Heart failure & cardiomyopathies

Efficacy of Acoramidis on All-Cause Mortality and Cardiovascular Hospitalization in Transthyretin Amyloid Cardiomyopathy

J Am Coll CardiolPublished Secondary analysis of the ATTRibute-CM randomised trial

Primary result · ACM or first CVHResult — go to the resultHazard ratio 0.64 95% CI 0.50–0.83

Authors' conclusion

In participants with ATTR-CM, acoramidis reduced the composite of ACM or first CVH vs placebo, with an early effect driven by a reduction in CVH.

Study context

Population
Participants with transthyretin amyloid cardiomyopathy (ATTR-CM)611 (97%) analysed
Participants
632 participants
Comparison
Acoramidis vs placebo
  • Acoramidisn = 409
  • Placebon = 202reference
Primary endpoint
Composite of:
  • All-cause mortality
  • First CV-related hospitalization
Follow-up
30 months
Methodological detailsphase 3, double-blind, 2:1 randomisation
  • Phase 3
  • Double-blind
  • 2:1 randomisation

Primary result

ACM or first CVH

Hazard ratio

0.64

95% CI 0.50–0.83

P = 0.0008

By group

Acoramidisvs Placebo
HR 0.64 (95% CI 0.50–0.83); P = 0.0008

As reported in the abstract

Further findings

OutcomeAcoramidisPlaceboHR (95% CI)P value
First CVH26.7%42.6%0.60 (0.45–0.80)P = 0.0005
OutcomeAcoramidisPlaceboRelative risk ratio (95% CI)P value
Annualized frequency of CVH0.220.4550% (0.36–0.70)P < 0.0001

All-cause mortality (ACM) or first CVH, by subgroup

Efficacy consistent across subgroups

Original publication

Efficacy of Acoramidis on All-Cause Mortality and Cardiovascular Hospitalization in Transthyretin Amyloid Cardiomyopathy. J Am Coll Cardiol. Published 18 March 2025. doi:10.1016/j.jacc.2024.11.042

Composed by AI from the published abstract and checked against it. How Briefs are made →

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