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

Continuous tafamidis Placebo to tafamidis
NYHA Class I and II, N 121 144
All-cause mortality, n (%) 45 (37.2) 61 (53.5)
Deaths 38 (31.4) 55 (48.2)
Heart transplant 6 (5.0) 6 (5.3)
Implantation of cardiac mechanical assist device 1 (0.8) 0
KM estimates of time to event, median (95% CI), months 67.0 (67.0–NE) 46.9 (36.7–NE)
KM preliminary estimates of 5-year survival 0.614 0.403
Tafamidis vs placebo, HR (95% CI) 0.56 (0.38–0.82)
P value 0.003
NYHA Class III, N 55 63
All-cause mortality, n (%) 34 (61.8) 50 (79.4)
Deaths 32 (58.2) 50 (79.4)
Heart transplant 1 (1.8) 0
Implantation of cardiac mechanical assist device 1 (1.8) 0
KM estimates of time to event, median (95% CI), months 28.1 (18.8–41.7) 24.1 (19.1–30.1)
KM preliminary estimates of 5-year survival 0.350 0.180
Tafamidis vs placebo, HR (95% CI) 0.65 (0.41–1.01)
P value 0.06
All-cause mortality was reduced with continuous tafamidis versus placebo to tafamidis for both NYHA classes:
  • NYHA Class I and Class II: 44% risk reduction; HR = 0.56 (0.38-0.82); P = 0.003
  • NYHA Class III: 35% risk reduction; HR = 0.65 (0.41-1.01); P = 0.06
HR from the Cox proportional hazards model with treatment and genotype (ATTRwt-CM and ATTRv-CM) in model.
ATTR-ACT: Tafamidis in Transthyretin Cardiomyopathy Clinical Trial; ATTRv-CM: hereditary transthyretin amyloid cardiomyopathy; ATTRwt-CM: 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.
1 | 2 | 3 | 4 | 5