Resources

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Clinical Materials


Efficacy and Safety of Acoramidis in Transthyretin Amyloid Cardiomyopathy

Gillmore JD, Judge DP, Cappelli F, et al. NEJM. 2024.

Results from ATTRibute-CM, a phase 3, double-blind, placebo-controlled study that evaluated the efficacy and safety of Attruby in patients with ATTR-CM.

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Long-Term Efficacy and Safety of Acoramidis in ATTR-CM

Initial Report From the Open-Label Extension of the ATTRibute-CM Trial (Through 42 Months)

Judge DP, Gillmore JD, Alexander KM, et al. Circulation. 2025.

Results from an ongoing open-label extension study that was conducted to evaluate the long-term efficacy and safety of Attruby after 42 months of treatment.

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

Judge DP, Alexander KM, Cappelli F, et al. J Am Coll Cardiol. 2025.

This publication reports prespecified secondary and post hoc analyses from the ATTRibute-CM study to further characterize the efficacy of acoramidis on the clinical outcomes of ACM and CVH.

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Long-Term Durability of Acoramidis Efficacy in Transthyretin Amyloid Cardiomyopathy

Open-Label Extension of the ATTRibute-CM Randomized Clinical Trial (Through 54 Months)

Soman P, Cuddy SM, Gilmore JD, et al. JAMA Cardiol. 2026.

Results from an ongoing open-label extension study that was conducted to evaluate the long-term efficacy and safety of Attruby after 54 months of treatment.

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ATTR-CM: Then and Now

Learn more about recent developments in disease state awareness and diagnostic approaches in ATTR-CM.

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Advances in ATTR-CM Imaging

Learn more about cardiac imaging, a reliable, noninvasive, and relatively inexpensive method that can be used to help diagnose and monitor ATTR-CM.

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Unveiling ATTR-CM Among Patients with Common Cardiac Conditions

Learn more about signs and symptoms of ATTR-CM, and how to recognize these clues to make a diagnosis.

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Additional Information on Variant ATTR-CM

Learn more about variant ATTR-CM, who is primarily affected by this subtype, and how to identify it.

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Attruby in Patients With Variant ATTR-CM

Learn more about the efficacy and safety of Attruby (acoramidis) in patients with variant ATTR-CM.

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For Your Patients


Patient Brochure

A guide for patients to learn about ATTR-CM, Attruby (acoramidis), and important dosing and administration information

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Medisafe Flashcard

A quick reference guide offering step-by-step instructions on using Medisafe Patient Resource Center

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ATTR-CM & Attruby Videos


Attruby Mechanism of Action Explained

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Common Lab Findings in Patients with ATTR-CM

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Stabilization of the
TTR tetramer

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ACM=all-cause mortality; ATTR-CM=transthyretin amyloid cardiomyopathy; CVH=cardiovascular hospitalization; TTR=transthyretin.

Important Safety Information and Indication

Important Safety Information


Adverse Reactions
Diarrhea (11.6% vs 7.6%) and upper abdominal pain (5.5% vs 1.4%) were reported in patients treated with Attruby versus placebo, respectively. The majority of these adverse reactions were mild and resolved without drug discontinuation.
Discontinuation rates due to adverse events were similar between patients treated with Attruby versus placebo (9.3% and 8.5%, respectively).

Laboratory Tests
Mean increase in serum creatinine of 0.2 and 0.0 mg/dL and a mean decrease in eGFR of 8.2 and 0.7 mL/min/1.73 m2 was observed in the adults with ATTR-CM treated with Attruby versus placebo, respectively, at Day 28 and then stabilized. These changes were reversible after treatment discontinuation.

Use in Specific Populations

Pregnancy & Lactation: There are no data on the use of Attruby in pregnant women. Animal data have not shown developmental risk associated with the use of Attruby in pregnancy. There are no available data on the presence of Attruby in either human or animal milk or the effects of the drug on the breastfed infant or maternal milk production.

Indication


Attruby® (acoramidis) 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.

Please see Full Prescribing Information including Patient Information.

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More information on DDIs1

Avoid concomitant use of Attruby (acoramidis) with UGT inducers and strong CYP3A inducers, as these can potentially decrease Attruby exposure.

Consider more frequent monitoring for evidence of increased exposure to CYP2C9 substrates when Attruby (acoramidis) is coadministered with sensitive CYP2C9 substrates.

CYP=cytochrome P450; DDI=drug-drug interaction; UGT=uridine diphosphate glucuronosyltransferase.

Established Safety Profile4

Patients With 1 or More Events Attruby
n=421, % (n)
Placebo
n=211, % (n)
Any TEAEs 98.1% (413) 97.6% (206)
Any treatment-emergent SAEs 54.6% (230) 64.9% (137)
Any treatment-related TEAEs 11.9% (50) 5.2% (11)
Severe TEAEs 37.3% (157) 45.5% (96)

SAE=serious adverse event; TEAE=treatment-emergent adverse event.