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Extension Study Assessing Long Term Safety and Efficacy of IONIS-TTR Rx in Familial Amyloid Polyneuropathy (FAP)

Primary Purpose

FAP, Familial Amyloid Polyneuropathy, TTR

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Inotersen
Sponsored by
Ionis Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for FAP focused on measuring FAP, Familial Amyloid Polyneuropathy, TTR, Transthyretin, Amyloidosis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Satisfactory completion of dosing & efficacy assessments in ISIS 420915-CS2

Exclusion Criteria:

  • Any new condition or worsening of existing condition that could make the patient unsuitable for participation, or interfere with the patient participating in and/or completing the study

Sites / Locations

  • University of California, Irvine
  • Indiana University School of Medicine
  • Johns Hopkins University Bayview Medical Center
  • Boston University School of Medicine - Amyloid Treatment & Research Program
  • Mayo Clinic
  • Mount Sinai Medical Center
  • Columbia University Medical Center - The Neurological Institute
  • Oregon Health & Science University
  • Penn Presbyterian Medical Center
  • FLENI
  • Federal University of Rio de Janeiro - University Hospital
  • AACD
  • CHU Henri Mondor - Department of Neurology
  • CHU Bicetre Aphp French Referral Center for FAP/Cornamyl Network
  • UKM; Universitätsklinikum Münster, Klinik für Transplantationsmedizin
  • Universita Degli Studi Di Messina - Azienda Ospedaliera Universitaria Policlinico "Gaetano Martino"
  • Centro per lo Studio e la Cura delle Amiloidosi Sistemiche - Fondazione IRCCS Policlinico San Matteo
  • CHLN - Hospital de Santa Maria
  • CHP-HGSA, Unidade Clinica de Paramiloidose
  • Hospital Universitari Vall D' Hebron
  • Hospital Clinic
  • University College London - National Amyloidosis Centre

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Previous Placebo-Inotersen 300 mg

Previous Inotersen-Inotersen 300 mg

Arm Description

Participants received subcutaneous (SC) doses of 300 milligrams (mg) inotersen once weekly for up to 260 weeks. Participants who received inotersen-matching placebo in the previous study- ISIS 420915-CS2 (NCT01737398) were included in this group.

Participants received SC doses of 300 mg inotersen once weekly for up to 260 weeks. Participants who received inotersen in the previous study- ISIS 420915-CS2 were included in this group.

Outcomes

Primary Outcome Measures

Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and TEAEs Related to Study Drug
An adverse event (AE) is any unfavorable and unintended sign (including a clinically significant abnormal laboratory finding, for example), symptom, or disease temporally associated with the study or use of investigational drug product, whether or not the AE is considered related to the investigational drug product. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug. An SAE is any untoward medical occurrence that at any dose that results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, leads to a congenital anomaly/birth defect, or is an important medical event. TEAEs considered related to the study drug as assessed by the Investigator are reported.
Percentage of Participants With Change From Baseline in Vital Signs
Vital signs included blood pressure, heart rate, respiratory rate, and temperature. Only categories with at least one participant with event are reported.
Percentage of Participants With Change From Baseline in Weight
As prespecified in the protocol, percentage of participants with change from baseline in weight is reported in 2 categories, decrease of ≥7% from Baseline and increase of ≥7% from Baseline.
Percentage of Participants With Clinically Significant Change From Baseline in Laboratory Test Values
Clinical laboratory tests included the analysis of chemistry, haematology, and urinalysis. Any value outside the normal range will be flagged for the attention of the investigator who will assess whether or not a flagged value is of clinical significance. Only those categories with at least one participant with event are reported. Normal range of creatinine clearance is 110 to 150 mL/min in males and 100 to 130 mL/min in females. Normal urine protein to creatinine (P/C) ratio= <0.2. Normal range for Alanine Aminotransferase (ALT) is 4 to 36 units per liter (U/L). Platelets normal range=140×10^9/L to 400×10^9/L.
Percentage of Participants With Change From Baseline in QT Interval Corrected Using Fridericia's Formula (QTcF) as Determined by Electrocardiogram (ECG)
Normal QTcF at Baseline is defined as ≤450 milliseconds (ms) for males or ≤470 ms for females. Percentage of participants with QT interval outside of normal range are reported.
Percentage of Participants Using Concomitant Medication for Nervous and Cardiovascular System Disorders
A concomitant therapy was any non-protocol-specified drug or substance (including over-the counter medications, herbal medications, and vitamin supplements) administered between signing of informed consent and the final post-treatment visit for treating nervous and cardiovascular system disorders.
Percentage of Participants With Change From Baseline in Ophthalmic Examination as Assessed by Visual Acuity Changes
Percentage of Participants With Change From Baseline in Light Detection Ability Measured by Electroretinography

Secondary Outcome Measures

Change From Baseline in the Modified Neuropathy Impairment Score (mNIS)+7 Composite Score at Weeks 78 and 156
The mNIS+7 composite score is a measure of neurologic impairment that evaluates muscle weakness, sensation, reflexes, nerve conduction, and autonomic function. The mNIS+7 Composite Score has a range of -22.32 to 346.32 and a higher mNIS+7 composite score indicates worsening disease. A positive change from Baseline indicates worsening of polyneuropathy impairments. Mixed Effects Model with Repeated Measures (MMRM) was used for the analysis.
Change From Baseline in the mNIS +7 Component: Heart Rate to Deep Breathing Score at Weeks 78 and 156
Heart rate to deep breathing is a quantitative autonomic test using the CASE IV instrument that measures a participant's change in heart rate after deep breathing. The score of this component ranges from 0 to 3.72 points. Higher scores indicate impairment. MMRM was used for the analysis.
Change From Baseline in the mNIS +7 Component: Nerve Conduction Score at Weeks 78 and 156
The nerve conduction tests are quantitative tests that measure the conduction attributes of preselected nerves. The score range of this component is 0 to 18.6 points. Higher scores indicate impairment. MMRM was used for the analysis.
Change From Baseline in the mNIS +7 Component: Heat-Pain Sensory Score at Weeks 78 and 156
The Heat-Pain Sensory test uses the CASE IV instrument to perform standardized psychophysical measurement to determine pain sensory thresholds in response to heat. The maximum score of this component is 0 to 40 points. Higher scores indicate impairment. MMRM was used for the analysis.
Change From Baseline in the mNIS +7 Component: Touch-Pressure Sensory Score at Weeks 78 and 156
The Touch-Pressure Sensory test uses the CASE IV instrument to perform standardized psychophysical measurement to determine pressure sensory thresholds in response to touch. The score range of this component is 0 to 40 points. Higher scores indicate impairment. MMRM was used for the analysis.
Change From Baseline in the Neuropathy Impairment (NIS) Composite Score at Week 52 of Years 4 and 5
The NIS score is a measure of neurologic impairment. The NIS Score has a range of 0 to 244 and a higher NIS score indicates lower function. A positive change from Baseline indicates worsening. MMRM was used for the analysis.
Change From Baseline in the NIS Component: Cranial Nerves Score at Week 52 of Years 4 and 5
Cranial Nerve assessment involves testing 3rd and 6th nerves and facial, palate, and tongue weakness. The score range for this component is 0 to 40 points. Higher scores indicate worsening. MMRM was used for the analysis.
Change From Baseline in the NIS Component: Muscle Weakness Score at Week 52 of Years 4 and 5
Muscle weakness involves testing 19 movements of muscles. The score range of this component is 0 to 152 points. Higher scores indicate worsening. MMRM was used for the analysis.
Change From Baseline in the NIS Component: Reflexes Score at Week 52 of Years 4 and 5
The Reflexes Score involves testing 5 reflexes to stimuli. The score range of this component is 0 to 20 points. Higher scores indicate worsening. MMRM was used for the analysis.
Change From Baseline in the NIS Component: Sensory Score at Week 52 of Years 4 and 5
The Sensory Score is based on testing an index finger and a big toe each to 4 stimuli. The score of this component ranges from 0 to 32 points. Higher scores indicate impairment. MMRM was used for the analysis.
Change From Baseline in the Norfolk Quality of Life-Diabetic Neuropathy (QOL-DN) Questionnaire Total Score at Weeks 78 and 156
The Norfolk QoL-DN score is a measure of physical function/large fiber neuropathy, symptoms, activities of daily living, small fiber neuropathy, and autonomic neuropathy. The Norfolk QoL-DN total score has a range of -4 to 136, and a higher Norfolk QoL-DN score indicates poorer QoL. A positive change from Baseline indicates worsening in the QoL. MMRM was used for the analysis.
Change From Baseline in the Norfolk QoL-DN Physical Functioning/Large Fiber Neuropathy Domain Score
The Norfolk QoL-DN physical functioning/large fiber neuropathy domain score is a sub-score of the total Norfolk QoL-DN Questionnaire. The Norfolk QoL-DN physical function/large fiber neuropathy domain score has a range of -4 to 56, and a higher Norfolk QoL-DN domain score indicates poorer quality of life (QoL). A positive change from Baseline indicates worsening in the QoL. MMRM was used for the analysis.
Change From Baseline in the Modified Body Mass Index (mBMI) at Weeks 78 and 156
BMI=weight (kg)/[height (m)^2]. The mBMI is the BMI multiplied by the serum albumin (g/L).
Change From Baseline in the Body Mass Index (BMI) at Weeks 78 and 156
BMI=weight (kg)/[height (m)^2].
Percentage of Participants With Change From Baseline in the Polyneuropathy Disability (PND) Score
PND score is defined as I = sensory disturbances in limbs without motor impairment; II = difficulty walking without the need of a walking aid; III = one stick or one crutch required for walking; IV = two sticks or two crutches needed. V = wheelchair required or patient confined to bed. The change from Baseline values have been categorized as: improved, not changed, worsened, and unknown. Percentage of participants with changes from Baseline are presented category-wise in this outcome measure. Only categories with at least one participant with event are reported.
Percent Change From Baseline in Global Longitudinal Strain (GLS) by Echocardiogram (ECHO) in the Cardiomyopathy-ECHO (CM-ECHO) Set
GLS by ECHO is a measure of cardiac systolic function.
Percent Change From Baseline in GLS by ECHO in the CS3 ECHO Subgroup
GLS by ECHO is a measure of cardiac systolic function.
Change From Baseline in Transthyretin (TTR) Level
Transthyretin protein concentration in serum was measured.
Change From Baseline in Retinol Binding Protein 4 (RBP4) Level
RBP4 protein concentration in serum was measured.
Ctrough: Trough Plasma Concentration of ISIS 420915

Full Information

First Posted
June 12, 2014
Last Updated
January 13, 2023
Sponsor
Ionis Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02175004
Brief Title
Extension Study Assessing Long Term Safety and Efficacy of IONIS-TTR Rx in Familial Amyloid Polyneuropathy (FAP)
Official Title
An Open-Label Extension Study to Assess the Long-Term Safety and Efficacy of ISIS 420915 in Patients With Familial Amyloid Polyneuropathy (FAP)
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Completed
Study Start Date
June 26, 2014 (Actual)
Primary Completion Date
September 11, 2020 (Actual)
Study Completion Date
January 7, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ionis Pharmaceuticals, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study evaluates the safety and tolerability of extended dosing with IONIS-TTR Rx in patients with Familial Amyloid Polyneuropathy.
Detailed Description
Familial Amyloid Polyneuropathy (FAP) is a rare, hereditary disease caused by mutations in the transthyretin (TTR) protein. TTR is made by the liver and secreted into the blood. TTR mutations cause it to misfold and deposit in multiple organs causing FAP. IONIS-TTR Rx is an antisense drug that is designed to decrease the amount of mutant and normal TTR made by the liver. It is predicted that decreasing the amount of TTR protein will result in a decrease in the formation of TTR deposits, and thus slow or stop disease progression. This study evaluates the safety and tolerability of extended dosing with IONIS-TTR Rx in patients with Familial Amyloid Polyneuropathy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
FAP, Familial Amyloid Polyneuropathy, TTR, Transthyretin, Amyloidosis
Keywords
FAP, Familial Amyloid Polyneuropathy, TTR, Transthyretin, Amyloidosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
135 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Previous Placebo-Inotersen 300 mg
Arm Type
Experimental
Arm Description
Participants received subcutaneous (SC) doses of 300 milligrams (mg) inotersen once weekly for up to 260 weeks. Participants who received inotersen-matching placebo in the previous study- ISIS 420915-CS2 (NCT01737398) were included in this group.
Arm Title
Previous Inotersen-Inotersen 300 mg
Arm Type
Experimental
Arm Description
Participants received SC doses of 300 mg inotersen once weekly for up to 260 weeks. Participants who received inotersen in the previous study- ISIS 420915-CS2 were included in this group.
Intervention Type
Drug
Intervention Name(s)
Inotersen
Other Intervention Name(s)
TEGSEDI, IONIS-TTR Rx, ISIS 420915
Intervention Description
Inotersen SC
Primary Outcome Measure Information:
Title
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and TEAEs Related to Study Drug
Description
An adverse event (AE) is any unfavorable and unintended sign (including a clinically significant abnormal laboratory finding, for example), symptom, or disease temporally associated with the study or use of investigational drug product, whether or not the AE is considered related to the investigational drug product. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug. An SAE is any untoward medical occurrence that at any dose that results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, leads to a congenital anomaly/birth defect, or is an important medical event. TEAEs considered related to the study drug as assessed by the Investigator are reported.
Time Frame
From first dose of study drug up to 3 months post treatment period of 260 weeks (Up to approximately 272 weeks)
Title
Percentage of Participants With Change From Baseline in Vital Signs
Description
Vital signs included blood pressure, heart rate, respiratory rate, and temperature. Only categories with at least one participant with event are reported.
Time Frame
From first dose of study drug up to 3 months post treatment period of 260 weeks (Up to approximately 272 weeks)
Title
Percentage of Participants With Change From Baseline in Weight
Description
As prespecified in the protocol, percentage of participants with change from baseline in weight is reported in 2 categories, decrease of ≥7% from Baseline and increase of ≥7% from Baseline.
Time Frame
From first dose of study drug up to 3 months post treatment period of 260 weeks (Up to approximately 272 weeks)
Title
Percentage of Participants With Clinically Significant Change From Baseline in Laboratory Test Values
Description
Clinical laboratory tests included the analysis of chemistry, haematology, and urinalysis. Any value outside the normal range will be flagged for the attention of the investigator who will assess whether or not a flagged value is of clinical significance. Only those categories with at least one participant with event are reported. Normal range of creatinine clearance is 110 to 150 mL/min in males and 100 to 130 mL/min in females. Normal urine protein to creatinine (P/C) ratio= <0.2. Normal range for Alanine Aminotransferase (ALT) is 4 to 36 units per liter (U/L). Platelets normal range=140×10^9/L to 400×10^9/L.
Time Frame
From first dose of study drug up to 3 months post treatment period of 260 weeks (Up to approximately 272 weeks)
Title
Percentage of Participants With Change From Baseline in QT Interval Corrected Using Fridericia's Formula (QTcF) as Determined by Electrocardiogram (ECG)
Description
Normal QTcF at Baseline is defined as ≤450 milliseconds (ms) for males or ≤470 ms for females. Percentage of participants with QT interval outside of normal range are reported.
Time Frame
From first dose of study drug up to 3 months post treatment period of 260 weeks (Up to approximately 272 weeks)
Title
Percentage of Participants Using Concomitant Medication for Nervous and Cardiovascular System Disorders
Description
A concomitant therapy was any non-protocol-specified drug or substance (including over-the counter medications, herbal medications, and vitamin supplements) administered between signing of informed consent and the final post-treatment visit for treating nervous and cardiovascular system disorders.
Time Frame
From first dose of study drug up to 3 months post treatment period of 260 weeks (Up to approximately 272 weeks)
Title
Percentage of Participants With Change From Baseline in Ophthalmic Examination as Assessed by Visual Acuity Changes
Time Frame
From first dose of study drug up to 3 months post treatment period of 260 weeks (Up to approximately 272 weeks)
Title
Percentage of Participants With Change From Baseline in Light Detection Ability Measured by Electroretinography
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Weeks 78 and 156
Secondary Outcome Measure Information:
Title
Change From Baseline in the Modified Neuropathy Impairment Score (mNIS)+7 Composite Score at Weeks 78 and 156
Description
The mNIS+7 composite score is a measure of neurologic impairment that evaluates muscle weakness, sensation, reflexes, nerve conduction, and autonomic function. The mNIS+7 Composite Score has a range of -22.32 to 346.32 and a higher mNIS+7 composite score indicates worsening disease. A positive change from Baseline indicates worsening of polyneuropathy impairments. Mixed Effects Model with Repeated Measures (MMRM) was used for the analysis.
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Weeks 78 and 156
Title
Change From Baseline in the mNIS +7 Component: Heart Rate to Deep Breathing Score at Weeks 78 and 156
Description
Heart rate to deep breathing is a quantitative autonomic test using the CASE IV instrument that measures a participant's change in heart rate after deep breathing. The score of this component ranges from 0 to 3.72 points. Higher scores indicate impairment. MMRM was used for the analysis.
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Weeks 78 and 156
Title
Change From Baseline in the mNIS +7 Component: Nerve Conduction Score at Weeks 78 and 156
Description
The nerve conduction tests are quantitative tests that measure the conduction attributes of preselected nerves. The score range of this component is 0 to 18.6 points. Higher scores indicate impairment. MMRM was used for the analysis.
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Weeks 78 and 156
Title
Change From Baseline in the mNIS +7 Component: Heat-Pain Sensory Score at Weeks 78 and 156
Description
The Heat-Pain Sensory test uses the CASE IV instrument to perform standardized psychophysical measurement to determine pain sensory thresholds in response to heat. The maximum score of this component is 0 to 40 points. Higher scores indicate impairment. MMRM was used for the analysis.
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Weeks 78 and 156
Title
Change From Baseline in the mNIS +7 Component: Touch-Pressure Sensory Score at Weeks 78 and 156
Description
The Touch-Pressure Sensory test uses the CASE IV instrument to perform standardized psychophysical measurement to determine pressure sensory thresholds in response to touch. The score range of this component is 0 to 40 points. Higher scores indicate impairment. MMRM was used for the analysis.
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Weeks 78 and 156
Title
Change From Baseline in the Neuropathy Impairment (NIS) Composite Score at Week 52 of Years 4 and 5
Description
The NIS score is a measure of neurologic impairment. The NIS Score has a range of 0 to 244 and a higher NIS score indicates lower function. A positive change from Baseline indicates worsening. MMRM was used for the analysis.
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Week 52 of Years 4 and 5
Title
Change From Baseline in the NIS Component: Cranial Nerves Score at Week 52 of Years 4 and 5
Description
Cranial Nerve assessment involves testing 3rd and 6th nerves and facial, palate, and tongue weakness. The score range for this component is 0 to 40 points. Higher scores indicate worsening. MMRM was used for the analysis.
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Week 52 of Years 4 and 5
Title
Change From Baseline in the NIS Component: Muscle Weakness Score at Week 52 of Years 4 and 5
Description
Muscle weakness involves testing 19 movements of muscles. The score range of this component is 0 to 152 points. Higher scores indicate worsening. MMRM was used for the analysis.
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Week 52 of Years 4 and 5
Title
Change From Baseline in the NIS Component: Reflexes Score at Week 52 of Years 4 and 5
Description
The Reflexes Score involves testing 5 reflexes to stimuli. The score range of this component is 0 to 20 points. Higher scores indicate worsening. MMRM was used for the analysis.
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Week 52 of Years 4 and 5
Title
Change From Baseline in the NIS Component: Sensory Score at Week 52 of Years 4 and 5
Description
The Sensory Score is based on testing an index finger and a big toe each to 4 stimuli. The score of this component ranges from 0 to 32 points. Higher scores indicate impairment. MMRM was used for the analysis.
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Week 52 of Years 4 and 5
Title
Change From Baseline in the Norfolk Quality of Life-Diabetic Neuropathy (QOL-DN) Questionnaire Total Score at Weeks 78 and 156
Description
The Norfolk QoL-DN score is a measure of physical function/large fiber neuropathy, symptoms, activities of daily living, small fiber neuropathy, and autonomic neuropathy. The Norfolk QoL-DN total score has a range of -4 to 136, and a higher Norfolk QoL-DN score indicates poorer QoL. A positive change from Baseline indicates worsening in the QoL. MMRM was used for the analysis.
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Weeks 78 and 156 and at the end of each subsequent treatment year (Week 52 of Years 4 and 5)
Title
Change From Baseline in the Norfolk QoL-DN Physical Functioning/Large Fiber Neuropathy Domain Score
Description
The Norfolk QoL-DN physical functioning/large fiber neuropathy domain score is a sub-score of the total Norfolk QoL-DN Questionnaire. The Norfolk QoL-DN physical function/large fiber neuropathy domain score has a range of -4 to 56, and a higher Norfolk QoL-DN domain score indicates poorer quality of life (QoL). A positive change from Baseline indicates worsening in the QoL. MMRM was used for the analysis.
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Weeks 78 and 156 and at the Week 52 of Year 4
Title
Change From Baseline in the Modified Body Mass Index (mBMI) at Weeks 78 and 156
Description
BMI=weight (kg)/[height (m)^2]. The mBMI is the BMI multiplied by the serum albumin (g/L).
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Weeks 78 and 156
Title
Change From Baseline in the Body Mass Index (BMI) at Weeks 78 and 156
Description
BMI=weight (kg)/[height (m)^2].
Time Frame
Baseline, Weeks 78 and 156
Title
Percentage of Participants With Change From Baseline in the Polyneuropathy Disability (PND) Score
Description
PND score is defined as I = sensory disturbances in limbs without motor impairment; II = difficulty walking without the need of a walking aid; III = one stick or one crutch required for walking; IV = two sticks or two crutches needed. V = wheelchair required or patient confined to bed. The change from Baseline values have been categorized as: improved, not changed, worsened, and unknown. Percentage of participants with changes from Baseline are presented category-wise in this outcome measure. Only categories with at least one participant with event are reported.
Time Frame
Baseline, Weeks 78 and 156 and at the end of each subsequent treatment year (Week 52 of each year)
Title
Percent Change From Baseline in Global Longitudinal Strain (GLS) by Echocardiogram (ECHO) in the Cardiomyopathy-ECHO (CM-ECHO) Set
Description
GLS by ECHO is a measure of cardiac systolic function.
Time Frame
Baseline, Weeks 78 and 156
Title
Percent Change From Baseline in GLS by ECHO in the CS3 ECHO Subgroup
Description
GLS by ECHO is a measure of cardiac systolic function.
Time Frame
Weeks 78 and 156
Title
Change From Baseline in Transthyretin (TTR) Level
Description
Transthyretin protein concentration in serum was measured.
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Weeks 78 and 156
Title
Change From Baseline in Retinol Binding Protein 4 (RBP4) Level
Description
RBP4 protein concentration in serum was measured.
Time Frame
Baseline (Baseline is the Baseline of the Previous Study- Study CS2), Weeks 78 and 156, and at the end of each subsequent treatment year (Week 52 of Years 4 and 5)
Title
Ctrough: Trough Plasma Concentration of ISIS 420915
Time Frame
Pre-dose on Days 1, 43, 85, 120, 176, 267, 358, 449, 540, 631, 722, 813, 904, 995, 1086, 1268; Days 1359 and 1450 of Year 4; Days 1632, 1723 and 1814 of Year 5

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Satisfactory completion of dosing & efficacy assessments in ISIS 420915-CS2 Exclusion Criteria: Any new condition or worsening of existing condition that could make the patient unsuitable for participation, or interfere with the patient participating in and/or completing the study
Facility Information:
Facility Name
University of California, Irvine
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
Indiana University School of Medicine
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
Johns Hopkins University Bayview Medical Center
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21205
Country
United States
Facility Name
Boston University School of Medicine - Amyloid Treatment & Research Program
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02118
Country
United States
Facility Name
Mayo Clinic
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States
Facility Name
Mount Sinai Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Facility Name
Columbia University Medical Center - The Neurological Institute
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
Oregon Health & Science University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Facility Name
Penn Presbyterian Medical Center
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
FLENI
City
Buenos Aires
Country
Argentina
Facility Name
Federal University of Rio de Janeiro - University Hospital
City
Rio de Janeiro
ZIP/Postal Code
CEP 21941913
Country
Brazil
Facility Name
AACD
City
Sao Paulo
Country
Brazil
Facility Name
CHU Henri Mondor - Department of Neurology
City
Creteil
ZIP/Postal Code
94000
Country
France
Facility Name
CHU Bicetre Aphp French Referral Center for FAP/Cornamyl Network
City
Le Kremlin Bicetre
ZIP/Postal Code
94275
Country
France
Facility Name
UKM; Universitätsklinikum Münster, Klinik für Transplantationsmedizin
City
Munster
ZIP/Postal Code
48149
Country
Germany
Facility Name
Universita Degli Studi Di Messina - Azienda Ospedaliera Universitaria Policlinico "Gaetano Martino"
City
Messina
State/Province
Sicily
ZIP/Postal Code
98124
Country
Italy
Facility Name
Centro per lo Studio e la Cura delle Amiloidosi Sistemiche - Fondazione IRCCS Policlinico San Matteo
City
Pavia
ZIP/Postal Code
27100
Country
Italy
Facility Name
CHLN - Hospital de Santa Maria
City
Lisbon
ZIP/Postal Code
1649-035
Country
Portugal
Facility Name
CHP-HGSA, Unidade Clinica de Paramiloidose
City
Porto
ZIP/Postal Code
4099-001
Country
Portugal
Facility Name
Hospital Universitari Vall D' Hebron
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Hospital Clinic
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Facility Name
University College London - National Amyloidosis Centre
City
London
ZIP/Postal Code
NW3 2PF
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
35908242
Citation
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Extension Study Assessing Long Term Safety and Efficacy of IONIS-TTR Rx in Familial Amyloid Polyneuropathy (FAP)

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