Yvonne Greenstreet, Alnylam CEO (Suzanne Kreiter/The Boston Globe via Getty Images)

Al­ny­lam spells out its APOL­LO-B win for patisir­an — but just how good is it?

Al­ny­lam has de­tailed pos­i­tive APOL­LO-B da­ta for its piv­otal tri­al of patisir­an in treat­ing transthyretin-me­di­at­ed — or AT­TR — amy­loi­do­sis with car­diomy­opa­thy. And the re­sults spell out a clear ad­van­tage over a place­bo in pre­vent­ing a rapid de­cline in a 6-minute walk test.

But bound to get im­me­di­ate at­ten­tion are unan­swered ques­tions on the drug’s health ben­e­fits and how the drug and place­bo da­ta tracked in the study for an in­creas­ing­ly com­mon heart ail­ment com­pared to the dis­as­ter that be­fell a ri­val ther­a­py at Bridge­Bio. On that score, there was a wild dif­fer­ence be­tween the two stud­ies in the place­bo arm, where pa­tients typ­i­cal­ly see swift de­te­ri­o­ra­tion.

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