Clinical trial Recruiting at 104 sites Phase 3 Interventional Ages 18 to 75

Preventing transthyretin amyloidosis in young carriers of a genetic variant

Official title: A Phase 3, Randomized, Multicenter, Double-Blind, Placebo-Controlled Study of Acoramidis for Transthyretin Amyloidosis Prevention in the Young (ACT-EARLY Trial)

Run by Eidos Therapeutics, a BridgeBio company · NCT06563895 · Data updated 2026-11-12

This study is testing if a medication called acoramidis can help prevent transthyretin amyloidosis in young adults who carry a specific genetic variant that puts them at risk for the disease.

More Amyloidosis trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment587 (estimated)
SponsorEidos Therapeutics, a BridgeBio company
Industry-sponsored
Locations104 sites (La Jolla, California and 103 other locations)
StatusRecruiting
StartedMay 12, 2025
Main results expectedOctober 2031
Study endsDecember 2032
Registry record updatedAugust 4, 2026
Trial IDNCT06563895 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are asymptomatic individuals aged 18 to 75 who carry a known pathogenic TTR gene variant.

Probably not a fit

Patients who already exhibit symptoms of ATTR or have a TTR variant that is phenotypically protective will not benefit from this study.

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

What this trial studies

This study investigates the use of acoramidis to prevent transthyretin amyloidosis (ATTR) in asymptomatic carriers of pathogenic TTR gene variants. It is a randomized, multicenter, double-blind, placebo-controlled trial that aims to assess the efficacy of the treatment in preventing the onset of cardiomyopathic or polyneuropathic manifestations of the disease. Participants aged 18 to 75, who are carriers of a known pathogenic TTR variant, will be enrolled based on their predicted age of disease onset. The study will compare the effects of acoramidis against a placebo over a specified period.

Why it matters

Potential benefit: If successful, this treatment could significantly delay or prevent the onset of serious heart and nerve complications associated with transthyretin amyloidosis.

How similar studies have gone: While there have been studies on treating symptomatic ATTR, this preventive approach in asymptomatic carriers is relatively novel and has not been extensively tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key 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's running

  • University of California, San Diego (UCSD) - Medical Center
    La Jolla, California, United States
    Recruiting
  • University of California, Los Angeles (UCLA) - David Geffen School of Medicine
    Los Angeles, California, United States
    Recruiting
  • University of California, San Francisco (UCSF)
    San Francisco, California, United States
    Recruiting
  • Stanford University
    Stanford, California, United States
    Recruiting
  • University of Colorado Anschutz
    Aurora, Colorado, United States
    Recruiting
  • Yale University School of Medicine - Section of Cardiology
    New Haven, Connecticut, United States
    Recruiting
Show 44 more locations
  • MedStar Washington Hospital Center - MedStar Heart and Vascular Institute
    Washington D.C., District of Columbia, United States
    Recruiting
  • Mayo Clinic - Jacksonville
    Jacksonville, Florida, United States
    Recruiting
  • University of Miami
    Miami, Florida, United States
    Recruiting
  • Cleveland Clinic Florida
    Weston, Florida, United States
    Recruiting
  • Emory University School of Medicine
    Atlanta, Georgia, United States
    Recruiting
  • John H. Stroger, Jr. Hospital of Cook County
    Chicago, Illinois, United States
    Recruiting
  • University of Chicago - Medical Center
    Chicago, Illinois, United States
    Recruiting
  • University of Maryland Medical Center
    Baltimore, Maryland, United States
    Recruiting
  • Johns Hopkins University
    Baltimore, Maryland, United States
    Recruiting
  • Massachusetts General Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Brigham and Women's Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Boston University (BU) School of Medicine
    Boston, Massachusetts, United States
    Recruiting
  • Henry Ford Health System
    Detroit, Michigan, United States
    Recruiting
  • Mayo Clinic - Rochester
    Rochester, Minnesota, United States
    Recruiting
  • St. Luke's Hospital of Kansas City
    Kansas City, Missouri, United States
    Recruiting
  • Washington University in St. Louis
    St Louis, Missouri, United States
    Recruiting
  • Rutgers-Robert Wood Johnson Medical School
    New Brunswick, New Jersey, United States
    Recruiting
  • New York University (NYU) School of Medicine - Langone Medical Center
    New York, New York, United States
    Recruiting
  • Mount Sinai Hospital
    New York, New York, United States
    Recruiting
  • Columbia University Medical Center
    New York, New York, United States
    Recruiting
  • Laurelton Heart Specialists
    Rosedale, New York, United States
    Recruiting
  • Duke University Medical Center
    Durham, North Carolina, United States
    Recruiting
  • Cleveland Clinic
    Cleveland, Ohio, United States
    Recruiting
  • Oregon Health & Science University
    Portland, Oregon, United States
    Recruiting
  • Penn Presbyterian Medical Center
    Philadelphia, Pennsylvania, United States
    Recruiting
  • University of Pittsburgh Medical Center, Presbyterian Hospital
    Pittsburgh, Pennsylvania, United States
    Recruiting
  • Medical University of South Carolina (MUSC)
    Charleston, South Carolina, United States
    Recruiting
  • Prisma Health Cancer Institute
    Greenville, South Carolina, United States
    Recruiting
  • National Neuromuscular Research Institute
    Austin, Texas, United States
    Recruiting
  • University of Texas Southwestern
    Dallas, Texas, United States
    Recruiting
  • University of Utah
    Salt Lake City, Utah, United States
    Recruiting
  • INOVA Fairfax Hospital
    Falls Church, Virginia, United States
    Recruiting
  • Virginia Commonwealth University
    Richmond, Virginia, United States
    Recruiting
  • University of Washington Medical Center
    Seattle, Washington, United States
    Recruiting
  • Hospital Italiano de Buenos Aires
    Buenos Aires, Argentina
    Recruiting
  • Hospital Britanico de Buenos Aires
    Buenos Aires, Argentina
    Recruiting
  • ICBA - Instituto Cardiovascular de Buenos Aires S.A.
    Caba, Argentina
    Recruiting
  • St Vincent's Hospital Sydney
    Darlinghurst, Australia
    Recruiting
  • Fiona Stanley Hospital
    Murdoch, Australia
    Recruiting
  • Westmead Hospital
    Westmead, Australia
    Recruiting
  • Princess Alexandra Hospital
    Woolloongabba, Australia
    Recruiting
  • UZ Leuven
    Leuven, Belgium
    Recruiting
  • Fundacao Centro Medico de Campinas
    Campinas, Brazil
    Recruiting
  • Instituto do Coracao (InCor) do Hospital das Clinicas da FMUSP
    Cerqueira César, Brazil
    Recruiting

+54 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

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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.