All studies
Active not recruitingPHASE3INTERVENTIONAL

HELIOS-B: A Study to Evaluate Vutrisiran in Patients With Transthyretin Amyloidosis With Cardiomyopathy

This study, called HELIOS-B, is investigating a new medication, vutrisiran, for people who have a specific heart problem called transthyretin amyloidosis (ATTR) cardiomyopathy. This condition occurs when abnormal proteins build up in the heart, making it harder for the heart to pump blood. The study wants to find out how well vutrisiran works and if it's safe to use. Half the participants will receive vutrisiran through an injection under the skin every three months, and the other half will receive a placebo, which is an inactive substance, to compare the effects. Researchers will be carefully monitoring participants' health throughout the study.

At a glance

Status
Active not recruiting
Phase
PHASE3
Sponsor
Alnylam Pharmaceuticals
Enrolment target
655
Start
26 Nov 2019
Estimated completion
02 Dec 2026

What is this study about?

This study is focused on a health condition called transthyretin amyloidosis, specifically when it affects the heart, known as ATTR cardiomyopathy. In this condition, a protein called transthyretin (TTR) doesn't fold correctly and builds up in the heart muscle. Over time, this buildup can make the heart stiff and unable to pump blood effectively, leading to symptoms like tiredness and shortness of breath.

The new medicine being tested is called vutrisiran. It works by reducing the amount of that problem protein in your body. The aim of this study is to see if vutrisiran can help people with ATTR cardiomyopathy by improving their heart function and overall health. We also want to make sure that the medicine is safe and doesn't cause too many side effects.

To find out if vutrisiran works, some participants will receive the active medicine, while others will receive a placebo. A placebo looks like the real medicine but contains no active ingredients. This allows researchers to compare the effects and determine if any improvements are genuinely due to vutrisiran. The study is particularly looking for people with ATTR cardiomyopathy, whether it's inherited (runs in families) or 'wild-type' (develops without a family history).

Key takeaways

  • This study is testing a new medicine, vutrisiran, for a heart condition called ATTR cardiomyopathy.
  • It aims to see if vutrisiran can improve heart health and if it's safe.
  • You would receive the medicine or a placebo as an injection every three months.
  • The study involves regular clinic visits for health checks and tests.
  • It's for adults aged 18 to 85 with a specific type of ATTR heart problem.

Who may be eligible?

To join this study, you must be between 18 and 85 years old and have a confirmed diagnosis of transthyretin (ATTR) amyloidosis that affects your heart. This means you would have been told by your doctor that you have this specific type of heart condition. You also need to have a history of heart failure, which might include having been admitted to hospital because of it, or your doctor has found signs of heart failure during an examination.

There are some reasons why you might not be able to join. For example, if you have other types of amyloidosis or certain other heart conditions that aren't ATTR. You also can't participate if your heart failure is very severe (known as NYHA Class IV or high-risk Class III) or if you have severe nerve damage from the amyloidosis. Additionally, if you have very poor kidney function or have already received other specific treatments for your TTR condition, you wouldn't be eligible.

Your study doctor will go through all the detailed requirements with you to make sure this study is the right fit for your health situation.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you between 18 and 85 years old?
  2. Have you been diagnosed with transthyretin amyloidosis affecting your heart?
  3. Do you have a history or signs of heart failure?
  4. Have you *not* had other specific treatments for your TTR condition recently?
  5. Do you *not* have very severe heart failure (NYHA Class IV or high-risk Class III) or other specific severe health issues?
Answer every question to see your result.

What does participation involve?

If you decide to join this study, you would receive the study medication – either vutrisiran or a placebo – as an injection under the skin once every three months. This would happen at regular visits to the study clinic. You would also have various medical tests and examinations at these visits, such as heart checks, blood tests, and physical examinations, to monitor your health and how you're responding to the treatment.

The study involves a number of visits over a period of time, and the research team will keep you informed about the schedule and what's involved at each appointment. You'll be closely monitored by healthcare professionals throughout the entire study duration, which could last for several years. All assessments are designed to keep you safe and gather important information about the new medicine.

Potential risks and benefits

Participating in a study like this could potentially offer benefits, such as receiving a new investigative treatment (vutrisiran) that might improve your heart condition, or contributing to medical knowledge that could help others in the future. However, there are also potential risks. Vutrisiran, like any medicine, may have side effects, and some people might experience discomfort from the injections or during medical tests. Your health will be carefully watched, and if you experience any problems, the study team will be there to help. You have the right to withdraw from the study at any time, for any reason, without it affecting your usual medical care.

Locations (119)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • Clinical Trial Site
    Verified postcode
    La Mesa, United States
  • Clinical Trial Site
    Verified postcode
    Los Angeles, United States
  • Clinical Trial Site
    Verified postcode
    Stanford, United States
  • Clinical Trial Site
    Verified postcode
    Washington D.C., United States
  • Clinical Trial Site
    Verified postcode
    Gainesville, United States
  • Clinical Trial Site
    Verified postcode
    Chicago, United States
  • Clinical Trial Site
    Verified postcode
    Evanston, United States
  • Clinical Trial Site
    Verified postcode
    Boston, United States
  • Clinical Trial Site
    Verified postcode
    Boston, United States
  • Clinical Trial Site
    Verified postcode
    Rochester, United States
  • Clinical Trial Site
    Verified postcode
    Manhasset, United States
  • Clinical Trial Site
    Verified postcode
    New York, United States

Common questions

What is transthyretin amyloidosis (ATTR)?

It's a condition where a specific protein called transthyretin builds up in different organs, including the heart, making it difficult for them to work properly.

What is ATTR cardiomyopathy?

This is when the abnormal protein buildup specifically affects the heart muscle, making it stiff and harder for the heart to pump blood effectively around your body.

What is vutrisiran?

Vutrisiran is a new medicine being tested that aims to reduce the amount of the problem protein (transthyretin) in your body.

What is a placebo?

A placebo is a 'dummy' treatment that looks just like the real medicine but contains no active ingredients. It's used to compare the effects with the actual medicine.

How often would I receive the study medicine?

If you are part of this study, you would receive an injection of the study medicine or placebo under your skin once every three months.

How to find out more

Always speak to your GP or specialist before deciding to take part in a study.

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