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Biotechnology: Pharmaceutical Preparations
Clinical TrialJul 2, 2026, 07:32 AM

BridgeBio's Acoramidis Shows Early, Sustained Kidney Protection in ATTR-CM

AI Summary

BridgeBio Pharma announced new analyses published in Circulation: Heart Failure, demonstrating that acoramidis provides early and sustained kidney-protective activity in individuals with transthyretin amyloid cardiomyopathy (ATTR-CM). The post-hoc analyses of Phase 2 and Phase 3 ATTRibute-CM trial data showed that acoramidis initiation was associated with a rapid, reversible eGFR dip and a significant reduction in urinary albumin to creatinine ratio (UACR), resembling the effects of drugs acting directly on the kidney. These findings suggest a direct kidney mechanism and potential for improved long-term survival and reduced cardiovascular hospitalizations in ATTR-CM patients.

Key Highlights

  • Acoramidis showed a placebo-corrected 15.5% reduction in UACR by Day 28 (P<0.05).
  • Sustained, improved chronic eGFR slope of +2.47 mL/min/1.73m²/year (p<0.001) through Month 30.
  • Sustained UACR reduction of 13.7% (p=0.026) through Month 30.
  • Acute eGFR dip was 8.5±0.48 mL/min/1.73 m2 (95% CI: 7.57, 9.44).
  • Larger eGFR dips associated with 58% lower risk of death or CV hospitalization (HR: 0.42; P=0.006).