Cardiovascular

Transthyretin Amyloidosis

Also known as ATTR amyloidosis, hATTR, familial amyloid polyneuropathy, TTR amyloidosis

Transthyretin Amyloidosis is caused by misfolding and extracellular deposition of amyloid fibrils derived from transthyretin, a liver-produced transport protein, in multiple organs including the heart, peripheral nerves, and carpal tunnel.

ORPHA:85451 ↗Gene TTRPrevalence Wild-type: estimated 1–5 per 10,000 over age 65; hereditary: varies by variantOnset Adulthood; hereditary form typically 30–60; wild-type after 60Autosomal dominant (hereditary); acquired (wild-type)

87

studies recruiting now

as of 7 Sept 2026

346

studies registered in total

as of 7 Sept 2026

3

countries with a recruiting site

as of 7 Sept 2026

7 Aug 2026

most recent study posted

among recruiting studies

Recruiting trials

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

See all 87 recruiting studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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About Transthyretin Amyloidosis

Transthyretin Amyloidosis is caused by misfolding and extracellular deposition of amyloid fibrils derived from transthyretin, a liver-produced transport protein, in multiple organs including the heart, peripheral nerves, and carpal tunnel. Hereditary ATTR (hATTR), caused by autosomal dominant TTR mutations such as Val30Met and Val122Ile, presents with polyneuropathy and/or cardiomyopathy depending on the variant, while wild-type ATTR (ATTRwt) causes cardiomyopathy exclusively and is substantially underdiagnosed in elderly men with heart failure with preserved ejection fraction. Disease-modifying therapies including TTR stabilisers (tafamidis) and RNA-silencing agents (patisiran, vutrisiran) have transformed the management landscape.

Common clinical features

Cardiac restrictive physiology with heart failure symptomsPeripheral sensorimotor neuropathy (in hATTR)Autonomic neuropathy (orthostatic hypotension, GI dysmotility)Carpal tunnel syndrome, often bilateral and preceding diagnosis by yearsLumbar spinal stenosisIncreased left ventricular wall thickness with preserved or reduced EFDiscordant low-voltage ECG relative to echocardiographic wall thicknessIncreased myocardial uptake on technetium pyrophosphate bone scan

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Treatments being studied

1 approved treatment, from Open Targets (CC BY 4.0). Not medical advice.

Approved: Patisiran

Before you apply

Things trial teams commonly ask about for Transthyretin Amyloidosis. Not eligibility rules; those are set by each study.

  • Tissue biopsy with amyloid typing (Congo red staining and immunohistochemistry or mass spectrometry) or positive bone scan with genetic TTR testing is required to confirm ATTR vs. AL amyloidosis, a critical distinction for trial eligibility.
  • Current or prior use of tafamidis or RNA-silencing therapy may influence eligibility for interventional trials; a detailed treatment history with dates is essential.
  • Functional capacity (6-minute walk test distance and NYHA class) and biomarkers (NT-proBNP, troponin) are standard inclusion and stratification criteria; recent results should be available.

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).