Heart failure & cardiomyopathies

Real-World Effectiveness of Targeted Therapies in ATTR Cardiomyopathy: A Meta-Analysis Integrating Population-Based Data

ESC Heart FailPublished Systematic review and meta-analysis of randomised and non-randomised controlled studies

Authors' conclusion

Targeted treatments for ATTR-CM significantly reduce mortality and cardiovascular hospitalizations.

Study context

Population
Patients with transthyretin amyloid cardiomyopathy (ATTR-CM)
Participants
5,203 patients10 studies
Comparison
ATTR-targeted treatments vs control
Outcome
All-cause mortality and CV hospitalizations
Methodological detailsrandom effects model, extrapolation to real-world data
  • Random effects model
  • Extrapolation to real-world data

Pooled result

As reported in the abstract

ATTR-targeted treatment vs ControlRelative risk (95% CI)P value
All-cause mortality; I2 = 35%
0.61(0.52–0.70)
P = 0.13
CV hospitalizations; random effects; I2 = 68%
0.69(0.53–0.89)
P = 0.01

Further pooled results

All-cause mortality, RCTs only (sensitivity subgroup analysis)

28% reduction in all-cause mortality with ATTR-targeted treatment, RCTs only
RR 0.72, 95% CI: 0.60 to 0.86, I2 = 0%, P = 0.56
  • Sensitivity subgroup analysis

NNT to prevent one death (extrapolated to 18238 untreated patients)

NNT at 2 years
10
NNT at 5 years
5
  • Extrapolated to epidemiological data on untreated patients

Original publication

Real-World Effectiveness of Targeted Therapies in ATTR Cardiomyopathy: A Meta-Analysis Integrating Population-Based Data. ESC Heart Fail. Published 28 November 2025. doi:10.1002/ehf2.70011

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.