FDA approves Alnylam’s anti-amyloid RNAi drug for cardiomyopathy

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Nature Biotechnology

volume 43page 457 (2025)Cite this article

The first RNA interference (RNAi) drug for treating heart failure caused by amyloidosis was approved by the US Food and Drug Administration (FDA) in March. Alnylam has the go-ahead for Amvuttra (vutrisiran) to treat transthyretin amyloid cardiomyopathy (ATTR-CM) caused by sporadic or hereditary ATTR, expanding the drug’s label from a previous nod in 2022 for polyneuropathy caused by transthyretin amyloidosis.

The disease ATTR-CM is rapidly progressive and fatal, and is caused by misfolding of the liver transport protein transthyretin. The abnormal protein fibrils are prone to aggregate and form damaging deposit in many organs, including the heart, leading to cardiovascular death, hospitalizations and urgent heart failure visits. Estimates suggest ATTR-CM affects over 300,000 people globally, but most cases are thought to be undiagnosed, and current treatments cannot halt its progression.

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FDA approves Alnylam’s anti-amyloid RNAi drug for cardiomyopathy.
Nat Biotechnol 43, 457 (2025). https://doi.org/10.1038/s41587-025-02656-2

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  • DOI: https://doi.org/10.1038/s41587-025-02656-2

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