Recent Updates
Recently added Catalysts

Acoramidis

Phase 4FDA approved

Undisclosed | Small molecule | Other |AstraZeneca PLC|Trials Updated: Jun 10, 2026

Acoramidis development status

FDA approval on record Nov 22, 2024 as Attruby
Approval holderBridgebio Pharma
ApplicationNDA216540
Highest phase Phase 4 (NCT07306949)
Phase scored for AZNPhase 1
Registered trials 12 across 3 sponsors since Mar 2018

Label indication ATTRUBY is indicated for the treatment of the cardiomyopathy of wild-type or variant transthyretin-mediated amyloidosis (ATTR-CM) in adults to reduce cardiovascular death and cardiovascular-related hospitalization. FDA label

Acoramidis target and mechanism

Molecular targetTTR
Target classStabiliser
ModalitySmall molecule

Also known as ALXN2060, AG10

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedCONTROLLED
Total Trials2
Total Enrollment43

FDA Designations

No designations recorded

Acoramidis clinical trials

Acoramidis · 2 trials · 2 indications

Phase 3 1Phase 1 1
NCT04622046A Phase 3 Study of ALXN2060 in Japanese Participants With Symptomatic ATTR-CMSymptomatic Transthyretin Amyloid Cardiomyopathy
COMPLETED25 Analytics
PHASE3COMPLETED
A Phase 3 Study of ALXN2060 in Japanese Participants With Symptomatic ATTR-CM
Symptomatic Transthyretin Amyloid CardiomyopathyUnlock trial analytics

Study Endpoints

Primary Endpoints

Part A: Change From Baseline To Month 12 Of Treatment In Distance Walked During The Six-minute Walk Test (6MWT)
Baseline, Month 12

The 6MWT measures how far a participant can walk in 6 minutes. Change from baseline was calculated as the difference between the distance walked during the 6MWT at 12 months and the distance walked during the 6MWT at baseline. To determine the baseline, at least 2 6MWTs were conducted \> 24 hours to ≤ 3 weeks apart prior to the first dose of ALXN2060. The baseline 6MWT is the average of the total distance walked by participants for the 2 qualifying 6MWTs that met all the protocol-defined criteria. Least squares mean change from baseline data were adjusted for baseline measures and visits.

Parts A and B: Number of Cardiovascular (CV)-Related Hospitalizations Over A 30-month Period
30 months

CV-related hospitalization was defined as the mean number of CV-related hospitalizations per participant per year over a 30-month period. CV-related hospitalizations were also reported as adverse events and were reviewed and adjudicated by an independent Clinical Events Committee (CEC).

All-cause Mortality (ACM) Over A 30-month Period
30 months

ACM was assessed as time from the date of first initiation of study treatment to the date of death during a 30-month period, and was analyzed using Kaplan-Meier analysis. Data are reported for the number of participants with ACM over the 30-month period.

Maximum Observed Plasma Concentration (Cmax) Of Acoramidis: Fed (Test) Versus Fasted (Reference) Conditions
Up to 336 hours postdose
Area Under The Plasma Concentration Versus Time Curve From Time 0 To The Last Quantifiable Concentration (AUC0-t) For Acoramidis: Fed (Test) Versus Fasted (Reference) Conditions
Up to 336 hours postdose
Area Under The Plasma Concentration Versus Time Curve From Zero To Infinity (AUC0-inf) For Acoramidis: Fed (Test) Versus Fasted (Reference) Conditions
Up to 336 hours postdose

Secondary Endpoints

Parts A and B: Change From Baseline In Distance Walked During The 6MWT
Baseline, Months 6, 9, 18, 24 and 30
Parts A and B: Change From Baseline In The Kansas City Cardiomyopathy Questionnaire Overall Score (KCCQ-OS)
Baseline, Months 6, 9, 12, 18, 24 and 30
Parts A and B: Number of Participants With Treatment-emergent Adverse Events (AEs), Serious Adverse Events (SAEs) and AEs Leading to Treatment Discontinuation
Up to Month 30
Unlock Study Endpoints

Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ALXN2060EXPERIMENTALParticipants will receive ALXN2060.
Sequence 1: AcoramidisEXPERIMENTALParticipants will receive acoramidis once each period as a single dose under fasted or fed conditions as follows: Period 1: Acoramidis as an immediate-release tablet under fasted conditions. Period 2: Acoramidis as an immediate-release tablet under fed conditions. There will be a washout period of at least 14 days between acoramidis dosing.
Sequence 2: AcoramidisEXPERIMENTALParticipants will receive acoramidis once each period as a single dose under fasted or fed conditions as follows: Period 1: Acoramidis as an immediate-release tablet under fed conditions. Period 2: Acoramidis as an immediate-release tablet under fasted conditions. There will be a washout period of at least 14 days between acoramidis dosing.

Interventions

NameTypeDescription
ALXN2060DRUGALXN2060 tablets will be administered twice daily at a dose of 800 milligrams.
AcoramidisDRUGFilm-coated immediate release oral tablet.
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: 1. Established diagnosis of ATTR-CM with either wild-type TTR or a variant TTR genotype. 2. History of heart failure evidenced by at least 1 prior hospitalization for heart failure or clinical evidence of heart failure without prior heart failure hospitalization manifested by si...

Countries:JapanUnited States
Unlock Eligibility Criteria

Frequently asked questions about Acoramidis

What is Acoramidis?

Acoramidis is an investigational small molecule developed by AstraZeneca PLC (ticker AZN). It is a transthyretin (TTR) stabiliser that has been studied in Phase 1 clinical development. Its therapeutic indications have not been disclosed, and the completed early-stage work focused on healthy adult volunteers rather than patients with a named disease.

What does Acoramidis target?

Acoramidis targets transthyretin, also known as TTR. It belongs to the TTR stabiliser class, meaning it is designed to bind and stabilise the transthyretin protein. AstraZeneca PLC (ticker AZN) is developing this small molecule, which has completed a Phase 1 study in healthy adult participants.

Who makes Acoramidis?

Acoramidis is developed by AstraZeneca PLC, which trades under the ticker AZN. The company is the sponsor behind the drug's clinical program. AstraZeneca has advanced acoramidis through Phase 1 testing, with one completed trial conducted in the United States involving healthy adult volunteers.

What phase is Acoramidis in?

Acoramidis is in Phase 1 clinical development. It is an investigational agent and has not been approved by the FDA. One Phase 1 trial has been completed, and no trials are currently active. The program enrolled 18 participants in total, all healthy adults, and the study was randomized and controlled.

What clinical trials is Acoramidis in?

Acoramidis has been studied in one completed Phase 1 trial, NCT04958135, titled a study to assess the effect of food on a single dose of acoramidis in healthy adult participants. That trial enrolled 18 healthy volunteers aged 18 years and older in the United States and is now completed.

Is Acoramidis the same as ATTR-ACT or other TTR stabilisers?

Acoramidis is a distinct TTR stabiliser developed by AstraZeneca PLC under the ticker AZN. It should not be confused with other transthyretin-directed therapies, which are separate molecules with their own developers and clinical programs. Acoramidis itself has completed one Phase 1 trial, NCT04958135, in healthy adult participants.