ClinicalTrials.gg
RecruitingNCT06465810MaesTTRoUpdated Sep 23, 2026

Non-interventional Study of Patients With Transthyretin (ATTR) Amyloidosis

An observational study in Transthyretin Amyloidosis, ATTR-CM and ATTRv-PN, sponsored by AstraZeneca. Recruiting at 89 sites in 6 countries. Open to participants aged 18 Years to 130 Years. Per ClinicalTrials.gov, last updated 2026-09-23.

Sponsored by AstraZeneca · Observational

From the registry’s dates

  • Started Jun 2024; still recruiting 2 years 4 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,850
Ages
18 Years to 130 Years
Sex
All
01

Study summary

The MaesTTRo study aims to enroll a global cohort of patients with transthyretin (ATTR) amyloidosis to longitudinally observe the natural course of the disease and describe real-world treatment patterns and outcomes. In addition, information on the effectiveness of ATTR amyloidosis treatments, including eplontersen, which is a ligand-conjugated antisense oligonucleotide gene silencing treatment targeting activity against both the mutant and wild-type TTR protein, will be collected.

Read the detailed description

MaesTTRo is an international, longitudinal, non-interventional study of adult patients with transthyretin (ATTR) amyloidosis.

The study plans to enroll a minimum of 1850 patients with ATTR amyloidosis, including a minimum of 850 patients with ATTR cardiomyopathy (ATTR-CM), and a minimum of 100 patients with ATTRv-PN hereditary polyneuropathy.

The enrollment period is expected to last approximately 4 years. The duration of follow-up for each patient will be at least 3 years and up to 7 years depending on the date when the patient is enrolled.

This study design will include both primary and secondary data. Primary data will consist of patient-reported outcome (PRO) questionnaires. Patients will be asked to complete electronic PRO questionnaires at enrollment and every 6 months (±3 months) only during routine visits. Secondary data will consist of demographic, clinical, and treatment information, and will be collected as per routine clinical practice. These data will be abstracted directly from the electronic health record or review of paper charts for each patient and entered in the electronic data capture system. No site visits are required for this study, and patients will not be contacted for data collection outside of routine clinic visits.

For patients enrolled in the United States, a tokenization process (creation of a unique, encrypted identifier called a token, in place of personal identifiable information) will be used to collect additional de-identified data (e.g., healthcare resource use, healthcare costs) from other sources that are part of patients' routine medical care (electronic medical, hospital, or pharmacy records). Only de-identified data will be analyzed. Patients will be given a choice within the informed consent form to opt in or opt out of participating in the tokenization process.

02

Conditions studied

  • Transthyretin Amyloidosis
  • ATTR-CM
  • ATTRv-PN
  • ATTR
  • ATTR-Mixed
  • hATTR

Keywords

  • Amyloidosis
  • Transthyretin
  • 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
  • Eplontersen
  • Non-interventional
  • Observational
  • Real-world
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 1,850 is above the median of 100 across 40 observational studies indexed under Amyloidosis, Hereditary, Transthyretin-Related.

Browse Amyloidosis, Hereditary, Transthyretin-Related studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,499 studies on the registry; 270 are open to participants now.

Of its 368 completed or terminated interventional studies of FDA-regulated products, 178 (48%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 130 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with a diagnosis of amyloid transthyretin (ATTR) amyloidosis

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

  • Patient willing and able to provide written to participate in the study
  • Confirmed diagnosis of amyloid transthyretin (ATTR) amyloidosis
  • Aged ≥18 years at the time of signing the informed consent
  • Patient willing and able to participate in collection of electronic patient reported outcomes (PROs)

Exclusion criteria

Exclusion Criteria:

  • Concurrent participation in any interventional trial for ATTR amyloidosis
  • Involvement in the planning and/or conduct of the current study
  • Patients with evidence of primary or light chain amyloidosis (AL) or serum protein A amyloidosis (AA)
  • Asymptomatic patients with ATTR amyloidosis and asymptomatic ATTR mutation carriers
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
1,850 participants (estimated)
Patient registry
No

Groups and cohorts

  • ATTR cardiomyopathy (ATTR-CM)

    Patients with ATTR-CM at enrollment

    Drug: Treatment of transthyretin (ATTR) amyloidosis in observational study setting

  • Hereditary polyneuropathy (ATTRv-PN)

    Patients with ATTRv-PN at enrollment

    Drug: Treatment of transthyretin (ATTR) amyloidosis in observational study setting

  • ATTR-Mixed

    Patients with a mixed ATTR amyloidosis phenotype

    Drug: Treatment of transthyretin (ATTR) amyloidosis in observational study setting

Interventions

  • DrugTreatment of transthyretin (ATTR) amyloidosis in observational study setting

    Data will be collected on patients with ATTR amyloidosis in a real-world setting

06

What researchers measure

Primary outcomes

  1. Demographic characteristics (overall and in patients initiating a treatment with eplontersen)

    * Age * Sex as determined by the investigator (male/female) * Race and ethnicity, where allowed

    Time frame: From time of enrollment for up to 7 years

  2. Treatment patterns (overall and in patients initiating a treatment with eplontersen)

    In order to address this objective, the following treatments will be assessed: * ATTR amyloidosis treatment: Tafamidis, Diflunisal, Acoramidis, Vutrisiran, Patisiran, Inotersen, Eplontersen, Doxycycline and taurodesoxycholic acid, Liver transplant * Heart failure/arrhythmia-related treatment: Diuretics, Angiotensin converting enzyme inhibitor, Angiotensin receptor blocker, Angiotensin receptor-neprilysin inhibitor, Anticoagulation, Beta-blockers, Sodium-glucose co-transporter-2 inhibitor, Mineralocorticoid receptor antagonist, Digoxin, Pacemaker use, Implantable cardioverter-defibrillator, Left ventricular assist device, Cardiac transplant, Transcatheter aortic valve replacement, Surgical aortic valve replacement * Polyneuropathy-related treatment: Antiepileptics (gabapentin, pregabalin, carbamazepine, phenytoin), Antidepressants, Topical pain treatments, Opioids, Tetrahydrocannabinol * Other: Medications for gastrointestinal symptoms, Vitamin A supplementation, Dialysis

    Time frame: From time of enrollment for up to 7 years

  3. Clinical characteristics (overall and in patients initiating a treatment with eplontersen)

    In order to address this objective, the following clinical characteristics will be assessed: * Modified body mass index (mBMI) * Medical history * TTR genetic test results * Family history of ATTR * Time period between the first symptoms to date of diagnosis of ATTR * Time since diagnosis of ATTR

    Time frame: From time of enrollment for up to 7 years

  4. Findings from biopsy (overall and in patients initiating a treatment with eplontersen)

    In order to address this objective, the following biopsy information will be collected: * Type of biopsy * Amyloid identification result (Positive, Negative, Inconclusive for amyloid) * Method of amyloid typing * Result of the biopsy (Normal/Abnormal) * Reason for considering the biopsy result abnormal

    Time frame: From time of enrollment for up to 7 years

  5. Findings from Cardiovascular magnetic resonance imaging (CMR) (overall and in patients initiating a treatment with eplontersen)

    In order to address this objective, the following information will be collected: extracellular volume (ECV), contrast use, left ventricular (LV) end-diastolic volume, LV end-systolic volume, LV ejection fraction, LV Mass Index, interventricular wall thickness, right ventricular Free Wall Thickness, LV Free Wall Thickness, left Atrial Volume Index, native T1 mapping, CMR result (Normal/Abnormal), reason for considering the result abnormal.

    Time frame: From time of enrollment for up to 7 years

  6. Findings from Bone tracer cardiac scintigraphy (overall and in patients initiating a treatment with eplontersen)

    In order to address this objective, the following information will be collected: Type of tracer, Heart to contralateral lung ratio (H/CL), Perugini grade, scintigraphy result (Normal/Abnormal), reason for considering the result abnormal.

    Time frame: From time of enrollment for up to 7 years

  7. Findings from Echocardiography (overall and in patients initiating a treatment with eplontersen)

    In order to address this objective, the following information will be collected: LV ejection fraction, LV End Diastolic Volume, LV End Systolic Volume LV End Diastolic Dimension, LV End Systolic Dimension, Interventricular Septal Thickness End Diastole, Posterial Wall Thickness End Diastole, Left Ventricular Mass Index, Left Atrial Volume, Left Atrial Volume Index, Mitral valve regurgitation, Aortic valve regurgitation, Tricuspid valve regurgitation, Pulmonic valve regurgitation, LV Outflow Gradient, Stroke Volume, Lateral early diastolic myocardial velocity (e' lateral), Medial early diastolic myocardial velocity (e' medial), Mitral E/e' Ratio, Early diastolic mitral inflow velocity (E), Late diastolic mitral inflow velocity (A), Mitral Peak E/A Ratio, Global LV longitudinal strain, Pulmonary artery systolic pressure, RV Free Wall Thickness Severity of Aortic stenosis, Severity of Mitral stenosis.

    Time frame: From time of enrollment for up to 7 years

  8. ECG variables (overall and in patients initiating a treatment with eplontersen)

    In order to address this objective, the following ECG information will be collected: * Interpretation of the ECG (Normal/Abnormal/Borderline) * Heart rhythm * Presence of extrasystoles * Presence of conduction abnormalities * Evidence of left ventricular hypertrophy (LVH)

    Time frame: From time of enrollment for up to 7 years

  9. Sural nerve and tibial nerve amplitude (overall and in patients initiating a treatment with eplontersen)

    Sural nerve and tibial nerve amplitude will be measured in overall and in patients initiating a treatment with eplontersen

    Time frame: From time of enrollment for up to 7 years

  10. Biomarker results (overall and in patients initiating a treatment with eplontersen)

    In order to address this objective, the following biomarker results will be collected: * Serum TTR levels * Complete blood count * Hemoglobin * Troponin I * Cystatin * Creatinine * Reported glomerular filtration rate (GFR) * Albumin * Liver enzymes: alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma glutamyl transferase (GGT), total bilirubin * N-terminal pro B-type natriuretic peptide (NT-proBNP) * Vitamin A level * Neurofilament light chain (NfL) * International normalized ratio (INR) test

    Time frame: From time of enrollment for up to 7 years

  11. Urine test results (overall and in patients initiating a treatment with eplontersen)

    In order to address this objective, the following test results will be collected: * Urine albumin-creatinine ratio (UACR) * Urine protein creatinine ratio (UPCR)

    Time frame: From time of enrollment for up to 7 years

  12. Clinical manifestations (signs and symptoms) of ATTR amyloidosis (overall and in patients initiating a treatment with eplontersen)

    In order to address this objective, the following clinical manifestations will be assessed: ischemic heart disease, acute myocardial infarction, heart failure, atrial fibrillation, arrhythmias, conduction system disease, aortic valve stenosis polyneuropathy, carpal tunnel syndrome, autonomic neuropathy, nephrotic syndrome, subnephrotic proteinuria, gastrointestinal dysfunction, chronic kidney disease / acute kidney injury, spinal stenosis, spinal stenosis surgery, hepatomegaly, ascites, oedema, other amyloidosis related manifestations (e.g., Popeye's sign, tendon rupture)

    Time frame: From time of enrollment for up to 7 years

  13. 36-Item Short Form Health Survey Version 2 (SF-36v2) Physical Component Summary score (overall and in patients initiating a treatment with eplontersen)

    The SF-36v2 is a 36-item, generic health survey that provides scores for eight health domains (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health) and two summary scores; the physical component summary (PCS) score and the mental component summary (MCS) score. Higher scores indicate a better health state.

    Time frame: From time of enrollment for up to 7 years

  14. Norfolk Quality of Life-Diabetic Neuropathy total score (overall and in patients initiating a treatment with eplontersen)

    The Norfolk QOL-DN is a 35-item, disease-specific instrument that provides scores for five domains (symptoms, large fiber neuropathy, small fiber neuropathy, autonomic neuropathy, and activities of daily living) and a total score. Higher scores indicate a worse health state.

    Time frame: From time of enrollment for up to 7 years

  15. Kansas City Cardiomyopathy Questionnaire (KCCQ) overall summary score (overall and in patients initiating a treatment with eplontersen)

    The KCCQ is a 23-item, disease-specific questionnaire that assesses seven domains (physical limitations, symptom stability, symptom frequency, symptom burden, self-efficacy, quality of life, and social limitation) and provides three summary scores (total symptom score, clinical summary score, and overall summary score). Higher scores indicate a better health state.

    Time frame: From time of enrollment for up to 7 years

  16. New York Heart Association (NYHA) classification (overall and in patients initiating a treatment with eplontersen)

    I=No symptoms; II=Symptoms with ordinary physical activity; III=Symptoms with less than ordinary physical activity; IV=Symptoms at rest.

    Time frame: From time of enrollment for up to 7 years

  17. National Amyloidosis Centre (NAC) ATTR staging or Mayo staging (overall and in patients initiating a treatment with eplontersen)

    For NAC staging, Stage I: N-terminal pro-brain natriuretic peptide (NT-proBNP) ≤3000 ng/L and estimated glomerular filtration rate (eGFR) ≥45 ml/min; Stage III: NT-proBNP \>3000 ng/L and eGFR \<45 ml/min; Stage IV:NT-proBNP ≥10,000 ng/L; Stage II: remainder of patients For Mayo staging, Stage I: Both and biomarker values are below the established thresholds; Stage II: Either troponin T or NT-proBNP is above the threshold; Stage III: Both troponin T and NT-proBNP biomarker values are above the threshold. Biomarker Thresholds: Troponin T: \>0.05 mg/mL and NT-proBNP: \>3000 pg/mL.

    Time frame: From time of enrollment for up to 7 years

  18. Familial amyloid polyneuropathy (FAP) (Coutinho) staging (overall and in patients initiating a treatment with eplontersen)

    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: From time of enrollment for up to 7 years

  19. Polyneuropathy disability (PND) score (overall and in patients initiating a treatment with eplontersen)

    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: From time of enrollment for up to 7 years

  20. Left Ventricular Ejection Fraction (overall and in patients initiating a treatment with eplontersen)

    Left Ventricular Ejection Fraction will be measured in overall and in patients initiating a treatment with eplontersen

    Time frame: From time of enrollment for up to 7 years

  21. 6-minute walk test (overall and in patients initiating a treatment with eplontersen)

    To address this objective, the distance walked in 6 minutes will be measured.

    Time frame: From time of enrollment for up to 7 years

  22. Charlson comorbidity index (CCI) and CCI components (overall and in patients initiating a treatment with eplontersen)

    In order to address CCI, most recent score and all CCI componenet will be measured * Myocardial infarction * Congestive heart failure * Peripheral vascular disease * Cerebrovascular disease * Dementia * Chronic pulmonary disease * Rheumatic disease * Peptic ulcer disease * Diabetes (None, Without chronic complications, With chronic complications) * Hemiplegia or paraplegia * Renal disease * Any malignancy, including lymphoma and leukemia, except malignant neoplasm of skin (None, Localized, Metastatic) * Liver disease (None, Mild, Moderate, Severe) * Metastatic solid tumor * Acquired immune deficiency syndrome (AIDS) / Human immunodeficiency virus (HIV)

    Time frame: From time of enrollment for up to 7 years

  23. Other comorbidities of interest (overall and in patients initiating a treatment with eplontersen)

    In order to address this objective, the following information will be collected: * Percentage of patients with depression * Percentage of patients with fibromyalgia * Percentage of patients with paraproteinemia

    Time frame: From time of enrollment for up to 7 years

  24. Healthcare resource utilization (overall and in patients initiating a treatment with eplontersen)

    In order to address this objective, the following information will be collected: * Number of emergency department visits * Number of outpatient visits * Inpatient care/hospitalization general ward (non-intensive): number of inpatient stays, number of bed days * Inpatient care/hospitalization intensive ward: number of inpatient stays, number of bed days

    Time frame: From time of enrollment for up to 7 years

  25. Mortality (overall and in patients initiating a treatment with eplontersen)

    Mortality during study follow-up (all-cause, related to ATTR amyloidosis), overall and by NYHA/NAC or Mayo/FAP stage

    Time frame: Throughout study follow-up (up to 7 years)

  26. Liver Disease and Live Transplant

    * Liver disease (for patients with mild, moderate or severe liver disease: Child Pugh score, Child Pugh class, ascites, encephalopathy) * Liver transplantation (reason for transplant, type of transplant)

    Time frame: From time of Enrollment for up to 7 Years

Secondary outcomes

  1. Comparison of demographic and clinical characteristics of patients prescribed eplontersen at any time during the observation period to patients on other ATTR treatments

    The following outcomes will be compared between patients treated with eplontersen and patients on other ATTR treatments: * Demographics * mBMI * Medical history * Family history of ATTR amyloidosis * Time period between the first symptoms to date of diagnosis of ATTR amyloidosis * Time since diagnosis of ATTR amyloidosis

    Time frame: Up to 7 years

  2. Comparison of findings from biopsy in patients prescribed eplontersen at any time during the observation period to patients on other ATTR treatments

    The following outcomes will be compared between patients treated with eplontersen and patients on other ATTR treatments: * Type of biopsy * Amyloid identification result (Positive, Negative, Inconclusive for amyloid) * Method of amyloid typing * Result of the biopsy (Normal/Abnormal) * Reason for considering the biopsy result abnormal

    Time frame: Up to 7 years

  3. Comparison of findings from Cardiovascular magnetic resonance imaging (CMR) in patients prescribed eplontersen at any time during the observation period to patients on other ATTR treatments

    The following outcomes will be compared between patients treated with eplontersen and patients on other ATTR treatments: extracellular volume (ECV), contrast use, left ventricular (LV) end-diastolic volume, LV end-systolic volume, LV ejection fraction, LV Mass Index, interventricular wall thickness, right ventricular Free Wall Thickness, LV Free Wall Thickness, left Atrial Volume Index, native T1 mapping, CMR result (Normal/Abnormal), reason for considering the result abnormal.

    Time frame: Up to 7 years

  4. Comparison of findings from Echocardiography in patients prescribed eplontersen at any time during the observation period to patients on other ATTR treatments

    The following outcomes will be compared between patients treated with eplontersen and patients on other ATTR treatments: LV ejection fraction, LV End Diastolic Volume, LV End Systolic Volume LV End Diastolic Dimension, LV End Systolic Dimension, Interventricular Septal, Thickness Diastole, Posterial Wall Thickness Diastole, Left Ventricular Mass Index, Left Atrial Volume, Left Atrial Volume Index, Mitral valve regurgitation, Aortic valve regurgitation, Tricuspid valve regurgitation, Pulmonic valve regurgitation, LV Outflow Gradient, Stroke Volume, Lateral early diastolic myocardial velocity (e' lateral), Medial early diastolic myocardial velocity (e' medial), Mitral E/e' Ratio, Early diastolic mitral inflow velocity (E), Late diastolic mitral inflow velocity (A), Mitral Peak E/A Ratio, Global LV longitudinal strain, Pulmonary artery systolic pressure, RV Free Wall Thickness Severity of Aortic stenosis, Severity of Mitral stenosis.

    Time frame: Up to 7 years

  5. Comparison of ECG variables of patients prescribed eplontersen at any time during the observation period to patients on other ATTR treatments

    The following outcomes will be compared between patients treated with eplontersen and patients on other ATTR treatments: * Interpretation of the ECG (Normal/Abnormal/Borderline) * Heart rhythm * Presence of extrasystoles * Presence of conduction abnormalities * Evidence of left ventricular hypertrophy (LVH)

    Time frame: Up to 7 years

  6. Comparison of findings from Bone tracer cardiac scintigraphyin patients prescribed eplontersen at any time during the observation period to patients on other ATTR treatments

    The following outcomes will be compared between patients treated with eplontersen and patients on other ATTR treatments: Type of tracer, Heart to contralateral lung ratio (H/CL), Perugini grade, scintigraphy result (Normal/Abnormal), reason for considering the result abnormal.

    Time frame: Up to 7 years

  7. Comparison of sural nerve and tibial nerve amplitude in patients prescribed eplontersen at any time during the observation eriod to patients on other ATTR treatments

    Sural nerve and tibial nerve amplitude will be compared in patients prescribed eplontersen at any time during the observation period to patients on other ATTR treatments

    Time frame: Up to 7 years

  8. Comparison of biomarker results in patients prescribed eplontersen at any time during the observation eriod to patients on other ATTR treatments

    The following outcomes will be compared between patients treated with eplontersen and patients on other ATTR treatments: * Serum TTR levels * Complete blood count * Hemoglobin * Troponin I * Cystatin * Creatinine * Reported glomerular filtration rate (GFR) * Albumin * Liver enzymes: alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma glutamyl transferase (GGT), total bilirubin * N-terminal pro B-type natriuretic peptide (NT-proBNP) * Vitamin A level * Neurofilament light chain (NfL) * International normalized ratio (INR) test

    Time frame: Up to 7 years

  9. Comparison of urine test results in patients prescribed eplontersen at any time during the observation eriod to patients on other ATTR treatments

    The following outcomes will be compared between patients treated with eplontersen and patients on other ATTR treatments: * Urine albumin-creatinine ratio (UACR) * Urine protein creatinine ratio (UPCR)

    Time frame: Up to 7 years

  10. Comparison of Clinical manifestations (signs and symptoms) of ATTR amyloidosis in patients prescribed eplontersen to patients on other ATTR treatments

    The following outcomes will be compared between patients treated with eplontersen and patients on other ATTR treatments: ischemic heart disease, acute myocardial infarction, heart failure, atrial fibrillation, arrhythmias, conduction system disease, aortic valve stenosis polyneuropathy, carpal tunnel syndrome, autonomic neuropathy, nephrotic syndrome, subnephrotic proteinuria, gastrointestinal dysfunction, chronic kidney disease / acute kidney injury, spinal stenosis, spinal stenosis surgery, hepatomegaly, ascites, oedema, other amyloidosis related manifestations (e.g., Popeye's sign, tendon rupture)

    Time frame: Up to 7 years

  11. Comparison of 36-Item Short Form Health Survey Version 2 (SF-36v2) Physical Component Summary score in patients prescribed eplontersen to patients on other ATTR treatments

    SF-36v2, physical component summary scores will be compared between patients treated with eplontersen and patients on other ATTR treatments.

    Time frame: Up to 7 years

  12. Comparison of Norfolk Quality of Life-Diabetic Neuropathy total score in patients prescribed eplontersen to patients on other ATTR treatments

    Norfolk Quality of Life-Diabetic Neuropathy total scores will be compared between patients treated with eplontersen and patients on other ATTR treatments.

    Time frame: Up to 7 years

  13. Comparison of Kansas City Cardiomyopathy Questionnaire (KCCQ) overall summary score in patients prescribed eplontersen to patients on other ATTR treatments

    Kansas City Cardiomyopathy Questionnaire (KCCQ) overall summary score will be compared in patients prescribed eplontersen to patients on other ATTR treatments

    Time frame: Up to 7 years

  14. Comparison of New York Heart Association (NYHA) classification in patients prescribed eplontersen to patients on other ATTR treatments

    New York Heart Association (NYHA) classification will be compared in patients prescribed eplontersen to patients on other ATTR treatments

    Time frame: Up to 7 years

  15. Comparison of Familial amyloid polyneuropathy (FAP) (Coutinho) staging in patients prescribed eplontersen to patients on other ATTR treatments

    FAP staging: 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 7 years

  16. Comparison of Left Ventricular Ejection Fraction in patients prescribed eplontersen to patients on other ATTR treatments

    Left Ventricular Ejection Fraction will be compared in patients prescribed eplontersen to patients on other ATTR treatments

    Time frame: Up to 7 years

  17. Comparison of Charlson comorbidity index (CCI) and CCI components in patients prescribed eplontersen to patients on other ATTR treatments

    Charlson comorbidity index (CCI) and CCI components will be compared in patients prescribed eplontersen to patients on other ATTR treatments

    Time frame: Up to 7 years

  18. Comparison of other comorbidities of interest in patients prescribed eplontersen to patients on other ATTR treatments

    The following outcomes will be compared between patients treated with eplontersen and patients on other ATTR treatments: * Percentage of patients with depression * Percentage of patients with fibromyalgia * Percentage of patients with paraproteinemia

    Time frame: Up to 7 years

  19. Comparison of healthcare resource utilization in patients prescribed eplontersen to patients on other ATTR treatments

    The following outcomes will be compared between patients treated with eplontersen and patients on other ATTR treatments: * Number of emergency department visits * Number of outpatient visits * Inpatient care/hospitalization general ward (non-intensive): number of inpatient stays, number of bed days * Inpatient care/hospitalization intensive ward: number of inpatient stays, number of bed days

    Time frame: Up to 7 years

  20. Comparison of mortality in patients prescribed eplontersen to patients on other ATTR treatments

    Mortality will be compared in patients prescribed eplontersen to patients on other ATTR treatments

    Time frame: Up to 7 years

Other outcomes

  1. Risk factors for worsening ATTR progression

    Factors associated with changes in clinical manifestations of ATTR amyloidosis, NYHA classification, NAC ATTR staging or Mayo staging, FAP (Coutinho) staging, PND score, LVEF, CCI and CCI components, and other comorbidities of interest will be identified.

    Time frame: up to 7 years

  2. Healthcare costs in patients with ATTR amyloidosis

    Average annual costs will be calculated based on available data in the different countries.

    Time frame: Up to 7 years

  3. Serious adverse events in patients treated with ATTR amyloidosis treatments

    Serious adverse events in patients treated with ATTR amyloidosis treatments will be measured

    Time frame: Up to 7 years

07

Study locations

73 of 89 sites recruiting
  • Research Site
    La Jolla, California 92037, United States
    Recruiting
  • Research Site
    Los Angeles, California 90095, United States
    Recruiting
  • Research Site
    San Francisco, California 94025, United States
    Recruiting
  • Research Site
    San Francisco, California 94143, United States
    Recruiting
  • Research Site
    New Haven, Connecticut 06510, United States
    Recruiting
  • Research Site
    Washington D.C., District of Columbia 20010, United States
    Recruiting
  • Research Site
    Chicago, Illinois 60637, United States
    Recruiting
  • Research Site
    Indianapolis, Indiana 06200, United States
    Recruiting
  • Research Site
    Baltimore, Maryland 21218, United States
    Recruiting
  • Research Site
    Boston, Massachusetts 02111, United States
    Recruiting
  • Research Site
    Boston, Massachusetts 02114, United States
    Not yet recruiting
  • Research Site
    Boston, Massachusetts 02115, United States
    Recruiting
  • Research Site
    Rochester, Minnesota 55905, United States
    Recruiting
  • Research Site
    Kansas City, Missouri 64111, United States
    Recruiting
  • Research Site
    St Louis, Missouri 63110, United States
    Recruiting
  • Research Site
    New Brunswick, New Jersey 08901, United States
    Recruiting
  • Research Site
    Manhasset, New York 11030, United States
    Recruiting
  • Research Site
    New York, New York 10016, United States
    Not yet recruiting
  • Research Site
    New York, New York 10027, United States
    Recruiting
  • Research Site
    New York, New York 10029, United States
    Recruiting
  • Research Site
    Durham, North Carolina 27710, United States
    Recruiting
  • Research Site
    Portland, Oregon 97239, United States
    Recruiting
  • Research Site
    Danville, Pennsylvania 17822, United States
    Recruiting
  • Research Site
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
  • Research Site
    Philadelphia, Pennsylvania 19107, United States
    Recruiting
  • Research Site
    Greenville, South Carolina 29607, United States
    Recruiting
  • Research Site
    Germantown, Tennessee 38138, United States
    Recruiting
  • Research Site
    Nashville, Tennessee 037214, United States
    Recruiting
  • Research Site
    Dallas, Texas 75246, United States
    Recruiting
  • Research Site
    Houston, Texas 77030, United States
    Not yet recruiting
  • Research Site
    Richmond, Virginia 23298, United States
    Recruiting
  • Research Site
    Seattle, Washington 98915, United States
    Recruiting
  • Research Site
    Milwaukee, Wisconsin 53226, United States
    Recruiting
  • Research Site
    Vancouver, British Columbia V5Z 1M9, Canada
    Recruiting
  • Research Site
    Vancouver, British Columbia V6Z 1Y6, Canada
    Recruiting
  • Research Site
    Halifax, Nova Scotia B3RIV9, Canada
    Recruiting
  • Research Site
    London, Ontario N6A 5A5, Canada
    Recruiting
  • Research Site
    Toronto, Ontario M2J 4W8, Canada
    Recruiting
  • Research Site
    Montreal, Quebec H2X 0A9, Canada
    Not yet recruiting
  • Research Site
    Rimouski, Quebec G5L 5T1, Canada
    Not yet recruiting
  • Research Site
    Hefei, Anhui 230001, China
    Not yet recruiting
  • Research Site
    Beijing, Beijing Municipality 100029, China
    Recruiting
  • Research Site
    Beijing, Beijing Municipality 100034, China
    Recruiting
  • Research Site
    Beijing, Beijing Municipality 100191, China
    Recruiting
  • Research Site
    Beijing, Beijing Municipality 100730, China
    Recruiting
  • Research Site
    Chongqing, Chongqing Municipality 400000, China
    Recruiting
  • Research Site
    Fuzhou, Fujian 350005, China
    Not yet recruiting
  • Research Site
    Xiamen, Fujian 361016, China
    Recruiting
  • Research Site
    Guangzhou, Guangdong 510080, China
    Recruiting
  • Research Site
    Guangzhou, Guangdong 510515, China
    Recruiting
  • Research Site
    Guiyang, Guizhou 550004, China
    Not yet recruiting
  • Research Site
    Shijiazhuang, Hebei 050000, China
    Not yet recruiting
  • Research Site
    Wuhan, Hubei 430000, China
    Recruiting
  • Research Site
    Wuhan, Hubei 430030, China
    Recruiting
  • Research Site
    Changsha, Hunan 410011, China
    Recruiting
  • Research Site
    Changsha, Hunan 410013, China
    Recruiting
  • Research Site
    Nanjing, Jiangsu 210029, China
    Recruiting
  • Research Site
    Suzhou, Jiangsu 215006, China
    Not yet recruiting
  • Research Site
    Nanchang, Jiangxi 330000, China
    Recruiting
  • Research Site
    Dalian, Liaoning 116011, China
    Not yet recruiting
  • Research Site
    Jinan, Shandong 250012, China
    Recruiting
  • Research Site
    Shanghai, Shanghai Municipality 200025, China
    Recruiting
  • Research Site
    Shanghai, Shanghai Municipality 200031, China
    Recruiting
  • Research Site
    Shanghai, Shanghai Municipality 200040, China
    Recruiting
  • Research Site
    Taiyuan, Shanxi 030001, China
    Not yet recruiting
  • Research Site
    Chengdu, Sichuan 610041, China
    Recruiting
  • Research Site
    Chengdu, Sichuan 610072, China
    Recruiting
  • Research Site
    Shaanxi, Xi'An 710061, China
    Recruiting
  • Research Site
    Hangzhou, Zhejiang 310009, China
    Not yet recruiting
  • Research Site
    Würzburg, Bavaria DE-97072, Germany
    Not yet recruiting
  • Research Site
    Frankfurt am Main, Hesse 60590, Germany
    Recruiting
  • Research Site
    Hanover, Lower Saxony 30625, Germany
    Recruiting
  • Research Site
    Aachen, North Rhine-Westphalia 52074, Germany
    Recruiting
  • Research Site
    Cologne, North Rhine-Westphalia 50937, Germany
    Recruiting
  • Research Site
    Mainz, Rhineland-Palatinate 55131, Germany
    Recruiting
  • Research Site
    Homburg, Saarland 66421, Germany
    Recruiting
  • Research Site
    Berlin, 10117, Germany
    Recruiting
  • Research Site
    Huelva, Andalusia 21005, Spain
    Recruiting
  • Research Site
    Bilbao, Basque Country 48013, Spain
    Recruiting
  • Research Site
    Las Palmas de Gran Canaria, Canary Islands 35010, Spain
    Recruiting
  • Research Site
    Salamanca, Castille and León 37007, Spain
    Recruiting
  • Research Site
    Barcelona, Catalu A 08035, Spain
    Recruiting
  • Research Site
    Barcelona, Catalu A 8036, Spain
    Not yet recruiting
  • Research Site
    Cataluna, Catalu A 08907, Spain
    Not yet recruiting
  • Research Site
    Majadahonda, Madrid 28222, Spain
    Recruiting
  • Research Site
    Islas Baleares, Palma de Mallorca 07198, Spain
    Recruiting
  • Research Site
    Birmingham, West Midlands B15 2GW, United Kingdom
    Recruiting
  • Research Site
    Glasgow, G51 4TF, United Kingdom
    Recruiting
  • Research Site
    London, NW3 2QG, United Kingdom
    Recruiting
08

References and documents

Publications

  • Gillmore JD, Hahn K, Smith JG, Conceicao I, Tian Z, Grogan M, Pao C, Wittbrodt E, Jarbrink K, Papas MA, Davis MK. Rationale and Design of ANTHOLOGY: An ATTR Amyloidosis Real-World Evidence Program Aiming to Address Gaps in Amyloidosis Care. Cardiol Ther. 2025 Sep;14(3):477-490. doi: 10.1007/s40119-025-00402-y. Epub 2025 Mar 19. PubMed 40108078 ↗

Individual participant data

Plan to share: Yes — Plan to share only the redacted CSR synopsis

Supporting information: Clinical study report

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA/PhRMA Data-Sharing Principles. For details of our timelines, please refer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Access criteria: When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. A Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Data sharing details ↗ · vivli.org

09

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

Started Jun 2024 (actual). Primary completion is estimated for Dec 2031, 90 months after the start.

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 90 months is close to that.

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

Registered
May 13, 2024
First posted
Jun 20, 2024
StartActual
Jun 25, 2024
Primary completionEst.
Dec 31, 2031
CompletionEst.
Dec 31, 2031
Last update
Sep 23, 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 Sep 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06465810
Lead sponsor
AstraZeneca
Collaborators
ICON plc
Responsible party
Sponsor
First posted
Jun 20, 2024
Start date
Jun 25, 2024
Primary completion
Dec 31, 2031 (estimated)
Completion
Dec 31, 2031 (estimated)
Last update
Sep 23, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479

Oversight

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

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