TRITON-CM: A Study to Evaluate Nucresiran in Patients With Transthyretin Amyloidosis With Cardiomyopathy

NCT ID: NCT07052903

Last Updated: 2025-11-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

1250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-02

Study Completion Date

2032-11-30

Brief Summary

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The purpose of this study is to:

* Evaluate the efficacy of nucresiran compared to placebo on reducing all-cause mortality and cardiovascular (CV) events
* Evaluate the efficacy of nucresiran compared to placebo on additional assessments of CV events and/or death
* Evaluate the efficacy of nucresiran compared to placebo on patient-reported health status and health-related quality of life

Detailed Description

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Conditions

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Transthyretin Amyloidosis With Cardiomyopathy

Keywords

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ATTR-CM ATTR amyloidosis with cardiomyopathy ATTR Heriditary ATTR hATTR Wild-type ATTR wATTR Cardiomyopathy Amyloidosis TTR Transthyretin TTR-mediated amyloidosis RNAi RNAi therapeutic TTR cardiomyopathy V122i TTR amyloidosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Participants will receive placebo administered subcutaneously (SC) once every 6 months (q6M) during the double-blind (DB) period, followed by nucresiran 300 mg administered SC q6M during the open-label extension (OLE) period.

Group Type PLACEBO_COMPARATOR

Nucresiran

Intervention Type DRUG

Nucresiran 300 mg administered SC q6M

Sterile Normal Saline (0.9% NaCl)

Intervention Type DRUG

Sterile Normal Saline (0.9% NaCl) administered SC once q6M

Nucresiran 300 mg

Participants will receive nucresiran 300 mg administered SC Q6M during the DB period, followed by nucresiran 300 mg administered SC q6M during the OLE period.

Group Type EXPERIMENTAL

Nucresiran

Intervention Type DRUG

Nucresiran 300 mg administered SC q6M

Interventions

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Nucresiran

Nucresiran 300 mg administered SC q6M

Intervention Type DRUG

Sterile Normal Saline (0.9% NaCl)

Sterile Normal Saline (0.9% NaCl) administered SC once q6M

Intervention Type DRUG

Other Intervention Names

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ALN-TTRSC04

Eligibility Criteria

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Inclusion Criteria

* Has documented diagnosis of ATTR amyloidosis with cardiomyopathy including those with hereditary ATTR (hATTR) or wild-type ATTR (wATTR) amyloidosis.
* Has medical history of heart failure (HF) with at least 1 prior hospitalization for HF or signs and symptoms that require treatment with a diuretic.
* Has screening N-terminal prohormone B-type natriuretic peptide (NT-proBNP) \>300 ng/L and \<8500 ng/L; In patients with permanent or persistent atrial fibrillation, screening NT-proBNP \>600 ng/L and \<8500 ng/L.
* Patients may be receiving approved TTR stabilizers for ATTR amyloidosis (eg, tafamidis, acoramidis) and may be receiving background therapy for HF at the discretion of the Investigator.

Exclusion Criteria

* Has New York Heart Association (NYHA) Class IV HF; or NYHA Class III heart failure AND ATTR Amyloidosis Disease Stage 3.
* Has a polyneuropathy disability (PND) Score IIIa, IIIb, or IV.
* Has an estimated glomerular filtration rate eGFR of \<30 mL/min/1.73m\^2 at screening.
* Has received prior or currently receiving TTR-lowering therapy
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alnylam Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Alnylam Pharmaceuticals

Locations

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Clinical Trial Site

Washington D.C., District of Columbia, United States

Site Status RECRUITING

Clinical Trial Site

Brandon, Florida, United States

Site Status RECRUITING

Clinical Trial Site

Gainesville, Georgia, United States

Site Status RECRUITING

Clinical Trial Site

Tucker, Georgia, United States

Site Status RECRUITING

Clinical Trial Site

Boston, Massachusetts, United States

Site Status RECRUITING

Clinical Trial Site

Detroit, Michigan, United States

Site Status RECRUITING

Clinical Trial Site

St Louis, Missouri, United States

Site Status RECRUITING

Clinical Trial Site

Manhasset, New York, United States

Site Status RECRUITING

Clinical Trial Site

New York, New York, United States

Site Status RECRUITING

Clinical Trial Site

The Bronx, New York, United States

Site Status RECRUITING

Clinical Trial Site

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Clinical Trial Site

Dallas, Texas, United States

Site Status RECRUITING

Clinical Trial Site

Joondalup, , Australia

Site Status RECRUITING

Clinical Trial Site

Braunau am Inn, , Austria

Site Status RECRUITING

Clinical Trial Site

Roeselare, , Belgium

Site Status RECRUITING

Clinical Trial Site

Fukuoka, , Japan

Site Status RECRUITING

Clinical Trial Site

Kobe, , Japan

Site Status RECRUITING

Clinical Trial Site

Nankoku-Shi, , Japan

Site Status RECRUITING

Clinical Trial Site

Okayama, , Japan

Site Status RECRUITING

Clinical Trial Site

Sapporo, , Japan

Site Status RECRUITING

Clinical Trial Site-1

Christchurch, , New Zealand

Site Status RECRUITING

Clinical Trial Site-2

Christchurch, , New Zealand

Site Status RECRUITING

Clinical Trial Site

Hamilton, , New Zealand

Site Status RECRUITING

Clinical Trial Site

Barcelona, , Spain

Site Status RECRUITING

Clinical Trial Site

Huelva, , Spain

Site Status RECRUITING

Clinical Trial Site

JaƩn, , Spain

Site Status RECRUITING

Clinical Trial Site

Madrid, , Spain

Site Status RECRUITING

Clinical Trial Site

Pamplona, , Spain

Site Status RECRUITING

Clinical Trial Site-1

Valencia, , Spain

Site Status RECRUITING

Clinical Trial Site-2

Valencia, , Spain

Site Status RECRUITING

Clinical Trial Site

Basel, , Switzerland

Site Status RECRUITING

Clinical Trial Site

Geneva, , Switzerland

Site Status RECRUITING

Clinical Trial Site

Lucerne, , Switzerland

Site Status RECRUITING

Clinical Trial Site

Cardiff, , United Kingdom

Site Status RECRUITING

Clinical Trial Site

Edgbaston, , United Kingdom

Site Status RECRUITING

Clinical Trial Site

Manchester, , United Kingdom

Site Status RECRUITING

Countries

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United States Australia Austria Belgium Japan New Zealand Spain Switzerland United Kingdom

Central Contacts

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Clinical Trial Information Line

Role: CONTACT

Phone: 1-877-ALNYLAM

Email: [email protected]

Clinical Trial Information Line

Role: CONTACT

Phone: 1-877-256-9526

Email: [email protected]

Other Identifiers

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2024-519917-72-00

Identifier Type: CTIS

Identifier Source: secondary_id

ALN-TTRSC04-003

Identifier Type: -

Identifier Source: org_study_id