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Without treatment, polyneuropathy from hereditary transthyretin amyloidosis (hATTR) is relentlessly progressive, with median survival less than 5 years in some cohorts. In a landmark 2018 randomized, placebo-controlled trial (APOLLO), patients with polyneuropathy from hATTR who received patisiran, an RNA interference agent, had stability or improvement in their disease manifestations at 18 months. Participants who switched from placebo to patisiran in a 12-month, open-label extension trial (OLE) also had benefits. Now, a global, open-label, single-arm, industry-sponsored extension study of 212 patients from the APOLLO and OLE trials has evaluated the long-term efficacy and safety of 0.3 mg/kg of intravenous patisiran given every three weeks…