Principal Investigator
Enrollment Status
Clinical Trial ID
Clinical Trial Summary
Phase 3 efficacy and safety study to evaluate acoramidis (AG10) 800 mg administered orally
twice a day compared to placebo in subjects with symptomatic Transthyretin Amyloid
Cardiomyopathy (ATTR-CM).
Phase
Phase 3
Funding Agency/Sponsor
Industrial
Disease
Myeloma
Enrollment Eligibility
Inclusion Criteria:
- Have an established diagnosis of ATTR-CM with either wild-type TTR or variant TTR
genotype
- Have a history of heart failure evidenced by at least one prior hospitalization for
heart failure or clinical evidence of heart failure without prior heart failure
hospitalization manifested by signs or symptoms of volume overload or elevated
intracardiac pressures or heart failure symptoms that required or require ongoing
treatment with a diuretic.
- New York Heart Association (NYHA) Class I-III symptoms due to ATTR cardiomyopathy.
- On stable doses of cardiovascular medical therapy
- Completed ≥150 m on the 6MWT on 2 tests that are within 15% of total distance walked
prior to randomization
- Biomarkers of myocardial wall stress, NT-proBNP level ≥300 pg/mL at screening
- Have left ventricular wall (interventricular septum or left ventricular posterior
wall) thickness ≥12 mm
Exclusion Criteria:
- Had acute myocardial infarction, acute coronary syndrome or coronary
revascularization, or experienced stroke or transient ischemic attack within 90 days
prior to screening
- Has hemodynamic instability
- Likely to undergo heart transplantation within a year of screening
- Confirmed diagnosis of primary (light chain) amyloidosis
- Biomarkers of myocardial wall stress, NT-proBNP level ≥8500 pg/mL at screening
- Measure of kidney function, eGFR by MDRD formula <15 mL/min/1.73 m2
- Current treatment with marketed drug products and other investigational agents for the
treatment of ATTR-CM
- Current treatment with calcium channel blockers with conduction system effects (e.g.
verapamil, diltiazem). The use of dihydropyridine calcium channel blockers is allowed.
The use of digitalis will only be allowed if required for management of atrial
fibrillation with rapid ventricular response