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Revusiran

Phase 3

Transthyretin (TTR) Mediated Familial Amyloidotic Cardiomyopathy (FAC) | RNA therapy | Rare Disease |Alnylam Pharmaceuticals, Inc.|Trials Updated: Jul 9, 2020

Revusiran development status

Highest phase Phase 3
Registered trials 1 across 1 sponsor since Nov 2015

Revusiran target and mechanism

Molecular targetTTR
Target classRnai Inhibitor
ModalityRNA therapy

Also known as Revusiran (ALN-TTRSC), ALN-TTRSC

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment243

FDA Designations

No designations recorded

Revusiran clinical trials

Revusiran · 3 trials · 11 indications

Phase 3 1Phase 2 2
NCT02319005ENDEAVOUR: Phase 3 Multicenter Study of Revusiran (ALN-TTRSC) in Patients With Transthyretin (TTR) Mediated Familial Amyloidotic Cardiomyopathy (FAC)Transthyretin (TTR) Mediated Familial Amyloidotic Cardiomyopathy (FAC)
COMPLETED206 Analytics
PHASE3COMPLETED
ENDEAVOUR: Phase 3 Multicenter Study of Revusiran (ALN-TTRSC) in Patients With Transthyretin (TTR) Mediated Familial Amyloidotic Cardiomyopathy (FAC)
Transthyretin (TTR) Mediated Familial Amyloidotic Cardiomyopathy (FAC)Unlock trial analytics

Study Endpoints

Primary Endpoints

6 Minute Walk Distance (6-MWD)
18 months

The difference between revusiran and placebo group in change from baseline to 18 months in the total distance walked in 6 minutes

Serum TTR Levels
18 months

The difference between revusiran (ALN-TTRSC) and placebo group in the percent reduction in serum TTR levels over 18 months

Percentage Change From Baseline in Serum TTR at Month 6
Month 6

A negative percentage change from baseline at Month 6 indicates a reduction in serum TTR level.

Safety and Tolerability Results of Long-term Dosing With ALN-TTRSC (Revusiran) Transthyretin (TTR) Cardiac Amyloidosis Patients.
Day 0 up to 90 days post modified early termination visit (end of study); Mean duration of collection was 16 months

The proportion of subjects experiencing adverse events (AEs), serious adverse events (SAEs) and study \[drug\] discontinuation.

Secondary Endpoints

Composite Cardiovascular (CV) Mortality and Cardiovascular (CV) Hospitalization
18 months
New York Heart Association (NYHA) Class
18 months
Kansas City Cardiomyopathy Questionnaire (KCCQ)
18 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Revusiran (ALN-TTRSC)ACTIVE_COMPARATORadministered by subcutaneous (SC) injection
Sterile Normal Saline (0.9% NaCl)PLACEBO_COMPARATORadministered by subcutaneous (SC) injection
All PatientsEXPERIMENTALAll patients who received at least 1 dose of revusiran (ALN-TTRSC)

Interventions

NameTypeDescription
Revusiran (ALN-TTRSC)DRUG -
Sterile Normal Saline (0.9% NaCl)DRUG -
RevusiranDRUG500mg Revusiran by subcutaneous (sc) injection
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Eligibility Criteria

Age Range18 Years to 90 Years
SexALL
Healthy VolunteersNo
Study Sites61

Inclusion Criteria: * Documented TTR mutation * Amyloid deposits in cardiac or non-cardiac tissue * Medical history of heart failure * Evidence of cardiac involvement by echocardiogram Exclusion Criteria: * Has known primary amyloidosis (AL), leptomeningeal amyloidosis, non-FAC hereditary cardiom...

Countries:United StatesBelgiumCanadaFranceGermanyItalySpainSwedenUnited KingdomPortugal
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Frequently asked questions about Revusiran

What is Revusiran used for?

Revusiran was developed for the treatment of transthyretin (TTR)-mediated amyloidosis, including familial amyloidotic cardiomyopathy (FAC) and familial amyloidotic polyneuropathy. It was studied in patients whose disease continued to worsen after liver transplant and in those with TTR cardiac amyloidosis.

What does Revusiran target?

Revusiran targets transthyretin (TTR). It is an RNAi inhibitor designed to reduce production of the TTR protein, which forms amyloid deposits in tissues and causes the progressive symptoms of TTR-mediated amyloidosis.

Who is developing Revusiran?

Revusiran was developed by Alnylam Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker ALNY. The company advanced the RNA therapy into clinical testing for transthyretin-mediated amyloidosis.

What phase is Revusiran in?

Revusiran is an investigational RNA therapy that reached Phase 2 and Phase 3 clinical testing. It is not an approved medicine. The clinical program included a Phase 3 study called ENDEAVOUR and Phase 2 studies in TTR-mediated amyloidosis.

What clinical trials is Revusiran in?

Revusiran was studied in completed trials including NCT02595983, a Phase 2 study in patients whose TTR-mediated amyloidosis worsened after liver transplant, NCT02319005, the Phase 3 ENDEAVOUR study in familial amyloidotic cardiomyopathy, and NCT02292186, a Phase 2 extension study in TTR cardiac amyloidosis.

Is Revusiran the same as ALN-TTRSC?

Yes. Revusiran is also known as ALN-TTRSC. Both names refer to the same investigational RNAi therapeutic developed by Alnylam Pharmaceuticals for transthyretin-mediated amyloidosis.