Transthyretin Amyloidosis With CardiomyopathyPhase 3NCT07052903
TRITON-CM: A Study to Evaluate Nucresiran in Patients With Transthyretin Amyloidosis With Cardiomyopathy
A Phase 3 study testing Nucresiran and Sterile Normal Saline (0.9% NaCl) in people with Transthyretin Amyloidosis With Cardiomyopathy, run by Alnylam Pharmaceuticals at 266 sites in 36 countries.
Trial summary
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… Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Transthyretin Amyloidosis With Cardiomyopathy
- What is being tested?
- Nucresiran and Sterile Normal Saline (0.9% NaCl)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,750 participants
- Where
- 266 sitesin 36 countries
- Study dates
- 2 Jul 2025to 30 Nov 2032
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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.
Who cannot join
- 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
Trial locations and contacts
266 sites in 36 countries. Contact the study team or a site near you to ask about taking part.
266 sites in 36 countries
United States45 sites, 45 recruiting
- Recruiting
Clinical Trial Site
Atlanta, Georgia, 30309
- Recruiting
Clinical Trial Site
Aurora, Colorado, 80045
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Clinical Trial Site
Austin, Texas, 78705
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Clinical Trial Site
Baltimore, Maryland, 21287
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Clinical Trial Site
Boston, Massachusetts, 02115
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Clinical Trial Site
Boston, Massachusetts, 02118
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Clinical Trial Site
Brandon, Florida, 33511
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Charleston, South Carolina, 29425
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Clinical Trial Site
Charlotte, North Carolina, 28204
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Charlottesville, Virginia, 22903
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Chicago, Illinois, 60612
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Cleveland, Ohio, 44195
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Columbus, Ohio, 43210
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Dallas, Texas, 75246
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Detroit, Michigan, 48202
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Clinical Trial Site
Evanston, Illinois, 60201
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Clinical Trial Site
Falls Church, Virginia, 22042
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Clinical Trial Site
Gainesville, Georgia, 30501
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Clinical Trial Site
Houston, Texas, 77030
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Clinical Trial Site
Indianapolis, Indiana, 46202
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Clinical Trial Site
Indianapolis, Indiana, 46260
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Clinical Trial Site
Kansas City, Kansas, 66160
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Clinical Trial Site
La Jolla, California, 92037
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Clinical Trial Site
Laguna Hills, California, 92653
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Clinical Trial Site
Lancaster, Pennsylvania, 17602
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Clinical Trial Site
Manhasset, New York, 11030
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Clinical Trial Site
Miami, Florida, 33125
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Clinical Trial Site
New York, New York, 10029
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Clinical Trial Site
New York, New York, 10032
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Clinical Trial Site
New York, New York, 10065
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Clinical Trial Site
Norfolk, Virginia, 23507
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Clinical Trial Site
Norwich, Connecticut, 06360
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Clinical Trial Site
Philadelphia, Pennsylvania, 19104
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Clinical Trial Site
Plano, Texas, 75024
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Clinical Trial Site
Portland, Oregon, 97239
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Clinical Trial Site
Richmond, Virginia, 23298
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Clinical Trial Site
Rochester, Minnesota, 55905
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Clinical Trial Site
Salt Lake City, Utah, 84132
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Clinical Trial Site
Seattle, Washington, 98195
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Clinical Trial Site
Spokane, Washington, 99204
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Clinical Trial Site
St Louis, Missouri, 63110
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Clinical Trial Site
Stanford, California, 94305
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Clinical Trial Site
The Bronx, New York, 10467
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Clinical Trial Site
Tucker, Georgia, 30084
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Clinical Trial Site
Washington D.C., District of Columbia, 20010
China21 sites, 21 recruiting
- Recruiting
Clinical Trial Site
Binhai, 300456
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Clinical Trial Site
Changsha, 410011
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Clinical Trial Site
Changsha, 410013
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Clinical Trial Site
Chengdu, 610041
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Clinical Trial Site
Dongcheng, 100006
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Clinical Trial Site
Fuzhou, 350004
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Clinical Trial Site
Guangzhou, 510080
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Clinical Trial Site
Haidian, 100191
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Clinical Trial Site
Hangzhou, 310009
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Clinical Trial Site
Hangzhou, 310014
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Clinical Trial Site
Hefei, 230061
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Clinical Trial Site
Hexi District, 300211
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Clinical Trial Site
Jinan, 271000
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Clinical Trial Site
Nanchang, 330030
- Not yet recruiting
Clinical Trial Site
Nangang, 150001
- Recruiting
Clinical Trial Site
Nanjing, 210029
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Clinical Trial Site
Shenzhen Shi, 518053
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Clinical Trial Site
Taiyuan, 030012
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Clinical Trial Site
Wuhan, 430064
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Clinical Trial Site
Xicheng, 100034
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Clinical Trial Site
Yuanjiagang, 400016
Japan18 sites, 18 recruiting
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Clinical Trial Site
Bunkyō City, 113-8655
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Clinical Trial Site
Fukuoka, 810-0001
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Clinical Trial Site
Fukuoka, 812-8582
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Clinical Trial Site
Kagawa, 761-0793
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Clinical Trial Site
Kashihara, 634-8522
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Clinical Trial Site
Kobe, 650-0017
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Clinical Trial Site
Kumamoto, 860-8556
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Clinical Trial Site
Kurume, 830-0011
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Clinical Trial Site
Matsumoto-shi, 390-8621
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Clinical Trial Site
Nagoya, 466-8560
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Clinical Trial Site
Nankoku, 783-0043
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Clinical Trial Site
Niigata, 951-8520
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Clinical Trial Site
Okayama, 700-8558
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Clinical Trial Site
Sapporo, 060-8543
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Clinical Trial Site
Sapporo, 060-8648
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Clinical Trial Site
Sendai, 980-8574
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Clinical Trial Site
Suita, 564-8565
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Clinical Trial Site
Tokyo, 160-8582
Spain18 sites, 18 recruiting
- Recruiting
Clinical Trial Site
A Coruña, 15006
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Clinical Trial Site
Barcelona, 08035
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Clinical Trial Site
Barcelona, 08036
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Clinical Trial Site
Bilbao, 48013
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Clinical Trial Site
El Palmar, 30120
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Clinical Trial Site
Huelva, 21005
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Clinical Trial Site
Jaén, 23007
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Clinical Trial Site
L'Hospitalet de Llobregat, 8907
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Clinical Trial Site
Lleida, 25198
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Clinical Trial Site
Madrid, 28046
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Clinical Trial Site
Madrid, 28222
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Clinical Trial Site
Palma de Mallorca, 07198
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Clinical Trial Site
Pamplona, 31008
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Clinical Trial Site
Salamanca, 37007
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Clinical Trial Site
Santiago de Compostela, 15706
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Clinical Trial Site
Valencia, 46010
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Clinical Trial Site
Valencia, 46026
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Clinical Trial Site
Vigo, 36213
France16 sites, 16 recruiting
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Clinical Trial Site
Chambray-lès-Tours, 37170
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Clinical Trial Site
Créteil, 94000
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Clinical Trial Site
Dijon, 21000
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Clinical Trial Site
La Tronche, 38700
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Clinical Trial Site
Marseille, 13005
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Clinical Trial Site
Martinique, 97261
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Clinical Trial Site
Montpellier, 34295
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Clinical Trial Site
Paris, 75015
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Clinical Trial Site
Paris, 75018
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Clinical Trial Site
Pessac, 33600
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Clinical Trial Site
Reims, 51100
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Clinical Trial Site
Rennes, 35000
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Clinical Trial Site
Rouen, 76031
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Clinical Trial Site
Saint-Herblain, 44093
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Clinical Trial Site
Strasbourg, 67091
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Clinical Trial Site
Toulouse, 31059
Italy15 sites, 15 recruiting
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Clinical Trial Site
Ancona, 60126
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Clinical Trial Site
Bologna, 40138
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Clinical Trial Site
Brescia, 25123
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Clinical Trial Site
Florence, 50134
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Clinical Trial Site
Forlì, 47121
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Clinical Trial Site
Lecce, 73100
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Clinical Trial Site
Milan, 20122
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Clinical Trial Site
Naples, 80131
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Clinical Trial Site
Padova, 35128
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Clinical Trial Site
Pavia, 27100
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Clinical Trial Site
Pisa, 56124
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Clinical Trial Site
Rimini, 47923
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Clinical Trial Site
Roma, 00168
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Clinical Trial Site
Rome, 00161
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Clinical Trial Site
Torino, 10126
Brazil12 sites, 12 recruiting
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Clinical Trial Site
Belo Horizonte, 30220-140
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Clinical Trial Site
Campinas, 13083-888
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Clinical Trial Site
Porto Alegre, 90035-903
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Clinical Trial Site
Porto Alegre, 90560-032
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Clinical Trial Site
Recife, 50070-480
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Clinical Trial Site
Ribeirão Preto, 14026-900
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Clinical Trial Site
Ribeirão Preto, 14051-140
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Clinical Trial Site
Rio de Janeiro, 20551-030
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Clinical Trial Site
Rio de Janeiro, 22280-020
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Clinical Trial Site
Salvador, 40170-130
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Clinical Trial Site
São Paulo, 04038-002
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Clinical Trial Site
São Paulo, 05403-000
Belgium11 sites, 11 recruiting
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Clinical Trial Site
Aalst, 9300
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Clinical Trial Site
Bruges, 8000
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Clinical Trial Site
Brussels, 1200
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Clinical Trial Site
Dendermonde, 9200
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Clinical Trial Site
Edegem, 2650
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Clinical Trial Site
Genk, 3600
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Clinical Trial Site
Ghent, 9000
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Clinical Trial Site
Hasselt, 3500
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Clinical Trial Site
Leuven, 3000
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Clinical Trial Site
Liège, 4000
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Clinical Trial Site
Roeselare, 8800
Germany11 sites, 11 recruiting
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Clinical Trial Site
Berlin, 13353
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Clinical Trial Site
Cologne, 50937
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Clinical Trial Site
Dresden, 01307
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Clinical Trial Site
Göttingen, 37075
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Clinical Trial Site
Hanover, 30625
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Clinical Trial Site
Heidelberg, 69120
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Clinical Trial Site
Leipzig, 04103
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Clinical Trial Site
Magdeburg, 39120
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Clinical Trial Site
Munich, 81377
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Clinical Trial Site
Münster, 48149
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Clinical Trial Site
Würzburg, 97080
Argentina8 sites, 8 recruiting
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Clinical Trial Site
Buenos Aires, C1025ABI
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Clinical Trial Site
Buenos Aires, C1093AAS
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Clinical Trial Site
Buenos Aires, C1199ABB
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Clinical Trial Site
Buenos Aires, C1428
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Clinical Trial Site
Córdoba, X5016KET
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Clinical Trial Site
Rosario, S2000DEJ
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Clinical Trial Site
Rosario, S2000DSR
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Clinical Trial Site
Rosario, S2000GAP
Australia8 sites, 8 recruiting
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Clinical Trial Site
Adelaide, 5000
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Clinical Trial Site
Bedford Park, 5042
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Box Hill, 3128
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Clinical Trial Site
Chermside, 4032
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Clinical Trial Site
Darlinghurst, 2010
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Clinical Trial Site
Joondalup, 6027
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Clinical Trial Site
Liverpool, 2170
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Clinical Trial Site
Westmead, 2145
Austria7 sites, 7 recruiting
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Clinical Trial Site
Braunau am Inn, 5280
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Clinical Trial Site
Graz, 8036
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Vienna, 1090
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Vienna, 1100
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Clinical Trial Site
Vienna, 1160
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Clinical Trial Site
Vienna, 1210
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Clinical Trial Site
Wels, 4600
Portugal7 sites, 7 recruiting
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Clinical Trial Site
Carnaxide, 2790-134
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Clinical Trial Site
Creixomil, 4835-044
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Clinical Trial Site
Leiria, 2410-197
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Clinical Trial Site
Lisbon, 1169-024
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Clinical Trial Site
Lisbon, 1649-035
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Clinical Trial Site
Vila Real, 5000-508
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Clinical Trial Site
Viseu, 3504-509
United Kingdom6 sites, 6 recruiting
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Clinical Trial Site
Bellshill, ML4 3NJ
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Clinical Trial Site
Birmingham, B15 2SQ
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Clinical Trial Site
Cardiff, CF15 9SS
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Clinical Trial Site
London, NW10 2PB
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Clinical Trial Site
London, NW3 2QG
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Clinical Trial Site
Manchester, M15 6SE
Netherlands5 sites, 5 recruiting
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Clinical Trial Site
Eindhoven, 5623 EJ
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Clinical Trial Site
Groningen, 9713 GZ
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Clinical Trial Site
Maastricht, 6229 HX
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Clinical Trial Site
Rotterdam, 3015 GD
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Clinical Trial Site
Utrecht, 3584 CX
South Korea5 sites, 5 recruiting
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Clinical Trial Site
Incheon, 22332
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Clinical Trial Site
Seoul, 03080
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Clinical Trial Site
Seoul, 03722
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Clinical Trial Site
Seoul, 06351
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Clinical Trial Site
Seoul, 06591
Switzerland5 sites, 5 recruiting
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Clinical Trial Site
Basel, 4051
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Clinical Trial Site
Bern, 3010
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Clinical Trial Site
Geneva, 1205
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Clinical Trial Site
Lucerne, 6000
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Clinical Trial Site
Sankt Gallen, 9007
Canada4 sites, 4 recruiting
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Clinical Trial Site
Calgary, T2N 4N1
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Clinical Trial Site
London, N6A 5A5
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Clinical Trial Site
Toronto, M4P 1E4
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Clinical Trial Site
Vancouver, V6Z 1Y6
Czechia4 sites, 4 recruiting
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Clinical Trial Site
Brno, 602 00
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Clinical Trial Site
Ostrava, 708-52
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Clinical Trial Site
Prague, 128 21
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Clinical Trial Site
Prague, 140 21
Greece4 sites, 4 recruiting
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Clinical Trial Site
Athens, 115 27
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Clinical Trial Site
Athens, 115 28
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Clinical Trial Site
Heraklion, 714 09
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Clinical Trial Site
Thessaloniki, 546 36
Israel4 sites, 4 recruiting
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Clinical Trial Site
Be’er Ya‘aqov, 70300
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Clinical Trial Site
Haifa, 3109601
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Clinical Trial Site
Jerusalem, 91120
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Clinical Trial Site
Petah Tikva, 4941492
Taiwan4 sites, 4 recruiting
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Clinical Trial Site
New Taipei City, 220
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Clinical Trial Site
Taichung, 40705
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Clinical Trial Site
Taipei, 10002
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Clinical Trial Site
Taipei, 112
Denmark3 sites, 3 recruiting
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Clinical Trial Site
Aarhus N, 8200
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Clinical Trial Site
København Ø, 2100
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Clinical Trial Site
Odense C, 5000
New Zealand3 sites, 3 recruiting
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Clinical Trial Site
Auckland, 2025
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Clinical Trial Site
Christchurch, 8011
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Clinical Trial Site
Hamilton, 3204
Sweden3 sites, 3 recruiting
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Clinical Trial Site
Gothenburg, 413 45
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Clinical Trial Site
Lund, 222 42
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Clinical Trial Site
Solna, 171 76
Turkey (Türkiye)3 sites, 3 recruiting
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Clinical Trial Site
Ankara, 06170
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Clinical Trial Site
Antalya, 07070
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Clinical Trial Site
Istanbul, 34093
Chile2 sites, 2 recruiting
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Clinical Trial Site
Santiago, 7500588
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Clinical Trial Site
Santiago, 8320000
Hungary2 sites, 2 recruiting
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Clinical Trial Site
Balatonfüred, 8230
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Clinical Trial Site
Budapest, 1085
Ireland2 sites, 2 recruiting
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Clinical Trial Site
Dublin, D07 R2WY
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Clinical Trial Site
Dublin, D08 NHY1
Malaysia2 sites, 2 recruiting
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Clinical Trial Site
Kajang, 43000
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Clinical Trial Site
Kuala Lumpur, 59100
Norway2 sites, 2 recruiting
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Clinical Trial Site
Ålesund, 6017
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Clinical Trial Site
Lørenskog, 1478
Romania2 sites, 2 recruiting
- Recruiting
Clinical Trial Site
Bucharest, 022328
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Clinical Trial Site
Cluj-Napoca, 400001
Hong Kong1 site, 1 recruiting
- Recruiting
Clinical Trial Site
Hong Kong, 999077
About this study
Official title: TRITON-CM: A Phase 3 Global, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Nucresiran in Patients With Transthyretin-Mediated Amyloidosis With Cardiomyopathy (ATTR Amyloidosis With Cardiomyopathy)
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
- Being tested
- Nucresiran, Sterile Normal Saline (0.9% NaCl)
- Keywords
- 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
- Medical subject headings
- Cardiomyopathies, Amyloidosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NucresiranDrug
Also called ALN-TTRSC04
Nucresiran 300 mg administered SC q6M
Sterile Normal Saline (0.9% NaCl)Drug
Sterile Normal Saline (0.9% NaCl) administered SC once q6M
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | 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. Receives: Drug: Nucresiran; Drug: Sterile Normal Saline (0.9% NaCl) |
| Nucresiran 300 mg | Experimental | 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. Receives: Drug: Nucresiran |
What is being measured
The primary outcome is the main question the study is designed to answer.
Composite outcome of all-cause mortality and recurrent cardiovascular [CV] events (CV hospitalizations and urgent heart failure [HF] visits)
All-cause mortality and recurrent CV events (CV hospitalizations and urgent HF visits) will be compared between treatment groups using an Andersen-Gill model.
Measured: Baseline to end of double-blind period (estimated 32 months, maximum 5 years)
Secondary outcomes (4)
Time to first CV event (CV hospitalizations and urgent HF visits) or all-cause mortality
Measured: Baseline to end of double-blind period (estimated 32 months, maximum 5 years)
All-cause mortality
Measured: Baseline to end of double-blind period (estimated 32 months, maximum 5 years)
Recurrent CV events (CV hospitalizations and urgent HF visits)
Measured: Baseline to end of double-blind period (estimated 32 months, maximum 5 years)
Change from baseline in Kansas City Cardiomyopathy Questionnaire Overall Summary (KCCQ-OS)
The KCCQ is a 23-item self-administered questionnaire quantifying 6 domains (symptoms, physical function, quality of life, social limitation, self-efficacy, and symptom stability) and 2 summary scores (clinical and overall summary [OS]). Scores are transformed to a range of 0-100, in which higher scores reflect better health status.
Measured: Baseline to Month 30
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Jul 2025
- Study start2 Jul 2025
- Primary completion28 May 2030 (estimated)
- Study completion30 Nov 2032 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Transthyretin Amyloidosis With CardiomyopathyStudies of the same condition, open and under way.
- More trials run by Alnylam PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,750 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Alnylam Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Alnylam Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07052903
- Sponsor's protocol ID
- ALN-TTRSC04-003
- Other IDs
- 2024-519917-72-00
- Status last verified
- Oct 2026
- First submitted
- 30 Jun 2025
- Last updated
- 20 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Access to Anonymized individual participant data that support these results is made available 12 months after study completion and not less than 12 months after the product and indication have been approved in the US and/or the EU. Access to data may be declined where there is likelihood a patient could be identified or other feasibility issue, where there is a potential conflict of interest, a planned business activities or an actual or potential competitive risk. Data will be provided contingent upon the approval of a research proposal and the execution of a data sharing agreement. Timeframes for data access may vary and can take up to 6 months or more. Requests for access to data can be submitted via the website www.vivli.org. Questions can also be directed to datasharing@alnylam.com.
Study at a glance
From the registry record, last updated by the sponsor on 20 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- TRITON-CM: A Phase 3 Global, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Nucresiran in Patients With Transthyretin-Mediated Amyloidosis With Cardiomyopathy (ATTR Amyloidosis With Cardiomyopathy)
- ClinicalTrials.gov ID
- NCT07052903
- Acronym / sponsor ID
- ALN-TTRSC04-003
- Keywords
- ATTR-CM, ATTR amyloidosis with cardiomyopathy, ATTR, Heriditary ATTR, hATTR, Wild-type ATTR, wATTR, Cardiomyopathy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 1,750 participants (estimated)
- Lead sponsor
- Alnylam PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 2 Jul 2025 (actual)
- Primary completion
- 28 May 2030 (estimated)
- Study completion
- 30 Nov 2032 (estimated)
- First posted
- 8 Jul 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: Nucresiran, Drug: Sterile Normal Saline (0.9% NaCl)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. |
| Nucresiran 300 mg | Experimental | Drug: NucresiranParticipants will receive nucresiran 300 mg administered SC Q6M during the DB period, followed by nucresiran 300 mg administered SC q6M during the OLE period. |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- 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.
Key exclusion criteria (4 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NucresiranAlso: ALN-TTRSC04Nucresiran 300 mg administered SC q6M | Drug | Nucresiran 300 mg, Placebo |
| Sterile Normal Saline (0.9% NaCl)Sterile Normal Saline (0.9% NaCl) administered SC once q6M | Drug | Placebo |
Primary outcome
Composite outcome of all-cause mortality and recurrent cardiovascular [CV] events (CV hospitalizations and urgent heart failure [HF] visits)
Time frame: Baseline to end of double-blind period (estimated 32 months, maximum 5 years)
All-cause mortality and recurrent CV events (CV hospitalizations and urgent HF visits) will be compared between treatment groups using an Andersen-Gill model.
4 secondary outcomes
Time to first CV event (CV hospitalizations and urgent HF visits) or all-cause mortality
Time frame: Baseline to end of double-blind period (estimated 32 months, maximum 5 years)
All-cause mortality
Time frame: Baseline to end of double-blind period (estimated 32 months, maximum 5 years)
Recurrent CV events (CV hospitalizations and urgent HF visits)
Time frame: Baseline to end of double-blind period (estimated 32 months, maximum 5 years)
Change from baseline in Kansas City Cardiomyopathy Questionnaire Overall Summary (KCCQ-OS)
Time frame: Baseline to Month 30
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Oct 2026.
- Individual participant dataSharing planned: Yes. Access to Anonymized individual participant data that support these results is made available 12 months after study completion and not less than 12 months after the product and indication have been approved in the US and/or the EU. Access to data may be declined where there is likelihood a patient could be identified or other feasibility issue, where there is a potential conflict of interest, a planned business activities or an actual or potential competitive risk. Data will be provided contingent upon the approval of a research proposal and the execution of a data sharing agreement. Timeframes for data access may vary and can take up to 6 months or more. Requests for access to data can be submitted via the website www.vivli.org. Questions can also be directed to datasharing@alnylam.com.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Medical Director study director
Alnylam Pharmaceuticals
266 sites in 36 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Nucresiran and Sterile Normal Saline (0.9% NaCl) in people with Transthyretin Amyloidosis With Cardiomyopathy, run by Alnylam Pharmaceuticals at 266 sites in 36 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 20 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 266 sites in United States, China, Japan, Spain, France and 31 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Clinical Trial Information Line (1-877-ALNYLAM, clinicaltrials@alnylam.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Composite outcome of all-cause mortality and recurrent cardiovascular [CV] events (CV hospitalizations and urgent heart failure [HF] visits) (time frame: Baseline to end of double-blind period (estimated 32 months, maximum 5 years)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Oct 2026.