ClinicalTrials.gg
TerminatedNCT03536767Updated Oct 14, 2026Results posted

Open-Label Study of AG10 in Patients With Cardiomyopathy

A Phase 2 interventional study of Acoramidis in Amyloid Cardiomyopathy, sponsored by Eidos Therapeutics, a BridgeBio company. Terminated at 9 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-14.

Sponsored by Eidos Therapeutics, a BridgeBio company (part of BridgeBio) · Phase 2, Interventional, and Treatment

Why this study was terminated
Study ended by the sponsor due to meeting Study Objectives
Updated Oct 14, 2026Now TerminatedResults posted+10 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
47
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This prospective, multicenter open-label study will evaluate the long-term safety, tolerability, PK and PD of acoramidis administered on a background of stable heart failure therapy.

Read the detailed description

An Open-Label Extension and Safety Monitoring Study of Patients with Symptomatic Transthyretin Cardiomyopathy Who Have Completed the Phase II Study AG10-201

The primary objective of this study is to evaluate the long-term safety and tolerability of acoramidis administered to adult patients with symptomatic transthyretin amyloid cardiomyopathy (ATTR-CM) in patients who have completed the study AG10-201.

This study will be an Open-Label Extension and Safety Monitoring Study of up to 55 male and/or female patients with symptomatic ATTR-CM, ≥18 years of age, who have completed the Phase II Study AG10-201. Enrollment into the study will be followed by visits at Day 14, Day 45, 3 Months and every 3 months thereafter until Month 54. After the Month 54 Visit, clinic visits will be every 6 months. There will be one follow-up visit approximately 30 days after last dose.

If all doses are well tolerated, the duration of each patient's participation in the study will continue based on periodic recommendations of the acoramidis Data Monitoring Committee (DMC) and/or registration of the product for the treatment of symptomatic ATTR-CM.

The secondary objectives of this study are to characterize the pharmacokinetics (PK) of acoramidis administered orally twice daily in patients with symptomatic ATTR-CM, and to describe the long-term pharmacodynamic (PD) properties of acoramidis as assessed by established assays of transthyretin (TTR) stabilization, including Fluorescent Probe Exclusion (FPE) assay and Western blot, and to describe the PK-PD relationship of acoramidis in adult patients with symptomatic ATTR-CM.

02

Conditions studied

  • Amyloid Cardiomyopathy

Keywords

  • Amyloidosis
  • ATTR-CM
  • Transthyretin
  • Amyloid
  • TTR
  • Cardiomyopathy
03

In context

Amyloid Neuropathies, Familial

188 studies on the registry are indexed under Amyloid Neuropathies, Familial; 94 are open to participants now.

This study's enrollment of 47 is below the median of 54 across 90 interventional studies indexed under Amyloid Neuropathies, Familial.

Browse Amyloid Neuropathies, Familial studies →

Lead sponsor

Eidos Therapeutics, a BridgeBio company is the lead sponsor of 11 studies on the registry; 3 are open to participants now.

First submitted after Eidos Therapeutics became part of BridgeBio.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

The criteria were revised on the registry on Oct 14, 2026. See what changed

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Completed the study AG10-201.
  2. Willing and able to comply with the study medication regimen and all other study requirements based on screening laboratory results from study AG10-201.
  3. The ability to understand and provide , which must be obtained prior to initiation of study participation based on screening laboratory results from study AG10-201.
  4. Male patients and female patients of who engage in heterosexual intercourse must agree to use effective method(s) of .

Exclusion criteria

Exclusion Criteria:

  1. Hemodynamic instability that would pose too great a risk to the subject based on screening laboratory results from study AG10-201.
  2. Abnormalities in clinical laboratory tests that would pose too great a risk to the subject based on screening laboratory results from study AG10-201.
  3. Any ongoing medical condition or any laboratory abnormality or condition that could adversely affect the safety of the patient.
  4. Known to study drug (acoramidis), its metabolites, or formulation .
  5. Likely to undergo heart transplantation or placement of a mechanical circulatory device within the next year.
  6. Receiving current treatment with diflunisal, tafamidis, green tea, doxycycline, TUDCA/Ursodiol, patisiran, inotersen or any other ATTR agent within 14 days or 5 half-lives of the prior investigational agent (whichever is longer) prior to dosing with study drug.
  7. Females who are pregnant or breastfeeding. Lactating females must agree to discontinue nursing before the study drug is administered. Negative urine pregnancy test at each visit is required for female patients of .
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
47 participants (actual)

Study arms

  • Experimental
    Open-Label

    Participants received open-label acoramidis 800 mg orally twice daily.

    Drug: Acoramidis

Interventions

  • Acoramidis 800 mg twice daily, oral administration

    Also known as: AG10

06

What researchers measure

Primary outcomes

  1. Overall Summary of Treatment-Emergent Adverse Events.

    Safety and tolerability were assessed by treatment-emergent adverse events (TEAEs), serious TEAEs, adverse events leading to treatment discontinuation.

    Time frame: From the first dose of study drug until 30 days after the last dose of study drug. (Maximum exposure reported 84.1 months).

Secondary outcomes

  1. Acoramidis Pharmacodynamic Assessments of TTR Stabilization by Fluorescent Probe Exclusion Assay

    Acoramidis binding to and/or stabilization of TTR will be evaluated by established ex vivo assays: Fluorescent Probe Exclusion (FPE) Assay

    Time frame: Day 45 and Month 78

  2. Acoramidis Pharmacodynamic Assessments: Prealbumin

    Acoramidis binding to and/or stabilization of TTR will be evaluated by established ex vivo assays: quantitation of prealbumin (TTR).

    Time frame: Baseline, Day 45, and Month 78

  3. Plasma Concentrations of Acoramidis

    Predose plasma concentrations of acoramidis were summarized by study visit in the PK Analysis Set.

    Time frame: Baseline, Day 45, and Month 78

  4. Plasma Concentrations of Acoramidis Acylglucuronide

    Predose plasma concentrations of acoramidis acylglucuronide were summarized by study visit in the PK Analysis Set.

    Time frame: Baseline, Day 45, and Month 78

07

Results

Posted Oct 14, 2026
Limitations and caveats
None Specified

Participant flow

Participant flow — Overall Study
MilestoneAcoramidis HCl
Started47
Completed0
Not completed47
Withdrew: Adverse event7
Withdrew: Death12
Withdrew: Physician decision3
Withdrew: Withdrawal by subject1
Withdrew: Discontinued from study due to sponsor decision to end the study17
Withdrew: Other study discontinuation reasons6
Withdrew: Discordant entry noted after early site closure1

Outcome measures

PrimaryOverall Summary of Treatment-Emergent Adverse Events.

Safety and tolerability were assessed by treatment-emergent adverse events (TEAEs), serious TEAEs, adverse events leading to treatment discontinuation.

Time frame:
From the first dose of study drug until 30 days after the last dose of study drug. (Maximum exposure reported 84.1 months).
Reported as:
Count of participants · Participants
Overall Summary of Treatment-Emergent Adverse Events.
ParticipantsAcoramidis HCl
Any TEAEs47
Any Treatment-Related TEAEs7
Any TEAEs with an Outcome of Death17
Any Serious TEAEs40
Any Treatment-Related Serious TEAEs1
Any Non-Serious TEAEs46
Any TEAEs Leading to Discontinuation of IMP6
Any TEAEs Leading to Study Discontinuation17
SecondaryAcoramidis Pharmacodynamic Assessments of TTR Stabilization by Fluorescent Probe Exclusion Assay

Acoramidis binding to and/or stabilization of TTR will be evaluated by established ex vivo assays: Fluorescent Probe Exclusion (FPE) Assay

Time frame:
Day 45 and Month 78
Reported as:
Mean · Percent Target Engagement
Acoramidis Pharmacodynamic Assessments of TTR Stabilization by Fluorescent Probe Exclusion Assay
Percent Target EngagementAcoramidis HCl
Day 45118.69 ± 90.707
Month 78103.54 ± 16.712
SecondaryAcoramidis Pharmacodynamic Assessments: Prealbumin

Acoramidis binding to and/or stabilization of TTR will be evaluated by established ex vivo assays: quantitation of prealbumin (TTR).

Time frame:
Baseline, Day 45, and Month 78
Reported as:
Mean · mg/dL
Acoramidis Pharmacodynamic Assessments: Prealbumin
mg/dLAcoramidis HCl
Baseline (Day 1)21.55 ± 5.667
Day 4530.35 ± 5.028
Month 7830.68 ± 5.358
SecondaryPlasma Concentrations of Acoramidis

Predose plasma concentrations of acoramidis were summarized by study visit in the PK Analysis Set.

Time frame:
Baseline, Day 45, and Month 78
Reported as:
Mean · ng/mL
Plasma Concentrations of Acoramidis
ng/mLAcoramidis HCl
Baseline (Predose)0.00 ± 0.000
Day 45 (Predose)2166.13 ± 609.524
Month 78 (Predose)2739.23 ± 870.981
SecondaryPlasma Concentrations of Acoramidis Acylglucuronide

Predose plasma concentrations of acoramidis acylglucuronide were summarized by study visit in the PK Analysis Set.

Time frame:
Baseline, Day 45, and Month 78
Reported as:
Mean · ng/mL
Plasma Concentrations of Acoramidis Acylglucuronide
ng/mLAcoramidis HCl
Baseline (Predose)0.000 ± 0.0000
Day 45 (Predose)2445.844 ± 2128.5501
Month 78 (Predose)2911.385 ± 2275.2234

Adverse events

Collected over From the first dose of study drug until 30 days after the last dose of study drug. (Maximum exposure reported 84.1 months).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Acoramidis HCl17/47 (36.2%)40/47 (85.1%)46/47 (97.9%)
Most frequent serious events
Showing 10 of 126
Most frequent serious events
EventAcoramidis HCl
Cardiac failure acuteCardiac disorders14/47
Acute kidney injuryRenal and urinary disorders12/47
FallInjury, poisoning and procedural complications8/47
Atrial fibrillationCardiac disorders6/47
Cardiac failure congestiveCardiac disorders6/47
Cardiorenal syndromeCardiac disorders6/47
Atrial flutterCardiac disorders5/47
Cardiac failureCardiac disorders5/47
Cardiac amyloidosisCardiac disorders4/47
Cardiogenic shockCardiac disorders4/47
Most frequent other events
Showing 10 of 115
Most frequent other events
EventAcoramidis HCl
FallInjury, poisoning and procedural complications25/47
ConstipationGastrointestinal disorders16/47
Back painMusculoskeletal and connective tissue disorders15/47
COVID-19Infections and infestations13/47
ArthralgiaMusculoskeletal and connective tissue disorders12/47
FatigueGeneral disorders12/47
CoughRespiratory, thoracic and mediastinal disorders12/47
DyspnoeaRespiratory, thoracic and mediastinal disorders11/47
EpistaxisRespiratory, thoracic and mediastinal disorders11/47
HypervolaemiaMetabolism and nutrition disorders11/47

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Acoramidis HCl
<=18 years0
Between 18 and 65 years2
>=65 years45
Age, Continuous
Age, Continuous(Years)Acoramidis HCl
Mean74.3 ± 6.76
Sex: Female, Male
Sex: Female, Male(Participants)Acoramidis HCl
Female4
Male43
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Acoramidis HCl
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American9
White35
More than one race0
Unknown or Not Reported2
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Acoramidis HCl
Hispanic or Latino4
Not Hispanic or Latino42
Unknown or Not Reported1
Region of Enrollment
Region of Enrollment(Participants)Acoramidis HCl
United States47
08

Study locations

9 sites
  • University of California San Francisco
    San Francisco, California 94143, United States
  • Stanford University
    Stanford, California 94305, United States
  • Yale University
    New Haven, Connecticut 06520, United States
  • Northwestern University
    Chicago, Illinois 60611, United States
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Columbia University
    New York, New York 10032, United States
  • Oregon Health & Science University
    Portland, Oregon 97239, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
09

References and documents

Publications

  • Masri A, Aras M, Grogan M, Jacoby D, Maurer MS, Shah SJ, Witteles R, Wong PW, Ji AX, DU J, Siddhanti S, Katz L, Sinha U, Fox JC, Judge DP. Acoramidis for Transthyretin Amyloid Cardiomyopathy: Open-Label Extension Study Long-Term Follow-Up. J Card Fail. 2025 Aug;31(8):1354-1359. doi: 10.1016/j.cardfail.2025.03.017. Epub 2025 Apr 9. No abstract available. PubMed 40216220 ↗
  • Testani JM, Judge DP, Borlaug BA, Cherney D, Cox ZL, Gillmore JD, Lewis JB, Adler SH, Cao X, Castano A, Fox JC, Katz L, Mathur V, Xiong K, Butler J, Masri A. Effects of Acoramidis on Kidney Function in Transthyretin Amyloid Cardiomyopathy. Circ Heart Fail. 2026 Jul 2:e014656. doi: 10.1161/CIRCHEARTFAILURE.126.014656. Online ahead of print. PubMed 42389794 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

1 registry update since Sep 25, 2026
Status
Active, not recruiting→Terminated Study ended by the sponsor due to meeting Study Objectives
changed Oct 14, 2026
Results
Results posted
posted Oct 14, 2026
Sites
1 site added, 1 site removed
Show site
  • Stanford University · Stanford, United States
Show 1 removed
  • Stanford University · Palo Alto, United States
Oct 14, 2026
Primary completion
Jul 2027→Sep 15, 2025 (actual)
Oct 14, 2026
Study completion
Jul 2027→Sep 15, 2025 (actual)
Oct 14, 2026
Enrollment
55 (estimated)→47 (actual)
Oct 14, 2026
Eligibility
Maximum age 90 Years→none; 3 inclusion criteria edited; 4 exclusion criteria edited
What changed in the criteria
Inclusion criteria
  • EditedCompleted participation inthe study AG10-201.
  • EditedWilling and able to comply with the study medication regimen and all other study requirements based on screening laboratory results from study AG10-201.
  • EditedThe ability to understand and provide informed consent, which must be obtained prior to initiation of study participation based on screening laboratory results from study AG10-201.
Exclusion criteria
  • EditedHemodynamic instability that would pose too great a risk to the subject based on screening laboratory results from study AG10-201.
  • EditedAbnormalities in clinical laboratory tests that would pose too great a risk to the subject based on screening laboratory results from study AG10-201.
  • EditedKnown hypersensitivity to study drug (AG10acoramidis), its metabolites, or formulation excipients.
  • EditedFemales who are pregnant or breastfeeding. Lactating females must agree to discontinue nursing before the study drug is administered. Negative urine pregnancy test at each visit is required for female patients of childbearing potential.
Oct 14, 2026
Interventions
Changed AG10→Acoramidis
Oct 14, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • ChangedBefore Assessment of long-term safety and tolerability: Incidence of each treatment-emergent adverse eventsNow Overall Summary of Treatment-Emergent Adverse Events.Time frame: up to 60 Months or study completion by recommendation from safety monitoring committee → From the first dose of study drug until 30 days after the last dose of study drug. (Maximum exposure reported 84.1 months).
Oct 14, 2026
Documents
Publications
Results publication added: Masri A, Aras M, Grogan M, Jacoby D, Maurer MS, Shah SJ, Witteles R, Wong PW, Ji AX, DU J, Siddhanti S, Katz L, Sinha U, Fox JC, Judge DP. Acoramidis for Trans… PubMed 40216220 ↗. 1 publication citing this study linked from PubMed
Oct 14, 2026
Secondary outcomes
2 edited, 2 added, 2 removed
What changed in the outcomes
  • EditedAG10Acoramidis Pharmacodynamic Assessments of TTR stabilizationStabilization by Fluorescent PolarizationProbe Exclusion AssayTime frame: up to 60 Months or study completion by recommendation from safety monitoring committee → Day 45 and Month 78
  • EditedAG10Acoramidis Pharmacodynamic Assessments: prealbuminPrealbuminTime frame: up to 60 Months or study completion by recommendation from safety monitoring committee → Baseline, Day 45, and Month 78
  • AddedPlasma Concentrations of AcoramidisTime frame: Baseline, Day 45, and Month 78
  • AddedPlasma Concentrations of Acoramidis AcylglucuronideTime frame: Baseline, Day 45, and Month 78
  • RemovedAG10 Pharmacokinetics AUCTime frame: up to 60 Months or study completion by recommendation from safety monitoring committee
  • RemovedAG10 Pharmacodynamic Assessments of TTR stabilization by Western BlotTime frame: up to 60 Months or study completion by recommendation from safety monitoring committee
Oct 14, 2026
Show all 1 update
  1. Oct 14, 2026
    Active, not recruiting→Terminated
    Why stopped Study ended by the sponsor due to meeting Study Objectives
    Results posted
    Publications Results publication added: Masri A, Aras M, Grogan M, Jacoby D, Maurer MS, Shah SJ, Witteles R, Wong PW, Ji AX, DU J, Siddhanti S, Katz L, Sinha U, Fox JC, Judge DP. Acoramidis for Trans… PubMed 40216220 ↗. 1 publication citing this study linked from PubMed
    1 site added, 1 site removed
    Show site
    • Stanford University · Stanford, United States
    Show 1 removed
    • Stanford University · Palo Alto, United States
    Primary completion Jul 2027→Sep 15, 2025 (now actual)
    Study completion Jul 2027→Sep 15, 2025 (now actual)
    Enrollment 55 (estimated)→47 (actual)
    Eligibility Maximum age 90 Years→none; 3 inclusion criteria edited; 4 exclusion criteria edited
    What changed in the criteria
    Inclusion criteria
    • EditedCompleted participation inthe study AG10-201.
    • EditedWilling and able to comply with the study medication regimen and all other study requirements based on screening laboratory results from study AG10-201.
    • EditedThe ability to understand and provide informed consent, which must be obtained prior to initiation of study participation based on screening laboratory results from study AG10-201.
    Exclusion criteria
    • EditedHemodynamic instability that would pose too great a risk to the subject based on screening laboratory results from study AG10-201.
    • EditedAbnormalities in clinical laboratory tests that would pose too great a risk to the subject based on screening laboratory results from study AG10-201.
    • EditedKnown hypersensitivity to study drug (AG10acoramidis), its metabolites, or formulation excipients.
    • EditedFemales who are pregnant or breastfeeding. Lactating females must agree to discontinue nursing before the study drug is administered. Negative urine pregnancy test at each visit is required for female patients of childbearing potential.
    Primary outcomes 1 edited
    What changed in the outcomes
    • ChangedBefore Assessment of long-term safety and tolerability: Incidence of each treatment-emergent adverse eventsNow Overall Summary of Treatment-Emergent Adverse Events.Time frame: up to 60 Months or study completion by recommendation from safety monitoring committee → From the first dose of study drug until 30 days after the last dose of study drug. (Maximum exposure reported 84.1 months).
    Secondary outcomes 2 edited, 2 added, 2 removed
    What changed in the outcomes
    • EditedAG10Acoramidis Pharmacodynamic Assessments of TTR stabilizationStabilization by Fluorescent PolarizationProbe Exclusion AssayTime frame: up to 60 Months or study completion by recommendation from safety monitoring committee → Day 45 and Month 78
    • EditedAG10Acoramidis Pharmacodynamic Assessments: prealbuminPrealbuminTime frame: up to 60 Months or study completion by recommendation from safety monitoring committee → Baseline, Day 45, and Month 78
    • AddedPlasma Concentrations of AcoramidisTime frame: Baseline, Day 45, and Month 78
    • AddedPlasma Concentrations of Acoramidis AcylglucuronideTime frame: Baseline, Day 45, and Month 78
    • RemovedAG10 Pharmacokinetics AUCTime frame: up to 60 Months or study completion by recommendation from safety monitoring committee
    • RemovedAG10 Pharmacodynamic Assessments of TTR stabilization by Western BlotTime frame: up to 60 Months or study completion by recommendation from safety monitoring committee
    Interventions Changed AG10→Acoramidis
    + 6 other changes: identifiers, verification date, oversight details, description, conditions and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

11

Registry details

Key details

Study ID
NCT03536767
Responsible party
Sponsor
First posted
May 25, 2018
Start date
Aug 8, 2018
Primary completion
Sep 15, 2025
Completion
Sep 15, 2025
Results posted
Oct 14, 2026
Last update
Oct 14, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Acoramidis

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