A Prospective Registry Study to Assess Real-world Patient Characteristics, Treatment Patterns, and Longitudinal Outcomes in Patients Receiving Mavacamten and Other Treatments for Symptomatic Obstructive Hypertrophic Cardiomyopathy (Obstructive-HCM)
Recruiting · NCT05489705 · Observational (researchers observe without assigning treatment) · Lead sponsor: Bristol-Myers Squibb
View the official record on ClinicalTrials.gov →Interventions studied
What this trial is about
This registry evaluates patient characteristics, real-world treatment patterns, and short- and long-term outcomes in a population of patients in the United States and Europe with symptomatic obstructive hypertrophic cardiomyopathy (HCM) who are receiving mavacamten, receiving other treatment for obstructive HCM, or not receiving treatment for obstructive HCM due to intolerance or failure of prior treatment. United States Sub-Study: The purpose of this study is to evaluate the safety of mavacamten in patients with symptomatic obstructive HCM in the real-world setting. Europe Sub-Study: The purpose of this study is to evaluate the effectiveness and safety of mavacamten in patients with symptomatic obstructive HCM in the real-world setting.
Who can take part
Inclusion criteria
- ≥ 18 years of age at the time of informed consent.
- Willing and able to provide written informed consent form (ICF) and any required privacy authorization prior to the initiation of study procedures (or in those situations where consent cannot be given by participants, consent provided by their legally acceptable representatives)
- United States Sub-Study
- Diagnosis of obstructive HCM consistent with 2020 American Heart Association/American College of Cardiology (AHA/ACC) guidelines.
- Obstructive HCM is defined clinically by the presence of increased LV wall thickness ≥ 15 mm (or ≥ 13 mm with positive family history of HCM) in a nondilated ventricular chamber that is not solely explained by abnormal loading conditions (eg, another cardiac or systemic disease) and peak LVOT gradient of ≥ 30 mmHg at rest or with provocation.
- Has documented LVEF of ≥ 55% recorded by echocardiography within the last 6 months.
- Symptoms consistent with NYHA functional class II-IV.
- Receiving beta blocker (BB)s, non-dihydropyridine calcium. channel blockers (nonDHP CCBs), disopyramide, and/or mavacamten (once available) as part of routine clinical care; or currently receiving no treatment due to intolerance or failure of prior treatment (eg, BBs, non-DHP CCBs, or disopyramide) for obstructive HCM.
- European Sub-study
- Diagnosis of obstructive HCM consistent with the most recent European Society of Cardiology (ESC) and American Heart Association/American College of Cardiology (AHA/ACC) guidelines
- Documented LVEF of ≥55% recorded by TTE
- Documented symptoms consistent with NYHA functional class II-III at enrollment or within 6 months prior to enrollment (if not available at enrollment).
- As part of routine clinical care for obstructive HCM: receiving BBs, non-DHP CCBs, disopyramide; initiating mavacamten at enrollment; or currently receiving no treatment due to intolerance or failure of prior treatment (e.g., BBs, non-DHP CCBs, or disopyramide).
Exclusion criteria
- Known phenocopy disease (e.g., Fabry disease, amyloidosis) or LV hypertrophy associated with hypertension.
- Documentation of any fixed obstruction of the outflow tract such as aortic valve stenosis or replacement.
- Prior treatment of obstructive HCM with invasive septal reduction (surgical myectomy or percutaneous alcohol septal ablation \[ASA\]) within 6 months prior to enrollment; participants with an unsuccessful myectomy or percutaneous ASA performed \> 6 months prior to enrollment may be enrolled.
- Naïve to treatment for obstructive HCM (ie, never treated with BBs, nonDHP CCBs, or disopyramide).
- United States Sub-Study
- Receiving an investigational therapeutic agent for obstructive HCM (eg, myosin-inhibitors other than mavacamten) in an interventional clinical trial at participant enrollment.
- Previously or currently enrolled in a long-term safety extension study of mavacamten (eg, EXPLORER-HCM \[ClinicalTrials.gov, NCT03470545\], MAVA-LTE \[NCT03723655\], PIONEER-OLE \[NCT03496168\], VALORHCM \[NCT04349072\], or MAVERICK \[NCT03442764\])
- European Sub-study
- Receiving an investigational therapeutic agent or any cardiac myosin inhibitor and/or modulators for obstructive HCM at patient enrolment
- Previously or currently enrolled in other HCM registry studies (e.g., TORCH, REMY, EU-PASS)
- Previously or currently enrolled in a study of mavacamten (e.g., EXPLORER-HCM \[ClinicalTrials.gov, NCT03470545\], MAVA-LTE \[NCT03723655\], PIONEER-OLE \[NCT03496168\], VALOR-HCM \[NCT04349072\], MAVERICK \[NCT03442764\], or MEMENTO \[NCT2264899\])
- Previously treated with mavacamten
Where it is running
60 locations listed across 31 US states.
- Alaska Heart Institute - Anchorage, Alaska, United States
- Pima Heart and Vascular - Tucson, Arizona, United States
- UAMS - Little Rock, Arkansas, United States
- Local Institution - 0037 - La Jolla, California, United States
- Keck School of Medicine of USC-Usc - Los Angeles, California, United States
- Stanford Health Care Hospital & Clinics - Palo Alto, California, United States
- University Of California San Francisco Medical Center - San Francisco, California, United States
- UC Denver, AMC - Aurora, Colorado, United States
- Local Institution - 0067 - Hartford, Connecticut, United States
- MedStar Washington Hospital Center - Washington D.C., District of Columbia, United States
- Local Institution - 0065 - Jacksonville, Florida, United States
- Local Institution - 0046 - Honolulu, Hawaii, United States
- University of Chicago Dept of Medicine - Chicago, Illinois, United States
- Indiana. University - Indianapolis, Indiana, United States
- Franciscan Physician Network-Indiana Heart Physicians - Indianapolis, Indiana, United States
- Local Institution - 0045 - Iowa City, Iowa, United States
- Local Institution - 0059 - Baltimore, Maryland, United States
- MedStar Health Research Institute - Baltimore, Maryland, United States
- Harvard (Massachusetts General Hospital) - Boston, Massachusetts, United States
- Harvard Medical School - Brigham and Women's Hospital (BWH) - Boston, Massachusetts, United States
- Spectrum Health Medical Group - Grand Rapids, Michigan, United States
- Henry Ford Health System - West Bloomfield, Michigan, United States
- Minneapolis Heart Institute Foundation - Minneapolis, Minnesota, United States
- Cardiology Associates Research, Llc - Tupelo, Mississippi, United States
- St. Luke's Mid-America Heart Institute - Kansas City, Missouri, United States
- Local Institution - 0033 - Kansas City, Missouri, United States
- Washington University - St Louis, Missouri, United States
- CHI Health Reseach Center - Omaha, Nebraska, United States
- Hackensack University Medical Center - Hackensack, New Jersey, United States
- Local Institution - 0026 - Morristown, New Jersey, United States
- Bassett Medical Center - Cooperstown, New York, United States
- Local Institution - 0009 - New York, New York, United States
- Mount Sinai Hospital - New York, New York, United States
- Saint Francis Hospital - Roslyn, New York, United States
- WMCHealth Advanced Physician Services - Valhalla, New York, United States
- Focus Clinical Research - Charlotte, North Carolina, United States
- Duke University Health System - Durham, North Carolina, United States
- Christ Hospital Health Network - Cincinnati, Ohio, United States
- University Hospitals Cleveland Medical Center - Cleveland, Ohio, United States
- Local Institution - 0003 - Cleveland, Ohio, United States
- St. Luke's University Health Network - Bethlehem, Pennsylvania, United States
- Local Institution - 0076 - Lancaster, Pennsylvania, United States
- University Of Pittsburgh - Pittsburgh, Pennsylvania, United States
- Geisinger Health System - Wilkes-Barre, Pennsylvania, United States
- Prisma Health - Upstate - Greenville, South Carolina, United States
- Tristar Centennial Medical Ctr - Nashville, Tennessee, United States
- Saint Thomas Health - Nashville, Tennessee, United States
- North Texas Cardiology Center - Dallas, Texas, United States
- Baylor Scott & White Research Institute - Dallas, Texas, United States
- The Methodist Hospital, Methodist Cancer Cencer - Houston, Texas, United States
- BI Research Center - Houston, Texas, United States
- Baylor Scott & White The Heart Hospital Plano - Plano, Texas, United States
- Baylor Scott & White Medical Centre - Temple - Temple, Texas, United States
- The Rector and Visitors of the Univ of Virginia - Charlottesville, Virginia, United States
- VCU Medical Center - Richmond, Virginia, United States
- Carilion Clinic; Virginia Tech-Carilion School of Medicine - Roanoke, Virginia, United States
- Virginia Mason Medical Center - Seattle, Washington, United States
- WVU Hospitals - Morgantown, West Virginia, United States
- Local Institution - 0004 - Madison, Wisconsin, United States
- Medical College of Wisconsin, Inc (PI Address) - Milwaukee, Wisconsin, United States
Showing 60 of 101 listed sites. See the official record for the complete list.
Read the full protocol, contacts and eligibility on ClinicalTrials.gov →