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ALN-TTRSC02

Phase 3FDA approved 2022

TTR-mediated Amyloidosis | RNA therapy | Rare Disease |Alnylam Pharmaceuticals, Inc.|Trials Updated: Feb 20, 2026

ALN-TTRSC02 development status

FDA approval Jun 13, 2022 as Amvuttra
Approval holderAlnylam Pharms Inc
ApplicationNDA215515
Highest phase Phase 3 (NCT06679946)
Phase scored for ALNYPhase 1
Registered trials 5 across 1 sponsor since Jun 2016

Label indication AMVUTTRA is a transthyretin-directed small interfering RNA indicated for the treatment of: the polyneuropathy of hereditary transthyretin-mediated amyloidosis in adults ( 1.1 ) the cardiomyopathy of wild-type or hereditary transthyretin-mediated amyloidosis in adults to reduce cardiovascular mortality, cardiovascular hospitalizations and urgent heart failure visits ( 1.2 ) 1.1 Polyneuropathy of Hereditary… FDA label

ALN-TTRSC02 target and mechanism

Molecular targetTTR
Target classProtein
ModalityRNA therapy

Also known as ALN-TTRSC (revusiran), ALN-TTRSC, ALN-TTRSC04, Vutrisiran, AMVUTTRA

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials5
Total Enrollment1,616

FDA Designations

No designations recorded

ALN-TTRSC02 clinical trials

ALN-TTRSC02 · 5 trials · 4 indications

Phase 3 2Phase 1 3
NCT06679946A Study to Evaluate Vutrisiran in Patients With Transthyretin Amyloidosis With CardiomyopathyTransthyretin Amyloidosis (ATTR) With Cardiomyopathy
ENROLLING BY_INVITATION700 Analytics
NCT04153149HELIOS-B: A Study to Evaluate Vutrisiran in Patients With Transthyretin Amyloidosis With CardiomyopathyTransthyretin Amyloidosis (ATTR) With Cardiomyopathy
ACTIVE NOT_RECRUITING655 Analytics
PHASE3ENROLLING BY_INVITATION
A Study to Evaluate Vutrisiran in Patients With Transthyretin Amyloidosis With Cardiomyopathy
Transthyretin Amyloidosis (ATTR) With CardiomyopathyUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
HELIOS-B: A Study to Evaluate Vutrisiran in Patients With Transthyretin Amyloidosis With Cardiomyopathy
Transthyretin Amyloidosis (ATTR) With CardiomyopathyUnlock trial analytics

Study Endpoints

Primary Endpoints

Frequency of Adverse Events (AEs)
Up to 36 Months

An AE is any untoward medical occurrence in a patient or clinical investigational subject administered a medicinal product and which does not necessarily have a causal relationship with this treatment.

Composite Endpoint of All-Cause Mortality and Recurrent Cardiovascular (CV) Events (CV Hospitalizations and Urgent Heart Failure [HF] Visits) in the Overall Population
Up to Month 36

All-cause mortality and recurrent CV events (CV hospitalizations and urgent HF visits) were compared between treatment groups using a modified Andersen-Gill model with a robust variance. All-cause mortality included heart transplantation and LVAD placement events along with deaths; recurrent CV events included CV hospitalizations and urgent HF visits. The number of participants with at least one CV event or all-cause mortality event have been reported here. No imputation was done for participants who dropped out early for the primary analysis of this composite outcome endpoint.

Composite Endpoint of All-Cause Mortality and Recurrent CV Events (CV Hospitalizations and Urgent HF Visits) in the Vutrisiran Monotherapy Subgroup
Up to Month 36

All-cause mortality and recurrent CV events (CV hospitalizations and urgent HF visits) were compared between treatment groups using a modified Andersen-Gill model with a robust variance. All-cause mortality included heart transplantation and LVAD placement events along with deaths; recurrent CV events included CV hospitalizations and urgent HF visits. The number of participants with at least one CV event or all-cause mortality event have been reported here. No imputation was done for participants who dropped out early for the primary analysis of this composite outcome endpoint.

Frequency of Adverse Events
Up to 20 months
Safety of ALN-TTRSC02, evaluated by the proportion of subjects experiencing adverse events (AEs)
Day 1 through to Day 314
The proportion of subjects experiencing adverse events (AEs), serious adverse events (SAEs) and study drug discontinuation.
Up to 63 days

Secondary Endpoints

Change from Baseline in the Kansas City Cardiomyopathy Questionnaire Overall Summary (KCCQ-OS)
Baseline up to 36 Months
Change from Baseline in New York Heart Association (NYHA) Class
Baseline up to 36 Months
Change From Baseline in the Cardiac Biomarker: N-terminal Prohormone of B-type Natriuretic Peptide (NT-proBNP)
Baseline up to 36 Months
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Vutrisiran 25 mgEXPERIMENTALParticipants will receive vutrisiran 25 mg administered subcutaneously (SC) once every 3 months (q3M).
PlaceboPLACEBO_COMPARATORParticipants received vutrisiran matching placebo administered SC q3M during the 36-month DB period. After the DB period, participants receive vutrisiran, 25 mg, SC injection, q3M for up to 24 months in the OLE period.
ALN-TTRSC04EXPERIMENTALParticipants will be administered a single dose of ALN-TTRSC04.
ALN-TTRSC02ACTIVE_COMPARATOR -
Sterile normal saline 0.9% for SC administrationPLACEBO_COMPARATOR -
ALN-TTRSC (revusiran)ACTIVE_COMPARATOR -
Sterile Normal Saline (0.9% NaCl)PLACEBO_COMPARATOR -

Interventions

NameTypeDescription
VutrisiranDRUGVutrisiran administered SC q3M
Sterile Normal Saline (0.9% NaCl)DRUGSterile normal saline (0.9% NaCl) will be administered by SC injection.
ALN-TTRSC04DRUGALN-TTRSC04 will be administered by subcutaneous (SC) injection.
PlaceboDRUGPlacebo will be administered by SC injection.
ALN-TTRSC02DRUGAscending doses of ALN-TTRSC02 by subcutaneous (SC) injection
ALN-TTRSC (revusiran)DRUGAscending doses of ALN-TTRSC (revusiran) by subcutaneous (SC) injection
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites87

Inclusion Criteria: * Patients who are participating in the patisiran parent studies ALN-TTR02-011 or ALN-TTR02-014 or who have completed the 24-month OLE Period in the vutrisiran parent study ALN-TTRSC02-003 Exclusion Criteria: * Has permanently discontinued study drug administration while parti...

Countries:United StatesArgentinaAustriaBelgiumBrazilCzechiaDenmarkFranceItalyNetherlandsNorwayPortugalSouth KoreaSpainSwedenTaiwanUnited KingdomAustraliaCanadaCroatiaGermanyHungaryIrelandIsraelJapanLatviaLebanonLithuaniaMalaysiaMoldovaPeruPolandSaudi ArabiaSloveniaThailand
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Frequently asked questions about ALN-TTRSC02

What is ALN-TTRSC02?

ALN-TTRSC02 is an investigational RNA therapy developed by Alnylam Pharmaceuticals for transthyretin-mediated amyloidosis, also called ATTR amyloidosis. It is designed to reduce production of the transthyretin protein. It has completed Phase 1 clinical testing in healthy volunteers and remains in clinical development.

What does ALN-TTRSC02 target?

ALN-TTRSC02 targets transthyretin, or TTR, a protein produced mainly in the liver. By targeting TTR, the RNA therapy aims to lower transthyretin levels, which is the protein that misfolds and deposits in tissues in TTR-mediated amyloidosis. TTR is the molecular target of this investigational therapy.

Who is developing ALN-TTRSC02?

ALN-TTRSC02 is being developed by Alnylam Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker ALNY. Alnylam is the sponsor of the Phase 1 studies of ALN-TTRSC02 conducted in the United Kingdom.

What phase is ALN-TTRSC02 in?

ALN-TTRSC02 is in Phase 1 clinical development. It is investigational and has not been approved by the FDA. Two Phase 1 studies of ALN-TTRSC02 have been completed, and no active trials of this asset are currently listed.

What clinical trials is ALN-TTRSC02 in?

ALN-TTRSC02 has been studied in two completed Phase 1 trials: NCT02797847, a safety and tolerability study in 80 healthy subjects, and NCT05661916, a study of safety, tolerability, pharmacokinetics and pharmacodynamics in 96 healthy subjects. Both were conducted in the United Kingdom.

Is ALN-TTRSC02 the same as revusiran?

ALN-TTRSC02 is also known as ALN-TTRSC, ALN-TTRSC04, and revusiran. Revusiran is the earlier name associated with the ALN-TTRSC program, which was studied in the completed Phase 1 trial NCT01814839 in 85 healthy volunteers. These names refer to the same Alnylam RNA therapy program for TTR-mediated amyloidosis.