ClinicalTrials.gg
RecruitingNCT04561518ConTTRibuteUpdated Oct 13, 2026

ConTTRibute: A Global Observational Study of Patients With Transthyretin (TTR)-Mediated Amyloidosis (ATTR Amyloidosis)

An observational study in Transthyretin-Mediated Amyloidosis and ATTR Amyloidosis, sponsored by Alnylam Pharmaceuticals. Recruiting at 40 sites in 12 countries. Per ClinicalTrials.gov, last updated 2026-10-13.

Sponsored by Alnylam Pharmaceuticals · Observational

From the registry’s dates

  • Started Nov 2020; still recruiting 5 years 11 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,500
Sex
All
01

Study summary

The purpose of this study is to:

  • Describe epidemiological and clinical characteristics, natural history and real-world clinical management of ATTR amyloidosis patients
  • Characterize the safety and effectiveness of patisiran and vutrisiran as part of routine clinical practice in the real-world clinical setting
  • Describe disease emergence/progression in pre-symptomatic carriers of a known disease-causing transthyretin (TTR) variant
02

Conditions studied

  • Transthyretin-Mediated Amyloidosis
  • ATTR Amyloidosis

Keywords

  • RNAi therapeutic
  • Transthyretin
  • TTR
  • Amyloidosis
  • Hereditary Transthyretin-mediated (hATTR) Amyloidosis
  • hATTR amyloidosis
  • Hereditary ATTR amyloidosis
  • Wild-type amyloidosis
  • wtATTR amyloidosis
  • ATTRv amyloidosis
  • ATTRwt amyloidosis
  • Polyneuropathy
  • Familial amyloid polyneuropathies
  • ATTR
  • Transthyretin amyloidosis
  • TTR-mediated amyloidosis
  • Polyneuropathies
  • Amyloid neuropathies
  • Amyloid neuropathies, familial
  • Amyloidosis, familial
03

In context

Amyloidosis

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

This study's planned enrollment of 1,500 is above the median of 190 across 83 observational studies indexed under Amyloidosis.

Browse Amyloidosis studies →

Lead sponsor

Alnylam Pharmaceuticals is the lead sponsor of 84 studies on the registry; 19 are open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 15 (83%) 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
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with a diagnosis of ATTR amyloidosis, hereditary or wild type, and pre-symptomatic carriers with a known disease-causing TTR variant will be eligible for the study.

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

  • Diagnosis of ATTR amyloidosis or documented known disease-causing TTR variant for the cohort of pre-symptomatic carriers
  • Germany Only: Patients must be treated per the summary of product characteristics (SmPC) for any approved treatment for ATTR amyloidosis

Exclusion criteria

Exclusion Criteria:

  • Current enrollment in a clinical trial for any agent
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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,500 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients with ATTR amyloidosis

    Patients with a diagnosis of ATTR amyloidosis, hereditary or wild type, will be eligible for the study and will follow routine clinical care.

  • Pre-symptomatic Carriers

    Pre-symptomatic carriers with a known disease-causing TTR variant will be eligible for the study and will follow routine clinical care.

06

What researchers measure

Primary outcomes

  1. Incidence of Adverse Events

    Time frame: From time of enrollment for up to 10 years

  2. Selected Events of Interest in Patients with Hereditary Transthyretin-mediated (hATTR) or Wild-type Transthyretin-mediated (wtATTR) Amyloidosis (ATTRv Amyloidosis)

    Selected events of interest are defined as hepatic events, cardiovascular events, renal events, ocular events and infusion-related reactions, hypersensitivity, and other events in patients diagnosed with hATTR or wtATTR amyloidosis.

    Time frame: From 1 year prior to enrollment for up to 10 years

  3. Health Care Provider (HCP)-Assessed Polyneuropathy (PND) Disability Score

    PND Scores: Stage 0=No symptoms; Stage I=Sensory disturbances but preserved walking capabilities; Stage II=Impaired walking capacity, but ability to walk without a stick or crutches; Stage IIIA=Walking with help of 1 stick or crutch; Stage IIIB=Walking with the help of 2 sticks or crutches; Stage IV=confined to wheel chair or bedridden.

    Time frame: Up to 11 years

  4. HCP-Assessed Familial Amyloidotic Polyneuropathy (FAP) Score

    FAP Scores: Stage 0=No symptoms; Stage I=Unimpaired ambulation; mostly mild sensory, motor and autonomic neuropathy in the lower limbs; Stage II=Assistance with ambulation required, mostly moderate impairment progression to the lower limbs, upper limbs, and trunk; Stage III=Wheelchair-bound or bedridden; severe sensory, motor, and autonomic involvement of all limbs.

    Time frame: Up to 11 years

  5. HCP-Assessed Neuropathy Impairment Score (NIS)

    NIS : 74 items, assess muscle weakness, reflexes and sensation; scored separately for left, right limbs (37 items for each side). Components of muscle weakness (hip and knee flexion, hip and knee extension, ankle dorsiflexors, ankle plantar flexors, toe extensors, toe flexors) scored on scale 0 (normal) to 4 (paralysis), higher score=greater weakness. Components of reflexes (quadriceps femoris, triceps surae) and sensation (touch pressure, pin-prick, vibration, joint position) scored 0 = normal, 1= decreased, or 2 = absent. Total possible NIS score range 0-244, higher score=greater impairment.

    Time frame: Up to 11 years

  6. HCP-Assessed Cardiomyopathy

    Cardiomyopathy will be assessed using New York Heart Association (NYHA) Class: I=No symptoms; II=Symptoms with ordinary physical activity; III=Symptoms with less than ordinary physical activity; IV=Symptoms at rest.

    Time frame: Up to 11 years

  7. HCP- Assessed Cardiopulmonary Exercise Testing (CPET) Performance

    Time frame: Up to 11 years

  8. Norfolk Quality of Life - Diabetic Neuropathy (QOL-DN) Total Score

    Norfolk-QoL-DN: The Norfolk QOL-DN questionnaire is a standardized 35-item patient-reported outcomes measure that assesses 6 domains: physical function, large-fiber neuropathy, activities of daily living, symptoms, small-fiber neuropathy, and autonomic neuropathy. The total score ranges from -4 points (best possible quality of life) to 136 points (worst possible quality of life).

    Time frame: Up to 11 years

  9. Kansas City Cardiomyopathy Questionnaire (KCCQ)

    The KCCQ is a 23-item self-administered questionnaire developed to independently measure the patient's perception of health status, which includes heart failure symptoms, impact on physical and social function, and how their heart failure impacts their quality of life within a 2-week recall period. The KCCQ quantifies 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).

    Time frame: Up to 11 years

  10. Rasch-built Overall Disability Scale (R-ODS)

    The R-ODS is a 24-item self-administered questionnaire for assessment of the disability a patient experiences. It uses a linearly weighted categorical rating scale that specifically captures domains of activity and social participation limitations in patients.

    Time frame: Up to 11 years

07

Study locations

38 of 40 sites recruiting
  • Clinical Trial Site
    La Jolla, California 92037, United States
    Recruiting
  • Clinical Trial Site
    Los Angeles, California 90095, United States
    Recruiting
  • Clinical Trial Site
    Jacksonville, Florida 32224, United States
    Recruiting
  • Clinical Trial Site
    Iowa City, Iowa 52242, United States
    Recruiting
  • Clinical Trial Site
    Kansas City, Kansas 66160, United States
    Recruiting
  • Clinical Trial Site
    Baltimore, Maryland 21224, United States
    Recruiting
  • Clinical Trial Site
    Boston, Massachusetts 02127, United States
    Completed

    Not enrolling at this site — choose another above.

  • Clinical Trial Site
    New York, New York 10034, United States
    Recruiting
  • Clinical Trial Site
    Durham, North Carolina 27710, United States
    Recruiting
  • Clinical Trial Site
    Columbus, Ohio 43210, United States
    Recruiting
  • Clinical Trial Site
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
  • Clinical Trial Site
    Austin, Texas 78756, United States
    Recruiting
  • Clinical Trial Site
    Houston, Texas 77030, United States
    Recruiting
  • Clinical Trial Site
    Salvador, Brazil
    Recruiting
  • Clinical Trial Site
    São Paulo, Brazil
    Recruiting
  • Clinical Trial Site
    Sofia, Bulgaria
    Recruiting
  • Clinical Trial Site
    Aarhus, Denmark
    Recruiting
  • Clinical Trial Site
    Copenhagen, Denmark
    Completed

    Not enrolling at this site — choose another above.

  • Clinical Trial Site
    Bordeaux, France
    Recruiting
  • Clinical Trial Site
    Bron, France
    Recruiting
  • Clinical Trial Site
    Créteil, France
    Recruiting
  • Clinical Trial Site
    Le Kremlin-Bicêtre, France
    Recruiting
  • Clinical Trial Site
    Marseille, France
    Recruiting
  • Clinical Trial Site
    Berlin, Germany
    Recruiting
  • Clinical Trial Site
    Giessen, Germany
    Recruiting
  • Clinical Trial Site
    Hanover, Germany
    Recruiting
  • Clinical Trial Site
    Jerusalem, Israel
    Recruiting
  • Clinical Trial Site
    Ramat Gan, Israel
    Recruiting
  • Clinical Trial Site
    Milan, Italy
    Recruiting
  • Clinical Trial Site
    Naples, Italy
    Recruiting
  • Clinical Trial Site
    Palermo, Italy
    Recruiting
  • Clinical Trial Site
    Roma, Italy
    Recruiting
  • Clinical Trial Site
    Groningen, Netherlands
    Recruiting
  • Clinical Trial Site
    Lisbon, Portugal
    Recruiting
  • Clinical Trial Site
    Porto, Portugal
    Recruiting
  • Clinical Trial Site
    Barcelona, Spain
    Recruiting
  • Clinical Trial Site
    Madrid, Spain
    Recruiting
  • Clinical Trial Site
    Palma, Spain
    Recruiting
  • Clinical Trial Site
    New Taipei City, Taiwan
    Recruiting
  • Clinical Trial Site
    Taipei, Taiwan
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Started Nov 2020 (actual). Primary completion is estimated for Dec 2033, 157 months after the start.

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 planned 157 months is above that.

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

Registered
Sep 18, 2020
First posted
Sep 23, 2020
StartActual
Nov 23, 2020
Primary completionEst.
Dec 31, 2033
CompletionEst.
Dec 31, 2033
Last update
Oct 13, 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.
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
1 update, last Oct 13, 2026
Show all 1 update
  1. Oct 13, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT04561518
Responsible party
Sponsor
First posted
Sep 23, 2020
Start date
Nov 23, 2020
Primary completion
Dec 31, 2033 (estimated)
Completion
Dec 31, 2033 (estimated)
Last update
Oct 13, 2026

Study contacts

Alnylam Clinical Trial Information Line
Contact
clinicaltrials@alnylam.com
1-877-ALNYLAM
Alnylam Clinical Trial Information Line
Contact
clinicaltrials@alnylam.com
1-877-256-9526
Medical Director
study director · Alnylam Pharmaceuticals

Oversight

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

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