Time to Death: Continuous Tafamidis Versus Placebo to Tafamidis10

KM plot of observed time to all-cause mortality in ATTR-ACT and the LTE compared with a model-based extrapolation of time to all-cause mortality with placebo10

Survival Probability
Time to event (months)
Continuous tafamidis
Placebo to tafamidis
Extrapolated placebo
0.0
0.2
0.4
0.6
0.8
1.0
0
3
6
9
12
15
18
21
24
27
30
33
36
39
42
45
48
51
54
57
60
63
66
69
72
Patients remaining at risk
(cumulative events)
Continuous
tafamidis
176 172 170 164 155 148 144 139 132 128 117 107 104 99 95 91 85 78 72 56 30 17 6 1 0
(0) (4) (6) (12) (21) (28) (32) (37) (44) (48) (54) (56) (59) (63) (66) (69) (73) (74) (75) (78) (78) (78) (78) (79) (79)
Placebo to
tafamidis
177 173 171 163 161 150 141 131 118 113 93 77 70 62 58 54 51 45 36 29 15 8 0 0 0
(0) (4) (6) (14) (16) (27) (36) (46) (59) (64) (75) (81) (88) (95) (99) (102) (104) (106) (110) (110) (110) (111) (111) (111) (111)

Median survival:

  • Placebo to tafamidis: 35.8 months
  • Continuous tafamidis: 67.0 months*
  • Extrapolated placebo: 35.2 months

Results

  • Survival curves for continuous tafamidis diverged from
    placebo to tafamidis after ~17 months
  • Survival curves for placebo to tafamidis diverged from
    extrapolated placebo after ~44 months (~14 months
    after the start of the LTE) in favor of patients treated with placebo to tafamidis

*High degree of censoring prior to this point suggests estimate subject to change.

ATTR-ACT: Tafamidis in Transthyretin Cardiomyopathy Clinical Trial; ATTRwt-CM: wild-type transthyretin amyloid cardiomyopathy; KM: Kaplan Meier; LTE: long-term extension.

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