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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 2000 (estimated) |
| Sponsor | Bayer Industry-sponsored |
| Locations | 17 sites (Multiple Locations and 16 other locations) |
| Status | Recruiting |
| Started | October 29, 2025 |
| Main results expected | April 30, 2028 |
| Study ends | April 30, 2028 |
| Registry record updated | October 8, 2026 |
| Trial ID | NCT07235462 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
- Study coordinator: Bayer Clinical Trials Contact
- Email: clinical-trials-contact@bayer.com
- Phone: 0018888422
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.
-
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.
-
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.
-
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.
-
Acoramidis for ATTR-CM: Cardiac Imaging Study
This study tests whether acoramidis can improve heart structure and function in people with transthyretin amyloid cardiomyopathy.
-
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.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.