ACT-EARLY: A clinical trial studying the prevention of variant transthyretin amyloidosis (ATTRv), also known as hereditary ATTR

EXPLORE STUDY LOCATIONS
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If you carry an inherited genetic variant for a rare genetic condition called variant transthyretin amyloidosis (ATTRv), also known as hereditary ATTR, you may be eligible to participate in a study evaluating an investigational approach to help prevent the onset of this disease.

about the ACT-EARLY study

This study is designed to evaluate whether acoramidis can prevent or delay the onset of disease in individuals with hereditary transthyretin amyloidosis (ATTRv) who have not yet developed symptoms.

This study is being conducted in individuals who carry a TTR genetic variant and who have not yet developed symptoms of, or been diagnosed with ATTRv. Participants will be randomly assigned (by chance) to receive either the investigational oral drug acoramidis or a placebo (an inactive substance), with a 50% likelihood for each group.

What the ACT-EARLY Study is exploring

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Test whether acoramidis can delay the onset of or prevent the development of ATTRv disease in individuals who carry a TTR genetic variant and who have not yet gotten sick from or been diagnosed with ATTRv disease

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Understand how early treatment, before ATTRv disease has been diagnosed, can impact and possibly prevent the onset of ATTRv

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Identify early signs of ATTRv disease through routine clinic visits that will include physical exams, imaging tests of your heart, nerve testing, and blood tests designed to screen 
for ATTRv

You may be eligible for this study if you are between 18 and 75 years old, have inherited a TTR genetic variant that puts you at risk of developing ATTRv amyloid disease, and are within 10 years or older of the typical age when symptoms of ATTRv amyloid disease are expected to develop.

Find a study site near you

ACT-EARLY locator

Use the interactive map to explore participating ACT-EARLY study locations across the United States and internationally.

Cleveland Clinic of Florida

Weston
,
FL
26.1827036587756
-80.3535011891442

Washington University in St. Louis

St. Louis
,
MO
38.6503982695328
-90.3101953850064

Penn Presbyterian Medical Center

Philadelphia
,
PA
39.9584653186773
-75.1990950629321

University of California, San Francisco (UCSF)

San Francisco
,
CA
37.7870433579661
-122.439729722054

University of Colorado Denver

Aurora
,
CO
39.746491558848
-105.001794831703

Laurelton Heart Specialists

Rosedale
,
NY
40.6740000517807
-73.7349419970154

Brigham and Women's Hospital

Boston
,
MA
42.336399933756
-71.1060774260536

Henry Ford Health System

Detroit
,
MI
42.3877301310777
-83.0916072168697

New York University (NYU) School of Medicine - Langone Medical Center

New York
,
NY
40.7451233481121
-73.9797440011768

St. Luke's Hospital

Kansas City
,
MO
39.0488051178252
-94.5899037089712

University of Texas Southwestern

Dallas
,
TX
32.8158560907256
-96.8441374858893

Cleveland Clinic

Cleveland
,
OH
41.513253823651
-81.6176943499169

Mayo Clinic - Rochester

Rochester
,
MN
44.0252960705181
-92.4666053309344

INOVA Fairfax Hospital

Falls Church
,
VA
38.8573841543191
-77.2270912280277

Virginia Commonwealth University - Department of Internal Medicine

Richmond
,
VA
37.5412442554231
-77.4292465433507

National Neuromuscular Research Institute

Austin
,
TX
30.3756111891771
-97.7621762050079

Mayo Clinic - Jacksonville

Jacksonville
,
FL
30.2642657404347
-81.4408004989303

Mount Sinai Medical Center

New York
,
NY
40.7913476134264
-73.9530974936524

University of Michigan

Ann Arbor
,
MI
42.2773116744458
-83.7372200493334

Yale University School of Medicine - Section of Cardiology

New Haven
,
CT
41.3105529135323
-72.9411281526146

University of California, Los Angeles (UCLA) - David Geffen School of Medicine

Los Angeles
,
CA
34.0644695182448
-118.442034337444

University of Chicago - Medical Center

Chicago
,
IL
41.8073557001918
-87.6027350210642

University of Miami

Miami
,
FL
25.7175300026256
-80.2774610149114

Boston University (BU) School of Medicine

Boston
,
MA
42.3365708175897
-71.0717166279063

University of Pittsburgh Medical Center, Presbyterian Hospital

Pittsburgh
,
PA
40.4427043240339
-79.9588410050264

Duke Health

Durham
,
NC
35.9187981177426
-78.9314568380159

University of Utah

Salt Lake City
,
UT
40.765099290474
-111.841640762357

Medical University of South Carolina (MUSC)

Charleston
,
SC
32.804541303693
-80.010418849168

Columbia University Medical Center

New York
,
NY
40.8416006536407
-73.9420301618318

Emory University School of Medicine

Atlanta
,
GA
33.7948920079881
-84.317772027065

Prisma Health Cancer Institute

Greenville
,
SC
34.8205774594827
-82.4108457224791

Johns Hopkins University

Baltimore
,
MD
39.3300257543804
-76.620903940459

University of California, San Diego (UCSD) - Medical Center

La Jolla
,
CA
32.8779151024085
-117.225499941707

University of Washington Medical Center

Seattle
,
WA
47.611723170004
-122.332973843813

Robert Wood Johnson Medical School

New Brunswick
,
NJ
40.494772149756
-74.4499069036495

Oregon Health & Science University (OHSU)

Portland
,
OR
45.4982843756279
-122.684701622231

MedStar Washington Hospital Center - MedStar Heart and Vascular Institute

Washington
,
DC
38.9294007175715
-77.0144755195697

University of Maryland Medical Center

Baltimore
,
MD
39.2882339826447
-76.6239723959986

Stanford University

Stanford
,
CA
37.4277622119717
-122.169716679667

Massachusetts General Hospital

Boston
,
MA
42.3626245561557
-71.0683510846449

John H. Stroger, Jr. Hospital of Cook County

Chicago
,
IL
41.8728874401696
-87.6741547557148

University College London Hospitals NHS Foundation Trust

London
,
51.5257677029967
-0.138125523866704

St. Bartholomew’s Hospital

London
,
51.5175560584136
-0.099413300564089

Royal Free London NHS Foundation Trust

London
,
51.5570760504353
-0.139515868115126

Changhua Christian Hospital - Taiwan

Changhua City
,
24.0786956652956
120.540293023674

Taipei Veterans General Hospital

Taipei
,
25.1199488601917
121.520932402272

National Taiwan University Hospital

Taipei City
,
25.0412409278476
121.520153563648

University Hospital of Umea

Umea
,
63.8176306870838
20.2982224330554

Hospital Universitario Son Llatzer

Son Ferriol (Palma de Mallorca)
,
39.5739322681987
2.70458907147445

Hospital Universitario Puerta de Hierro

Majadahonda
,
40.4503469647813
-3.87469859994549

Hospital Universitario Juan Ramon Jimenez

Huelva
,
37.2800515237359
-6.92608598389922

Hospital Universitari de Bellvitge

Barcelona
,
41.3449835466156
2.10482198369707

Hospital Universitari i Politecnic La Fe

Valencia
,
39.4436325933131
-0.375285741499477

Hospital Clinico Universitario de Salamanca

Salamanca
,
40.9627293974512
-5.67507348562751

Seoul St. Mary's Hospital

Seoul
,
37.501858407295
127.005551002616

Severance Hospital, Yonsei University Health System

Seoul
,
37.5625411832822
126.941287622191

Seoul National University Hospital

Seoul
,
37.5797212281491
126.999725385422

Samsung Medical Center

Seoul
,
37.4932128194907
127.085231726879

National University Hospital - National University Health System

Singapore
,
1.29396572510526
103.783627294571

Singapore General Hospital

Singapore
,
1.28047228671383
103.835000677411

Unidade Local de Saude de Santo Antonio EPE - Hospital de Santo Antonio

Porto
,
41.1465671957075
-8.61891728562104

Unidade Local de Saude de Santa Maria EPE - Hospital de Santa Maria

Lisbon
,
38.7486958526369
-9.16145070423135

University Medical Center Groningen

Groningen
,
53.221115292993
6.57819554131381

Erasmus MC

Rotterdam
,
51.9110491041361
4.46852796505803

Maastricht University Medical Center

Maastricht
,
50.8353861846329
5.71514062268521

Universitair Medisch Centrum Utrecht

Utrecht
,
52.0859476690233
5.18025521480431

National Institute of Medical Sciences and Nutrition - Salvador Zubiran(INCMNSZ)

Tlalpan
,
19.2881811676806
-99.1556832248293

University Malaya Medical Centre (UMMC)

Kuala Lumpur
,
3.11391103078665
101.65363052897

Fondazione Toscana Gabriele Monasterio per la Ricerca Medica e di Sanità Pubblica – Ospedale San Cataldo-CNR

Pisa
,
43.7184762096288
10.4223679485802

IRCCS Azienda Ospedaliero-Universitaria di Bologna - Policlinico di Sant Orsola

Bologna
,
44.4913789338486
11.3621135414841

Azienda Ospedaliero Universitaria Policlinico Umberto I

Roma
,
41.9067059274904
12.5119924916505

Azienda Ospedaliero-Universitaria Careggi

Florence
,
43.8066384410733
11.2490632237391

Fondazione Policlinico Universitario A. Gemelli IRCCS - Universita Cattolica del Sacro Cuore

Rome
,
41.9317066745023
12.4287156789428

Azienda Ospedaliero-Universitaria Sant'Andrea

Rome
,
41.982800850344
12.4698375982557

Fondazione IRCCS Policlinico San Matteo

Pavia
,
45.1963711790102
9.1480791504884

A.O.U. Policlinico “G. Martino”

Messina
,
38.1656363429057
15.5378771007852

Tallaght University Hospital - The Adelaide and Meath Hospital

Dublin
,
53.2920172349138
-6.37744456186654

The Mater Misericordiae University Hospital

Dublin
,
53.3602312252058
-6.26560005340813

Hippokration General Hospital of Athens

Athens
,
37.9838425234238
23.7603937277627

General Hospital of Athens - Alexandra

Athens
,
37.9804904223443
23.7557164314681

Universitaetsmedizin der Johannes Gutenberg - Universitaet Mainz

Mainz
,
49.9926593200199
8.2608786491116

Charite Universitaetsmedizin Berlin

Berlin
,
52.5266053739601
13.3770965669369

Universitaetsklinikum Heidelberg

Heidelberg
,
49.4199828424058
8.66830537158259

AP-HP Hopital Henri Mondor

Creteil
,
48.7981350454482
2.45226586678238

CHU de Toulouse - Hopital Rangueil

Toulouse
,
43.5590367178276
1.45423644330216

AP-HP Hopital Bicetre

LE KREMLIN-BICETRE
,
48.8112192935336
2.35756460997815

CHU Bordeaux - Hopital Pellegrin

Bordeaux
,
44.8279461272707
-0.603696745011572

CHU de Fort de France

Fort-de-France cedex
,
14.6347208975942
-61.0364581828354

CHU Rennes - Hopital Pontchaillou

Rennes
,
48.1189009453755
-1.69337384303095

Aarhus University Hospital

Aarhus N
,
56.191963366532
10.1722971401131

St. Michael's Hospital

Toronto
,
Ontario
43.6537328473049
-79.3771924720388

University of Calgary

Calgary
,
Alberta
51.0785019403508
-114.134687459585

University of British Columbia

Vancouver
,
British Columbia
49.2627648773549
-123.245195996946

UMHAT Aleksandrovska Sofia - Clinic of Neurology Diseases

Sofia
,
42.6856710829104
23.312237904648

Instituto do Coracao (InCor) do Hospital das Clinicas da FMUSP

Sao Paulo, SP
,
-23.5568561275793
-46.6672105871677

HCFMRP - Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto

Ribeirão Preto
,
-21.1623751747627
-47.853102778239

Fundacao Centro Medico de Campinas

Campinas - SP
,
-22.9047618479318
-47.0368433579604

For more information go to clinicaltrials.gov

For Physicians Only

ACT-EARLY Study Design

ACT-EARLY Study Design graph

*

Acoramidis 712 mg is the content of the moiety equivalent to the 800 mg acoramidis HCL dose used in the pivotal phase 3 ATTRibute-CM trial.

Participants newly diagnosed with ATTR-PN should seek therapy with standard of care outside of this trial.

key study details

Study Duration

Up to 7 years, including:

Screening – Health and genetic history evaluation

Study Treatment Period – Acoramidis or placebo taken orally twice daily

Follow-Up – Routine monitoring about every 6 months including physical exams, imaging of your heart, nerve testing, and blood tests

Trial Start and End Dates

Start date (estimated): 2025-05

Enrollment ongoing: Explore study locations

Primary completion (estimated): 2031-10

about variant ATTR (ATTRv), also known as hereditary ATTR

Hereditary transthyretin amyloidosis (ATTRv) is a rare, inherited, disease 
that can get worse over time and can lead to death if untreated.

A happy family spending time together while raking autumn leaves in their backyard.

Amyloidosis is a group of diseases caused when misfolded proteins, called amyloid, build up and form fibrils that deposit in the body's organs and tissues, affecting their ability to function.

Hereditary transthyretin amyloidosis (ATTRv) is a type of amyloidosis that is caused by a change (also referred to as a mutation or variant) in a gene called transthyretin, which provides the instructions for the transthyretin (TTR) protein.

Normally, the TTR protein circulates in your blood in groups of four units. However, when you have an inherited TTR gene variant, the resulting TTR protein can become unstable and fall apart into pieces that form amyloid. This amyloid then gets deposited in different organs and tissues around the body, most commonly in the heart and around the nerves.1

Over time, this can lead to:

  • Heart problems, also known as cardiomyopathy, which can include fatigue, shortness of breath, swelling of the feet and hands, and hospitalizations for heart failure
  • Nerve damage, also known as polyneuropathy, which can include numbness and tingling in the hands and feet, diarrhea, constipation, and problems walking
Reference:
1. Ruberg FL, Maurer MS. JAMA. 2024;331(9):778-791.