MAGNITUDE: A Phase 3, Multinational, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of NTLA-2001 in Participants With Transthyretin Amyloidosis With Cardiomyopathy (ATTR-CM)

N
Noel Dasgupta

Primary Investigator

Enrolling By Invitation
18 years - 100 years
All
Phase 3
5 participants needed
1 Location

Brief description of study

What is the purpose of this study?
To evaluate the efficacy and safety of a single dose of NTLA-2001 compared to placebo in participants with ATTR-CM.


 

Detailed description of study

What will happen during the study?
  • This is a multinational, multicenter, double-blind, placebo-controlled study in approximately 765 participants, who will be randomized to receive a single infusion of either NTLA-2001 or placebo.
  • NTLA-2001 will be administered as a single intravenous infusion at a fixed dose of 55 milligrams (mg).
  • To mitigate potential infusion related reactions (IRRs), participants will receive pre-medication with oral dexamethasone (or equivalent) prior to infusion.
  • Clinical samples including blood and urine may be collected throughout the study for various medical- and study-related assessments including measurement of anti-drug antibodies (ADAs) and anti-Cas9 protein antibodies.
  • Participants will be followed for a minimum of 18 months (screening through final visit) and will then be asked to participate in a separate long-term follow-up (LTFU) study for an additional 15 years to assess long-term safety and efficacy.

Eligibility of study

You may be eligible for this study if you meet the following criteria:

  • Conditions: Transthyretin Amyloidosis (ATTR) With Cardiomyopathy
  • Age: 18 years - 100 years
  • Gender: All

Inclusion Criteria:

  •    Documented diagnosis of ATTR amyloidosis with cardiomyopathy
  •   Medical history of heart failure (HF)
  •   Symptoms of HF are optimally managed and clinically stable within 28 days prior to administration of study intervention
  •  Screening NT-proBNP, a blood marker of HF severity, greater than or equal to 1000 pg/mL (or greater than or equal to 2000 pg/mL if participant has known atrial fibrillation)

Exclusion Criteria:

  •     New York Heart Association (NYHA) Class IV HF
  •   Polyneuropathy Disability score of IV (confined to wheelchair or bed)
  •   Has hepatitis B, hepatitis C or human immunodeficiency virus (HIV) infection
  •   History of active malignancy within 3 years prior to screening
  •   RNA silencer therapy (patisiran, inotersen and/or eplontersen) within 12 months prior to dosing. Any prior vutrisiran use is not allowed
  •   Initiation of tafamidis within 6 months prior to study dosing
  •   Estimated glomerular filtration rate (eGFR) <30 mL/min/1.73m^2</li>
  •   Liver failure
  •   Uncontrolled blood pressure
  •   Unable or unwilling to take vitamin A supplementation for the duration of the study

Updated on 06 Jan 2025. Study ID: PATH-IT-NTLA-2001, 21070
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