Table 5.
Biomarker-based staging and prognosis in ATTR amyloidosis
Model | Type | Biomarker, cut-off | Stages | Estimated median OS (months) |
---|---|---|---|---|
Kristen et al.57 | ATTRwt and ATTRv | NT-proBNP >2584 ng/L (or BNP >195 ng/L) TnT >50 ng/L (or TnI >580 ng/L) |
A: 2 >cut-offs | 40% alivea |
B: 2 <cut-offs | 98% alivea | |||
C: 1 >cut-off | 80% alivea | |||
Grogan et al.58 | ATTRwt | NT-proBNP ≥3000 ng/L TnT ≥50 ng/L |
I: both below the cut-offs | 66 |
II: 1 above the cut-off | 40 | |||
III: both above the cut-offs | 20 | |||
Gillmore et al.56 | ATTRwt and ATTRv | NT-proBNP >3000 ng/L eGFR <45 mL/min/1.73 m2 |
I: both below the cut-offs | 69 |
II: 1 above the cut-off | 47 | |||
III: both above the cut-offs | 24 |
ATTRwt, wild-type transthyretin amyloidosis; ATTRv; variant transthyretin amyloidosis; BNP, B-type natriuretic peptide; eGFR, estimated glomerular filtration rate; NT-proBNP, N-terminal fraction of pro–B-type natriuretic peptide; (hs-) TnT, (high-sensitivity) troponin T; (hs-)TnI, (high-sensitivity) troponin I.
3-year survival estimate.