Efficacy and safety of RNA interference therapeutics in transthyretin cardiac amyloidosis: A systematic review and meta-analysis

Eur J Clin Invest. 2025 Jul;55(7):e70049. doi: 10.1111/eci.70049. Epub 2025 Apr 17.

Abstract

RNAi therapeutics represent a promising advancement in the treatment of ATTR-CM, offering significant benefits over placebo. It demonstrated substantial improvements in survival, functional capacity, and quality of life, alongside a marked reduction in BNP levels and GLS-critical biomarkers of disease progression. These findings underscore the potential of RNAi therapy to alter the disease trajectory and improve patient outcomes.

Keywords: AATR‐CM; RNA interference therapeutics; RNAi therapy; cardiomyopathy; transthyretin amyloidosis.

Publication types

  • Systematic Review
  • Meta-Analysis

MeSH terms

  • Amyloid Neuropathies, Familial* / therapy
  • Cardiomyopathies* / therapy
  • Humans
  • Natriuretic Peptide, Brain / metabolism
  • Quality of Life
  • RNAi Therapeutics* / methods
  • Treatment Outcome

Substances

  • Natriuretic Peptide, Brain

Supplementary concepts

  • Amyloidosis, Hereditary, Transthyretin-Related