{"id":3957,"date":"2026-01-23T11:37:19","date_gmt":"2026-01-23T10:37:19","guid":{"rendered":"https:\/\/reseau-amylose.org\/rechercheamylose\/?page_id=3957"},"modified":"2026-01-27T15:48:21","modified_gmt":"2026-01-27T14:48:21","slug":"recherche-amylose-essai-triton-cm-nucresiran","status":"publish","type":"page","link":"http:\/\/reseau-amylose.org\/rechercheamylose\/recherche-amylose-essai-triton-cm-nucresiran\/","title":{"rendered":"Essai TRITON-CM : nucresiran dans l&rsquo;amylose \u00e0 transthyr\u00e9tine ATTR"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3957\" class=\"elementor elementor-3957\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b21090b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b21090b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4acf03c\" data-id=\"4acf03c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-21ed30b elementor-widget elementor-widget-heading\" data-id=\"21ed30b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Essai TRITON-CM : nucresiran dans l'amylose \u00e0 transthyr\u00e9tine - ATTR<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0f289a3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0f289a3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-17e6387\" data-id=\"17e6387\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5c3280a elementor-widget elementor-widget-text-editor\" data-id=\"5c3280a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019essai <strong>TRITON-CM<\/strong> est une \u00e9tude clinique internationale de phase 3 \u00e9valuant l\u2019efficacit\u00e9 et la tol\u00e9rance du <strong>nucresiran<\/strong> chez des patients atteints d\u2019amylose \u00e0 transthyr\u00e9tine (ATTR) avec cardiomyopathie.<\/p><p>TRITON-CM compare le nucresiran au <strong>traitement de r\u00e9f\u00e9rence (Standard of Care \u2013 SoC)<\/strong> utilis\u00e9 dans chaque pays participant, incluant principalement le <strong>tafamidis<\/strong>, l\u2019<strong>acoramidis<\/strong>, ou un <strong>placebo<\/strong> dans de rares pays o\u00f9 aucun traitement sp\u00e9cifique n\u2019est disponible.<\/p><p>L\u2019objectif global est d\u2019inclure <strong>1\u202f250 patients<\/strong>, randomis\u00e9s selon un ratio <strong>2:1<\/strong> (2 patients recevant le nucresiran pour 1 patient recevant le traitement de r\u00e9f\u00e9rence).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ea81e03 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ea81e03\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-be7538a\" data-id=\"be7538a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8d26a61 elementor-widget elementor-widget-heading\" data-id=\"8d26a61\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Objectif de l\u2019\u00e9tude<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-74c6af8 elementor-widget elementor-widget-text-editor\" data-id=\"74c6af8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019objectif principal de TRITON-CM est d\u2019\u00e9valuer si le nucresiran permet d\u2019am\u00e9liorer l\u2019\u00e9volution clinique des patients atteints d&rsquo;amylose \u00e0 transthyr\u00e9tine, en comparaison au traitement de r\u00e9f\u00e9rence, tout en \u00e9valuant sa s\u00e9curit\u00e9 d\u2019emploi.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e326703 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e326703\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2a92cb7\" data-id=\"2a92cb7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-074f2a9 elementor-widget elementor-widget-heading\" data-id=\"074f2a9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Le traitement \u00e0 l\u2019\u00e9tude : le nucresiran<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-107f82e elementor-widget elementor-widget-text-editor\" data-id=\"107f82e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le <strong>nucresiran<\/strong> est un <strong>ARN interf\u00e9rent (ARNi) de derni\u00e8re g\u00e9n\u00e9ration<\/strong>, con\u00e7u pour r\u00e9duire la production de la transthyr\u00e9tine (TTR), prot\u00e9ine responsable de la formation des d\u00e9p\u00f4ts amylo\u00efdes.<\/p><p>Les r\u00e9sultats de la <strong>phase 1<\/strong>, \u00e0 la dose de <strong>300 mg<\/strong> retenue pour la phase 3, ont montr\u00e9 :<\/p><ul><li>Une <strong>r\u00e9duction de plus de 90 % de la TTR circulante<\/strong><\/li><li>Une <strong>faible variabilit\u00e9 interindividuelle<\/strong> de la r\u00e9ponse<\/li><li>La possibilit\u00e9 d\u2019un <strong>espacement des injections \u00e0 une administration tous les 6 mois<\/strong>, am\u00e9liorant le confort et l\u2019adh\u00e9sion des patients.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c904af1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c904af1\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-610bcda\" data-id=\"610bcda\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b5bf8ea elementor-widget elementor-widget-heading\" data-id=\"b5bf8ea\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Sch\u00e9ma de l\u2019\u00e9tude<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ab915c2 elementor-widget elementor-widget-image\" data-id=\"ab915c2\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"768\" height=\"768\" src=\"http:\/\/reseau-amylose.org\/rechercheamylose\/wp-content\/uploads\/sites\/3\/2026\/01\/Gemini_Generated_Image_g43d71g43d71g43d-768x768.png\" class=\"attachment-medium_large size-medium_large wp-image-3960\" alt=\"recherche-amylose\/essai-triton-cm-nucresiran\" srcset=\"http:\/\/reseau-amylose.org\/rechercheamylose\/wp-content\/uploads\/sites\/3\/2026\/01\/Gemini_Generated_Image_g43d71g43d71g43d-768x768.png 768w, http:\/\/reseau-amylose.org\/rechercheamylose\/wp-content\/uploads\/sites\/3\/2026\/01\/Gemini_Generated_Image_g43d71g43d71g43d-300x300.png 300w, http:\/\/reseau-amylose.org\/rechercheamylose\/wp-content\/uploads\/sites\/3\/2026\/01\/Gemini_Generated_Image_g43d71g43d71g43d-150x150.png 150w, http:\/\/reseau-amylose.org\/rechercheamylose\/wp-content\/uploads\/sites\/3\/2026\/01\/Gemini_Generated_Image_g43d71g43d71g43d.png 1024w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2960ff9\" data-id=\"2960ff9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b43520c elementor-widget elementor-widget-heading\" data-id=\"b43520c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Principaux crit\u00e8res d\u2019inclusion<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c8cd88 elementor-widget elementor-widget-text-editor\" data-id=\"4c8cd88\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les principaux crit\u00e8res d\u2019inclusion comprennent :<\/p><ul><li>\u00c2ge compris entre <strong>18 et 85 ans<\/strong><\/li><li><strong>Diagnostic document\u00e9 d\u2019amylose \u00e0 transthyr\u00e9tine (ATTR)<\/strong> avec atteinte cardiaque<ul><li>Forme <strong>h\u00e9r\u00e9ditaire<\/strong> ou <strong>sauvage<\/strong><\/li><\/ul><\/li><li>Ant\u00e9c\u00e9dents m\u00e9dicaux d\u2019<strong>insuffisance cardiaque<\/strong>, d\u00e9finis par :<ul><li>Au moins une hospitalisation ant\u00e9rieure pour insuffisance cardiaque <strong>ou<\/strong><\/li><li>Des signes cliniques d\u2019insuffisance cardiaque (avec ou sans hospitalisation) n\u00e9cessitant un traitement par diur\u00e9tique<\/li><\/ul><\/li><\/ul><p><em>\u00c0 ce stade, le traitement requis repose principalement sur les <strong>diur\u00e9tiques de l\u2019anse<\/strong>, avec une \u00e9volution attendue des crit\u00e8res pour inclure notamment les <strong>inhibiteurs de SGLT2 (ISGLT2)<\/strong>.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-47d970f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"47d970f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-279fe94\" data-id=\"279fe94\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-97ab292 elementor-widget elementor-widget-heading\" data-id=\"97ab292\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Centres investigateurs en France<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d1045ac elementor-widget elementor-widget-text-editor\" data-id=\"d1045ac\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019\u00e9tude TRITON-CM est conduite dans de nombreux centres experts fran\u00e7ais, avec les investigateurs principaux suivants :<\/p><ol start=\"1\" data-spread=\"false\"><li><p><strong>CHU de Toulouse \u2013 H\u00f4pital de Rangueil<\/strong> : Olivier LAIREZ\u00a0<em>(ouvert)<\/em><\/p><\/li><li><p><strong>CHU de Rouen \u2013 H\u00f4pital Charles-Nicolle<\/strong> : Charles FAUVEL\u00a0<em>(ouvert)<\/em><\/p><\/li><li><p><strong>CHU de Nantes \u2013 H\u00f4pital Nord Laennec<\/strong> : Nicolas PIRIOU\u00a0<em>(ouvert)<\/em><\/p><\/li><li><p><strong>CHU de Rennes \u2013 H\u00f4pital Pontchaillou<\/strong> : Erwan DONAL\u00a0<em>(ouvert)<\/em><\/p><\/li><li><p><strong>CHRU de Tours \u2013 H\u00f4pital Trousseau<\/strong> : Anne BERNARD\u00a0<em>(ouvert)<\/em><\/p><\/li><li><p><strong>CHU de Montpellier \u2013 H\u00f4pital Arnaud de Villeneuve<\/strong> : Fran\u00e7ois ROUBILLE\u00a0<em>(ouvert)<\/em><\/p><\/li><li><p><strong>CHU de Bordeaux \u2013 H\u00f4pital Haut-L\u00e9v\u00eaque<\/strong> : Patricia R\u00c9ANT\u00a0<em>(ouvert)<\/em><\/p><\/li><li><p><strong>AP-HM \u2013 H\u00f4pital de la Timone<\/strong> : Gilbert HABIB\u00a0<em>(ouvert)<\/em><\/p><\/li><li><p><strong>CHU Grenoble Alpes \u2013 H\u00f4pital Michallon<\/strong> : Gilles BARONE-ROCHETTE\u00a0<em>(ouvert)<\/em><\/p><\/li><li><p><strong>CHU de Reims \u2013 H\u00f4pital Robert-Debr\u00e9<\/strong> : J\u00e9r\u00f4me COSTA\u00a0<em>(ouvert)<\/em><\/p><\/li><li><p><strong>AP-HP \u2013 H\u00f4pital Bichat \u2013 Claude-Bernard<\/strong> : Vincent ALGALARRONDO\u00a0<em>(pr\u00e9vu mi-f\u00e9vrier)<\/em><\/p><\/li><li><p><strong>CHU de Martinique<\/strong> : Astrid MONFORT\u00a0<em>(pr\u00e9vu mi-f\u00e9vrier)<\/em><\/p><\/li><li><p><strong>AP-HP \u2013 H\u00f4pital Europ\u00e9en Georges-Pompidou<\/strong> : Albert HAGEGE\u00a0<em>(pr\u00e9vu mi-f\u00e9vrier)<\/em><\/p><\/li><li><p><strong>AP-HP \u2013 H\u00f4pital Henri-Mondor<\/strong> : Thibaud DAMY\u00a0<em>(pr\u00e9vu fin f\u00e9vrier)<\/em><\/p><\/li><li><p><strong>CHU Dijon Bourgogne \u2013 H\u00f4pital Fran\u00e7ois-Mitterrand<\/strong> : Romain DIDIER\u00a0<em>(pr\u00e9vu fin f\u00e9vrier)<\/em><\/p><\/li><li><p><strong>CHU de Strasbourg \u2013 Nouvel H\u00f4pital Civil<\/strong> : Jean-Jacques VON HUNOLSTEIN\u00a0<em>(pr\u00e9vu fin f\u00e9vrier)<\/em><\/p><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9d6b89e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9d6b89e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6349598\" data-id=\"6349598\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2c66cba elementor-widget elementor-widget-text-editor\" data-id=\"2c66cba\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>L&rsquo;essai TRITON-CM repr\u00e9sente une \u00e9tape majeure dans le d\u00e9veloppement de nouvelles strat\u00e9gies th\u00e9rapeutiques pour l&rsquo;amylose \u00e0 transthyr\u00e9tine. Gr\u00e2ce \u00e0 une r\u00e9duction marqu\u00e9e et prolong\u00e9e de la TTR, le nucresiran pourrait constituer une avanc\u00e9e significative pour les patients, tout en simplifiant le sch\u00e9ma d\u2019administration.<\/p><p>Pour toute question, il est recommand\u00e9 de contacter l&rsquo;un des centres investigateurs.\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Essai TRITON-CM : nucresiran dans l&rsquo;amylose \u00e0 transthyr\u00e9tine &#8211; ATTR L\u2019essai TRITON-CM est une \u00e9tude clinique internationale de phase 3 \u00e9valuant l\u2019efficacit\u00e9 et la tol\u00e9rance du nucresiran chez des patients atteints d\u2019amylose \u00e0 transthyr\u00e9tine (ATTR) avec cardiomyopathie. TRITON-CM compare le nucresiran au traitement de r\u00e9f\u00e9rence (Standard of Care \u2013 SoC) utilis\u00e9 dans chaque pays participant, [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-3957","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Essai TRITON-CM \u2013 Nucresiran et amylose \u00e0 transthyr\u00e9tine - ATTR<\/title>\n<meta name=\"description\" content=\"Essai clinique de phase 3 TRITON-CM \u00e9valuant le nucresiran chez les patients atteints de cardiomyopathie amylo\u00efde ATTR. 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