Transthyretin Amyloid Cardiomyopathy (ATTR CM)Phase 2NCT05442047
A Research Study to Look at How a New Medicine Called NNC6019-0001 Works and How Safe it is for People Who Have Heart Disease Due to Transthyretin (TTR) Amyloidosis
A Phase 2 study testing NNC6019-0001 in people with Transthyretin Amyloid Cardiomyopathy (ATTR CM), run by Novo Nordisk A/S at 39 sites in 10 countries.
Trial summary
This study is testing a potential new medicine, NNC6019-0001, for people who have a heart disease due to TTR amyloidosis.The study will look at if this medicine can reduce the symptoms of a heart disease due to TTR amyloidosis, such as heart failure. Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Transthyretin Amyloid Cardiomyopathy (ATTR CM)
- What is being tested?
- NNC6019-0001
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 105 participants
- Where
- 39 sitesin 10 countries
- Study dates
- 2 Aug 2022to 13 May 2025
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female.
- Age greater than or equal to (>=) 18 to less than (<) 85 years at the time of signing informed consent.
- Have an established diagnosis of Transthyretin amyloid cardiomyopathy (ATTR CM) with either wild-type transhyretin (TTR) or hereditary transthyretin (TTR) genotype as per local standards.
- Expected to be on stable doses of cardiovascular medical therapy 6 weeks prior to the randomisation visit.
- Known end-diastolic interventricular septal wall thickness greater than or equal to (>=) 12 millimeters (mm).
- Presently classified as New York Heart Association (NYHA) Class II-III.
Show all 9Show fewer
- N-terminal-pro brain natriuretic peptide (NT-proBNP) concentration greater than or equal to (>=) 650 picograms per milliliter (pg/mL) in sinus cardiac rhythm and greater than (>) 1000 pg/mL in atrial fibrillation at screening.
- Completed greater than or equal to (>=) 150 meters to less than or equal to (<=) 450 meters on the 6-minute walk test (MWT) at screening.
- Estimated glomerular filtration rate (eGFR) greater than or equal to (>=) 25 milliliter per minute per 1.73 meter square (mL/min/1.73 m^2) at screening.
Who cannot join
- Cardiomyopathy not primarily caused by transthyretin amyloid cardiomyopathy transthyretin amyloid cardiomyopathy (ATTR CM), for example, cardiomyopathy due to hypertension, valvular heart disease, or ischemic heart disease.
- A prior solid organ transplant.
- Planned solid organ transplant during the study.
- Presence or history of malignant neoplasm (other than basal or squamous cell skin cancer, insitu carcinomas of the cervix, or in-situ/high grade prostatic intraepithelial neoplasia (PIN) or low-grade prostate cancer) within 5 years before screening.
- Current treatment with calcium channel blockers with conduction system effects (example [e.g.], verapamil, diltiazem). The use of dihydropyridine calcium channel blockers is allowed. The use of digoxin will only be allowed if required for management of atrial fibrillation with rapid ventricular response.
- Acute coronary syndrome, unstable angina, stroke, transient ischemic attack (TIA), coronary revascularization, cardiac valve repair, or major surgery within 3 months of screening.
- Body weight >120 kilogram (kg) (264.6 pounds [lb]) at screening.
- History of contrast allergy or adverse reactions to gadolinium-containing agents.
Trial locations and contacts
39 sites in 10 countries.
39 sites in 10 countries
United States9 sites
Univ of MD Schl of Med
Baltimore, Maryland, 21201
University of Maryland School of Medicine
Baltimore, Maryland, 21201
Cedars-Sinai Medical Center_Los Angeles
Beverly Hills, California, 90211
NW Univ-Bluhm Cardiovasc Inst
Evanston, Illinois, 60208
Mayo Clinic Jacksonville
Jacksonville, Florida, 32224
Mayo Clinic Arizona
Phoenix, Arizona, 85054
Oregon Hlth Sci Univ-Portland
Portland, Oregon, 97239-4501
Mayo Clinic Rochester
Rochester, Minnesota, 55905
Stanford Hlth Cre-Boswell Clin
Stanford, California, 94305
Japan8 sites
Hospital of the University of Occupational and Environmental Health, Cardiology, Nephrology
Fukuoka, 807-8556
Hospital of the University of Occupational and Environmental Health
Fukuoka, 807-8556
Hiroshima University hospital, Cardiovascular Medicine
Hiroshima, 734-8551
Hiroshima University hospital_Cardiovascular Medicine
Hiroshima, 734-8551
Kumamoto University Hospital, Cardiovascular Medicine
Kumamoto-shi, Kumamoto, 860-8556
Shinshu University Hospital, Department of Neurology
Nagano, 390-8621
Nagasaki University Hospital, Cardiovascular Medicine
Nagasaki, 852-8501
Okayama University Hospital_Cardiovascular Medicine
Okayama-shi, Okayama, 700-8558
Germany5 sites
UniklinikHeidelberg - Innere Med. III - Kardiologie, Angiologie, Pneumologie
Heidelberg, 69120
LMU Klinikum München Klinik und Poliklinik 1
München, 81377
Universitätsklinikum Münster - Klinik für Kardiologie I
Münster, 48149
Universitatsklinikum Wurzburg AöR
Würzburg, 97078
Universitatsklinikum Würzburg - Zentrum für Herzinsuffizienz
Würzburg, 97078
Portugal4 sites
Hospital da Senhora da Oliveira - Guimarães
Guimarães, 4835-044
ULS Do Alto Ave, E.P.E. - Hospital Senhora da Oliveira - Guimarães
Guimarães, 4835-044
Unidade Local de Saude do Alto Ave, E.P.E.
Guimarães, 4835-044
ULS De Tras-Os-Montes E Alto Douro E.P.E. - Unidade Hospitalar de Vila Real
Vila Real, 5000-508
France3 sites
Ap-Hp-Hopital Henri Mondor
Créteil, 94000
Centre Hospitalier Universitaire de Toulouse-Hopital Rangueil
Toulouse, 31059
Centre Hospitalier Universitaire de Toulouse-Hopital Rangueil-1
Toulouse Cedex 9 TSA 50032, 31059
Netherlands3 sites
UMC Groningen afdeling Cardiologie
Groningen, 9713 GZ
UMC Groningen
Groningen, 9713 GZ
Universitair Medisch Centrum Utrecht
Utrecht, 3584 CX
Canada2 sites
University of Calgary_Cardiology
Calgary, Alberta, T2N 4Z6
Ctr for Cardiovascular Innovation
Vancouver, British Columbia, V5Z 1M9
Italy2 sites
Centro per lo Studio e la Cura delle Amiloidosi Sistemiche Fondazione IRCCS Policlinico San Matteo
Pavia, PV, 27100
Fondazione Toscana Gabriele Monasterio - Dipartimento Cardiotoracico - UOC Cardiologia e Medicina Cardiovascolare
Pisa, Pi, 56124
Spain2 sites
Hospital Universitario Puerta de Hierro Majadahonda
Madrid, 28222
Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda, Madrid, 28222
Czechia1 site
II. interni klinika VFN - Kardiologie a angiologie
Prague, 12808
About this study
Official title: Efficacy and Safety of NNC6019-0001 at Two Dose Levels in Participants With Transthyretin Amyloid Cardiomyopathy (ATTR CM)
This study is testing a potential new medicine, NNC6019-0001, for people who have a heart disease due to TTR amyloidosis.The study will look at if this medicine can reduce the symptoms of a heart disease due to TTR amyloidosis, such as heart failure. Participants will either get NNC6019-0001 (apotential new medicine) or placebo (a medicine which has no effect on the body). Which treatment participants get is decided by chance. The chance of getting NNC6019-0001 is two times higher than getting placebo. NNC6019-0001 is not yet approved in any country or region in the world. It is a new medicine that doctors cannot prescribe yet. Participants will get an infusion of the study medicine 13 times, once every 4 weeks. The study will last for about 64 weeks after the first dose of medicine. Participants cannot participate in this study if they have a heart disease other than a heart disease due to TTR amyloidosis.
- Being tested
- NNC6019-0001, Placebo (NNC6019-0001)
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NNC6019-0001Drug
Participants will receive i.v infusionof NNC6019-0001.
Placebo (NNC6019-0001)Drug
Participants will receive i.v. infusion of placebo (NNC6019-0001).
| Study group | Role | What they receive |
|---|---|---|
| NNC6019-0001, Dose 1 | Experimental | Participants will receive dose 1 intravenous (i.v.) infusion of NNC6019-0001 every 4 weeks (Q4W) added to standard of care until week 52. Receives: Drug: NNC6019-0001 |
| NNC6019-0001, Dose 2 | Experimental | Participants will receive dose 2 i.v. infusion of NNC6019-0001 Q4W added to standard of care until week 52. Receives: Drug: NNC6019-0001 |
| Placebo | Placebo comparator | Participants will receive i.v. infusion of placebo (NNC6019-0001) Q4W added to standard of care until week 52. Receives: Drug: Placebo (NNC6019-0001) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in 6-minute walk test (6-MWT)
Measured in Meters
Measured: From baseline (week 0) to visit 15 (week 52)
Change in N-terminal-pro brain natriuretic peptide (NT-proBNP)
Measured in Percentage
Measured: From baseline (week 0) to visit 15 (week 52)
Secondary outcomes (8)
Change in myocardial extracellular volume (ECV)
Measured in Percentage (%)-points
Measured: From baseline (week 0) to visit 15 (week 52)
Change in Kansas City Cardiomyopathy Questionnaire (KCCQ) Clinical Summary Score (CSS)
The KCCQ is a disease-specific health status instrument composed of 23 items that quantify the domains of physical limitation, symptoms, self-efficacy, social limitation, and health-related quality of life limitation from heart failure. The overall summary score and all domains have been independently demonstrated to be valid, reliable, and responsive to clinical change. CSS scores range from 0 to 100 and lower scores represent more severe symptoms and/or limitations and scores of 100 indicate no symptoms, no limitations, and excellent quality of life.
Measured: From baseline (week 0) to visit 15 (week 52)
Change in neuropathy impairment score (NIS)
NIS is a clinical assessment that tests muscle strength, reflex activity, and sensation of toes and fingers, and can be used to assess neurologic function in hereditary transthyretin amyloid (hATTR). The total NIS score is graded on a scale of 0-244, with a higher score indicating greater impairment.
Measured: From baseline (week 0) to visit 15 (week 52)
Change in troponin I
Measured in nanogram per milliliter (ng/mL)
Measured: From baseline (week 0) to visit 15 (week 52)
Change in global longitudinal strain (GLS) on echocardiography
Measured in Percentage (%)-points
Measured: From baseline (week 0) to visit 15 (week 52)
Number of treatment emergent adverse events
Measured as Events
Measured: From baseline (week 0) to visit 16 (week 64)
Time to occurrence of all-cause mortality
Measured in Weeks
Measured: From baseline (week 0) to visit 16 (week 64)
Number of cardiovascular (CV) events comprising hospitalisation due to CV events or urgent heart failure visits
Measured as Events
Measured: From baseline (week 0) to visit 16 (week 64)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jul 2022
- Study start2 Aug 2022
- Primary completion17 Feb 2025
- Study completion13 May 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Transthyretin Amyloid Cardiomyopathy (ATTR CM)Studies of the same condition, open and under way.
- More trials run by Novo Nordisk A/SThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 105 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novo Nordisk A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Transparency 2834, Study director, Novo Nordisk A/S
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05442047
- Sponsor's protocol ID
- NN6019-4940
- Other IDs
- U1111-1271-3861, 2021-006226-49
- Status last verified
- Feb 2026
- First submitted
- 28 Jun 2022
- Last updated
- 17 Feb 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
Publications
Fontana M, Garcia-Pavia P, Grogan M, Shah SJ, Engelmann MDM, Hovingh GK, Kristen AV, Lim-Watson MZ, Malling B, Kar S, Revanna M, Sarswat N, Tsujita K, Alexander KM, Maurer MS. Coramitug, a Humanized Monoclonal Antibody for the Treatment of Transthyretin Amyloid Cardiomyopathy: A Phase 2, Randomized, Multicenter, Double-Blind, Placebo-Controlled Trial. Circulation. 2026 Jan 27;153(4):214-225. doi: 10.1161/CIRCULATIONAHA.125.077304. Epub 2025 Nov 10.
PubMed 41212997Suhr OB, Grogan M, Silva AMD, Karam C, Garcia-Pavia P, Drachman B, Zago W, Tripuraneni R, Kinney GG. PRX004 in variant amyloid transthyretin (ATTRv) amyloidosis: results of a phase 1, open-label, dose-escalation study. Amyloid. 2025 Mar;32(1):14-21. doi: 10.1080/13506129.2024.2420809. Epub 2024 Oct 29.
PubMed 39472768
Study at a glance
From the registry record, last updated by the sponsor on 17 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy and Safety of NNC6019-0001 at Two Dose Levels in Participants With Transthyretin Amyloid Cardiomyopathy (ATTR CM)
- ClinicalTrials.gov ID
- NCT05442047
- Acronym / sponsor ID
- NN6019-4940
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 105 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 2 Aug 2022 (actual)
- Primary completion
- 17 Feb 2025 (actual)
- Study completion
- 13 May 2025 (actual)
- First posted
- 1 Jul 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is testing a potential new medicine, NNC6019-0001, for people who have a heart disease due to TTR amyloidosis.The study will look at if this medicine can reduce the symptoms of a heart disease due to TTR amyloidosis, such as heart failure. Participants will either get NNC6019-0001 (apotential new medicine) or placebo (a medicine which has no effect on the body). Which treatment participants get is decided by chance. The chance of getting NNC6019-0001 is two times higher than getting placebo. NNC6019-0001 is not yet approved in any country or region in the world. It is a new medicine that doctors cannot prescribe yet. Participants will get an infusion of the study medicine 13 times, once every 4 weeks. The study will last for about 64 weeks after the first dose of medicine. Participants cannot participate in this study if they have a heart disease other than a heart disease due to TTR amyloidosis.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| NNC6019-0001, Dose 1 | Experimental | Drug: NNC6019-0001Participants will receive dose 1 intravenous (i.v.) infusion of NNC6019-0001 every 4 weeks (Q4W) added to standard of care until week 52. |
| NNC6019-0001, Dose 2 | Experimental | Drug: NNC6019-0001Participants will receive dose 2 i.v. infusion of NNC6019-0001 Q4W added to standard of care until week 52. |
| Placebo | Placebo comparator | Drug: Placebo (NNC6019-0001)Participants will receive i.v. infusion of placebo (NNC6019-0001) Q4W added to standard of care until week 52. |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Male or female.
- Age greater than or equal to (>=) 18 to less than (<) 85 years at the time of signing informed consent.
- Have an established diagnosis of Transthyretin amyloid cardiomyopathy (ATTR CM) with either wild-type transhyretin (TTR) or hereditary transthyretin (TTR) genotype as per local standards.
- Expected to be on stable doses of cardiovascular medical therapy 6 weeks prior to the randomisation visit.
- Known end-diastolic interventricular septal wall thickness greater than or equal to (>=) 12 millimeters (mm).
Key exclusion criteria (8 listed)
- Cardiomyopathy not primarily caused by transthyretin amyloid cardiomyopathy transthyretin amyloid cardiomyopathy (ATTR CM), for example, cardiomyopathy due to hypertension, valvular heart disease, or ischemic heart disease.
- A prior solid organ transplant.
- Planned solid organ transplant during the study.
- Presence or history of malignant neoplasm (other than basal or squamous cell skin cancer, insitu carcinomas of the cervix, or in-situ/high grade prostatic intraepithelial neoplasia (PIN) or low-grade prostate cancer) within 5 years before screening.
- Current treatment with calcium channel blockers with conduction system effects (example [e.g.], verapamil, diltiazem). The use of dihydropyridine calcium channel blockers is allowed. The use of digoxin will only be allowed if required for management of atrial fibrillation with rapid ventricular response.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NNC6019-0001Participants will receive i.v infusionof NNC6019-0001. | Drug | NNC6019-0001, Dose 1, NNC6019-0001, Dose 2 |
| Placebo (NNC6019-0001)Participants will receive i.v. infusion of placebo (NNC6019-0001). | Drug | Placebo |
Primary outcome
Change in 6-minute walk test (6-MWT)
Time frame: From baseline (week 0) to visit 15 (week 52)
Measured in Meters
Change in N-terminal-pro brain natriuretic peptide (NT-proBNP)
Time frame: From baseline (week 0) to visit 15 (week 52)
Measured in Percentage
8 secondary outcomes
Change in myocardial extracellular volume (ECV)
Time frame: From baseline (week 0) to visit 15 (week 52)
Change in Kansas City Cardiomyopathy Questionnaire (KCCQ) Clinical Summary Score (CSS)
Time frame: From baseline (week 0) to visit 15 (week 52)
Change in neuropathy impairment score (NIS)
Time frame: From baseline (week 0) to visit 15 (week 52)
Change in troponin I
Time frame: From baseline (week 0) to visit 15 (week 52)
Change in global longitudinal strain (GLS) on echocardiography
Time frame: From baseline (week 0) to visit 15 (week 52)
Number of treatment emergent adverse events
Time frame: From baseline (week 0) to visit 16 (week 64)
Time to occurrence of all-cause mortality
Time frame: From baseline (week 0) to visit 16 (week 64)
Number of cardiovascular (CV) events comprising hospitalisation due to CV events or urgent heart failure visits
Time frame: From baseline (week 0) to visit 16 (week 64)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Feb 2026.
- Derived from this study: PubMed 41212997Fontana M, Garcia-Pavia P, Grogan M, Shah SJ, Engelmann MDM, Hovingh GK, Kristen AV, Lim-Watson MZ, Malling B, Kar S, Revanna M, Sarswat N, Tsujita K, Alexander KM, Maurer MS. Coramitug, a Humanized Monoclonal Antibody for the Treatment of Transthyretin Amyloid Cardiomyopathy: A Phase 2, Randomized, Multicenter, Double-Blind, Placebo-Controlled Trial. Circulation. 2026 Jan 27;153(4):214-225. doi: 10.1161/CIRCULATIONAHA.125.077304. Epub 2025 Nov 10.
- Derived from this study: PubMed 39472768Suhr OB, Grogan M, Silva AMD, Karam C, Garcia-Pavia P, Drachman B, Zago W, Tripuraneni R, Kinney GG. PRX004 in variant amyloid transthyretin (ATTRv) amyloidosis: results of a phase 1, open-label, dose-escalation study. Amyloid. 2025 Mar;32(1):14-21. doi: 10.1080/13506129.2024.2420809. Epub 2024 Oct 29.
- Individual participant dataSharing planned: Yes. According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
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Transthyretin Amyloid Cardiomyopathy (ATTR CM)
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Transparency 2834 study director
Novo Nordisk A/S
39 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing NNC6019-0001 in people with Transthyretin Amyloid Cardiomyopathy (ATTR CM), run by Novo Nordisk A/S at 39 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 39 sites in United States, Japan, Germany, Portugal, France and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in 6-minute walk test (6-MWT) (time frame: From baseline (week 0) to visit 15 (week 52)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05442047, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Feb 2026.