Efficacy and Safety of AG10 in Subjects With Transthyretin Amyloid Cardiomyopathy

Last updated: June 5, 2024
Sponsor: Eidos Therapeutics, a BridgeBio company
Overall Status: Completed

Phase

3

Condition

Circulation Disorders

Amyloidosis

Treatment

Placebo Oral Tablet

acoramidis

Clinical Study ID

NCT03860935
AG10-301
2018-004280-32
  • Ages 18-90
  • All Genders

Study Summary

Phase 3 efficacy and safety study to evaluate acoramidis (AG10) HCl 800 mg administered orally twice a day compared to placebo in subjects with symptomatic Transthyretin Amyloid Cardiomyopathy (ATTR-CM).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Have an established diagnosis of ATTR-CM with either wild-type TTR or variant TTRgenotype

  • Have a history of heart failure evidenced by at least one prior hospitalization forheart failure or clinical evidence of heart failure without prior heart failurehospitalization manifested by signs or symptoms of volume overload or elevatedintracardiac pressures or heart failure symptoms that required or require ongoingtreatment 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 walkedprior to randomization

  • Biomarkers of myocardial wall stress, NT-proBNP level ≥300 pg/mL at screening

  • Have left ventricular wall (interventricular septum or left ventricular posteriorwall) thickness ≥12 mm

Exclusion

Exclusion Criteria:

  • Had acute myocardial infarction, acute coronary syndrome or coronaryrevascularization, or experienced stroke or transient ischemic attack within 90 daysprior 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 forthe 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 isallowed. The use of digitalis will only be allowed if required for management ofatrial fibrillation with rapid ventricular response

Study Design

Total Participants: 632
Treatment Group(s): 2
Primary Treatment: Placebo Oral Tablet
Phase: 3
Study Start date:
March 19, 2019
Estimated Completion Date:
May 11, 2023

Study Description

Transthyretin amyloid cardiomyopathy (ATTR-CM) is an underdiagnosed condition believed to affect more than 400,000 people worldwide. In ATTR-CM, the accumulation of transthyretin (TTR) amyloid results in thickening and stiffening of the heart, which often leads to heart failure or even death.

There are two forms of ATTR-CM:

  • Wild Type* This form of the condition primarily develops in older individuals who do not carry gene mutations.

  • Hereditary* This form of the condition comes from gene mutations passed down in families.

In this study we are researching the investigational drug acoramidis HCl 800 mg administered orally twice a day. Through the study, we want to evaluate the efficacy and safety of acoramidis in patients with ATTR-CM versus placebo.

This is a 30 month, randomized, double-blind, placebo-controlled study. This means that, during the 30 month study, investigators conducting the research and study participants will not know whether the study participant is receiving acoramidis or placebo.

The primary outcomes of the study are:

  1. The impact of acoramidis versus placebo on the change in distance walked on the 6 minute walk test (6MWT) after 12 months of treatment compared to baseline.

  2. The impact of acoramidis versus placebo on the hierarchical combination of All-Cause mortality, cumulative frequency of cardiovascular-related hospitalizations, change from baseline in NT-proBNP, and change in from baseline in 6MWT over a 30-month fixed treatment duration.

At the end of 30 months, participants may be eligible to receive investigational acoramidis, and there is no placebo. This is called an "open label extension." This separate study may help us better understand the safety related to taking acoramidis over a longer period of time.

Connect with a study center

  • Royal Adelaide Hospital

    Adelaide,
    Australia

    Site Not Available

  • Box Hill Hospital

    Box Hill,
    Australia

    Site Not Available

  • Royal Hobart Hospital

    Hobart,
    Australia

    Site Not Available

  • Fiona Stanley Hospital

    Murdoch,
    Australia

    Site Not Available

  • Saint Vincent's Hospital Sydney

    Sydney, 2010
    Australia

    Site Not Available

  • Princess Alexandra Hospital

    Woolloongabba,
    Australia

    Site Not Available

  • Ziekenhuis Oost-Limburg - Campus Sint-Jan

    Genk, Limburg
    Belgium

    Site Not Available

  • Jessa Ziekenhuis - Campus Virga Jesse

    Hasselt, Limburg
    Belgium

    Site Not Available

  • Algemeen Ziekenhuis Sint-Jan Brugge-Oostende

    Brugge, West Vlaanderen
    Belgium

    Site Not Available

  • Onze-Lieve-Vrouw Ziekenhuis Aalst

    Aalst,
    Belgium

    Site Not Available

  • Universitair Ziekenhuis Leuven

    Leuven,
    Belgium

    Site Not Available

  • Hospital Cárdio Pulmonar

    Salvador, Bahia
    Brazil

    Site Not Available

  • Santa Casa de Misericordia - Porto Alegre

    Porto Alegre, Rio Grande Do Sul 90020-090
    Brazil

    Site Not Available

  • CAPED - Centro Avançado de Pesquisa e Estudos para o Diagnóstico

    Ribeirão Preto, Sao Paulo 14026-900
    Brazil

    Site Not Available

  • INCOR

    São Paulo, Sao Paulo
    Brazil

    Site Not Available

  • Instituto de Cardiologia do Rio Grande do Sul

    Porto Alegre,
    Brazil

    Site Not Available

  • University of Calgary

    Calgary, Alberta T2N 4Z6
    Canada

    Site Not Available

  • University of British Columbia

    Vancouver, British Columbia V5Z 1M9
    Canada

    Site Not Available

  • CancerCare Manitoba - St. Boniface

    Winnipeg, Manitoba
    Canada

    Site Not Available

  • Halifax Infirmary

    Halifax, Nova Scotia B3H 3A7
    Canada

    Site Not Available

  • Toronto Heart Centre

    Toronto, Ontario M4P 1E4
    Canada

    Site Not Available

  • University of Toronto

    Toronto, Ontario M5G 2N2
    Canada

    Site Not Available

  • Centre Hospitalier de L'Universite de Montreal - Hôpital Notre-Dame

    Montréal, Quebec H2X 3H8
    Canada

    Site Not Available

  • Hôpital du Sacré-Coeur de Montréal

    Montréal, Quebec H4J 1C5
    Canada

    Site Not Available

  • Institut Universitaire de Cardiologie et de Pneumologie de Québec

    Quebec City, Quebec G1V 4G5
    Canada

    Site Not Available

  • Hôpital régional de Rimouski

    Rimouski, Quebec G5L 5T1
    Canada

    Site Not Available

  • Montreal Heart Institute

    Montréal,
    Canada

    Site Not Available

  • St. Anne´s University Hospital

    Brno Střed,
    Czechia

    Site Not Available

  • General University Hospital in Prague

    Nové Město,
    Czechia

    Site Not Available

  • Institute for Clinical and Experimental Medicine

    Prague,
    Czechia

    Site Not Available

  • Aarhus Universitetshospital

    Aarhus, Dinamarca 8200
    Denmark

    Site Not Available

  • Alexandra General Hospital of Athens

    Athens, Attica
    Greece

    Site Not Available

  • University of Szeged

    Szeged,
    Hungary

    Site Not Available

  • Mater Misericordiae University Hospital

    Dublin,
    Ireland

    Site Not Available

  • Saint Vincents University Hospital

    Dublin,
    Ireland

    Site Not Available

  • Hadassah University Hospital Ein Kerem

    Jerusalem,
    Israel

    Site Not Available

  • The Chaim Sheba Medical Center

    Tel Hashomer,
    Israel

    Site Not Available

  • Ospedale San Donato

    Arezzo,
    Italy

    Site Not Available

  • Azienda Ospedaliero Universitaria di Bologna Policlinico Sant'Orsola-Malpighi

    Bologna,
    Italy

    Site Not Available

  • Azienda Ospedaliero - Universitaria Careggi

    Firenze,
    Italy

    Site Not Available

  • Fondazione IRCCS Policlinico San Matteo

    Pavia, 27100
    Italy

    Site Not Available

  • Fondazione Toscana Gabriele Monasterio per la Ricerca Medica e di Sanità Pubblica

    Pisa,
    Italy

    Site Not Available

  • Ospedale degli Infermi

    Rimini,
    Italy

    Site Not Available

  • Universita degli Studi di Roma La Sapienza - Umberto I Policlinico di Roma

    Roma,
    Italy

    Site Not Available

  • Seoul National University Bundang Hospital

    Seongnam-si, Gyeonggi-Do 13620
    Korea, Republic of

    Site Not Available

  • Seoul National University Hospital

    Seoul, Gyeonggi-Do 13620
    Korea, Republic of

    Site Not Available

  • Maastricht Universitair Medisch Centrum

    Maastricht, Limburg 6229 HX
    Netherlands

    Site Not Available

  • Universitair Medisch Centrum Groningen

    Groningen,
    Netherlands

    Site Not Available

  • Erasmus Medisch Centrum

    Rotterdam,
    Netherlands

    Site Not Available

  • Universitair Medisch Centrum Utrecht

    Utrecht,
    Netherlands

    Site Not Available

  • Middlemore Hospital

    Otahuhu, Auckland 1640
    New Zealand

    Site Not Available

  • Waikato Hospital

    Hamilton, Waikato 3240
    New Zealand

    Site Not Available

  • John Paul II Hospital

    Kraków,
    Poland

    Site Not Available

  • National Institute of Cardiology

    Warsaw,
    Poland

    Site Not Available

  • Wroclaw Medical University

    Wrocław,
    Poland

    Site Not Available

  • Centro Hospitalar de Lisboa Norte EPE- Hospital Santa Maria

    Lisboa,
    Portugal

    Site Not Available

  • Centro Hospitalar do Porto

    Porto, 4099-001
    Portugal

    Site Not Available

  • Clínica Universidad de Navarra

    Pamplona, Navarra
    Spain

    Site Not Available

  • Hospital Universitari Germans Trias i Pujol

    Barcelona,
    Spain

    Site Not Available

  • Hospital Juan Ramón Jiménez

    Huelva, 21005
    Spain

    Site Not Available

  • Clinica Universidad de Navarra Madrid

    Madrid,
    Spain

    Site Not Available

  • Hospital Universitario Puerta de Hierro

    Madrid,
    Spain

    Site Not Available

  • Hospital Son Llàtzer

    Palma De Mallorca,
    Spain

    Site Not Available

  • Hospital Clínico Universitario de Santiago de Compostela

    Santiago De Compostela,
    Spain

    Site Not Available

  • Hospital Clínico Universitario de Valencia

    Valencia,
    Spain

    Site Not Available

  • Royal Free Hospital

    London, England NW3 2PF
    United Kingdom

    Site Not Available

  • Richmond Pharmacology

    London, SE1 1YR
    United Kingdom

    Site Not Available

  • Cedars-Sinai Medical Center

    Los Angeles, California 90048
    United States

    Site Not Available

  • Pacific Heart Institute

    Santa Monica, California 90404
    United States

    Site Not Available

  • University of Colorado Hospital - Anschutz Medical Campus

    Aurora, Colorado 80045
    United States

    Site Not Available

  • Yale School of Medicine

    New Haven, Connecticut 06473
    United States

    Site Not Available

  • MedStar Washington Hospital Center

    Washington, District of Columbia 20010
    United States

    Site Not Available

  • University of Florida

    Gainesville, Florida 32608
    United States

    Site Not Available

  • University of Miami - Sylvester Comprehensive Cancer Center

    Miami, Florida 33136
    United States

    Site Not Available

  • Piedmont Heart Institute Athens

    Athens, Georgia 30606
    United States

    Site Not Available

  • Emory Heart and Vascular Center

    Atlanta, Georgia 30322
    United States

    Site Not Available

  • Northwestern University

    Chicago, Illinois 60611
    United States

    Site Not Available

  • The University of Chicago Medical Center

    Chicago, Illinois 60637
    United States

    Site Not Available

  • NorthShore University Health System

    Evanston, Illinois 60201
    United States

    Site Not Available

  • Indiana University

    Indianapolis, Indiana 46202
    United States

    Site Not Available

  • Ochsner Health System

    New Orleans, Louisiana 70121
    United States

    Site Not Available

  • MedStar Medical Group Cardiology at Franklin Square Medical Center

    Baltimore, Maryland 21218
    United States

    Site Not Available

  • Boston University School of Medicine

    Boston, Massachusetts 02118
    United States

    Site Not Available

  • Saint Elizabeth's Medical Center

    Boston, Massachusetts 02135
    United States

    Site Not Available

  • Barbara Ann Karmanos Cancer Institute

    Detroit, Michigan 48201
    United States

    Site Not Available

  • Mayo Clinic

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • Saint Luke's Hospital - Kansas City

    Kansas City, Missouri 64111
    United States

    Site Not Available

  • Washington University School of Medicine

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Nevada Heart and Vascular Center

    Las Vegas, Nevada 89118
    United States

    Site Not Available

  • Newark Beth Israel Medical Center

    Newark, New Jersey 07112
    United States

    Site Not Available

  • Montefiore Medical Center

    Bronx, New York 10461
    United States

    Site Not Available

  • North Shore University Hospital

    Manhasset, New York 11030
    United States

    Site Not Available

  • Columbia University Medical Center

    New York, New York 10034
    United States

    Site Not Available

  • Mount Sinai Hospital

    New York, New York 10029
    United States

    Site Not Available

  • New York University Langone Health

    New York, New York 10010
    United States

    Site Not Available

  • Laurelton Heart Specialist

    Rosedale, New York 11422
    United States

    Site Not Available

  • University of North Carolina - Chapel Hill

    Chapel Hill, North Carolina 27514
    United States

    Site Not Available

  • Duke University Health System

    Durham, North Carolina 27710
    United States

    Site Not Available

  • Cleveland Clinic

    Cleveland, Ohio 44195
    United States

    Site Not Available

  • The Ohio State University Wexner Medical Center

    Columbus, Ohio 43210
    United States

    Site Not Available

  • Oregon Health and Science University

    Portland, Oregon 97239
    United States

    Site Not Available

  • Penn Presbyterian Medical Center

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • Allegheny General Hospital

    Pittsburgh, Pennsylvania 15212
    United States

    Site Not Available

  • University of Pittsburgh

    Pittsburgh, Pennsylvania 15213
    United States

    Site Not Available

  • The Medical University of South Carolina

    Charleston, South Carolina 29425
    United States

    Site Not Available

  • Prisma Health - Greenville Memorial Hospital

    Greenville, South Carolina 29605
    United States

    Site Not Available

  • Saint Thomas Heart - Saint Thomas West Hospital

    Nashville, Tennessee 37205
    United States

    Site Not Available

  • University of Texas Southwestern Medical Center

    Dallas, Texas 75390
    United States

    Site Not Available

  • University of Utah

    Salt Lake City, Utah 84132
    United States

    Site Not Available

  • Inova Fairfax Hospital

    Falls Church, Virginia 22042
    United States

    Site Not Available

  • Virginia Commonwealth University Medical Center

    Richmond, Virginia 23298
    United States

    Site Not Available

  • Carilion Clinic Roanoke Heart Institute

    Roanoke, Virginia 24014
    United States

    Site Not Available

  • University of Washington School of Medicine

    Seattle, Washington 98195
    United States

    Site Not Available

  • Providence Sacred Heart Medical Center

    Spokane, Washington 99204
    United States

    Site Not Available

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