Randomised controlled trial

Phase 1 Trial of Antibody NI006 for Depletion of Cardiac Transthyretin Amyloid

N Engl J MedPublished

  • Randomised controlled trial
  • phase 1
  • double-blind
  • placebo-controlled
  • 2:1 randomisation
  • ascending-dose cohorts
  • open-label extension

Authors' conclusion

In this phase 1 trial of the recombinant human antibody NI006 for the treatment of patients with ATTR cardiomyopathy and heart failure, the use of NI006 was associated with no apparent drug-related serious adverse events.

Study context

Population
Patients with wild-type or variant ATTR cardiomyopathy and chronic HF
Participants
40 patients
Comparison
NI006 vs placebo
Primary endpoint
Safety and pharmacokinetic profiles of NI006

Primary result

As reported in the abstract

Safety and pharmacokinetics
  • No apparent drug-related serious adverse events with NI006
  • Pharmacokinetic profile consistent with an IgG antibody
  • No antidrug antibodies detected

Further findings

Cardiac imaging surrogates of amyloid load (scintigraphy tracer uptake, CMR extracellular volume), doses ≥10 mg/kg · 12 months

Appeared to be reduced

Median NT-proBNP and troponin T

Seemed to be reduced

Original publication

Phase 1 Trial of Antibody NI006 for Depletion of Cardiac Transthyretin Amyloid. N Engl J Med. Published 20 May 2023. doi:10.1056/nejmoa2303765

Summarised from the published abstract; every number is checked against it