ClinicalTrials.gg
CompletedNCT03442764MAVERICK-HCMUpdated Aug 9, 2022Results posted

A Phase 2 Study of Mavacamten in Adults With Symptomatic Non-Obstructive Hypertrophic Cardiomyopathy (nHCM)

A Phase 2 interventional study of mavacamten and Placebo in Non-obstructive Hypertrophic Cardiomyopathy, sponsored by MyoKardia, Inc.. Completed at 32 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-08-09.

Sponsored by MyoKardia, Inc. (part of Bristol-Myers Squibb) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
59
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 21 studies testing MYK-461 in Cardiomyopathy, Hypertrophic — 3 open to participants now, 7 under way, 1 of them phase 3. MYK-461 · Cardiomyopathy, Hypertrophic.

Enrollment
13th of 21
59 · median 75
Started
2018
with 3 others
Phase 2
3 of 21
none open now
Registered
4th of 21
by date
Lead sponsor
5 of 21
MyoKardia, Inc.

Among the 21 studies testing MYK-461 in Cardiomyopathy, Hypertrophic, this one is the 13th largest by enrollment, is one of 4 that started in 2018, is one of 3 in phase 2, and was the 4th registered.

Cardiomyopathy, Hypertrophic

363 studies on the registry are indexed under Cardiomyopathy, Hypertrophic; 116 are open to participants now.

Browse Cardiomyopathy, Hypertrophic studies →

Open to participants now

3 of the 21 studies testing MYK-461 in Cardiomyopathy, Hypertrophic are open now, in 2 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

About MYK-461

MYK-461: first FDA approval 2022 (CAMZYOS), first EMA approval 2023. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 81 Cardiomyopathy, Hypertrophic studies recruiting now, 55 (68%) set no upper age limit and 8 (10%) stop at 75 or younger; 21 take children under 18; 13 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 21 studies testing MYK-461 in Cardiomyopathy, Hypertrophic, or all of them as a file.
02

Study summary

This is a multicenter, exploratory, randomized, double-blind study of the administration of mavacamten in 60 participants with symptomatic nHCM randomized to receive a 16-week course of mavacamten doses titrated to achieve 1 of 2 target drug concentrations.

03

Conditions studied

  • Non-obstructive Hypertrophic Cardiomyopathy
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Diagnosed with nHCM (hypertrophied and non-dilated left ventricle in absence of systemic or other known cause), with LV wall thickness ≥ 15mm at Screening or ≥ 13mm with a positive family history of HCM.
  • Age 18 and greater, Body weight > 45kg
  • Documented ≥ 55% at the Screening as determined by echo central lab
  • LVOT gradient \< 30 mmHg at rest AND during Valsalva AND post-exercise
  • functional class II or III
  • Elevated NT-proBNP at rest

Key Exclusion Criteria:

  • History of syncope, sustained ventricular tachyarrhythmia with exercise, obstructive coronary artery disease or myocardial infarction within the past 6 months
  • History of resuscitated sudden cardiac arrest at any time or known appropriate implantable cardioverter defibrillator (ICD) discharge within 6 months prior to Screening
  • Current treatment with disopyramide or ranolazine (within 14 days prior to Screening)
  • Current or planned treatment during the study with a combination of beta-blockers and calcium channel blockers
  • Has been treated with invasive septal reduction (surgical myectomy or percutaneous alcohol septal ablation [ASA]) within 6 months prior to Screening
  • History of resting or post-exercise LVOT >30 mmHg unless subsequently treated by septal reduction
  • Has Fridericia (QTcF) >480 ms or any other abnormality considered by the investigator to pose a risk to participant safety (eg, second-degree atrioventricular block type II)
  • Has persistent or permanent atrial fibrillation not on anticoagulation for at least 4 weeks prior to Screening and/or not adequately rate-controlled within 1 year of Screening
  • History of malignant disease within 10 years such as non- cutaneous squamous cell or basal cell carcinoma
  • History or evidence of any other clinically significant disorder, condition, or disease that, in the opinion of the investigator or MyoKardia physician, would pose a risk to subject safety or interfere with the study evaluation, procedures, or completion.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
59 participants (actual)

Study arms

  • Experimental
    Group 1

    Active Treatment for participants with base target trough concentration

    Drug: mavacamten

  • Experimental
    Group 2

    Active Treatment for participants with higher target trough concentration

    Drug: mavacamten

  • Placebo comparator
    Placebo

    Placebo Group

    Drug: Placebo

Interventions

  • MYK-461

    Also known as: MYK-461

  • DrugPlacebo

    Placebo

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Who Experienced at Least One Treatment Emergent Adverse Event (TEAE)

    This is the percentage of participants who experienced at least one treatment emergent adverse event (TEAE)

    Time frame: From first dose to 8 weeks following last dose (Up to 24 weeks)

  2. Percentage of Participants Who Experienced at Least One Serious Treatment-emergent Adverse Event (STEAE)

    This is the percentage of participants who experienced at least one serious treatment-emergent adverse event (STEAE)

    Time frame: From first dose to 8 weeks following last dose (Up to 24 weeks)

07

Results

Posted Aug 9, 2022

Participant flow

In total, 157 participants were assessed for eligibility and 59 were enrolled from 35 sites in the United States.

Participant flow — Overall Study
MilestoneGroup 1Group 2Placebo
Started192119
Completed182119
Not completed100
Withdrew: Adverse event100

Outcome measures

PrimaryPercentage of Participants Who Experienced at Least One Treatment Emergent Adverse Event (TEAE)

This is the percentage of participants who experienced at least one treatment emergent adverse event (TEAE)

Time frame:
From first dose to 8 weeks following last dose (Up to 24 weeks)
Reported as:
Number · percentage of participants
Percentage of Participants Who Experienced at Least One Treatment Emergent Adverse Event (TEAE)
percentage of participantsGroup 1Group 2Placebo
Percentage of Participants Who Experienced at Least One Treatment Emergent Adverse Event (TEAE)88.990.568.4
PrimaryPercentage of Participants Who Experienced at Least One Serious Treatment-emergent Adverse Event (STEAE)

This is the percentage of participants who experienced at least one serious treatment-emergent adverse event (STEAE)

Time frame:
From first dose to 8 weeks following last dose (Up to 24 weeks)
Reported as:
Number · percentage of participants
Percentage of Participants Who Experienced at Least One Serious Treatment-emergent Adverse Event (STEAE)
percentage of participantsGroup 1Group 2Placebo
Percentage of Participants Who Experienced at Least One Serious Treatment-emergent Adverse Event (STEAE)11.19.521.1

Adverse events

Collected over From first dose to 8 weeks following last dose (Up to 24 weeks). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group 1 Mavacamten0/18 (0%)2/18 (11.1%)16/18 (88.9%)
Group 2 Mavacamten0/21 (0%)2/21 (9.5%)18/21 (85.7%)
Combined MAVA Treatment Group (Group 1+ Group 2)0/39 (0%)4/39 (10.3%)34/39 (87.2%)
Placebo0/19 (0%)4/19 (21.1%)11/19 (57.9%)
Most frequent serious events
Most frequent serious events
EventGroup 1 MavacamtenGroup 2 MavacamtenCombined MAVA Treatment Group (Group 1+ Group 2)Placebo
Atrial fibrillationCardiac disorders0/182/212/391/19
ArthritisMusculoskeletal and connective tissue disorders1/180/211/390/19
Mental status changesPsychiatric disorders1/180/211/390/19
Renal FailureRenal and urinary disorders1/180/211/390/19
Angina pectorisCardiac disorders0/180/210/391/19
Atrial FlutterCardiac disorders0/180/210/391/19
Coronary artery diseaseCardiac disorders0/180/210/391/19
Systolic dysfunctionCardiac disorders0/181/211/390/19
Most frequent other events
Showing 10 of 72
Most frequent other events
EventGroup 1 MavacamtenGroup 2 MavacamtenCombined MAVA Treatment Group (Group 1+ Group 2)Placebo
PalpitationsCardiac disorders1/185/216/393/19
DizzinessNervous system disorders3/184/217/391/19
FatigueGeneral disorders2/183/215/393/19
DyspnoeaRespiratory, thoracic and mediastinal disorders1/183/214/393/19
Upper respiratory tract infectionInfections and infestations1/183/214/390/19
ConstipationGastrointestinal disorders2/182/214/390/19
NauseaGastrointestinal disorders2/182/214/392/19
Abdominal distensionGastrointestinal disorders2/180/212/390/19
NasopharyngitisInfections and infestations2/182/214/392/19
Tooth abscessInfections and infestations2/180/212/390/19

Baseline characteristics

Age, Continuous
Age, Continuous(years)Group 1Group 2PlaceboTotal
Mean58.3 ± 13.750.0 ± 14.753.8 ± 18.253.9 ± 15.7
Sex: Female, Male
Sex: Female, Male(Participants)Group 1Group 2PlaceboTotal
Female9121334
Male109625
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Group 1Group 2PlaceboTotal
Hispanic or Latino0235
Not Hispanic or Latino18191552
Unknown or Not Reported1012
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Group 1Group 2PlaceboTotal
American Indian or Alaska Native0000
Asian1001
Native Hawaiian or Other Pacific Islander0000
Black or African American1102
White17181752
More than one race0000
Unknown or Not Reported0224
NT-proBNP
NT-proBNP(ng/L)Group 1Group 2PlaceboTotal
Mean1160.7 ± 859.02933.3 ± 719.411164.1 ± 817.701080.8 ± 791.97
Troponin-I
Troponin-I(participants)Group 1Group 2PlaceboTotal
Elevated67619
Detectable Not Elevated610521
Undetectable64818
Missing1001
New York Heart Association (NYHA) Functional Classification
New York Heart Association (NYHA) Functional Classification(Participants)Group 1Group 2PlaceboTotal
Class II15181346
Class III43613
08

Study locations

32 sites
  • Mayo Clinic Arizona
    Scottsdale, Arizona 85259, United States
  • Cedars-Sinai Medical Center (Smidt Heart Institute)
    Los Angeles, California 90048, United States
  • Stanford Hospital and Clinics/Stanford University
    Palo Alto, California 94305, United States
  • University of California, San Francisco
    San Francisco, California 94143, United States
  • Yale New Haven Hospital
    New Haven, Connecticut 06520, United States
  • Northwestern University
    Evanston, Illinois 60208, United States
  • St. Vincent Medical Group
    Indianapolis, Indiana 46260, United States
  • University of Iowa Hospitals and clinics
    Iowa City, Iowa 52242, United States
  • University of Maryland Medical System
    Baltimore, Maryland 21201, United States
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
  • Michigan Medicine
    Ann Arbor, Michigan 48109, United States
  • Henry Ford Hospital
    Detroit, Michigan 48202, United States
  • Washington University School of Medicine
    Saint Louis, Missouri 63110, United States
  • NYU Winthrop Hospital
    Mineola, New York 11501, United States
  • NYU Langone Medical Center
    New York, New York 10016, United States
  • Carolinas Medical Center
    Charlotte, North Carolina 28203, United States
  • Duke Cardiology at Southpoint
    Durham, North Carolina 27713, United States
  • University of Cincinnati Medical Center
    Cincinnati, Ohio 45219, United States
  • Oregon Health and Science University
    Portland, Oregon 97239, United States
  • St. Luke's Cardiology Associates
    Bethlehem, Pennsylvania 18018, United States
  • Penn State Health Milton S. Hershey Medical Center
    Hershey, Pennsylvania 17033-0850, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • UPMC Presbyterian
    Pittsburgh, Pennsylvania 15213, United States
  • The University of Texas Southwestern Medical Center at Dallas
    Dallas, Texas 75390-9034, United States
  • Baylor St. Luke Medical Center at Houston, Texas Heart Institute Out-patient Clinic
    Houston, Texas 77030, United States
  • Houston Methodist Hospital
    Houston, Texas 77030, United States
  • Intermountain Medical Center
    Murray, Utah 84107, United States
  • University of Utah Medical Center
    Salt Lake City, Utah 84132, United States
  • University of Virginia
    Charlottesville, Virginia 22908, United States
  • Virginia Commonwealth University
    Richmond, Virginia 23298, United States
  • University of Washington Medical Center
    Seattle, Washington 98195, United States
  • Unity Point Health Meriter Heart and Vascular Institute
    Madison, Wisconsin 53713, United States
09

References and documents

Publications

  • Ho CY, Mealiffe ME, Bach RG, Bhattacharya M, Choudhury L, Edelberg JM, Hegde SM, Jacoby D, Lakdawala NK, Lester SJ, Ma Y, Marian AJ, Nagueh SF, Owens A, Rader F, Saberi S, Sehnert AJ, Sherrid MV, Solomon SD, Wang A, Wever-Pinzon O, Wong TC, Heitner SB. Evaluation of Mavacamten in Symptomatic Patients With Nonobstructive Hypertrophic Cardiomyopathy. J Am Coll Cardiol. 2020 Jun 2;75(21):2649-2660. doi: 10.1016/j.jacc.2020.03.064. PubMed 32466879 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2018 to primary completion in Jan 2020, 21 months.

Results were first posted in Aug 2022, 2 years 7 months after primary completion. A results delay was requested in Oct 2020.

Of 20 phase 2 interventional studies under Cardiomyopathy, Hypertrophic, half reached primary completion within 36 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 43. This study's 21 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 9, 2018
First posted
Feb 22, 2018
StartActual
Mar 30, 2018
Primary completionActual
Jan 7, 2020
CompletionActual
Jan 7, 2020
Results delay requested
Oct 7, 2020
Results first posted
Aug 9, 2022
Last update
Aug 9, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 9, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03442764
Lead sponsor
MyoKardia, Inc.
Responsible party
Sponsor
First posted
Feb 22, 2018
Start date
Mar 30, 2018
Primary completion
Jan 7, 2020
Completion
Jan 7, 2020
Results posted
Aug 9, 2022
Last update
Aug 9, 2022

Study contacts

Myokardia Medical Information Team
study director · MyoKardia, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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