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Observational Study of Neurofilament Light Chain (NfL) as a Biomarker in Asymptomatic Carriers of the Transthyretin (TTR) Variants and Patients With Hereditary Transthyretin-mediated (hATTR) Amyloidosis With Polyneuropathy

Observational Study of Neurofilament Light Chain (NfL) as a Biomarker in Asymptomatic Carriers of the Transthyretin (TTR) Variants and Patients With Hereditary Transthyretin-mediated (hATTR) Amyloidosis With Polyneuropathy

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Overview

This is a single-center observational study evaluating the potential value of NfL as a biomarker for diagnosis, detection of disease onset, monitoring of disease progression, and treatment response in asymptomatic carriers of TTR variants and symptomatic hATTR amyloidosis patients with polyneuropathy.

Description

In this study, participants' data will be extracted from their medical records or collected based on clinical and laboratory assessments during routine visits, per the site's standard of care. Blood samples collected from the participants during routine visits will also be used for analysis. The study will be conducted in two parts: Cross-Sectional part during which a single measurement of NfL levels will be performed using blood samples collected from asymptomatic carriers, and symptomatic hATTR amyloidosis patients; Longitudinal part during which measurements of NfL levels will be performed over time using blood samples (already collected from the participants during routine visits) from asymptomatic carriers and patients with symptomatic hATTR amyloidosis.

Eligibility

Inclusion Criteria:

  • Carrier of a documented pathogenic TTR variant confirmed with genotyping with predicted disease onset within 5 years and not diagnosed with hATTR amyloidosis with polyneuropathy

OR

        Confirmed diagnosis of hATTR amyloidosis with polyneuropathy with a documented TTR variant
        confirmed with genotyping
        - Participant is able to understand the study and does not oppose participating in the
        study after reviewing the content of the PIS provided.
        Exclusion Criteria:
          -  A known condition (other than hATTR amyloidosis) that can cause nerve damage and
             affect NfL levels
          -  Estimated glomerular filtration rate (eGFR) <45 milliliters per minute per 1.73 meters
             squared (mL/min/1.73 m^2)
          -  Currently enrolled in a clinical study for any investigational agent.

Study details
    Hereditary Amyloidosis
    Transthyretin-Related
    Asymptomatic Carrier State

NCT06360289

Alnylam Pharmaceuticals

18 May 2024

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