Long-Term Durability and Clinical Stability of Acoramidis in Transthyretin Amyloid Cardiomyopathy: A 54-Month Synthesis

Highlights

  • Continuous acoramidis treatment through 54 months significantly reduces all-cause mortality (HR 0.55) and cardiovascular-related mortality (HR 0.51) compared to delayed initiation.
  • Near-complete serum transthyretin (sTTR) stabilization (≥90%) translates into long-term stability of NT-proBNP levels and functional capacity as measured by the 6-minute walk distance (6MWD).
  • The benefit of acoramidis is cumulative and time-dependent, reinforcing the clinical necessity of early diagnosis and intervention before irreversible myocardial damage occurs.
  • Safety data remains consistent over the long term, with no new safety signals identified during the 24-month open-label extension period.

Background

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