ABOUT AMYLOIDOSIS
OVERVIEW, DISORDER TYPES, & IMPROVEMENT PROSPECTS
GENERAL OVERVIEW
OF SYSTEMIC AMYLOIDOSIS & THE PATIENT EXPERIENCE
An Opportunity
For Patient Impact
The Need for New Treatment Options
>17Diverse disease types are not all addressed by current treatments. |
0No existing therapeutics remove amyloid and reverse disease. |
Current Challenges
In some types of amyloidosis, approved therapies reduce amyloid formation and may slow progression.
Lack of removal of toxic amyloid accumulated in organs leads to progress organ failure and increased mortality.
Lack of therapies that address all stages of disease.
The Need for Better Diagnosis
80%Vast majority of patients are undiagnosed. |
Short survival window drives need for earlier diagnosis. |
Current Challenges
There are no amyloid specific diagnosis agents that work across all amyloid types and provide a complete picture of the disease.
Disease progresses unchecked and toxic amyloid accumulates.
It can take years and a multiple of diagnostic tests for patients to get diagnosed.
Characterization
Amyloid diseases are a diverse group of disorders, characterized by the deposition of amyloid protein fibrils in vital organs and tissues. There are approximately 30 different types of amyloidosis, each resulting from the misfolding and aggregation of a specific protein, and they are all severely debilitating, progressive, and often fatal.
Proven Treatments in Systemic Amyloidosis
Modulating amyloid proteins is a validated target in systemic amyloidosis. Therapies recently approved in ATTR amyloidosis have proven that reducing or stabilizing the pre-cursor protein leads to slowing disease progression. In AL amyloidosis, off-label plasma cell targeting agents including chemotherapy and Autologous Stem Cell Transplant, which both reduce the precursor protein, have also been shown to improve clinical outcomes. Reducing or stabilizing the pre-cursor protein in AL and ATTR amyloidosis results in the reduction of formation of new amyloid, but does not directly address already deposited toxic amyloid.
Diagnosis
There is a substantial unmet need to improve the diagnosis of amyloidosis in patients. The majority of systemic amyloidosis patients see more than four specialists and take more than 18 months to get an accurate diagnosis, with 25% of patients taking more than five years to get a correct diagnosis. Unfortunately, due to this prolonged process, a significant number of patients die without a diagnosis. Of the patients that do receive a diagnosis, there are a number of diagnostic procedures required with clear challenges in getting an early and accurate diagnosis. A misdiagnosis can be deadly and delayed diagnosis leads to poorer patient outcomes.
30 Subtypes
OF SYSTEMIC AMYLOIDOSIS
4 most Common
Types of Systemic Amyloidosis
wtATTR
Wild-type Transthyretin Amyloidosis
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Mainly manifests in heart and ligaments & tendons |
Median Survival: 3-5 years |
hATTR
Hereditary Transthyretin Amyloidosis
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Manifests in heart, nerves, GI, and kidneys |
Median Survival: 3-15 years; 3-5 years with cardiac involvement |
AL
Light Chain Amyloidosis
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Manifests in almost every organ: >70% have cardiac and/or kidney |
Median Survival: 5 years; 1-2 years in cardiac patients |
ALECT2
Leukocyte Chemotactic Factor 2 Amyloidosis
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Manifests mainly in kidney and liver |
Other Types of Systemic Amyloidosis
Manifests in various organs, with about half affecting kidneys |
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