruiting. Open to female participants. Per ClinicalTrials.gov, last updated 2025-08-19.

Sponsored by Akcea Therapeutics (part of Ionis Pharmaceuticals, Inc.) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
20
Sex
Female
01

Study summary

This is a worldwide safety surveillance study of pregnancy outcomes in women with hATTR-PN who may have been exposed or were not exposed to TEGSEDI prior to or during the pregnancy and of pediatric outcomes up to 1 year of age.

02

Conditions studied

  • Hereditary Transthyretin-mediated Amyloidosis With Polyneropathy
  • Pregnancy

Keywords

  • Hereditary transthyretin amyloidosis with polyneuropathy
  • Hereditary transthyretin amyloidosis
  • hATTR
  • hATTR-PN
  • Rare disease
03

In context

Amyloidosis, Hereditary, Transthyretin-Related

82 studies on the registry are indexed under Amyloidosis, Hereditary, Transthyretin-Related; 28 are open to participants now.

This study's planned enrollment of 20 is below the median of 100 across 40 observational studies indexed under Amyloidosis, Hereditary, Transthyretin-Related.

Browse Amyloidosis, Hereditary, Transthyretin-Related studies →

Lead sponsor

Akcea Therapeutics is the lead sponsor of 15 studies on the registry; 1 is open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 8 (89%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Study population

There will be 2 cohorts:

Cohort 1 will be pregnant patients who have been exposed to at least 1 dose of TEGSEDI within 25 weeks prior to conception or during pregnancy.

Cohort 2 will be pregnant patients who have hATTR-PN, who were not exposed to TEGSEDI or have not received TEGSEDI within the previous 25 weeks prior to conception.

The exposed cohort will include pregnant patients from any country where TEGSEDI is marketed and/or clinical trials, post-market studies and registries are being conducted or expanded access programs are available.

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

TEGSEDI exposed patients (Cohort 1) meeting the following criteria will be eligible for study entry:

  1. Pregnancies exposed to at least 1 dose of TEGSEDI within 25 weeks prior to conception or during pregnancy.
  2. Able and willing to provide .

Unexposed patients (Cohort 2) meeting the following criteria will be eligible for study entry:

  1. Have a diagnosis of hATTR-PN during pregnancy.
  2. Have not been exposed to TEGSEDI within 25 weeks prior to conception or during pregnancy.
  3. Able and willing to provide informed consent.

Exclusion criteria

Exclusion Criteria:

None

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
20 participants (estimated)
Target follow-up
21 Months
Patient registry
Yes

Groups and cohorts

  • Cohort 1

    Cohort 1 will be pregnant patients who have been exposed to at least 1 dose of TEGSEDI within 25 weeks prior to conception or during pregnancy.

    Drug: inotersen

  • Cohort 2

    Cohort 2 will be pregnant patients who have hATTR-PN, who were not exposed to TEGSEDI or have not received TEGSEDI within the previous 25 weeks prior to conception.

Interventions

  • TEGSEDI injection, for subcutaneous use

06

What researchers measure

Primary outcomes

  1. Frequency of Selected Pregnancy and Fetal/Neonatal Outcomes

    Estimate the frequency of selected pregnancy and fetal/neonatal outcomes through 1 year of age in women who were exposed to at least 1 dose of TEGSEDI (Cohort 1) within 25 weeks prior to conception or during pregnancy, with the exposure window of interest for major congenital malformations being the first trimester, and in the unexposed cohort of pregnant women (Cohort 2) who have a diagnosis of hereditary transthyretin amyloidosis with polyneuropathy (hATTR-PN) * pregnancy outcomes include live births, spontaneous abortions, stillbirths, elective abortions, preterm birth * fetal/neonatal outcomes include major and minor congenital malformations, small for gestational age, failure to thrive, and postnatal development

    Time frame: 10 years or 12 months after the last live birth whichever is later

  2. Frequency of Selected Pregnancy Complications

    Estimate the frequency of selected pregnancy complications in women who were exposed to TEGSEDI (Cohort 1) within 25 weeks prior to conception or during pregnancy and in the unexposed cohort of pregnant women (Cohort 2) who have a diagnosis of hATTR-PN

    Time frame: 10 years or 12 months after the last live birth whichever is later

07

Study locations

No study locations are listed for this record.

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

Start is estimated for Dec 2025; primary completion for Nov 2030, 59 months later.

Of 25 observational studies under Amyloidosis, Hereditary, Transthyretin-Related, half reached primary completion within 93 months of starting (the median), counting those still running; a quarter within 29 and three quarters within 97. This study's planned 59 months is below that.

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

Registered
Feb 7, 2020
First posted
Feb 17, 2020
StartEst.
Dec 2025
Primary completionEst.
Nov 15, 2030
CompletionEst.
Nov 15, 2030
Last update
Aug 19, 2025
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 Aug 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04270058
Lead sponsor
Akcea Therapeutics
Responsible party
Sponsor
First posted
Feb 17, 2020
Start date
Dec 2025 (estimated)
Primary completion
Nov 15, 2030 (estimated)
Completion
Nov 15, 2030 (estimated)
Last update
Aug 19, 2025

Study contacts

Ionis Pharmaceuticals
Contact
ionisNCT04270058study@clinicaltrialmedia.com
(844) 962-4787

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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