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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 587 (estimated) |
| Sponsor | Eidos Therapeutics, a BridgeBio company Industry-sponsored |
| Locations | 104 sites (La Jolla, California and 103 other locations) |
| Status | Recruiting |
| Started | May 12, 2025 |
| Main results expected | October 2031 |
| Study ends | December 2032 |
| Registry record updated | August 4, 2026 |
| Trial ID | NCT06563895 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
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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
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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
- Study coordinator: Medical Information
- Email: medinfo@eidostx.com
- Phone: 1-844-550-2246
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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.