All-cause Mortality by Genotype: Continuous Tafamidis Versus Placebo to Tafamidis10

Continuous tafamidis Placebo to tafamidis
ATTRwt-CM, N 134 134
All-cause mortality, n (%) 54 (40.3) 80 (59.7)
Deaths 51 (38.1) 75 (56.0)
Heart transplant 3 (2.2) 5 (3.7)
Implantation of cardiac mechanical assist device 0 0
KM estimates of time to event, median (95% CI), months 67.0 (54.4–NE) 38.6 (34.1–47.1)
KM preliminary estimates of 5-year survival 0.578 0.363
Tafamidis vs placebo, HR (95% CI) 0.61 (0.43–0.87)
P value 0.006
ATTRv-CM, N 42 43
All-cause mortality, n (%) 25 (59.5) 31 (72.1)
Deaths 19 (45.2) 30 (69.8)
Heart transplant 4 (9.5) 1 (2.3)
Implantation of cardiac mechanical assist device 2 (4.8) 0
KM estimates of time to event, median (95% CI), months 34.6 (21.3–NE) 23.5 (16.9–30.6)
KM preliminary estimates of 5-year survival 0.391 0.209
Tafamidis vs placebo, HR (95% CI) 0.57 (0.33–0.99)
P value 0.05
All-cause mortality was reduced with continuous tafamidis versus placebo to tafamidis for both genotype subgroups:
  • ATTRwt-CM: 39% risk reduction;
    HR = 0.61 (0.43-0.87); P = 0.006
  • ATTRv-CM: 43% risk reduction;
    HR = 0.57 (0.33-0.99); P = 0.05
HR from the Cox proportional hazards model with treatment and NYHA baseline classification (NYHA Class I and Class II combined and NYHA Class III) in model.
ATTR-ACT: Tafamidis in Transthyretin Cardiomyopathy Clinical Trial; ATTRv: hereditary transthyretin amyloid cardiomyopathy; ATTRwt: wild-type transthyretin amyloid cardiomyopathy; CI: confidence interval; HR: hazard ratio; KM: Kaplan Meier; LTE: long-term extension; NE: non-estimable; NYHA: New York Heart Association.
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