Heart failure & cardiomyopathies

Long-Term Tafamidis Efficacy in Patients with Transthyretin Amyloid Cardiomyopathy by Baseline Left Ventricular Ejection Fraction

Eur J Heart FailPublished Secondary analysis of the ATTR-ACT randomised trial and its long-term extension study

Authors' conclusion

Early initiation of tafamidis is associated with reduced mortality in patients with ATTR-CM, irrespective of initial LVEF value.

Study context

Population
Patients with ATTR-CM, by baseline left ventricular ejection fraction (LVEF) (<50% or ≥50%)LVEF <50% n = 177
Comparison
Continuous tafamidis vs delayed tafamidis
Primary endpoint
All-cause mortality (death, heart transplant or cardiac mechanical assist device implantation)
Follow-up
End (median 60-64 months)
Methodological detailsphase 3, subgroup analysis by baseline LVEF
  • Phase 3
  • Subgroup analysis by baseline LVEF

Primary result

As reported in the abstract

All-cause mortality by baseline LVEF · median 60-64 months
Continuous tafamidis vs Delayed tafamidisHazard ratio (95% CI)P value
LVEF <50% (88 tafamidis, 89 placebo)
0.53(0.367–0.758)
P < 0.001
LVEF ≥50% (85 tafamidis, 86 placebo)
0.53(0.344–0.818)
P < 0.01

Further findings

Supportive outcomes (shorter follow-up)

Consistent with mortality findings

Original publication

Long-Term Tafamidis Efficacy in Patients with Transthyretin Amyloid Cardiomyopathy by Baseline Left Ventricular Ejection Fraction. Eur J Heart Fail. Published 26 June 2024. doi:10.1002/ejhf.3330

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

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