Actively Recruiting
TRITON-CM A Study to Evaluate Nucresiran in Patients With Transthyretin Amyloidosis With Cardiomyopathy
Led by Alnylam Pharmaceuticals · Updated on 2026-05-14
1250
Participants Needed
223
Research Sites
131 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating nucresiran in patients with transthyretin amyloidosis who have cardiomyopathy. The study aims to compare the effects of nucresiran versus a placebo on reducing death from any cause and cardiovascular events, as well as assessing patient-reported health status and quality of life. This is a Phase 3, global, randomized, double-blind study sponsored by Alnylam Pharmaceuticals. Participants receive either nucresiran 300 mg or a placebo injected under the skin every six months during the double-blind period. After this, all participants enter an open-label extension where they receive nucresiran 300 mg every six months. The study treatments are given subcutaneously and the double-blind phase is estimated to last about 32 months, with a possible maximum of 5 years. During the study, participants will be monitored for all-cause mortality and cardiovascular events such as hospitalizations and urgent heart failure visits. Quality of life and health status will be assessed using the Kansas City Cardiomyopathy Questionnaire. Regular evaluations include tracking recurrent cardiovascular events and changes in heart failure symptoms. Safety and health will be followed throughout the double-blind and extension periods, with a maximum participation length of about 5 years.
CONDITIONS
Brief Title
TRITON-CM: A Study to Evaluate Nucresiran in Patients With Transthyretin Amyloidosis With Cardiomyopathy
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Has documented diagnosis of ATTR amyloidosis with cardiomyopathy including hereditary ATTR or wild-type ATTR amyloidosis
- Has medical history of heart failure with at least 1 prior hospitalization for heart failure or symptoms requiring diuretic treatment
- Has screening NT-proBNP >300 ng/L and <8500 ng/L; if atrial fibrillation is present, NT-proBNP >600 ng/L and <8500 ng/L
- May be receiving approved TTR stabilizers for ATTR amyloidosis and background heart failure therapy at investigator discretion
You will not qualify if you...
- Has New York Heart Association Class IV heart failure, or Class III heart failure with ATTR amyloidosis Disease Stage 3
- Has polyneuropathy disability Score IIIa, IIIb, or IV
- Has estimated glomerular filtration rate less than 30 mL/min/1.73m2 at screening
- Has received or is currently receiving TTR-lowering therapy
Research Team
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Clinical Trial Information Line
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Clinical Trial Information Line
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