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A post-hoc analysis of the THAOS registry (Transthyretin Amyloidosis Outcomes survey) was conducted with data from 1,441 patients who had ATTR-CM and a predominantly cardiac phenotype. Patients were categorised as tafamidis-treated if they received tafamidis while enrolled in THAOS or tafamidis-untreated if they have never received tafamidis while enrolled in THAOS. The analysis included all patients in the registry with a predominately cardiac phenotype at enrolment, defined as patients with ATTR-CM without signs and symptoms suggestive of associated ATTR amyloidosis- related neuropathy.
The post-hoc analysis included patients who received any dosage of tafamidis, not just the licensed tafamidis meglumine 80 mg daily/tafamidis 61 mg daily, to provide real-world representation beyond the scope of randomised clinical trials.1
The results presented below on this page will only focus on patients who received tafamidis meglumine 80 mg daily/tafamidis 61 mg daily
Adapted from: Garcia-Pavia P et al. J Card Fail 2024; S1071-9164(24)00222-7
In this real-world study of patients with ATTR-CM, observed survival rates were higher among patients who received the approved tafamidis dose versus untreated patients. These observed survival rates
are also supported by further analysis of a contemporary patient population (enrolled 2019–2023).
The higher rate of survival observed across both tafamidis meglumine 80 mg daily/tafamidis 61 mg daily and placebo arms enrolled in 2019 or later, compared with the same cohorts enrolled during any year of THAOS, may be the result of advances in cardiac imaging and increased awareness amongst physicians that facilitate earlier detection of ATTR-CM. This suggests the importance of early diagnosis and treatment of ATTR-CM.
There were no new safety signals reported in patients treated with tafamidis meglumine 80mg/tafamidis 61mg in this THAOS analysis, supporting the long-term safety and tolerability profile of tafamidis in the real-world settings.
References:
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PP-UNP-GBR-7812. January 2024