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BridgeBio Pharma

Rare disease drugmaker · based in Palo Alto, United States · founded 2015 · ticker BBIO · bridgebio.com

BridgeBio Pharma works on 6 rare diseases we track, including Achondroplasia, ATTR Amyloidosis (Transthyretin Amyloidosis) and 4 more. It has 10 active clinical trials, and 6 are looking for volunteers now. It also has 1 FDA-approved rare disease drug.

The FDA is due to decide on BBP-418 for Limb-girdle muscular dystrophy type 2I/R9 by November 27, 2026.

The FDA is due to decide on Infigratinib for Achondroplasia in children by February 4, 2027.

The FDA is due to decide on Encaleret for Autosomal dominant hypocalcemia type 1 (ADH1) by May 8, 2027.

Email me the day the FDA decidesAll upcoming rare disease FDA decisions

BridgeBio Pharma develops therapies for genetic diseases using a subsidiary model to advance programs from discovery through commercialization. The company's lead product Attruby (acoramidis) was FDA-approved in November 2024 for ATTR cardiomyopathy, based on the placebo-controlled ATTRibute-CM trial in 611 adults.

BridgeBio Pharma pipeline

Each row lists the diseases BridgeBio Pharma is studying at that stage, from the ones closest to approval down to the earliest work.

Approved
Drugs the FDA has approved.
At the FDA
Waiting on an FDA decision.

BBP-418 for Limb-girdle muscular dystrophy type 2I/R9, with a decision due by November 27, 2026.

Infigratinib for Achondroplasia in children, with a decision due by February 4, 2027.

Encaleret for Autosomal dominant hypocalcemia type 1 (ADH1), with a decision due by May 8, 2027.

Phase 3
Large studies, usually the last step before a company asks the FDA for approval.
Phase 2
Mid-size studies that check whether a drug works and at what dose.
After approval
Studies that follow people already taking an approved drug.
Other studies
Studies with no phase listed, such as registries and natural history studies.

ATTR Amyloidosis (Transthyretin Amyloidosis) recruiting · Transthyretin (TTR) Amyloid Cardiomyopathy

BridgeBio Pharma clinical trials

These are BridgeBio Pharma trials for the rare diseases we track, from ClinicalTrials.gov. Statuses there can lag behind company news, so confirm with the study team before you plan around one.

6 trials looking for volunteers now

Looking for volunteersPhase 3Recently updatedNCT07805356

Efficacy, Safety, and Tolerability of Encaleret in Participants With Chronic Hypoparathyroidism

Tests Encaleret, Placebo

For Hypoparathyroidism and Chronic Hypoparathyroidism

The aim of the study is to evaluate the efficacy, safety, and tolerability of orally administered encaleret tablets in participants with chronic hypoparathyroidism (HP).

Ages 16 Years+10 locations
View full study
Looking for volunteersNo phaseRecently updatedNCT05577819

Prevalence and Prediction of ATTR in Ambulatory Patients With HFpEF

Tests 99mTc-pyrophosphate Scintigraphy

For Transthyretin Amyloidosis, Heart Failure, Heart Failure, Diastolic and Amyloidosis

Recent studies have shown that transthyretin amyloidosis (ATTR) can sometimes cause a type of heart failure where the pumping function of the heart is normal, also known as Heart Failure with Preserved Ejection Fraction (HFpEF) or diastolic heart failure. In this single center diagnostic study, we will evaluate for ATTR in patients with HFpEF in order to to determine how frequently this occurs and how we can predict which heart failure patients may have TTR amyloidosis. Our goal is to identify amyloidosis in heart failure patients earlier so that they can start treatment.

Ages 65 Years+1 location
View full study
Looking for volunteersPhase 3Updated a few months agoNCT06563895

Acoramidis Transthyretin Amyloidosis Prevention Trial in the Young (ACT-EARLY) Study in Asymptomatic Carriers of a Pathogenic TTR Variant

Tests Acoramidis, Placebo oral tablet

For Amyloidosis, Amyloid Cardiomyopathy, Transthyretin Amyloidosis, Cardiomyopathies and Heart Diseases

Transthyretin amyloidosis (ATTR) is a disease where the normally occurring transthyretin (TTR) protein falls apart and forms amyloid, a sticky plaque-like substance that accumulates in different organs in the body and can cause damage to the organ. There are two ways that the TTR protein can fall apart. One way occurs as a person ages, where the normal TTR protein can fall apart and form amyloid that may no longer be sufficiently cleared by the body. This type of ATTR is known as wild-type ATTR (ATTRwt). The other way occurs when a person inherits a defective TTR gene that causes the TTR protein to spontaneously fall apart. This form of the disease is known as variant ATTR (ATTRv) and can be detected in adults by a genetic test of their TTR gene before they age. Amyloid build-up in the heart causes the heart wall to become thick and stiff and can result in heart failure and even death. Accumulation of TTR amyloid in the heart is known as transthyretin amyloid cardiomyopathy or ATTR-CM. Amyloid can also deposit in the nerve tissues leading to nerve problems. Accumulation of TTR in the nerves is known as transthyretin amyloid polyneuropathy or ATTR-PN. Acoramidis is an experimental drug designed to bind tightly to TTR in the blood and stabilize its structure, so it does not form the harmful amyloid plaques that can cause damage to organs. This study is intended to determine if treatment with acoramidis in participants with ATTRv who have not yet developed any symptoms of disease can prevent or delay the development of ATTR-CM or ATTR-PN disease. If adults with an inherited defective TTR gene are treated early before any of the symptoms of disease have developed, it may be possible to delay the onset or prevent the disease entirely.

Ages 18 Years - 75 Years104 locations
View full study
Looking for volunteersPhase 4Updated a few months agoNCT07695701

Cardiac Magnetic Resonance and Echocardiography Study With Acoramidis

Tests Acoramidis (AG10) oral tablet

For Transthyretin Amyloidosis Cardiomyopathy (ATTR-CM), Amyloidosis, Amyloid Cardiomyopathy and Transthyretin Amyloidosis

The study aims to evaluate the effect of acoramidis on cardiac functional and structural improvement in participants with ATTR-CM.

Ages 18 Years - 80 Years1 location
View full study
Looking for volunteersPhase 2Updated a few months agoNCT07169279

Interventional Study of Infigratinib in Children < 3 Years Old With Achondroplasia (ACH)

Tests Infigratinib is provided as a single dose of minitablets for oral administration, Infigratinib is provided as sprinkle capsules for daily oral administration, Infigratinib or placebo comparator is provided as sprinkle capsules for daily oral administration, Infigratinib is provided as sprinkle capsules for daily oral administration

For Achondroplasia

This is a Phase 2, multicenter, randomized, placebo-controlled study to evaluate the safety and efficacy of infigratinib in participants \< 3 years old with ACH. The purposes of the SAD and Phase 2 portions are to identify and confirm the dose of infigratinib to be used in the Phase 2b portion, based on safety and PK. The purpose of the Phase 2b, placebo-controlled portion is to evaluate the safety and efficacy of infigratinib in children \< 3 years old with ACH at the selected dose.

Ages 0 Years - 32 Months12 locations
View full study
Looking for volunteersPhase 1/2No updates in a whileNCT04998396

A Study of AAV9 Gene Therapy in Participants With Canavan Disease (CANaspire Clinical Trial)

Tests AAV9 BBP-812

For Canavan Disease

The main objective of this trial is to evaluate the safety, tolerability, and pharmacodynamic activity of BBP-812, an investigational AAV9-based gene therapy, in pediatric participants with Canavan disease.

Ages Up to 30 Months4 locations
View full study

4 trials underway, not taking new volunteers

Underway, not taking new volunteersPhase 3Recently updatedNCT05775848

Study to Evaluate the Efficacy and Safety of BBP-418 (Ribitol) in Patients With Limb Girdle Muscular Dystrophy 2I (LGMD2I)

Tests BBP-418 (ribitol), Placebo

For Limb-Girdle Muscular Dystrophy Type 2I (LGMD2I)

This study will evaluate the safety and efficacy of long-term administration of BBP-418 in patients with LGMD2I/R9. The study will include patients ages 12 to 60, consistent with the existing preclinical toxicology profile. This will encompass the significant majority of existing diagnosed patients based upon the established epidemiology of the disease.

Ages 12 Years - 60 Years21 locations
View full study
Underway, not taking new volunteersUpdated a few months agoNCT07062848

An Observational Study Using Artificial Intelligence (AI) Algorithms on Electrocardiography (ECG), Point-of-care Ultrasound (POCUS), and Transthoracic Echocardiophy (TTE) to Estimate the Under-diagnosis of Transthyretin Amyloid Cardiomyopathy (ATTR-CM) Across a Diverse Range of US Health Systems.

Tests AI Toolkit for ATTR-CM Diagnosis

For Transthyretin (TTR) Amyloid Cardiomyopathy

This is a multi-center, observational study with the overall objective to examine the scale of under-diagnosis for transthyretin amyloid cardiomyopathy (ATTR-CM) across a broad range of diverse health systems in the US using a fully federated deployment of an artificial intelligence (AI) toolkit of algorithms that detect ATTR-CM on electrocardiography (ECG), point-of-care ultrasound (POCUS), and transthoracic echocardiography (TTE).

Ages 50 Years - 95 Years12 locations
View full study
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FDA-approved drugs from BridgeBio Pharma

From the openFDA database. Tap a drug for side effects, dosing and help paying.

Attruby acoramidis hydrochloride

Approved Nov 22, 2024. Taken by mouth.

More about BridgeBio Pharma

Oral infigratinib for achondroplasia (Breakthrough Therapy designation) reported positive Phase 3 PROPEL 3 results in February 2026, and the full results published in the New England Journal of Medicine show children grew about 1.74cm more per year than on placebo in the main analysis, or 2.10cm per year as a simple average.

BridgeBio says it is the first achondroplasia drug to show a statistically significant improvement in body proportions against placebo. On October 6, 2026 the FDA accepted the infigratinib application for children with achondroplasia under priority review, with a decision date of February 4, 2027, and BridgeBio plans to file in Europe in the fourth quarter of 2026.

The FDA is also reviewing 2 more BridgeBio applications: BBP-418 for limb-girdle muscular dystrophy type 2I/R9, with a decision date of November 27, 2026, and encaleret for autosomal dominant hypocalcemia type 1 (ADH1), with a decision date of May 8, 2027.

Where BridgeBio Pharma trials take place

The trials above run at 186 study sites in 25 countries. Tap a country to see its states, cities and hospitals.

United States
95▼
Italy
9▼
United Kingdom
9▼
Australia
7▼
Spain
7▼
Canada
6▼
Netherlands
6▼
France
5▼
Germany
5▼
Brazil
4▼
South Korea
4▼
Japan
3▼

Rare diseases BridgeBio Pharma works on

Each disease page lists every open trial, not only BridgeBio Pharma's, plus approved treatments.

Achondroplasia

Achondroplasia is the most common form of short-limbed dwarfism, caused by a mutation in the FGFR3 gene that disrupts the conversion of cartilage to bone in the growth plates.

How common: Approximately 1 in 25,000 live births; estimated 25,000 to 30,000 people in the United States

ATTR Amyloidosis (Transthyretin Amyloidosis)

ATTR amyloidosis is a rare progressive disease where abnormal transthyretin protein accumulates as amyloid deposits in the heart, nerves, and other organs.

How common: Approximately 5,000 to 7,000 new cases diagnosed annually in the U.S

Canavan Disease

Canavan disease is a rare autosomal recessive leukodystrophy caused by mutations in the ASPA gene affecting aspartoacylase enzyme.

How common: 1 in 13,500 among Ashkenazi Jews; 1 in 100,000 in general population

Hypoparathyroidism

Hypoparathyroidism is an endocrine disorder caused by insufficient production of parathyroid hormone (PTH), resulting in chronically low calcium and elevated phosphorus levels in the blood.

How common: Approximately 22 per 100,000 for postsurgical forms; estimated 70,000 to 77,000 people living with chronic hypoparathyroidism in the United States

Limb-Girdle Muscular Dystrophy

Limb-Girdle Muscular Dystrophy (LGMD) refers to a genetically heterogeneous group of muscular dystrophies characterized by progressive weakness of the hip and shoulder girdle muscles.

How common: Approximately 1 per 14,500 to 1 per 123,000 people depending on geographic region; exact prevalence varies by subtype

Wild-Type ATTR Cardiac Amyloidosis

Wild-type ATTR cardiac amyloidosis is an age-related disease where normal transthyretin protein spontaneously misfolds and accumulates in the heart, causing progressive heart failure.

How common: Estimated to affect up to 13% of males aged 85 and older; substantially underdiagnosed

Where to get support

Patient groups can explain a diagnosis, point you to specialists and tell you about trials before they open. BridgeBio Pharma's own site is bridgebio.com, and our help paying for treatment page lists drugmaker programs and charity funds.

Questions about BridgeBio Pharma