Heart failure & cardiomyopathiesRandomised controlled trial

Efficacy and Safety of Acoramidis in Transthyretin Amyloid Cardiomyopathy

N Engl J MedPublished

  • Randomised controlled trial
  • phase 3
  • double-blind
  • placebo-controlled
  • 2:1 randomisation

Authors' conclusion

In patients with transthyretin amyloid cardiomyopathy, the receipt of acoramidis resulted in a significantly better four-step primary hierarchical outcome containing components of mortality, morbidity, and function than placebo. Adverse events were similar in the two groups.

Study context

Population
Patients with transthyretin amyloid cardiomyopathy
Participants
632 patients
Comparison
Acoramidis vs placebo

Primary result

As reported in the abstract

Win ratio

1.8

95% CI 1.4–2.2

P < 0.001

Acoramidis vs Placebo
win ratio 1.8 (95% CI 1.4–2.2); P < 0.001
All-cause death and CV-related hospitalization contributed >half the wins and losses (% of all pairwise comparisons)
58%
NT-proBNP pairwise comparisons: wins vs losses (highest ratio)
23.3% vs. 7.0%

Safety

Any adverse event · similar in the two groups

Serious adverse events

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Efficacy and Safety of Acoramidis in Transthyretin Amyloid Cardiomyopathy. N Engl J Med. Published 11 January 2024. doi:10.1056/nejmoa2305434

Summarised from the published abstract; every number is checked against it