Clinical trial Recruiting at 17 sites Observational Ages 18 and up

Acoramidis for transthyretin amyloid cardiomyopathy in routine care

Official title: ACO-REAL - A Non-interventional Study Providing Insights Into the Use of Acoramidis in Patients With ATTR Amyloidosis With Cardiomyopathy (ATTR-CM) in Routine Clinical Practice

Run by Bayer · NCT07235462 · Data updated 2026-11-12

See how acoramidis works for adults with transthyretin amyloid cardiomyopathy (wild-type or variant) when given as part of regular clinical care.

More Transthyretin Amyloid Cardiomyopathy (ATTR-CM) trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment2000 (estimated)
SponsorBayer
Industry-sponsored
Locations17 sites (Multiple Locations and 16 other locations)
StatusRecruiting
StartedOctober 29, 2025
Main results expectedApril 30, 2028
Study endsApril 30, 2028
Registry record updatedOctober 8, 2026
Trial IDNCT07235462 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) diagnosed with wild-type or variant ATTR-CM who have decided with their doctor to start acoramidis and can provide informed consent are ideal candidates.

Probably not a fit

Patients who are not starting acoramidis, who cannot consent, or who are currently enrolled in other interventional clinical trials may not benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study follows adults diagnosed with wild-type or variant ATTR-CM who are starting acoramidis as part of routine treatment to collect real-world data on use, safety, and outcomes. Patients must start acoramidis within 90 days of signing consent, and the study does not add interventional procedures beyond usual care. Data collection may include clinical visits, imaging, and routine lab results and could include optional sub-studies with separate consent. The goal is to document how the medication is used and performs in everyday clinical practice outside of a controlled trial setting.

Why it matters

Potential benefit: If successful, this study could clarify real-world safety and effectiveness of acoramidis and help doctors optimize its use for people with ATTR-CM.

How similar studies have gone: Acoramidis showed efficacy and safety in the pivotal ATTRibute-CM randomized trial leading to approval, and this study aims to confirm those findings in routine care.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* \- Adults (≥18 years at the date of signing the informed consent form (ICF)).
* Diagnosis of either wild-type or variant ATTR-CM.
* Signed ICF.
* Decision to initiate treatment with acoramidis was made as per treating investigator's routine treatment practice before signature of ICF.
* Treatment start with acoramidis within 90 days after signing the ICF, with the possibility of starting acoramidis on the same day as signing the ICF.

Exclusion Criteria:

* Participation in an investigational trial with interventions outside of routine clinical practice, except for participation in potential sub-studies related to this observational study. Please note: In addition to this observational study, separate sub-studies may be conducted to collect additional data. Participation in these sub-studies is voluntary and will be governed by separate protocols and informed consent processes. The main observational study does not include interventional procedures beyond routine clinical practice.

  * Contra-indications according to the local SmPC of acoramidis.
  * Patients who are unable to provide consent, including those whose consent would need to be given by a legal representative.

Where it's running

  • Many Locations
    Multiple Locations, Austria
    Recruiting
  • Many Locations
    Multiple Locations, Belgium
    Recruiting
  • Many Locations
    Multiple Locations, Croatia
    Recruiting
  • Many Locations
    Multiple Locations, Denmark
    Recruiting
  • Many Locations
    Multiple Locations, Estonia
    Recruiting
  • Many Locations
    Multiple Locations, Finland
    Recruiting
Show 11 more locations
  • Many Locations
    Multiple Locations, Germany
    Recruiting
  • Many Locations
    Multiple Locations, Italy
    Recruiting
  • Many Locations
    Multiple Locations, Latvia
    Recruiting
  • Many Locations
    Multiple Locations, Lithuania
    Recruiting
  • Many Locations
    Multiple Locations, Norway
    Recruiting
  • Many Locations
    Multiple Locations, Portugal
    Recruiting
  • Many Locations
    Multiple Locations, Slovenia
    Recruiting
  • Many Locations
    Multiple Locations, Spain
    Recruiting
  • Many Locations
    Multiple Locations, Sweden
    Recruiting
  • Many Locations
    Multiple Locations, Switzerland
    Recruiting
  • Many Locations
    Multiple Locations, United Kingdom
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Acoramidis in adults with transthyretin amyloid cardiomyopathy in France

    This is an observational study to see how acoramidis is used in everyday care for adults with ATTR‑CM in France and how it affects their quality of life and daily function.

    Recruiting Bayer · Many Locations · NCT07791160

  • Coramitug (NNC6019-0001) for heart failure from transthyretin amyloid cardiomyopathy

    This study tests whether coramitug (NNC6019-0001) can lower the risk of heart-related death and illness in adults with transthyretin amyloid cardiomyopathy (ATTR-CM) while they continue their usual heart medicines.

    Recruiting at 237 sites Phase 3 Novo Nordisk A/S · Phoenix, Arizona and 298 other locations · NCT07207811

  • Registry for studying Transthyretin Amyloid Cardiomyopathy in Thailand

    This study is collecting information from people with Transthyretin Amyloid Cardiomyopathy in Thailand to better understand the disease and improve early detection and treatment options.

    Recruiting Mahidol University · Bangkok and 7 other locations · NCT06338696

  • US benchmarking of heart and liver stiffness using shear wave ultrasound

    This project will test whether a new ultrasound device can measure heart and liver stiffness using shear wave velocity in people aged 60 or older with preserved or mildly reduced ejection fraction and left ventricular hypertrophy, with or without transthyretin amyloid cardiomyopathy, and in control subjects.

    Recruiting at 3 sites eMyosound SAS · Boston, Massachusetts and 2 other locations · NCT07215715

  • Acoramidis for ATTR-CM: Cardiac Imaging Study

    This study tests whether acoramidis can improve heart structure and function in people with transthyretin amyloid cardiomyopathy.

    Recruiting Phase 4 Eidos Therapeutics, a BridgeBio company · St Louis, Missouri · NCT07695701

  • Investigating early signs of heart disease in specific genetic carriers

    This study is trying to find early signs of heart disease in people with a specific genetic mutation linked to a heart condition called amyloidosis to help catch the disease sooner.

    Recruiting at 3 sites University of Texas Southwestern Medical Center · New York, New York and 2 other locations · NCT05489549

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.