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NCT03842163: TTRACK

Prevalence and Characteristics of Transthyretin Amyloidosis in Patients With Left Ventricular Hypertrophy of Unknown Etiology

Completed Results posted Last updated 12 February 2024
What this trial tests

trial testing Diagnosis of TTR amyloidosis cardiomyopathy in Transthyretin Amyloidosis Cardiomyopathy (ATTR-CM) in 812 participants. Completed in 8 June 2022.

Timeline
9 July 2018
Primary endpoint
8 June 2022
8 June 2022

Quick facts

Lead sponsorPfizer
StatusCompleted
Study typeOBSERVATIONAL
Enrollment812
Start date9 July 2018
Primary completion8 June 2022
Estimated completion8 June 2022
Sites18 locations across France, Italy, Slovakia, Austria, United Kingdom, Romania, Slovenia, Australia

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 50 to 99, any sex, with Transthyretin Amyloidosis Cardiomyopathy (ATTR-CM). Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants With Cardiac Fixation at the Radionuclide Bone Scintigraphy and/or Single Photon Emission Computed Tomography (SPECT): FAS1 Primary · During collection and observation duration from 09-Jul-2018 to 08-Jun-2022 (approximately 3.11 years)

Percentage of participants with cardiac fixation on a radionuclide bone scintigraphy and/or SPECT performed with 99mTc-DPD or 99mTc-PYP or 999mTc-HMDP among participants with LVH from an undiagnosed etiology were reported in this outcome measure. Scintigraphy was defined at each bone site according to the standard grading: Grade 0 = absent cardiac uptake, Grade 1=mild uptake less than bone, Grade 2=moderate uptake equal to bone and Grade 3=high uptake greater than bone.

GroupValue95% CI
All Participants32.028.8 – 35.4
Percentage of Participants With Transthyretin Amyloid (ATTR): FAS 1 Secondary · During collection and observation duration from 09-Jul-2018 to 08-Jun-2022 (approximately 3.11 years)

Transthyretin amyloidosis is a slowly progressive condition characterized by the buildup of abnormal deposits of a protein called amyloid (amyloidosis) in the body's organs and tissues.

GroupValue95% CI
All Participants17.915.3 – 20.8
Percentage of Participants With ATTR or With Suspicion of Monoclonal Gammopathy of Undetermined Significance (MGUS) / Light Chain Amyloidosis (AL): FAS 1 Secondary · During collection and observation duration from 09-Jul-2018 to 08-Jun-2022 (approximately 3.11 years)

Transthyretin amyloidosis is a slowly progressive condition characterized by the buildup of abnormal deposits of a protein called amyloid (amyloidosis) in the body's organs and tissues.

GroupValue95% CI
All Participants25.222.3 – 28.4
Percentage of Participants With Hereditary Transthyretin Amyloid (ATTRv): Full Analysis Set 2 (FAS 2) Secondary · During collection and observation duration from 09-Jul-2018 to 08-Jun-2022 (approximately 3.11 years)

Percentage of participants with hereditary ATTRv were reported in this outcome measure. ATTR participants with a ATTR gene sequencing with variant transthyretin was considered as ATTRv.

GroupValue95% CI
All Participants6.53.8 – 10.8
Percentage of Participants With Hereditary Transthyretin Amyloid (ATTRv): Full Analysis Set 3 (FAS 3) Secondary · During collection and observation duration from 09-Jul-2018 to 08-Jun-2022 (approximately 3.11 years)

Percentage of participants with hereditary ATTRv were reported in this outcome measure. ATTR participants with a ATTR gene sequencing with variant transthyretin was considered as ATTRv.

GroupValue95% CI
All Participants6.94.1 – 11.5
Percentage of Participants With Hereditary Transthyretin Amyloid (ATTRv): FAS 3.1 Secondary · During collection and observation duration from 09-Jul-2018 to 08-Jun-2022 (approximately 3.11 years)

Percentage of participants with hereditary ATTRv were reported in this outcome measure. ATTR participants with a ATTR gene sequencing with variant transthyretin was considered as ATTRv.

GroupValue95% CI
All Participants8.74.9 – 14.8
Percentage of Participants With Hereditary Transthyretin Amyloid (ATTRv): FAS 3.2 Secondary · During collection and observation duration from 09-Jul-2018 to 08-Jun-2022 (approximately 3.11 years)

Percentage of participants with hereditary ATTRv were reported in this outcome measure. ATTR participants with a ATTR gene sequencing with variant transthyretin was considered as ATTRv.

GroupValue95% CI
All Participants3.71.0 – 12.5
Percentage of Participants With Wild Type Transthyretin Amyloid (ATTRwt): FAS 2 Secondary · During collection and observation duration from 09-Jul-2018 to 08-Jun-2022 (approximately 3.11 years)

Percentage of participants with ATTRwt were reported in this outcome measure. ATTR participants with a ATTR gene sequencing with a result of 'no mutation' was considered as ATTRwt.

GroupValue95% CI
All Participants93.589.2 – 96.2
Percentage of Participants With Wild Type Transthyretin Amyloid (ATTRwt): FAS 3 Secondary · During collection and observation duration from 09-Jul-2018 to 08-Jun-2022 (approximately 3.11 years)

Percentage of participants with ATTRwt were reported in this outcome measure. ATTR participants with a ATTR gene sequencing with a result of 'no mutation' was considered as ATTRwt.

GroupValue95% CI
All Participants93.188.5 – 95.9
Percentage of Participants With Wild Type Transthyretin Amyloid (ATTRwt): FAS 3.1 Secondary · During collection and observation duration from 09-Jul-2018 to 08-Jun-2022 (approximately 3.11 years)

Percentage of participants with ATTRwt were reported in this outcome measure. ATTR participants with a ATTR gene sequencing with a result of 'no mutation' was considered as ATTRwt.

GroupValue95% CI
All Participants91.385.2 – 95.1
Percentage of Participants With Wild Type Transthyretin Amyloid (ATTRwt): FAS 3.2 Secondary · During collection and observation duration from 09-Jul-2018 to 08-Jun-2022 (approximately 3.11 years)

Percentage of participants with ATTRwt were reported in this outcome measure. ATTR participants with a ATTR gene sequencing with a result of 'no mutation' was considered as ATTRwt.

GroupValue95% CI
All Participants96.387.5 – 99.0
Number of Participants With Transthyretin (TTR) Genetic Mutations Among Those Who Had Positive Scintigraphy: FAS 2 Secondary · During collection and observation duration from 09-Jul-2018 to 08-Jun-2022 (approximately 3.11 years)

Scintigraphy is the procedure used to diagnose, stage, and monitor disease. A small amount of a radioactive chemical (radionuclide) was injected into a vein or swallowed. Number of participants with TTR genetic mutations among those who had positive scintigraphy were reported in this outcome measure.

GroupValue95% CI
All Participants13

Sponsor's own description

The main purpose of this study is to determine the prevalence of ATTR Cardiomyopathy among patients admitted due to Left Ventricular Hypertrophy (LVH) \>15mm of unknown etiology by using a 99mTc-tracer scintigraphy based protocol

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Prevalence and characteristics of transthyretin amyloid cardiomyopathy in hypertrophic cardiomyopathy.
    Garcia-Pavia P, Damy T, Piriou N, Barriales-Villa R, et al · · 2024 · cited 18× · PMID 39210606 · DOI 10.1002/ehf2.14971
  2. Nuclear imaging and echocardiographic findings in hypertrophic cardiomyopathy with and without ATTR-CM.
    Garcia-Pavia P, Del Moral FJH, Cappelli F, Piriou N, et al · · 2025 · cited 1× · PMID 41081448 · DOI 10.1002/ehf2.15440

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing