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BridgeBio’s Acoramidis Approved in Japan for ATTR-CM Treatment

Japan approves BridgeBio’s Beyonttra (acoramidis) for transthyretin-mediated amyloid cardiomyopathy (ATTR-CM), with Alexion handling commercialization.

Mrudula Kulkarni
By Mrudula Kulkarni
Managing Editor - Pharma Now
Mar 27, 2025Updated Jun 26, 2025 · 2 min read
BridgeBio’s Acoramidis Approved in Japan for ATTR-CM Treatment
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Reviewed by Mrudula Kulkarni, Managing Editor - Pharma Now

BridgeBio Pharma, Inc. (Nasdaq: BBIO) has announced that the Japanese Ministry of Health, Labour and Welfare has approved acoramidis, branded as Beyonttra, for the treatment of transthyretin-mediated amyloid cardiomyopathy (ATTR-CM). This approval provides a new treatment option for Japanese patients suffering from this progressive and fatal disease.

Acoramidis is an orally administered small molecule that stabilizes transthyretin (TTR) with near-complete (≥90%) effectiveness. Increased TTR stability has been linked to reduced all-cause and cardiovascular mortality. The approval is based on positive results from Alexion, AstraZeneca Rare Disease’s Phase 3 study in Japan, as well as BridgeBio’s global ATTRibute-CM Phase 3 trial, which demonstrated a 42% reduction in mortality and cardiovascular hospitalization events compared to placebo at Month 30.

Alexion, AstraZeneca Rare Disease, holds exclusive rights to commercialize Beyonttra in Japan and plans to launch it in the first half of 2025. As part of the agreement, BridgeBio will receive a $30 million milestone payment and royalties in the low double digits on Japanese sales.

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Mrudula Kulkarni
Written by
Mrudula Kulkarni
Managing Editor - Pharma Now

My international experience as a researcher in Taiwan for three years has equipped me with a global perspective, enabling me to create content that resonates with an international audience.



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