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These protocols should complement rather than replace appropriate medical evaluation and physical therapy

While Alnylams Phase III APOLLO-B study hit both key primary and secondary endpoints, the FDA stated in the documents that the effects of patisiran compared to placebo on both endpoints were small, of questionable clinical meaningfulness, and may not be detectable by patients. Major discussion points during the adcomm meeting included whether these key endpoints were appropriate to ascertain clinical meaningfulness in the ATTR-CM population, and panelists expressed varying opinions on whether the magnitude of the benefit seen in trial data was clinically meaningful

Inflammatory markers tracked the VAT response, with CRP and IL-6 falling and adiponectin rising in patients with substantial VAT loss (PMID 21516030)

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