Heart failure & cardiomyopathies

Impact of Vutrisiran on Functional Capacity and Quality of Life in Transthyretin Amyloidosis With Cardiomyopathy

J Am Coll CardiolPublished Secondary analysis of the HELIOS-B randomised trial

Authors' conclusion

Vutrisiran maintained or improved functional capacity, health status, and QOL in more patients with ATTR-CM vs placebo over 30 months.

Study context

Population
Patients with transthyretin amyloidosis with cardiomyopathy (ATTR-CM)
Comparison
Vutrisiran vs placebo
Primary endpoint
Maintained or improved functional capacity (6-MWT) and health status/quality of life (QOL) (KCCQ-OS) by worsening cutoffs (>7, >15, >35 m; >5, >10 points)
Follow-up
Month 30
Methodological details1:1 randomisation, placebo-controlled, prespecified subgroups
  • 1:1 randomisation
  • Placebo-controlled
  • Prespecified subgroups

Primary result

As reported in the abstract

6-MWT, >7 m cutoff

6-MWT, >15 m cutoff

6-MWT, >35 m cutoff

KCCQ-OS, >5 points cutoff

P < 0.001

KCCQ-OS, >10 points cutoff

P < 0.01

  • Vutrisiran vs Placebo: P < 0.001 — 6-MWT, all cutoffs

Further findings

LS mean difference in change from baseline in KCCQ subdomains, and in 6-MWT and Kansas City Cardiomyopathy Questionnaire-Overall Summary (KCCQ-OS) across prespecified subgroups

Favored vutrisiran vs placebo

Monotherapy population

Benefits with vutrisiran similar in the monotherapy population

Original publication

Impact of Vutrisiran on Functional Capacity and Quality of Life in Transthyretin Amyloidosis With Cardiomyopathy. J Am Coll Cardiol. Published 17 March 2025. doi:10.1016/j.jacc.2025.03.454

Composed by AI from the published abstract and checked against it. How Briefs are made →

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