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Hereditary Transthyretin Amyloidosis (ATTRv)TRAMANCT05560555

Retrospective Study Collecting Neurological Follow-up of Hereditary Transthyretin Amyloidosis (ATTRv) Patients Included in B3461028 and B3461045.

An observational study of Hereditary Transthyretin Amyloidosis (ATTRv) and Polyneuropathy, run by Pfizer at 3 sites in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

A study of patients with hereditary transthyretin amyloidosis (ATTRv) and wild-type transthyretin amyloidosis (ATTRwt) that have been enrolled in B3461028 and B3461045 studies in Spain - exposed to tafamidis 61mg for ≥12 months with polyneuropathy (PN) have kept going to their multisystemic follow-ups… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Tafamidis
How many people
5 participants
Where
3 sitesSpain
Study dates
24 Oct 2022to 15 Nov 2022
Phase
Observational

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Study population: retrospective cohort of patients with hereditary transthyretin amyloidosis (ATTRv) and wild-type transthyretin amyloidosis (ATTRwt) that have been enrolled in B3461028 and B3461045 studies in Spain - exposed to tafamidis 61mg for ≥12 months with polyneuropathy have kept going to their multisystemic follow-ups (neuro/ophthalmo/gastrointestinal) ≥12 months

Who may be able to join

  • Treatment with tafamidis 61 mg ≥ 12 months
  • Neurological follow up ≥ 12 months
  • Diagnosis of transthyretin amyloidosis with polyneuropathy (ATTR-PN) based on one of the following:
  • Amplitude reduction in, at least, 2 nerves under normal value, excluding median nerve OR 50% amplitude reduction in, at least, 2 nerves on the basal value of the patient, excluding median nerve OR 2 abnormal tests detecting thin fibers alterations (through Sudo scan, RR Interval analysis, etc..)

Who cannot join

  • Treatment with tafamidis 61 mg < 12 months
  • Neurological follow up < 12 months
  • Other diagnosis for polyneuropathy

Trial locations and contacts

3 sites in 1 country.

Spain3 sites
  • Hospital Universitari de Bellvitge

    Barcelona, 08907

  • Hospital Clinico San Carlos

    Madrid, 28040

  • Hospital Son Llatzer

    Palma de Mallorca, 07198

Other trials in Spain

About this study

Official title: Tafamidis 61mg, Outcomes in ATTR Amyloidosis With Neurologic and Multisystemic Involvement - TRAMA

A study of patients with hereditary transthyretin amyloidosis (ATTRv) and wild-type transthyretin amyloidosis (ATTRwt) that have been enrolled in B3461028 and B3461045 studies in Spain - exposed to tafamidis 61mg for ≥12 months with polyneuropathy (PN) have kept going to their multisystemic follow-ups (neuro/ophthalmo/gastrointestinal) ≥12 months.

Being tested
Tafamidis
Medical subject headings
Amyloidosis, Hereditary, Transthyretin-Related, Polyneuropathies

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TafamidisDrug

    61 milligrams (mg) as received in studies B3461028 and B3461045

Study groups in NCT05560555
Study groupRoleWhat they receive
Retrospective cohort ATTRv and ATTRwt patients enrolled in B3461028 and B3461045 studies in SpainNot described
Receives: Drug: Tafamidis

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Neuropathy Impairment Score (NIS) at Month 12 for ATTRv

    NIS (Neuropathy Impairment Score) is a clinically important, sensitive measure of individual neurological function, assessing sensory function, reflexes, and muscle weakness. NIS score ranged from 0 to 244, with higher score indicating greater disability or impairment. The rate of change was calculated from last follow-up.

    Measured: Baseline and Month 12 (data collected and analyzed over 22 days)

Secondary outcomes (33)
  1. Change in NIS for ATTRv

    NIS (Neuropathy Impairment Score) is a clinically important, sensitive measure of individual neurological function, assessing sensory function, reflexes, and muscle weakness. NIS score ranged from 0 to 244, with higher score indicating greater disability or impairment. The rate of change was calculated from last follow-up.

    Measured: Baseline, Month 6, 18, 24 and 36 after the start of treatment (data collected and analyzed over 22 days)

  2. Change in Neuropathy Impairment Score - Lower Limbs (NIS-LL) for ATTRv

    NIS-LL (Neuropathy Impairment Score Lower Limbs) is a clinically important, sensitive measure of neurological function in individuals, assessing sensory function, reflexes, and muscle weakness of the lower limbo. NÍS-LL assessed muscle weakness, reflexes, sensation. Each item is scored separately for left and right limbs. Components of muscle weakness:0(normal) to4(paralysis), higher score=more weakness; reflexes, sensation:0=normal, 1=decreased, or 2=absent. Total NIS-LL score range 0-88, higher score=more impairment. The rate of change was calculated from last follow-up.

    Measured: Baseline, Month 6, 12, 18, 24 and 36 after the start of treatment (data collected and analyzed over 22 days)

  3. Change in Norfolk Quality of Life- Diabetic Neuropathy (Norfolk QOL-DN) for ATTRv

    Norfolk Quality of Life Questionnaire for Diabetic Neuropathy is a standardized and validated instrument that assesses the effect of polyneuropathy on the functionality and quality of life of the individual. Norfolk QOL-DN: 35-item participant-rated questionnaire is used to assess impact of diabetic neuropathy on the quality of life of participants with diabetic neuropathy; Item 1 to 7: related to symptoms and presence of symptom was assessed as 1 and absence was assessed as 0. Item 8-35: related to activities of daily living and scored on a 5-point Likert scale, where 0= no problem and 4= severe problem (except item 32, where -2= much better, 0=about the same, 2=much worse). TQOL= sum of all the items, total possible score range= -4 to 138, where higher score=worse quality of life.

    Measured: Baseline, Month 6, 12, 18, 24 and 36 after the start of treatment (data collected and analyzed over 22 days)

  4. Change in COMPASS-31 for ATTRv

    COMPASS-31 (Composite Autonomic Symptom Score 31) is a questionnaire designed to assess the severity and functional ability in participants with autonomic dysfunction. COMPASS-31 total score ranged from 0 to 100; where 0=Lesser severity of dysautonomia and 100=Greater severity of dysautonomia.

    Measured: Baseline, Month 6, 12, 18, 24 and 36 after the start of treatment (data collected and analyzed over 22 days)

  5. Change in Familial Amyloid Polyneuropathy Specific Rasch-Built Overall Disability Scale (FAP-RODs) for ATTRv

    FAP-RODS is a questionnaire that assessed the effect of neuropathy on daily activities. FAP-RODS total score ranged from 0 to 68; where, 0=Lower ability to perform daily activities and 68=Greater ability to perform daily activities.

    Measured: Baseline, Month 6, 12, 18, 24 and 36 after the start of treatment (data collected and analyzed over 22 days)

  6. Number of Participants According to Familiar Amyloidotic Polyneuropathy Stage (FAP) for ATTRv

    FAP is a stage system based on symptom severity and disease progression. FAP stages included: Asymptomatic; Free ambulation (walking without support): stage 1; Supportive ambulation (walking with support): stage 2; Wheelchair-bound or bedridden: stage 3.

    Measured: Month 18, 24 and 30 months after the start of treatment (data collected and analyzed over 22 days)

  7. Percentage of Participants Who do Not Have Stage Progression in the PND Score for ATTRv

    PND is a staging system that assess the degree of neuropathic dysfunction and its impact on ambulation. PND stages included: Asymptomatic; Stage I: Sensory disturbances, normal gait; Stage II: Sensory disturbances, altered gait not requiring support; IIIA: Gait requiring one support; IIIB: Gait requiring two supports; IV: Wheelchair or bedside. Participants who did not change to higher stages compared to the start of treatment was reported as Unchanged and those who progressed to higher stages were reported under Staging up.

    Measured: From Baseline to Month 30 (data collected and analyzed over 22 days)

  8. Percentage of Responders to Treatment for ATTRv

    Percentage of responders to treatment at Month 12 was defined as participants who achieved the change from baseline of less than 4 points in the NIS and participants who achieved the change from baseline of less than 2 points in the NIS-LL were reported in this outcome measure.

    Measured: Month 12 (data collected and analyzed over 22 days)

  9. Number of Participants With R-R Interval Variability for ATTRv

    Number of participants with R-R interval variability (altered/unaltered) was reported in this outcome measure.

    Measured: Month 18, 24 and 30 (data collected and analyzed over 22 days)

  10. Modified Body Mass Index (mBMI) for ATTRv

    BMI was calculated by weight divided by height squared and measured as kilogram per square meter (kg/m^2). mBMI was calculated by multiplying BMI by serum albumin levels [gram/liter (g/L)].

    Measured: Month 18, 24 and 30 after start of treatment (data collected and analysed over 22 days)

  11. Ulnar/Sural Sensory Nerve Action Potential Amplitude (SNAP) for ATTRv

    Sural sensory nerve action potential amplitude (in microvolts) was measured using electromyography of the left lower limb.

    Measured: Month 24 and 30 after the start of treatment (data collected and analyzed over 22 days)

  12. Ulnar/Peroneal Compound Muscle Action Potential Amplitude (CMAP) for ATTRv

    Peroneal motor nerve compound muscle action potential amplitude was measured using electromyography of the left lower limb.

    Measured: Month 24 and 30 after the start of treatment (data collected and analyzed over 22 days)

  13. Change in NIS for ATTRwt

    NIS (Neuropathy Impairment Score) was a clinically important, sensitive measure of individual neurological function, assessing sensory function, reflexes, and muscle weakness. NIS score ranged from 0 to 244, with higher score indicating greater disability or impairment. The rate of change was calculated from last follow-up.

    Measured: Baseline, Month 6, 12, 18, 24 and 36 after the start of treatment (data collected and analyzed over 22 days)

  14. Change in NIS-LL for ATTRwt

    NIS-LL (Neuropathy Impairment Score Lower Limbs) was clinically important, sensitive measure of neurological function in individuals, assessing sensory function, reflexes, and muscle weakness of the lower limbo. NÍS-LL assessed muscle weakness, reflexes, sensation. Each item scored separately for left and right limbs. Components of muscle weakness:0(normal) to4(paralysis), higher score=more weakness; reflexes, sensation:0=normal, 1=decreased, or 2=absent. Total NIS-LL score range 0-88, higher score=more impairment. The rate of change was calculated from last follow-up.

    Measured: Baseline, Month 6, 12, 18, 24 and 36 after the start of treatment (data collected and analyzed over 22 days)

  15. Change in Norfolk QOL-DN for ATTRwt

    Norfolk Quality of Life Questionnaire for Diabetic Neuropathy was a standardized and validated instrument that assesses the effect of polyneuropathy on the functionality and quality of life of the individual. Norfolk QOL-DN: 35-item participant-rated questionnaire used to assess impact of diabetic neuropathy on the quality of life of participants with diabetic neuropathy; Item 1 to 7: related to symptoms and presence of symptom was assessed as 1 and absence was assessed as 0. Item 8-35: related to activities of daily living and scored on a 5-point Likert scale, where 0= no problem and 4= severe problem (except item 32, where -2= much better, 0=about the same, 2=much worse). TQOL= sum of all the items, total possible score range= -4 to 138, where higher score=worse quality of life.

    Measured: Baseline, Month 6, 12, 18, 24 and 36 after the start of treatment (data collected and analyzed over 22 days)

  16. Change in COMPASS-31 for ATTRwt

    COMPASS-31 (Composite Autonomic Symptom Score 31) was a questionnaire designed to assess the severity and functional ability in participants with autonomic dysfunction. COMPASS-31 total score ranged from 0 to 100; where 0=Lesser severity of dysautonomia and 100=Greater severity of dysautonomia.

    Measured: Baseline, Month 6, 12, 18, 24 and 36 after treatment initiation

  17. Change in FAP-RODs for ATTRwt

    FAP-RODS is a questionnaire that assessed the effect of neuropathy on daily activities. FAP-RODS total score ranged from 0 to 68; where, 0=Lower ability to perform daily activities and 68=Greater ability to perform daily activities.

    Measured: Baseline, Month 6, 12, 18, 24 and 36 after the start of treatment (data collected and analyzed over 22 days)

  18. Number of Participants According to FAP Stage for ATTRwt

    FAP stage is a staging system based on symptom severity and disease progression. FAP stages included: Asymptomatic; Free ambulation (Walking without support): stage 1; Supportive ambulation (Walking with support): stage 2; Wheelchair-bound or bedridden: stage 3.

    Measured: Month 18, 24 and 30 months after the start of treatment (data collected and analyzed over 22 days)

  19. Percentage of Participants Who do Not Have Stage Progression in the PND Score for ATTRwt

    PND was a simple staging system according to the degree of neuropathic dysfunction and its impact on ambulation. PND stages included: Asymptomatic: I Sensory disturbances, normal gait: II Sensory disturbances, altered gait not requiring support: IIIA Gait requiring one support: IIIB Gait requiring two supports: IV Wheelchair or bedside). Participants who did not change to higher stages compared to the start of treatment was reported as Unchanged and those who progressed to higher stages were reported under Staging up.

    Measured: From Baseline to Month 30 (data collected and analysed over 22 days)

  20. Percentage of Responders to Treatment for ATTRwt

    Percentage of responders to treatment was defined as participants who achieved the change from baseline of less than 4 points in the NIS and participants who achieved the change from baseline of less than 2 points in the NIS-LL were reported in this outcome measure.

    Measured: Month 12 (data collected and analyzed over 22 days)

  21. Number of Participants With R-R Interval Variability for ATTRwt

    Number of participants with R-R interval variability (altered/unaltered) was reported in this outcome measure.

    Measured: Month 18, 24 and 30 (data collected and analyzed over 22 days)

  22. mBMI for ATTRwt

    BMI was calculated by weight divided by height squared and measured as kilogram per square meter (kg/m^2).

    Measured: Month 18, 24 and 30 after start of treatment (data collected and analysed over 22 days)

  23. Ulnar/Sural SNAP Score for ATTRwt

    Sural sensory nerve action potential amplitude (in microvolts) was measured using electromyography of the left lower limb.

    Measured: Month 24 and 30 after the start of treatment (data collected and analyzed over 22 days)

  24. Ulnar/Peroneal CMAP Score for ATTRwt

    Peroneal motor nerve compound muscle action potential amplitude (in millivolts) was measured using electromyography of the left lower limb.

    Measured: Month 24 and 30 after the start of treatment (data collected and analyzed over 22 days)

  25. Number of Participants With Carpal Tunnel Syndrome

    Number of participants with carpal tunnel syndrome were reported in this outcome measure.

    Measured: At baseline (data collected and analyzed over 22 days)

  26. Number of Participants With Lumbar Stenosis

    Number of participants with lumbar stenosis were reported in this outcome measure.

    Measured: At baseline (data collected and analyzed over 22 days)

  27. Number of Participants With Gastrointestinal Disturbances

    Number of participants with gastrointestinal disturbances were reported in this outcome measure.

    Measured: Month 18, 24 and 30 after the start of treatment (data collected and analyzed over 22 days)

  28. Number of Participants With Unintentional Weight Loss

    Number of participants with unintentional weight loss were reported in this outcome measure.

    Measured: Month 18, 24 and 30 after the start of treatment (data collected and analyzed over 22 days)

  29. Number of Participants With Urological Disturbances

    Number of participants with urological disturbances were reported in this outcome measure.

    Measured: Month 18, 24 and 30 after the start of treatment (data collected and analyzed over 22 days)

  30. Number of Participants With Ophthalmological Disturbances

    Number of participants with ophthalmological disturbances were reported in this outcome measure.

    Measured: Month 18, 24 and 30 after the start of treatment (data collected and analyzed over 22 days)

  31. Number of Participants With Central Nervous System (CNS) Disturbances

    Number of participants with CNS disturbances were reported in this outcome measure.

    Measured: Month 18, 24 and 30 after the start of treatment (data collected and analyzed over 22 days)

  32. Number of Participants With Symptoms of Autonomic Neuropathy

    Number of participants with symptoms of autonomic neuropathy including impaired sweating, sexual dysfunction, orthostatic hypotension were reported in this outcome measure.

    Measured: Month 18, 24 and 30 after the start of treatment (data collected and analyzed over 22 days)

  33. Number of Participants With Symptoms of Peripheral Neuropathy

    Number of participants with symptoms of peripheral neuropathy (allodynia and paresthesia) were reported in this outcome measure.

    Measured: At baseline (data collected and analyzed over 22 days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Sep 2022
  2. Study start24 Oct 2022
  3. Primary completion15 Nov 2022
  4. Study completion15 Nov 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Retrospective
Enrolment
5 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05560555
Sponsor's protocol ID
B3461104
Other IDs
TRAMA
Acronym
TRAMA
Status last verified
Nov 2023
First submitted
26 Sep 2022
Last updated
13 May 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

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