Home/Rare Diseases/Wild-Type ATTR Cardiac Amyloidosis

Cardiovascular

Wild-Type ATTR Cardiac Amyloidosis (SSA) Clinical Trials

Also called ATTRwt, Senile systemic amyloidosis, SSA, Wild-type transthyretin amyloidosis, Age-related ATTR, ATTR-CM wild-type, Non-hereditary ATTR

Wild-type ATTR cardiac amyloidosis is a spontaneous age-related disease where normal transthyretin protein becomes unstable and misfolds into amyloid fibrils that accumulate in cardiac tissue. Unlike hereditary ATTR, no genetic mutation causes the disease.

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About Wild-Type ATTR Cardiac Amyloidosis

Wild-type ATTR cardiac amyloidosis is a spontaneous age-related disease where normal transthyretin protein becomes unstable and misfolds into amyloid fibrils that accumulate in cardiac tissue. Unlike hereditary ATTR, no genetic mutation causes the disease. The condition creates restrictive cardiomyopathy with preserved ejection fraction, producing prominent right-sided heart failure symptoms including lower extremity edema and fluid retention.

Cardiac manifestations include increased wall thickness, restrictive filling patterns, and frequent atrial fibrillation (affecting 40 to 60% of patients). Importantly, carpal tunnel syndrome often appears 8 to 10 years before detectable cardiac involvement, providing a potential window for early diagnosis. The disease predominantly affects very elderly males, yet remains profoundly underdiagnosed as symptoms are often attributed to other common conditions.

Diagnosis combines cardiac imaging, tissue biopsy with Congo red staining, genetic testing confirming absence of TTR mutations, and nuclear scintigraphy or cardiac MRI. Recent studies suggest wild-type ATTR may account for 5 to 10% of heart failure cases in elderly populations.

Common Symptoms of Wild-Type ATTR Cardiac Amyloidosis

Recognizing the signs of Wild-Type ATTR Cardiac Amyloidosis early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.

  • Shortness of breath and exercise intolerance
  • Leg and ankle swelling
  • Fatigue and weakness
  • Irregular heartbeat or palpitations
  • Fainting or near-fainting from conduction abnormalities
  • Carpal tunnel syndrome (may precede cardiac symptoms by 8 to 10 years)

Who Wild-Type ATTR Cardiac Amyloidosis Affects

Wild-type ATTR predominantly affects males over 60 years old, with mean age of symptom onset around 80 years. Male predominance ranges from 75 to 91% in clinical populations. Female cases are increasingly recognized but remain less common.

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Help Paying for Wild-Type ATTR Cardiac Amyloidosis Treatment

Charity funds and drugmaker programs for Wild-Type ATTR Cardiac Amyloidosis, checked at the source. Pick your insurance to see what fits.

Your insurance
Charity funds
  • From a charity · HealthWell Foundation
    Amyloidosis fund
    Open

    Pays for: Copays, premiums or other treatment costs.

  • From a charity · HealthWell Foundation
    Cardiomyopathy (Medicare Access) fund
    Open

    Pays for: Copays, premiums or other treatment costs. Medicare patients only.

  • From a charity · NORD RareCare
    Amyloidosis Medical Assistance fund
    Open

    Pays for: Medical and medication costs.

    The foundation says: “Accepting Applications”
  • From a charity · NORD RareCare
    Amyloidosis Premium Copay Assistance fund
    Open

    Pays for: Insurance premiums and copays.

    The foundation says: “Accepting Applications”
  • From a charity · The Assistance Fund
    Amyloidosis fund
    Open

    Pays for: Copays, coinsurance, deductibles and other health-related expenses.

    The foundation says: “OPEN — Accepting New Patients. TAF is currently accepting new patient enrollments for this program.”
  • From a charity · TotalAssist (formerly PAN Foundation)
    Amyloidosis fund
    Open

    Pays for: Out-of-pocket costs for approved medications, up to $5,500 per year. Requires Medicare, Medicaid or TRICARE.

Status as each foundation showed it on September 28, 2026.

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Genetic Testing

Genetic testing can confirm a diagnosis, guide treatment decisions, and identify family members who may be at risk.

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Trusted Wild-Type ATTR Cardiac Amyloidosis Resources

Reputable organizations and medical references for learning more about Wild-Type ATTR Cardiac Amyloidosis, including disease registries, foundation resources, and clinical guidelines.

Active Clinical Trials for Wild-Type ATTR Cardiac Amyloidosis

Use this Wild-Type ATTR Cardiac Amyloidosis clinical trial finder to see the 15 studies recruiting patients in the United States and worldwide, with eligibility criteria in plain English. These studies play a critical role in advancing care for cardiovascular conditions and may offer access to treatments not yet widely available. Each trial below is sourced directly from ClinicalTrials.gov, with eligibility criteria translated into plain English to help patients and caregivers evaluate whether a study may be a fit.

TrialsSite mapPipeline timelineMedication checker

Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

15 active trials worldwide
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RECRUITINGPHASE4Recently updatedNCT07298044

A Study to Learn More About the Change in the Blood Levels of Transthyretin When Participants With Transthyretin Amyloidosis With Cardiomyopathy Switch From Tafamidis to Acoramidis

Intervention: Acoramidis

Sponsor: Bayer

Transthyretin (TTR) is a protein made by the liver that helps transport thyroid hormone and vitamin A in the blood. In some people, this protein breaks down and forms harmful clumps called amyloid. TTR amyloid gets deposited in the heart wall and stops it from pumping blood prope...

Ages 18 Years – 90 Years26 locations
Started Feb 2026Updated 1 week agoEst. Jul 2027 (~9 months)
RECRUITINGRecently updatedNCT06465810

Non-interventional Study of Patients With Transthyretin (ATTR) Amyloidosis

Intervention: Treatment of transthyretin (ATTR) amyloidosis in observational study setting

Sponsor: AstraZeneca · ICON plc

The MaesTTRo study aims to enroll a global cohort of patients with transthyretin (ATTR) amyloidosis to longitudinally observe the natural course of the disease and describe real-world treatment patterns and outcomes. In addition, information on the effectiveness of ATTR amyloidos...

Ages 18 Years – 130 Years89 locations
Started Jun 2024Updated 1 week agoEst. Dec 2031 (~5y 2m)
RECRUITINGPHASE3Recently updatedNCT07052903

TRITON-CM: A Study to Evaluate Nucresiran in Patients With Transthyretin Amyloidosis With Cardiomyopathy

Intervention: Nucresiran, Sterile Normal Saline (0.9% NaCl)

Sponsor: Alnylam Pharmaceuticals

The purpose of this study is to:

* Evaluate the efficacy of nucresiran compared to placebo on reducing all-cause mortality and cardiovascular (CV) events

* Evaluate the efficacy of nucresiran compared to placebo on additional assessments of CV events and/or death

Ages 18 Years – 85 Years265 locations
Started Jul 2025Updated 2 weeks agoEst. May 2030 (~3y 7m)
RECRUITINGRecently updatedNCT07791160

Study of Acoramidis in Patients With Transthyretin Amyloid Cardiomyopathy

Intervention: Acoramidis

Sponsor: Bayer

Transthyretin amyloid cardiomyopathy (ATTR-CM) is a progressive heart disease caused by the buildup of an abnormal protein, called transthyretin (TTR), in the heart. This buildup can make it harder for the heart to pump blood and may lead to worsening symptoms over time. Acoramid...

Ages 18 Years+1 location
Started Sep 2026Updated 2 weeks agoEst. Dec 2028 (~2y 2m)
RECRUITINGRecently updatedNCT04561518

ConTTRibute: A Global Observational Study of Patients With Transthyretin (TTR)-Mediated Amyloidosis (ATTR Amyloidosis)

Sponsor: Alnylam Pharmaceuticals

The purpose of this study is to:

* Describe epidemiological and clinical characteristics, natural history and real-world clinical management of ATTR amyloidosis patients

Ages not specified40 locations
Started Nov 2020Updated 3 weeks agoEst. Dec 2033 (~7y 2m)
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Active trial locations63 cities in the US
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Trial Pipeline

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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
Always talk to your doctor before considering a clinical trial.

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Related Cardiovascular Conditions

Other rare diseases in the cardiovascular category. Patients with Wild-Type ATTR Cardiac Amyloidosis may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Companies Developing Wild-Type ATTR Cardiac Amyloidosis Treatments

1 pharmaceutical company has Wild-Type ATTR Cardiac Amyloidosis in their rare disease portfolio

Frequently Asked Questions About Wild-Type ATTR Cardiac Amyloidosis