Acoramidis Transthyretin Amyloidosis Prevention Trial in the Young (ACT-EARLY) Study in Asymptomatic Carriers of a Pathogenic TTR Variant
Recruiting · NCT06563895 · Interventional (participants receive a specific treatment) · Lead sponsor: Eidos Therapeutics, a BridgeBio company
View the official record on ClinicalTrials.gov →Interventions studied
What this trial is about
Transthyretin amyloidosis (ATTR) is a disease where the normally occurring transthyretin (TTR) protein falls apart and forms amyloid, a sticky plaque-like substance that accumulates in different organs in the body and can cause damage to the organ. There are two ways that the TTR protein can fall apart. One way occurs as a person ages, where the normal TTR protein can fall apart and form amyloid that may no longer be sufficiently cleared by the body. This type of ATTR is known as wild-type ATTR (ATTRwt). The other way occurs when a person inherits a defective TTR gene that causes the TTR protein to spontaneously fall apart. This form of the disease is known as variant ATTR (ATTRv) and can be detected in adults by a genetic test of their TTR gene before they age. Amyloid build-up in the heart causes the heart wall to become thick and stiff and can result in heart failure and even death. Accumulation of TTR amyloid in the heart is known as transthyretin amyloid cardiomyopathy or ATTR-CM. Amyloid can also deposit in the nerve tissues leading to nerve problems. Accumulation of TTR in the nerves is known as transthyretin amyloid polyneuropathy or ATTR-PN. Acoramidis is an experimental drug designed to bind tightly to TTR in the blood and stabilize its structure, so it does not form the harmful amyloid plaques that can cause damage to organs. This study is intended to determine if treatment with acoramidis in participants with ATTRv who have not yet developed any symptoms of disease can prevent or delay the development of ATTR-CM or ATTR-PN disease. If adults with an inherited defective TTR gene are treated early before any of the symptoms of disease have developed, it may be possible to delay the onset or prevent the disease entirely.
Who can take part
Inclusion criteria
- Male or female ≥ 18 to ≤ 75 years of age inclusive.
- Participants must have an established genotype (hetero- or homozygosity) through a medically-indicated genetic test of a TTR gene variant that is known to be pathogenic or likely pathogenic (eg, V30M/p.V50M, V122I/p.V142I, T60A/p.T80A, or all other pathogenic TTR variants).
- Participant's age is within 10 years younger than or older than PADO.
- Key
Exclusion criteria
- Evidence of ATTR-CM or ATTR-PN.
- Current or past (within last 1 to 12 months, depending on specific agent) treatment with other TTR modifying therapies.
- Contraindication to or inability to undergo cardiac magnetic resonance testing.
- Major organ dysfunction, including: kidney disease, liver disease, heart disease (including cardiomyopathy), neuropathy
- Other diseases or conditions such has cancer within 5 years, untreated hyperthyroidism or hypothyroidism, type 1 diabetes, active hepatitis B or C, HIV.
- Major surgery within the past 3 months or planned during the next 12 months.
- Known hypersensitivity to acoramidis.
Where it is running
60 locations listed across 23 US states.
- University of California, San Diego (UCSD) - Medical Center - La Jolla, California, United States
- University of California, Los Angeles (UCLA) - David Geffen School of Medicine - Los Angeles, California, United States
- University of California, San Francisco (UCSF) - San Francisco, California, United States
- Stanford University - Stanford, California, United States
- University of Colorado Anschutz - Aurora, Colorado, United States
- Yale University School of Medicine - Section of Cardiology - New Haven, Connecticut, United States
- MedStar Washington Hospital Center - MedStar Heart and Vascular Institute - Washington D.C., District of Columbia, United States
- Mayo Clinic - Jacksonville - Jacksonville, Florida, United States
- University of Miami - Miami, Florida, United States
- Cleveland Clinic Florida - Weston, Florida, United States
- Emory University School of Medicine - Atlanta, Georgia, United States
- John H. Stroger, Jr. Hospital of Cook County - Chicago, Illinois, United States
- University of Chicago - Medical Center - Chicago, Illinois, United States
- University of Maryland Medical Center - Baltimore, Maryland, United States
- Johns Hopkins University - Baltimore, Maryland, United States
- Massachusetts General Hospital - Boston, Massachusetts, United States
- Brigham and Women's Hospital - Boston, Massachusetts, United States
- Boston University (BU) School of Medicine - Boston, Massachusetts, United States
- Henry Ford Health System - Detroit, Michigan, United States
- Mayo Clinic - Rochester - Rochester, Minnesota, United States
- St. Luke's Hospital of Kansas City - Kansas City, Missouri, United States
- Washington University in St. Louis - St Louis, Missouri, United States
- Rutgers-Robert Wood Johnson Medical School - New Brunswick, New Jersey, United States
- New York University (NYU) School of Medicine - Langone Medical Center - New York, New York, United States
- Mount Sinai Hospital - New York, New York, United States
- Columbia University Medical Center - New York, New York, United States
- Laurelton Heart Specialists - Rosedale, New York, United States
- Duke University Medical Center - Durham, North Carolina, United States
- Cleveland Clinic - Cleveland, Ohio, United States
- Oregon Health & Science University - Portland, Oregon, United States
- Penn Presbyterian Medical Center - Philadelphia, Pennsylvania, United States
- University of Pittsburgh Medical Center, Presbyterian Hospital - Pittsburgh, Pennsylvania, United States
- Medical University of South Carolina (MUSC) - Charleston, South Carolina, United States
- Prisma Health Cancer Institute - Greenville, South Carolina, United States
- National Neuromuscular Research Institute - Austin, Texas, United States
- University of Texas Southwestern - Dallas, Texas, United States
- University of Utah - Salt Lake City, Utah, United States
- INOVA Fairfax Hospital - Falls Church, Virginia, United States
- Virginia Commonwealth University - Richmond, Virginia, United States
- University of Washington Medical Center - Seattle, Washington, United States
- Hospital Universitario de A Coruna - A Coruña, Spain
- Aarhus University Hospital - Aarhus, Denmark
- Hippokration General Hospital of Athens - Athens, Greece
- General Hospital of Athens - Alexandra - Athens, Greece
- Hospital Universitari de Bellvitge - Barcelona, Spain
- Charite Universitaetsmedizin Berlin - Berlin, Germany
- Azienda Ospedaliero-Universitaria di Bologna IRCCS Policlinico di S.Orsola - Bologna, Italy
- CHU Bordeaux - Hopital Pellegrin - Bordeaux, France
- Hospital Italiano de Buenos Aires - Buenos Aires, Argentina
- Hospital Britanico de Buenos Aires - Buenos Aires, Argentina
- ICBA - Instituto Cardiovascular de Buenos Aires S.A. - CABA, Argentina
- Fundacao Centro Medico de Campinas - Campinas, Brazil
- Instituto do Coracao (InCor) do Hospital das Clinicas da FMUSP - Cerqueira César, Brazil
- Changhua Christian Hospital - Taiwan - Changhua, Taiwan
- AP-HP Hopital Henri Mondor - Créteil, France
- St Vincent's Hospital Sydney - Darlinghurst, Australia
- The Mater Misericordiae University Hospital - Dublin, Ireland
- Tallaght University Hospital - The Adelaide and Meath Hospital - Dublin, Ireland
- Azienda Ospedaliero-Universitaria Careggi - Florence, Italy
- CHU de Fort de France - Fort-de-France, Martinique
Showing 60 of 104 listed sites. See the official record for the complete list.
Read the full protocol, contacts and eligibility on ClinicalTrials.gov →