TTR Gene and ATTR Amyloidosis: Mutations and Clinical Trials

The TTR gene sits on chromosome 18q12.1, and its full name is transthyretin. Orphanet links TTR to 3 rare conditions and lists variants in the gene as a cause of all of them. Trial Friend's ATTR Amyloidosis (Transthyretin Amyloidosis) page lists TTR among the genes behind the condition. As of September 29, 2026, 10 recruiting or soon-opening trials on ClinicalTrials.gov name TTR as a gene.

Other symbols for TTR in gene databases: CTS, HsT2651.

See the trialsSearch another gene

What the TTR gene does

TTR makes transthyretin, a protein made mainly in the liver that carries vitamin A and the thyroid hormone thyroxine through the blood. To do this, 4 transthyretin proteins join into a unit called a tetramer.

Summarized from the TTR page on MedlinePlus Genetics, U.S. National Library of Medicine, checked September 29, 2026.

TTR and ATTR Amyloidosis (Transthyretin Amyloidosis)

These condition pages list TTR among the genes behind the condition, checked against genetics references when each page was written.

ATTR Amyloidosis (Transthyretin Amyloidosis)

One disease-causing variant can be enough to cause the condition, though not everyone who carries it develops symptoms.

Hereditary ATTR is a TTR variant (V122I is common in people of African ancestry); wild-type ATTR, with no TTR variant, is an acquired form seen mainly in older men.

TTR mutation clinical trials

These recruiting or soon-opening trials mention TTR as a gene in their title, summary, eligibility rules or keywords. Some want people with a variant in it, and others study it more broadly, which is why each trial's own words are shown. In cancer trials the gene change is usually one found in the tumor rather than one a person inherited.

10 trials, checked September 29, 2026. The list refreshes from ClinicalTrials.gov every few hours.

RecruitingNCT07213297
Comprehensive Program for Hereditary Transthyretin Amyloidosis
Amyloidosis in Transthyretin (TTR) · Amyloidosis, Familial
Why it's listed: “…hner Hospital, the trial enrolls participants over 18 years old with confirmed pathogenic TTR variants. It includes thorough evaluations such as genetic testing sponsored by pharmaceutical com…”
RecruitingNCT05489549
Subclinical Transthyretin Cardiac Amyloidosis in V122I TTR Carriers
Amyloidosis, Hereditary · Amyloidosis Cardiac · Amyloidosis, Familial
Why it's listed: “…ubclinical hATTR-CA and to identify biomarkers that indicate amyloid progression in V122I TTR carriers. The central hypothesis of this proposal is that hATTR-CA has a long latency period that…”
RecruitingNCT07791160
Study of Acoramidis in Patients With Transthyretin Amyloid Cardiomyopathy
Transthyretin Amyloid Cardiomyopathy (ATTR-CM)
Why it's listed: “Established diagnosis of ATTR-CM with either wild-type TTR or a variant TTR genotype”
RecruitingNCT04561518
ConTTRibute: A Global Observational Study of Patients With Transthyretin (TTR)-Mediated Amyloidosis (ATTR Amyloidosis)
Transthyretin-Mediated Amyloidosis · ATTR Amyloidosis
Why it's listed: “Diagnosis of ATTR amyloidosis or documented known disease-causing TTR variant for the cohort of pre-symptomatic carriers”
RecruitingPhase 3NCT06563895
Acoramidis Transthyretin Amyloidosis Prevention Trial in the Young (ACT-EARLY) Study in Asymptomatic Carriers of a Pathogenic TTR Variant
Amyloidosis · Amyloid Cardiomyopathy · Transthyretin Amyloidosis
Why it's listed: “…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 know…”
RecruitingNCT05929209
Exploring Biomarkers in Hereditary Transthyretin Amyloidosis
Hereditary Transthyretin Amyloidosis
Why it's listed: “Molecularly defined patients with hereditary transthyretin amyloidosis, carrying TTR pathogenic variants”
RecruitingNCT04636684
Prevalence and Significance of ATTR Aortic Valve Amyloidosis in Degenerative Aortic Stenosis
Amyloidosis
Why it's listed: “…s of ATTR amyloidosis has been proven histologically in a few patients. Sequencing of the TTR gene has shown that they are mainly wild forms. In fact, the prevalence of transthyretin mutat…”
Opening soonNCT07591038
PET/CT Imaging in Carriers of TTR Mutations
ATTR · ATTR Gene Mutation · Cardiomyopathy
Why it's listed: “The purpose of this study is to determine if TTR gene carriers have early signs of a type of heart disease called amyloidosis using a new radiotracer dy…”
Opening soonNCT07538518
PET Imaging Study Using Evuzamitide to Detect Cardiac Amyloidosis in Patients With Inconclusive Nuclear Scans and Elevated TAD1 Levels
Amyloidogenic Transthyretin (ATTR) Amyloidosis · Cardiac Amyloidosis
Why it's listed: “Diagnosed as having heart failure or TTR variant allele carriers without symptoms of heart failure.”
Opening soonNCT05974644
Southeastern ATTR Amyloidosis Consortium: SEATTRAC Family Registry
Amyloidosis, Hereditary
Why it's listed: “…ospective registry including asymptomatic and symptomatic patients who carry a pathogenic TTR mutation. The study will enroll patients who meet the inclusion criteria and none of the exclusion…”

All conditions linked to TTR gene mutations

Orphanet records how each gene relates to each condition. Orphanet links TTR to 3 rare conditions and lists variants in the gene as a cause of all of them.

  • Causes it. Disease-causing variants in this gene are a direct cause of the condition.
ATTRV122I amyloidosisCauses itOrphanet
ATTRV30M amyloidosisCauses itOrphanet
Euthyroid dysprealbuminemic hyperthyroxinemiaCauses itOrphanet

TTR genetic test results and what a variant can mean

Labs sort each variant they find into 5 groups, from pathogenic and likely pathogenic through uncertain significance to likely benign and benign. Only the first 2 are usually treated as the cause of a condition. A variant of uncertain significance, or VUS, is one without enough evidence either way yet, and labs can reclassify it as research builds.

A genetic counselor or your doctor can explain what a specific result means for you and your family. Our genetic testing guide covers the terms, and MedlinePlus Genetics from the National Library of Medicine has a plain-language page on TTR.

TTR gene questions

What does the TTR gene do?

TTR makes transthyretin, a protein made mainly in the liver that carries vitamin A and the thyroid hormone thyroxine through the blood. To do this, 4 transthyretin proteins join into a unit called a tetramer. This summary follows MedlinePlus Genetics from the U.S. National Library of Medicine.

Are there clinical trials for people with TTR gene variants?

As of September 29, 2026, 10 recruiting or soon-opening trials on ClinicalTrials.gov name TTR as a gene. Each one is listed on this page with the words from the trial that mention the gene. ClinicalTrials.gov also lists 71 open trials for ATTR Amyloidosis (Transthyretin Amyloidosis), and Match Me on Trial Friend can check those against age, sex, location and treatment history.

What conditions are linked to the TTR gene?

Orphanet links TTR to 3 rare conditions and lists variants in the gene as a cause of all of them. They include ATTRV122I amyloidosis, ATTRV30M amyloidosis and Euthyroid dysprealbuminemic hyperthyroxinemia. Orphanet is the European rare disease database run by INSERM in Paris.

How is ATTR Amyloidosis (Transthyretin Amyloidosis) inherited?

The inheritance pattern is autosomal dominant with reduced penetrance. One disease-causing variant can be enough to cause the condition, though not everyone who carries it develops symptoms. Hereditary ATTR is a TTR variant (V122I is common in people of African ancestry); wild-type ATTR, with no TTR variant, is an acquired form seen mainly in older men.

What does a TTR variant of uncertain significance mean?

A variant of uncertain significance, or VUS, is a change in the gene that labs don't yet have enough evidence to call disease-causing or harmless. It is not used on its own to diagnose a condition, and labs can reclassify it as research builds. A genetic counselor can explain what a specific result means for you and your family.

Sources

  • Gene and condition links from Orphadata (Orphanet, INSERM US14), used under CC BY 4.0, read September 29, 2026.
  • Trials from ClinicalTrials.gov, read September 29, 2026.
  • TTR gene, MedlinePlus Genetics, U.S. National Library of Medicine.
  • Inheritance and gene notes from the Trial Friend condition pages above, each checked against genetics references.

Other gene pages

The gene search covers every gene Orphanet links to a rare disease.