ClinicalTrials.gov record NCT07235462
A Study to Learn About the Use of Acoramidis in Patients With a Heart Condition Called Transthyretin Amyloid Cardiomyopathy (ATTR-CM) in a Real-world Setting
ACO-REAL - A Non-interventional Study Providing Insights Into the Use of Acoramidis in Patients With ATTR Amyloidosis With Cardiomyopathy (ATTR-CM) in Routine Clinical Practice
AI summaryWhat this study is about, in plain languageShow ▾Hide ▴
AI-written from the registry record, not the study's own wording. May contain errors or omissions. Check the registry text on this page and the original record ↗ before acting on it.
This is a prospective, non-interventional (observational) study of adults with wild-type or variant ATTR-CM who are starting treatment with acoramidis as part of routine care. It aims to describe who receives acoramidis and how it is used in everyday practice. The study will collect safety information and measure effects on heart function, walking capacity, overall health status and quality of life, and healthcare use over about 12–15 months. Up to 2,000 adults may be enrolled.
What it is studying. The study is gathering real-world information about patients starting acoramidis: their characteristics, how doctors prescribe and manage the medicine, the safety profile seen in routine care, and how treatment relates to measures such as heart function, functional capacity (for example walking ability), overall health status and quality of life, plus use of healthcare services.
What the researchers hope to learn. Describe the types of patients treated with acoramidis in routine care. Document how acoramidis is started, continued, interrupted or stopped in practice. Collect real-world safety data on acoramidis. Assess effects on heart function, functional capacity, health status, quality of life, and healthcare resource use.
What this study is about
The study's own summary, as published on ClinicalTrials.gov. Underlined terms have a short explanation.
Transthyretin Amyloid Cardiomyopathy (ATTR-CM) is a serious and life-threatening condition where a protein called transthyretin (TTR) misfolds and builds up as amyloid fibrils in the heart muscle. This buildup causes the heart to become stiff, leading to restrictive cardiomyopathy and progressive heart failure. There are two forms of ATTR-CM: a hereditary or 'variant' form (vATTR-CM) caused by a gene mutation, and a 'wild-type' form (wtATTR-CM) which is associated with aging. Because its symptoms can be similar to other heart conditions, ATTR-CM is often diagnosed late. However, recent advances in medical imaging are helping doctors to identify the disease earlier. Acoramidis is a new medication designed to treat ATTR-CM. It works by stabilizing the TTR protein, preventing it from misfolding and forming the harmful amyloid deposits. Acoramidis has been shown to be effective and safe in a major clinical trial (the ATTRibute-CM study), which led to its approval for use in both the United States and Europe. While clinical trials provide valuable information, data on how a new medicine performs in everyday clinical practice is also very important. This type of information is called real-world evidence. Currently, there is limited real-world information about the use of acoramidis. This study, called ACO-REAL, is an observational study, which means researchers will observe patients who are receiving acoramidis as part of their normal clinical care, without introducing any experimental interventions. The study will take place in approximately 20 European countries and aims to enroll up to 2,000 adults who have been diagnosed with either wild-type or variant ATTR-CM and are starting treatment with acoramidis. This includes patients who have not been treated for ATTR-CM before, as well as those who have been treated with other therapies. The main goals of the study are to understand the characteristics of patients being treated with acoramidis and to document how the treatment is used in routine medical practice. The study will also collect information on the safety of acoramidis. Furthermore, researchers will assess how the treatment affects patients' heart function, their functional capacity (such as their ability to walk), their overall health status, and their quality of life. The study will also track how often patients need to use healthcare resources like hospitals or emergency rooms. This information will help to improve the understanding and management of ATTR-CM in a real-world setting, ultimately aiming to optimize care for patients with this progressive disease.
Interventions being studied
Being studied in this trial does not mean the treatment or procedure is approved or available for this condition.
- Drug
- Acoramidis (356 mg film-coated tablets)
Eligibility
The criteria exactly as listed on ClinicalTrials.gov. Only the study team can say whether they apply to you.
Inclusion criteria
- Adults (≥18 years at the date of signing the informed consent form (ICF)).
- Diagnosis of either wild-type or variant ATTR-CM.
- Signed ICF.
- Decision to initiate treatment with acoramidis was made as per treating investigator's routine treatment practice before signature of ICF.
- Treatment start with acoramidis within 90 days after signing the ICF, with the possibility of starting acoramidis on the same day as signing the ICF.
Exclusion criteria
- Participation in an investigational trial with interventions outside of routine clinical practice, except for participation in potential sub-studies related to this observational study. Please note: In addition to this observational study, separate sub-studies may be conducted to collect additional data. Participation in these sub-studies is voluntary and will be governed by separate protocols and informed consent processes. The main observational study does not include interventional procedures beyond routine clinical practice.
- Contra-indications according to the local SmPC of acoramidis.
- Patients who are unable to provide consent, including those whose consent would need to be given by a legal representative.
Study description and what participation involves
The registry record has no detailed description beyond the summary above.
AI summaryWhat participation may involve, in plain languageShow ▾Hide ▴
AI-written from the registry record, not the study's own wording. May contain errors or omissions. Check the registry text on this page and the original record ↗ before acting on it.
After signing informed consent you will be followed while you receive acoramidis as part of your usual care; the study does not direct your treatment. Information will be collected at an initial visit and during follow-up (approximately 12–15 months), including demographics, diagnosis details, other medicines, measures of heart function, functional capacity (for example walking tests), health status and quality‑of‑life questionnaires, healthcare use, and any side effects. Data will come from routine clinic visits and telephone contacts. Optional sub‑studies may ask for extra data and will require separate consent.
How the study is structured. A prospective observational cohort study. People who begin acoramidis as part of their normal medical care are followed without any experimental treatments assigned by the study. Data are collected at an initial visit and during follow-up for about 12–15 months, including medication use, safety events, clinical measures and patient-reported outcomes. Participation in separate voluntary sub‑studies related to this observational study may be possible under separate consent.
Questions you could ask
These questions are suggestions for a conversation with the study team or your own clinician, not advice.
- The registry lists this study under Transthyretin Amyloid Cardiomyopathy (ATTR-CM). Does it apply to my diagnosis?
- This is an observational study, so the study itself gives no treatment. What would taking part involve for me, and would it change my usual care?
- The listed sites are in Austria, Belgium, Croatia, Denmark, Estonia, Finland, Germany, Italy, Latvia, Lithuania, Norway, Portugal, Slovenia, Spain, Sweden, Switzerland, United Kingdom. Is any of them reachable for me, and does the study help with travel?
- Which of the eligibility criteria would need to be checked with tests before I could join?
More on wild-type ATTR amyloidosis
This trial is also listed on this site under ATTRv amyloidosis.
Important dates
- Study start
- Oct 29, 2025
- Primary completion
- Apr 30, 2028 (estimated)
- Study completion
- Apr 30, 2028 (estimated)
- Target enrollment
- 2000 participants (estimated)
- Last updated on registry
- Oct 8, 2026
- Data verified
- Oct 10, 2026
Sponsor and research team
The lead sponsor funds and oversees the trial. A pharmaceutical or biotech company sponsor typically means the study is testing that company's drug or device; a hospital, university, or government agency usually indicates investigator-initiated or publicly funded research.
- Lead sponsor
- Bayer
Central study contact
If you're interested in participating, the central contact can answer general questions about the study — including eligibility requirements and how to find a recruiting site near you. Actual eligibility is determined by the site's medical team.
- Bayer Clinical Trials Contact 📞 0018888422 ext. 937 ✉ clinical-trials-contact@bayer.com
Participating sites (17)
- Many LocationsRecruiting
Multiple Locations · Austria
- Many LocationsRecruiting
Multiple Locations · Belgium
- Many LocationsRecruiting
Multiple Locations · Croatia
- Many LocationsRecruiting
Multiple Locations · Denmark
- Many LocationsRecruiting
Multiple Locations · Estonia
- Many LocationsRecruiting
Multiple Locations · Finland
- Many LocationsRecruiting
Multiple Locations · Germany
- Many LocationsRecruiting
Multiple Locations · Italy
- Many LocationsRecruiting
Multiple Locations · Latvia
- Many LocationsRecruiting
Multiple Locations · Lithuania
Terms used on this page · explanations by MedicalUpdates.ai
- clinical trial
- A study in which researchers assign participants to one or more interventions, such as a drug, procedure, device, behavioural programme or other approach, to measure their effects.
- informed consent form
- The process of explaining a study, including its risks and what participation involves, so that a person can decide freely whether to take part. Consent is usually documented in writing, and a participant can choose to leave the study later.
- investigational
- A treatment that is being tested and has not been approved for this use. It may be approved for a different condition. Being studied does not mean it works or is available outside the study.
- legal representative
- A person who is legally allowed to make decisions, including consent to research, on behalf of someone who cannot consent for themselves.
- Inclusion Criteria
- The conditions a person must meet to be considered for the study, for example a confirmed diagnosis, an age range or a test result.
- Exclusion Criteria
- The conditions that rule a person out even if they meet the inclusion criteria, for example other illnesses, certain medicines or pregnancy.
The study record on this page is reproduced from ClinicalTrials.gov, a database of the U.S. National Library of Medicine, where it was submitted by the study sponsor. MedicalUpdates.ai does not own this content, is not affiliated with or endorsed by ClinicalTrials.gov, NIH, or the U.S. Government, and does not verify the record. Plain-language notes, the glossary and the questions above are added by this site; text in the boxes marked "AI summary" was written by an AI model and may contain errors. Registry records change over time. Check the original record for the current version and discuss eligibility or participation with a qualified healthcare professional.
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