CClinicalTrials.gg
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 · 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

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.

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 informed consent.

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

04

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

  • Druginotersen

    TEGSEDI injection, for subcutaneous use

05

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

06

Study locations

No study locations are listed for this record.

07

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.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion