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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT01960348
Registration number
NCT01960348
Ethics application status
Date submitted
9/10/2013
Date registered
10/10/2013
Date last updated
22/04/2024
Titles & IDs
Public title
APOLLO: The Study of an Investigational Drug, Patisiran (ALN-TTR02), for the Treatment of Transthyretin (TTR)-Mediated Amyloidosis
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Scientific title
APOLLO: A Phase 3 Multicenter, Multinational, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Patisiran (ALN-TTR02) in Transthyretin (TTR)-Mediated Polyneuropathy (Familial Amyloidotic Polyneuropathy-FAP)
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Secondary ID [1]
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2013-002987-17
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Secondary ID [2]
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ALN-TTR02-004
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
TTR-mediated Amyloidosis
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Amyloidosis, Hereditary
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Amyloid Neuropathies, Familial
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Familial Amyloid Polyneuropathies
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Amyloid Neuropathies
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Amyloidosis, Hereditary, Transthyretin-Related
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Condition category
Condition code
Neurological
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Other neurological disorders
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Neurological
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Neurodegenerative diseases
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Metabolic and Endocrine
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Metabolic disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Metabolic and Endocrine
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Other metabolic disorders
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Intervention/exposure
Study type
Interventional(has expanded access)
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Description of intervention(s) / exposure
Treatment: Drugs - patisiran (ALN-TTR02)
Treatment: Drugs - Sterile Normal Saline (0.9% NaCl)
Active Comparator: patisiran (ALN-TTR02) -
Placebo Comparator: Sterile Normal Saline (0.9% NaCl) -
Treatment: Drugs: patisiran (ALN-TTR02)
administered by intravenous (IV) infusion
Treatment: Drugs: Sterile Normal Saline (0.9% NaCl)
administered by intravenous (IV) infusion
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Modified Neuropathy Impairment Score +7 (mNIS+7)
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Assessment method [1]
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The difference between the patisiran (ALN-TTR02) and placebo groups in the change from baseline in mNIS+7 at 18 months. The mNIS+7 is a composite score that quantitates motor, sensory, and autonomic neurologic impairment due to injury of large and small nerves. The minimum and maximum values are 0 and 304, respectively. A higher score indicates a worse outcome.
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Timepoint [1]
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18mo
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Secondary outcome [1]
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Norfolk Quality of Life-Diabetic Neuropathy (Norfolk QoL-DN) Questionnaire
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Assessment method [1]
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The difference between the patisiran (ALN-TTR02) and placebo groups in the change from baseline in Norfolk QoL-DN at 18 months. The Norfolk QoL-DN questionnaire is a standardized 35-item patient-reported outcomes measure that is sensitive to the different features of diabetic neuropathy - small fiber, large fiber, and autonomic nerve function. The minimum and maximum values are -4 and 136, respectively. A higher score indicates a worse outcome.
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Timepoint [1]
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18mo
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Secondary outcome [2]
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Neurological Impairment Score-Weakness (NIS-W) Score
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Assessment method [2]
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The difference between the patisiran (ALN-TTR02) and placebo groups in the change from baseline in NIS-W at 18 months. NIS-W is a measure of motor strength, comprised of cranial nerve and both upper and lower limb motor assessments. The minimum and maximum values are 0 and 192, respectively. A higher score indicates a worse outcome.
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Timepoint [2]
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18mo
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Secondary outcome [3]
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Rasch-built Overall Disability Scale (R-ODS) Score
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Assessment method [3]
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The difference between the patisiran (ALN-TTR02) and placebo groups in the change from baseline in R-ODS score at 18 months. The R-ODS is comprised of a 24-item linearly weighted scale that specifically captures activity and social participation limitations in patients. The minimum and maximum values are 0 and 48, respectively. A higher score indicates a better outcome.
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Timepoint [3]
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18mo
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Secondary outcome [4]
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Timed 10-meter Walk Test (10-MWT, Gait Speed)
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Assessment method [4]
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The difference between the patisiran (ALN-TTR02) and placebo groups in the change from baseline in 10-MWT at 18 months. Ability to ambulate (gait speed) was assessed through the 10-meter walk test (10-MWT). The walk had to be completed without assistance from another person; ambulatory aids such as canes and walkers were permitted.
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Timepoint [4]
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18mo
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Secondary outcome [5]
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Modified Body Mass Index (mBMI)
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Assessment method [5]
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The difference between the patisiran (ALN-TTR02) and placebo groups in the change from baseline in mBMI at 18 months. The nutritional status of patients was evaluated using the mBMI; calculated as the product of BMI (weight in kilograms divided by the square of height in meters) and serum albumin (g/L).
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Timepoint [5]
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18mo
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Secondary outcome [6]
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Autonomic Symptoms Questionnaire (Composite Autonomic Symptom Score [COMPASS 31])
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Assessment method [6]
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The difference between the patisiran (ALN-TTR02) and placebo groups in the change from baseline in COMPASS 31 at 18 months. The COMPASS 31 is a measure of autonomic neuropathy symptoms. The questions evaluated 6 autonomic domains (orthostatic intolerance, vasomotor, secretomotor, gastrointestinal, bladder, and pupillomotor). The minimum and maximum values are 0 and 100, respectively. A higher score indicates a worse outcome.
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Timepoint [6]
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18mo
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Eligibility
Key inclusion criteria
- Male or female of 18 to 85 years of age (inclusive);
- Have a diagnosis of FAP
- Neuropathy Impairment Score requirement of 5-130
- Meet Karnofsky performance status requirements
- Have adequate complete blood counts and liver function tests
- Have adequate cardiac function
- Have negative serology for hepatitis B virus (HBV) and hepatitis C virus (HCV)
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Minimum age
18
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Maximum age
85
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- Had a prior liver transplant or is planned to undergo liver transplant during the
study period;
- Has untreated hypo- or hyperthyroidism;
- Has known human immunodeficiency virus (HIV) infection;
- Had a malignancy within 2 years, except for basal or squamous cell carcinoma of the
skin or carcinoma in situ of the cervix that has been successfully treated;
- Recently received an investigational agent or device
- Is currently taking diflunisal, tafamidis, doxycycline, or tauroursodeoxycholic acid
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/11/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/08/2017
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Sample size
Target
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Accrual to date
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Final
225
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Clinical Trial Site - Westmead
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Recruitment postcode(s) [1]
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- Westmead
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Recruitment outside Australia
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United States of America
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California
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United States of America
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Colorado
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United States of America
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Illinois
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United States of America
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Maryland
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United States of America
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Massachusetts
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United States of America
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Michigan
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Minnesota
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Missouri
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New York
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United States of America
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North Carolina
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Oregon
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Argentina
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Buenos Aires
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Brazil
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Ribeirao Preto
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Brazil
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Rio de Janeiro
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Brazil
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Sao Paulo
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Bulgaria
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Sofia
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Canada
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British Columbia
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Cyprus
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Nicosia
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France
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Bourdeaux
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France
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Creteil
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France
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France
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Lille Cedex
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France
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Germany
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Heidelberg
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Germany
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Muenster
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Germany
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Regensburg
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Italy
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Pavia
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Italy
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Rome
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Italy
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Nagano
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Japan
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Aichi
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Japan
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Kumamoto
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Korea, Republic of
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Seoul
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Malaysia
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Kuala Lumpur
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Mexico City
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Groningen
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Portugal
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Lisbon
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Portugal
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Porto
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Barcelona
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Spain
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Huelva
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Madrid
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Spain
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Palma De Mallorca
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Sweden
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Umeå
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Taipai
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Taipei
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Turkey
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Istanbul
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United Kingdom
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
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Name
Alnylam Pharmaceuticals
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to evaluate the safety and efficacy of patisiran (ALN-TTR02) in
patients with transthyretin (TTR) mediated amyloidosis. An open-label, single-arm, long-term
follow-up extension study NCT02510261 (ALN-TTR02-006) was initiated to provide participants
who completed this study with continued patisiran-LNP (lipid nanoparticle) treatment.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT01960348
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Jared Gollob
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Address
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Alnylam Pharmaceuticals
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT01960348
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