NCT07529938

Mavacamten in Adult Patients With Obstructive Hypertrophic Cardiomyopathy

Mavacamten for Improving Cardiac Function and Clinical Outcomes in Adult Patients With Obstructive Hypertrophic Cardiomyopathy: A Retrospective Cohort Study

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 222 (actual)
• Sponsor: Chinese Academy of Medical Sciences, Fuwai Hospital · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This retrospective cohort study aims to evaluate the clinical efficacy and safety of mavacamten in adult patients with obstructive hypertrophic cardiomyopathy (oHCM). A total of 222 patients were included and categorized based on treatments received in routine clinical practice into a mavacamten group and a standard therapy group. The primary outcome is the change in resting left ventricular outflow tract (LVOT) gradient at Week 30. Secondary outcomes include changes in Valsalva LVOT gradient, New York Heart Association (NYHA) functional class, cardiac biomarkers, and echocardiographic parameters. Safety outcomes include adverse events and left ventricular systolic dysfunction. This study provides real-world evidence on the effectiveness and safety of mavacamten in Chinese patients with oHCM.

Detailed description

Hypertrophic cardiomyopathy (HCM) is a genetic cardiac disorder characterized by left ventricular hypertrophy, with approximately two-thirds of patients presenting with obstructive physiology. Obstructive hypertrophic cardiomyopathy (oHCM) is associated with significant morbidity due to left ventricular outflow tract (LVOT) obstruction. Mavacamten, a first-in-class cardiac myosin inhibitor, directly targets the underlying pathophysiology of oHCM by reducing excessive myosin-actin cross-bridge formation. Although previous randomized clinical trials, such as EXPLORER-CN, have demonstrated its efficacy, real-world data in Chinese populations remain limited. This study is a retrospective cohort study conducted at Fuwai Central China Cardiovascular Hospital. Patients were not assigned to interventions. Instead, they were categorized based on treatments received in routine clinical practice. Eligible adult patients with oHCM who initiated mavacamten therapy were included in the treatment group, while patients receiving standard pharmacological therapy served as the control group. Clinical data were collected from January 2024 to May 2025, with final database lock completed in June 2025. Baseline characteristics, echocardiographic parameters, and laboratory biomarkers were obtained from medical records. The primary endpoint was the change in resting LVOT peak gradient at Week 30 compared with baseline. Secondary endpoints included changes in Valsalva LVOT gradient, NYHA functional class improvement, NT-proBNP, high-sensitivity cardiac troponin I (hs-cTnI), left ventricular ejection fraction (LVEF), and tricuspid annular plane systolic excursion (TAPSE). Safety endpoints included adverse events, serious adverse events, treatment discontinuation, and reduction of LVEF below 50%. This study aims to provide real-world evidence regarding the clinical effectiveness and safety of mavacamten in adult patients with oHCM in China.

Conditions

• Hypertrophic Cardiomyopathy (HCM)
• Obstructive Hypertrophic Cardiomyopathy (oHCM)

Interventions

Type	Name	Description
DRUG	mavacamten	Mavacamten was administered as part of routine clinical care for patients with obstructive hypertrophic cardiomyopathy. This observational study did not assign interventions; instead, patients were categorized based on treatments received in real-world clinical practice. The initial dose was 2.5 mg once daily, with dose adjustments based on left ventricular ejection fraction and LVOT gradient as clinically indicated.

Timeline

• Start date: 2024-01-01
• Primary completion: 2025-05-30
• Completion: 2025-06-30
• First posted: 2026-04-14
• Last updated: 2026-04-17

Locations

1 site across 1 country: China