AMVUTTRA HELIOS-B Phase 3 Topline (ATTR-CM)
Reported 2026-02-14: AMVUTTRA met the primary composite endpoint of all-cause mortality + recurrent CV events in ATTR cardiomyopathy with a 28% relative risk reduction (HR 0.72, p=0.012) over 36 months. Underpins the December 23 PDUFA filing.
What’s at stake
AMVUTTRA (vutrisiran) is a quarterly subcutaneous RNAi therapy developed by Alnylam that silences the TTR gene in liver cells, preventing production of the transthyretin protein that misfolds and deposits as amyloid in ATTR amyloidosis. In ATTR polyneuropathy, amyloid damages peripheral nerves; in ATTR cardiomyopathy, deposits in the heart muscle cause progressive heart failure. AMVUTTRA is approved for hereditary ATTR polyneuropathy and demonstrated a 28% relative reduction in a composite cardiovascular outcomes endpoint in Phase 3, supporting a pending cardiomyopathy label expansion with a December 2026 PDUFA.
No primer in glossary yet.
- HRendpointHazard Ratio
Relative risk of an event (death, progression) in the treated arm vs control. HR < 1 favors treatment; HR of 0.70 means 30% risk reduction.
- PDUFAregulatoryPrescription Drug User Fee Act
The FDA's self-imposed review deadline for an NDA/BLA. Standard reviews are ~10 months from filing; priority reviews are ~6 months.
of 2 historical Phase 3 readouts in Cardio-Renal: 1 positive, 1 mixed, 0 negative.
How Ph3 readouts in Cardio-Renal have landed.
Reference, not prediction. We surface the historical record so you can read it yourself. We never extrapolate to the upcoming event.
Competitive landscape
| Drug | Company | Modality | Mechanism | Phase | Next catalyst |
|---|---|---|---|---|---|
| plozasiran | ARWR | siRNA | APOC3-targeting RNAi | CONFERENCE · May 26 | |
| olezarsen | IONS | oligonucleotide | ApoCIII antisense oligonucleotide | PDUFA · Dec 26 | |
| VERVE-102 | VERV | gene therapy | LNP-delivered base editor targeting PCSK9 | INTERIM · Nov 26 | |
| XPHOZAHtenapanor | ARDX | small molecule | NHE3 inhibitor | CMC · Jul 26 |
Prior ALNY reactions to Readout events
| Date | Headline | Outcome | 1W | 1M | 6M |
|---|---|---|---|---|---|
| Feb 2026 | AMVUTTRA HELIOS-B Phase 3 Topline (ATTR-CM) | positive | +33.4% | +35.6% | +27.7% |
| Dec 2024 | AMVUTTRA — Phase 2b Topline Met Primary Endpoint | positive | +16.8% | +24.9% | +43.8% |
Disclosure trail
- Feb 14, 2026·2mo agopinned · highest confidenceHIGH confPREXACTtop claimFEB 142026
“AMVUTTRA met the primary composite endpoint of all-cause mortality and recurrent cardiovascular events, with a 28% relative risk reduction (HR 0.72; 95% CI 0.56–0.93; p=0.012) in the overall study population over the 36-month double-blind treatment period.”
conf 99%via human