UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062561
Receipt number R000068279
Scientific Title The Expanding Landscape of Transthyretin Amyloid Cardiomyopathy and the Question of Circulating Transthyretin Concentration
Date of disclosure of the study information 2026/08/12
Last modified on 2026/08/12 14:48:19

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Basic information

Public title

Validation of Transthyretin Concentration in the Treatment of Transthyretin Amyloidosis

Acronym

Validation of Transthyretin Concentration

Scientific Title

The Expanding Landscape of Transthyretin Amyloid Cardiomyopathy and
the Question of Circulating Transthyretin Concentration

Scientific Title:Acronym

The Question of Circulating Transthyretin Concentration

Region

Japan


Condition

Condition

Wild type transthyretin amyloidosis

Classification by specialty

Cardiology Neurology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Wild-type transthyretin amyloidosis (ATTRwt amyloidosis), caused by the age-related destabilization of the transthyretin (TTR) tetramer, has has garnered significant attention in aging societies. The advent of disease-modifying therapies for ATTR amyloidosis, such as TTR stabilizers, offers effective treatment but has simultaneously sparked debate regarding the appropriate TTR concentration to target during therapy. This study focused on the underlying clinical factors contributing to the increase in TTR concentration after the initiation of tafamidis treatment.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Identification of background factors contributing to increase transthyretin concentration before and one year after tafamidis initiation.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Retrospective study involving all patients with ATTRwt amyloidosis who initiated oral tafamidis treatment at Shinshu University Hospital between September 2019 and September 2025.Patients were retrospectively enrolled if they had documented serum TTR concentration measurements both before (baseline) and 1 year after the initiation of tafamidis.

Key exclusion criteria

Exclusion criteria included the absence of both pre- and 1-year post-treatment serum TTR measurements and cases lost to follow-up.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Koji
Middle name
Last name Yoshie

Organization

Shinshu University School of Medicine

Division name

Department of Cardiovascular Medicine

Zip code

390-8621

Address

3-1-1 Asahi, Matsumoto, 390-8621, Japan

TEL

0263-37-3486

Email

kojiyoshie@shinshu-u.ac.jp


Public contact

Name of contact person

1st name Koji
Middle name
Last name Yoshie

Organization

Shinshu University School of Medicine

Division name

Department of Cardiovascular Medicine

Zip code

390-8621

Address

3-1-1 Asahi, Matsumoto, 390-8621, Japan

TEL

0263-37-3486

Homepage URL

https://shinshu-junkanki.jp

Email

kojiyoshie@shinshu-u.ac.jp


Sponsor or person

Institute

Shinshu University

Institute

Department

Personal name

Koji Yoshie


Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Research ethics committee of the faculty of medicine, Shinshu University

Address

3-1-1 Asahi, Matsumoto, 390-8621, Japan

Tel

0263-37-2711

Email

kojiyoshie@shinshu-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

信州大学医学部附属病院


Other administrative information

Date of disclosure of the study information

2026 Year 08 Month 12 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

62

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2025 Year 11 Month 06 Day

Date of IRB

2025 Year 11 Month 06 Day

Anticipated trial start date

2025 Year 11 Month 06 Day

Last follow-up date

2025 Year 11 Month 23 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2026 Year 08 Month 12 Day

Last modified on

2026 Year 08 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068279