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CME: Transthyretin-mediated amyloidosis (ATTR): successful identification and its role in optimizing outcomes

ACCREDITATION EXPIRED: December 15, 2025

Activity Description / Statement of Need:

In this online, self-learning activity:

Transthyretin-mediated amyloidosis (ATTR) is a progressive, multisystem, life-threatening disorder characterized by the extracellular deposition of misfolded, insoluble amyloid fibrils. The role of the TTR protein is to transport thyroxine and retinol-binding proteins, and it is vital for cognition, nerve regeneration, and axonal growth. TTR itself is innately amyloidogenic even without the presence of genetic mutations, which may account for wild-type ATTR (wtATTR), while a hereditary form of ATTR (hATTR) may be passed to offspring through autosomal dominant inheritance. Left untreated, the average life expectancy of ATTR is 3 to 15 years from symptom onset.

Target Audience:

The following HCPs: neurologists, cardiologists, and hematologists; physician assistants, nurse practitioners, and pharmacists in the aforementioned areas of specialty; and any other HCPs with an interest in or who may clinically encounter patients with ATTR. 


Commercial Support Disclosure: This program is supported by an educational grant from Alnylam Pharmaceutical.

This activity is free of charge.


Release Date: December 15, 2023 -- Expiration Date: December 15, 2025

Faculty: Kourosh Rezania, MD

Agenda

Introduction, disclosures  

Review of ATTR [Learning Objective #1] 

  • Brief epidemiology 
  • Pathophysiology  
  • Role of transthyretin 
  • Amyloidosis 
  • ATTR genetics 

ATTR Diagnostic Methods 

  • Common complications [Learning Objective #2] 
  • Cardiomyopathy 
  • Polyneuropathy 
  • Kidney disease 
  • Ophthalmologic disease 
  • Musculoskeletal involvement 
  • Differential diagnosis [Learning Objective #3] 
  • Disease mimics 
  • Evaluation and laboratory testing 
  • Imaging 
  • Imaging tests [Learning Objective #3] 
  • Conventional imaging options 
  • Role of new and emerging techniques 
  • Staging ATTR [Learning Objective #3] 

 

Treatment in patients with ATTR [Learning Objective #4] 

  • ATTR polyneuropathy 
  • Patisiran, vutrisiran 
  • Inotersen 
  • ATTR cardiomyopathy 
  • Tafamidis 
  • Off-label treatment options 
  • Drugs in development: eplontersen 
  • Best practice: putting it all together 
  • Patient case(s) 

Summary, conclusions, and best practice recap 

Learning Objectives

By the end of the session the participant will be able to:

  • Describe the etiologies of ATTR and the role of transthyretin buildup in the symptoms of amyloidosis.
  • Review the complications associated with ATTR and the most common presenting symptoms of disease.
  • Discuss recommended evaluations for diagnosing, staging, and monitoring ATTR and its complications.
  • Develop an appropriate pharmacotherapeutic plan for slowing ATTR disease progression.

Accreditation

ACCME Activity #202583793

ACCREDITATION FOR THIS COURSE HAS EXPIRED. YOU MAY VIEW THE PROGRAM, BUT CME / CE IS NO LONGER AVAILABLE AND NO CERTIFICATE WILL BE ISSUED.

Faculty Disclosure and Resolution of COI

As a provider of continuing medical education, it is the policy of ScientiaCME to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, faculty and educational planners must disclose any significant relationships with commercial interests whose products or devices may be mentioned in faculty presentations, and any relationships with the commercial supporter of the activity. The intent of this disclosure is to provide the intended audience with information on which they can make their own judgments. Additionally, in the event a conflict of interest (COI) does exist, it is the policy of ScientiaCME to ensure that the COI is resolved in order to ensure the integrity of the CME activity. For this CME activity, any COI has been resolved thru content review by ScientiaCME.

Disclosures of Faculty: Kourosh Rezania, MD, Associate Professor of Neurology, University of Chicago, has received financial compensation from speaker's bureau of Alnylam Pharmaceutical.

Disclosures of Educational Planners: Charles Turck, PharmD, BCPS, BCCCP, President of ScientiaCME, has no relevant financial disclosures.

Faculty WILL NOT discuss off-label uses of a commercial product.

All relevant financial relationships have been mitigated.

ScientiaCME adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Commercial Support Disclosure: This program is supported by an educational grant from Alnylam Pharmaceutical.

Instructions

  • Read the learning objectives above
  • Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowledge gained by participating in this CME activity.
  • View the online activity. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.
  • Minimum participation threshold: Take the post-test. A score of 70% or higher is required to pass and proceed to the activity evaluation.
  • Complete the activity evaluation and CME registration. A CE certificate will be emailed to you immediately.

Cultural/Linguistic Competence & Health Disparities

System Requirements

PC
Windows 7 or above
Internet Explorer 8
*Adobe Acrobat Reader
MAC
Mac OS 10.2.8
Safari or Chrome or Firefox
*Adobe Acrobat Reader
Internet Explorer is not supported on the Macintosh

*Required to view Printable PDF Version


Perform Pre-Test (optional)

Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.


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