Transthyretin Amyloid Cardiomyopathy Clinical Trial
Efficacy and Safety of AG10 in Subjects With Transthyretin Amyloid Cardiomyopathy
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).
Full 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:
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.
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.
Eligibility Criteria
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
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There are 62 Locations for this study
Los Angeles California, 90048, United States
Santa Monica California, 90404, United States
Aurora Colorado, 80045, United States
New Haven Connecticut, 06473, United States
Washington District of Columbia, 20010, United States
Miami Florida, 33136, United States
Athens Georgia, 30606, United States
Atlanta Georgia, 30322, United States
Chicago Illinois, 60611, United States
Chicago Illinois, 60637, United States
Evanston Illinois, 60201, United States
Indianapolis Indiana, 46202, United States
Baltimore Maryland, 21218, United States
Boston Massachusetts, 02118, United States
Boston Massachusetts, 02135, United States
Rochester Minnesota, 55905, United States
Kansas City Missouri, 64111, United States
Saint Louis Missouri, 63110, United States
Newark New Jersey, 07112, United States
Bronx New York, 10461, United States
Manhasset New York, 11030, United States
New York New York, 10010, United States
New York New York, 10029, United States
New York New York, 10034, United States
Rosedale New York, 11422, United States
Chapel Hill North Carolina, 27514, United States
Durham North Carolina, 27710, United States
Cleveland Ohio, 44195, United States
Portland Oregon, 97239, United States
Philadelphia Pennsylvania, 19104, United States
Pittsburgh Pennsylvania, 15212, United States
Pittsburgh Pennsylvania, 15213, United States
Charleston South Carolina, 29425, United States
Greenville South Carolina, 29605, United States
Dallas Texas, 75390, United States
Salt Lake City Utah, 84132, United States
Richmond Virginia, 23298, United States
Roanoke Virginia, 24014, United States
Seattle Washington, 98195, United States
Spokane Washington, 99204, United States
Adelaide , , Australia
Box Hill , , Australia
Hobart , , Australia
Murdoch , , Australia
Sydney , 2010, Australia
Woolloongabba , , Australia
Genk Limburg, , Belgium
Hasselt Limburg, , Belgium
Brugge West Vlaanderen, , Belgium
Aalst , , Belgium
Leuven , , Belgium
Salvador Bahia, , Brazil
Porto Alegre Rio Grande Do Sul, 90020, Brazil
Ribeirão Preto Sao Paulo, 14026, Brazil
São Paulo Sao Paulo, , Brazil
Porto Alegre , , Brazil
Calgary Alberta, T2N 4, Canada
Vancouver British Columbia, V5Z 1, Canada
Winnipeg Manitoba, , Canada
Halifax Nova Scotia, B3H 3, Canada
Toronto Ontario, M4P 1, Canada
Toronto Ontario, M5G 2, Canada
Montréal Quebec, H2X 3, Canada
Montréal Quebec, H4J 1, Canada
Quebec City Quebec, G1V 4, Canada
Rimouski Quebec, G5L 5, Canada
Montréal , , Canada
Brno Střed , , Czechia
Nové Město , , Czechia
Prague , , Czechia
Aarhus Dinamarca, 8200, Denmark
Athens Attica, , Greece
Dublin , , Ireland
Dublin , , Ireland
Jerusalem , , Israel
Tel Hashomer , , Israel
Arezzo , , Italy
Bologna , , Italy
Firenze , , Italy
Pavia , 27100, Italy
Pisa , , Italy
Rimini , , Italy
Roma , , Italy
Seongnam-si Gyeonggi-Do, 13620, Korea, Republic of
Seoul Gyeonggi-Do, 13620, Korea, Republic of
Maastricht Limburg, 6229 , Netherlands
Groningen , , Netherlands
Utrecht , , Netherlands
Otahuhu Auckland, 1640, New Zealand
Hamilton Waikato, 3240, New Zealand
Warsaw , , Poland
Lisboa , , Portugal
Porto , 4099-, Portugal
Pamplona Navarra, , Spain
Barcelona , , Spain
Huelva , 21005, Spain
Huelva , , Spain
Madrid , , Spain
Madrid , , Spain
Palma De Mallorca , , Spain
Santiago De Compostela , , Spain
Valencia , , Spain
London England, NW3 2, United Kingdom
London , SE1 1, United Kingdom
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