Did CARDIO-TTRansform fail, or did it answer a different question? The effect of eplontersen depended on background stabilizer therapy.
New article at @opensourcecardiology walks through the monotherapy signal, the pooled silencer data, and why percent knockdown is harder to compare than it looks.
@BrettSperryMD@HamzahAliMD
https://t.co/twBI1p2MLT
🔥 Our thoughts on all things CARDIO-TTRansform
A lot of nuance to unpack here, and hopefully more analyses of this study will shed light on the monotherapy vs combination therapy subgroups.
Attached is our reproduction of the all cause mortality curves for the monotherapy populations across all 4 ATTR-CM trials (Panel A) and the overall study populations (Panel B).
Good news for patients is that we keep creeping closer and closer to the age expected survival in the modern era!
🆕CARDIO-TTRansform, the largest treatment trial yet in ATTR-CM (1,432 patients), missed its primary endpoint: rate ratio 0.89 (95% CI 0.73 to 1.09).
But baseline stabilizer use modified the effect of eplontersen (P for interaction = .017):
• Not on a stabilizer at baseline: RR 0.71 (95% CI 0.54 to 0.93), a nominally 29% lower rate of CV death and recurrent CV events
• Already on a stabilizer: RR 1.14 (95% CI 0.85 to 1.53)
In a Critical Appraisal, @HamzahAliMD, Andrew A. Girard, and @BrettSperryMD argue this reflects the limited incremental benefit of adding a silencer to a stabilizer, not an ineffective drug.
They also unpack why percent TTR knockdown is hard to compare across silencers and reflect on where combination stabilizer and silencer therapy goes from here.
https://t.co/twBI1p3kBr
Excited to share our publication in JACC Case Reports on the role of cardiac MRI in diagnosing chronic chagas cardiomyopathy!! @JACCJournals@ACCinTouch
https://t.co/hQ7wbCBMcP
I had a wonderful time presenting my abstracts at National ACC in Chicago this past weekend. Thank you to my mentors and colleagues for your support!
@ACCinTouch@txchapteracc@DellMedCardio
4. Ali, S, Abouelnaaj, M, Piroozi, A. et al. COST-EFFECTIVENESS OF OZEMPIC VERSUS BARIATRIC SURGERY FOR LONG-TERM WEIGHT MANAGEMENT: A 10-YEAR MARKOV MODEL. JACC. 2025 Apr, 85 (12_Supplement) 408. https://t.co/2X7YtYXOS4
3. Ali, S, Gupta, M, Abdullah, Y. et al. ENHANCING READABILITY IN PATIENT EDUCATION: A COMPARATIVE ANALYSIS OF AI-GENERATED AND COMMERCIAL HEART FAILURE DISCHARGE INSTRUCTIONS. JACC. 2025 Apr, 85 (12_Supplement) 1569. https://t.co/fsjUY0h9yc
2. Ali, S, Khan, U, Pham, H. et al. CULTURE-NEGATIVE ENDOCARDITIS IN A PATIENT WITH RHEUMATOID ARTHRITIS AND A BIOPROSTHETIC VALVE. JACC. 2025 Apr, 85 (12_Supplement) 4058. https://t.co/GKPJqecbRT
1. Ali, S, Seghers, M, Pham, H. et al. FULMINANT MYOCARDITIS IN THE SETTING OF ACUTE HIV AND GROUP A STREPTOCOCCUS PHARYNGITIS. JACC. 2025 Apr, 85 (12_Supplement) 4333.
https://t.co/SQ8JJzYjTl
I had a wonderful time learning from experts in cardiology, sharing research, and meeting new friends and mentors at #ACC2024 in Atlanta this weekend! @ACCinTouch@DellMedCardio
To all our residents and fellows: thank you! You provide our community with 575,000 hours of care each year, work on some of the most medically complex cases, and make us better educators and clinicians.
#Clopidogrel monotherapy following 1-month #DAPT is associated with numerically lower rate of composite CV outcomes and significantly ⬇️ CV events compared with #aspirin monotherapy following 12-month DAPT. https://t.co/cdbxy1PT4Z
#JACC#PCI#STOPDAPT2@HirotWatanabeMD
Congratulations to all who had abstracts accepted for #ACC24! 🎉
Don't miss out on the opportunity to watch your colleagues present their science! Register today: https://t.co/yT1LRiJT0b
Excited to have 2 abstracts accepted to present at ACC in Atlanta, GA! #ACC24
“SILENT INVADER: CHRONIC CHAGAS CARDIOMYOPATHY UNMASKED BY VF CARDIAC ARREST AND SUSTAINED VT - A CASE SERIES"
“A RARE PHENOMENON: ACUTE SYSTOLIC HEART FAILURE 2/2 MACROPHAGE ACTIVATION SYNDROME"