Alnylam Receives Positive CHMP Opinion for Vutrisiran in ATTR Amyloidosis with Cardiomyopathy
Alnylam Pharmaceuticals announced that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has issued a positive opinion recommending approval of vutrisiran (brand name: AMVUTTRA®) for the treatment of wild-type or hereditary transthyretin amyloidosis with cardiomyopathy (ATTR-CM) in adult patients.
Key Highlights:
- The recommendation is based on results from the HELIOS-B Phase 3 study, where vutrisiran significantly reduced mortality and cardiovascular events, while preserving functional status and quality of life.
- Vutrisiran is administered subcutaneously once every three months and offers a clinically differentiated treatment option.
- The drug has already received approvals in the United States (March 20, 2025) and Brazil (March 31, 2025).
- A decision from the European Commission is expected in June 2025.
- If approved, vutrisiran would become the first and only RNAi therapeutic authorized for ATTR-CM in Europe.
Clinical Insights:
- HELIOS-B met all 10 pre-specified primary and secondary endpoints in both overall and monotherapy populations.
- Benefits included improved survival, fewer hospitalizations, better 6-minute walk test performance, and improved quality of life.
- The safety profile was favorable and consistent with previous studies, with injection site reactions and mild increases in liver enzymes being the most common side effects.
About ATTR-CM:
ATTR-CM is a rapidly progressive and potentially fatal disease caused by the deposition of misfolded transthyretin (TTR) protein fibrils in the heart. There are two forms: hereditary (hATTR) and wild-type (wtATTR). The disease is underdiagnosed and affects tens of thousands of people worldwide.