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A Long-Term Safety Extension Study of Mavacamten in Adults Who Have Completed MAVERICK-HCM or EXPLORER-HCM

Primary Purpose

Hypertrophic Cardiomyopathy, Obstructive Hypertrophic Cardiomyopathy, Non-obstructive Hypertrophic Cardiomyopathy

Status
Active
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
mavacamten
Sponsored by
Bristol-Myers Squibb
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypertrophic Cardiomyopathy focused on measuring Symptomatic, left ventricular outflow tract gradient

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  • Has completed the Parent Study through to the EOS Visit within 90 days of consent. (Participants who are beyond the 90-day window from EOS Visit may be included in this study pending MyoKardia Medical Monitoring approval) Participants who prematurely discontinued from the Parent Study or the MAVA-LTE study may be considered for inclusion.
  • Has a body weight greater than 45 kg at the Screening Visit
  • Has adequate acoustic windows to enable accurate TTEs.
  • Has documented LVEF ≥ 50% by echocardiography core laboratory read of screening TTE at rest.
  • Has safety laboratory parameters (chemistry, hematology, coagulation, and urinalysis) within normal limits (according to the central laboratory reference range).
  • Female participants must not be pregnant or lactating and, if sexually active, must use one of the following highly effective birth control methods from the Screening Visit through 90 days after the last dose of investigational medicinal product (IMP).

In addition to the above contraceptive requirements for female participants, male partners must also use a contraceptive (eg. barrier, condom, or vasectomy).

Key Exclusion Criteria:

  • Has any ECG abnormality considered by the investigator to pose a risk to participant safety (eg. second degree atrioventricular block type II).
  • Has a history of syncope or a history of sustained ventricular tachyarrhythmia with exercise between Parent Study EOS Visit and Screening Visit.
  • Has a history of resuscitated sudden cardiac arrest or known history of appropriate implantable cardioverter-defibrillator (ICD) discharge for life-threatening ventricular arrhythmia between Parent Study EOS Visit and Screening Visit. (Note: history of anti-tachycardia pacing (ATP) is allowed).• Currently treated with disopyramide or ranolazine (within 14 days prior to Screening) or treatment with disopyramide or ranolazine is planned during the study.
  • Has any acute or serious comorbid condition (eg. major infection or hematologic, renal, metabolic, gastrointestinal, or endocrine dysfunction) that, in the judgment of the Investigator, could lead to premature termination of study participation or interfere with the measurement or interpretation of the efficacy and safety assessments in the study.
  • History of clinically significant malignant disease that developed since enrollment in the Parent Study.
  • Is unable to comply with the study requirements, including the number of required visits to the clinical site.
  • Has participated in a clinical trial in which the participant received any investigational drug (or is currently using an investigational device) within 30 days prior to Screening, or at least 5 times the respective elimination half-life (whichever is longer), except for participation in MAVERICK-HCM or EXPLORER-HCM. Prior participation in a non-interventional observational study is allowed.

Sites / Locations

  • Local Institution - 0045
  • Local Institution - 0058
  • Local Institution - 0066
  • Local Institution - 0063
  • Local Institution - 0043
  • Local Institution - 0067
  • Local Institution - 0050
  • Local Institution - 0070
  • Local Institution - 0049
  • Local Institution - 0054
  • Local Institution - 0051
  • Local Institution - 0074
  • Local Institution - 0048
  • Local Institution - 0060
  • Local Institution - 0056
  • Local Institution - 0071
  • Local Institution - 0047
  • Local Institution - 0052
  • Local Institution - 0044
  • Local Institution - 0068
  • Local Institution - 0046
  • Local Institution - 0064
  • Local Institution - 0073
  • Local Institution - 0061
  • Local Institution - 0055
  • Local Institution - 0057
  • Local Institution - 0072
  • Local Institution - 0062
  • Local Institution - 0053
  • Local Institution - 0059
  • Local Institution - 0065
  • Local Institution - 0002
  • Local Institution - 0001
  • Local Institution - 0003
  • Local Institution - 0009
  • Local Institution - 0010
  • Local Institution - 0011
  • Local Institution - 0012
  • Local Institution - 0013
  • Local Institution - 0014
  • Local Institution - 0017
  • Local Institution - 0016
  • Local Institution - 0015
  • Local Institution - 0020
  • Local Institution - 0018
  • Local Institution - 0019
  • Local Institution - 0021
  • Local Institution - 0027
  • Local Institution - 0024
  • Local Institution - 0022
  • Local Institution - 0025
  • Local Institution - 0023
  • Local Institution - 0026
  • Local Institution - 0028
  • Local Institution - 0029
  • Local Institution - 0030
  • Local Institution - 0033
  • Local Institution - 0034
  • Local Institution - 0031
  • Local Institution - 0032
  • Local Institution - 0036
  • Local Institution - 0035
  • Local Institution - 0038
  • Local Institution - 0037
  • Local Institution - 0040
  • Local Institution - 0039
  • Local Institution - 0041
  • Local Institution - 0042

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Group 1

Group 2

Group 3

Arm Description

Active Treatment for participants with base target trough concentration

Active Treatment for participants with higher target trough concentration

Active Treatment for participants dose titrated to clinical response

Outcomes

Primary Outcome Measures

Frequency and severity of treatment-emergent adverse events and serious adverse events

Secondary Outcome Measures

Full Information

First Posted
October 24, 2018
Last Updated
February 28, 2023
Sponsor
Bristol-Myers Squibb
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1. Study Identification

Unique Protocol Identification Number
NCT03723655
Brief Title
A Long-Term Safety Extension Study of Mavacamten in Adults Who Have Completed MAVERICK-HCM or EXPLORER-HCM
Official Title
A Long-Term Safety Extension Study of Mavacamten (MYK-461) in Adults With Hypertrophic Cardiomyopathy Who Have Completed the MAVERICK-HCM (MYK-461-006) or EXPLORER-HCM (MYK-461-005) Trials (MAVA-LTE)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
October 5, 2018 (Actual)
Primary Completion Date
April 16, 2026 (Anticipated)
Study Completion Date
April 16, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bristol-Myers Squibb

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Approximately 30 sites that enrolled participants in the MAVERICK-HCM (MYK-461-006) study in the United States (US) will initiate this study. Approximately 90 sites that enrolled participants in the EXPLORER-HCM (MYK-461-005) study in the US, Europe, and Israel will initiate this study. Note: Approximately 30 centers overlap between MAVERICK and EXPLORER.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypertrophic Cardiomyopathy, Obstructive Hypertrophic Cardiomyopathy, Non-obstructive Hypertrophic Cardiomyopathy
Keywords
Symptomatic, left ventricular outflow tract gradient

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Masking Description
Site, Care Provider and Patients are blinded to study dose. Sponsor is now unblinded to study dose.
Allocation
Randomized
Enrollment
282 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Experimental
Arm Description
Active Treatment for participants with base target trough concentration
Arm Title
Group 2
Arm Type
Experimental
Arm Description
Active Treatment for participants with higher target trough concentration
Arm Title
Group 3
Arm Type
Experimental
Arm Description
Active Treatment for participants dose titrated to clinical response
Intervention Type
Drug
Intervention Name(s)
mavacamten
Other Intervention Name(s)
MYK-461
Intervention Description
mavacamten capsules
Primary Outcome Measure Information:
Title
Frequency and severity of treatment-emergent adverse events and serious adverse events
Time Frame
252 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Has completed the Parent Study through to the EOS Visit within 90 days of consent. (Participants who are beyond the 90-day window from EOS Visit may be included in this study pending MyoKardia Medical Monitoring approval) Participants who prematurely discontinued from the Parent Study or the MAVA-LTE study may be considered for inclusion. Has a body weight greater than 45 kg at the Screening Visit Has adequate acoustic windows to enable accurate TTEs. Has documented LVEF ≥ 50% by echocardiography core laboratory read of screening TTE at rest. Has safety laboratory parameters (chemistry, hematology, coagulation, and urinalysis) within normal limits (according to the central laboratory reference range). Female participants must not be pregnant or lactating and, if sexually active, must use one of the following highly effective birth control methods from the Screening Visit through 90 days after the last dose of investigational medicinal product (IMP). In addition to the above contraceptive requirements for female participants, male partners must also use a contraceptive (eg. barrier, condom, or vasectomy). Key Exclusion Criteria: Has any ECG abnormality considered by the investigator to pose a risk to participant safety (eg. second degree atrioventricular block type II). Has a history of syncope or a history of sustained ventricular tachyarrhythmia with exercise between Parent Study EOS Visit and Screening Visit. Has a history of resuscitated sudden cardiac arrest or known history of appropriate implantable cardioverter-defibrillator (ICD) discharge for life-threatening ventricular arrhythmia between Parent Study EOS Visit and Screening Visit. (Note: history of anti-tachycardia pacing (ATP) is allowed).• Currently treated with disopyramide or ranolazine (within 14 days prior to Screening) or treatment with disopyramide or ranolazine is planned during the study. Has any acute or serious comorbid condition (eg. major infection or hematologic, renal, metabolic, gastrointestinal, or endocrine dysfunction) that, in the judgment of the Investigator, could lead to premature termination of study participation or interfere with the measurement or interpretation of the efficacy and safety assessments in the study. History of clinically significant malignant disease that developed since enrollment in the Parent Study. Is unable to comply with the study requirements, including the number of required visits to the clinical site. Has participated in a clinical trial in which the participant received any investigational drug (or is currently using an investigational device) within 30 days prior to Screening, or at least 5 times the respective elimination half-life (whichever is longer), except for participation in MAVERICK-HCM or EXPLORER-HCM. Prior participation in a non-interventional observational study is allowed.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bristol-Myers Squibb
Organizational Affiliation
Bristol-Myers Squibb
Official's Role
Study Director
Facility Information:
Facility Name
Local Institution - 0045
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85259
Country
United States
Facility Name
Local Institution - 0058
City
Los Angeles
State/Province
California
ZIP/Postal Code
90027
Country
United States
Facility Name
Local Institution - 0066
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States
Facility Name
Local Institution - 0063
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
Local Institution - 0043
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06520-8017
Country
United States
Facility Name
Local Institution - 0067
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32224
Country
United States
Facility Name
Local Institution - 0050
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Local Institution - 0070
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46260
Country
United States
Facility Name
Local Institution - 0049
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
Facility Name
Local Institution - 0054
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
Local Institution - 0051
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Local Institution - 0074
City
Grand Rapids
State/Province
Michigan
ZIP/Postal Code
49503
Country
United States
Facility Name
Local Institution - 0048
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Local Institution - 0060
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Local Institution - 0056
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
Local Institution - 0071
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28204
Country
United States
Facility Name
Local Institution - 0047
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Local Institution - 0052
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45267
Country
United States
Facility Name
Local Institution - 0044
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Facility Name
Local Institution - 0068
City
Bethlehem
State/Province
Pennsylvania
ZIP/Postal Code
18015
Country
United States
Facility Name
Local Institution - 0046
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Local Institution - 0064
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
Local Institution - 0073
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38104
Country
United States
Facility Name
Local Institution - 0061
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States
Facility Name
Local Institution - 0055
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Local Institution - 0057
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Local Institution - 0072
City
Murray
State/Province
Utah
ZIP/Postal Code
84107
Country
United States
Facility Name
Local Institution - 0062
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84112
Country
United States
Facility Name
Local Institution - 0053
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22903
Country
United States
Facility Name
Local Institution - 0059
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23298
Country
United States
Facility Name
Local Institution - 0065
City
Seattle
State/Province
Washington
ZIP/Postal Code
98195
Country
United States
Facility Name
Local Institution - 0002
City
Aalst
ZIP/Postal Code
9300
Country
Belgium
Facility Name
Local Institution - 0001
City
Brussels
ZIP/Postal Code
1070
Country
Belgium
Facility Name
Local Institution - 0003
City
Edegem
ZIP/Postal Code
2650
Country
Belgium
Facility Name
Local Institution - 0009
City
Prague
ZIP/Postal Code
140 21
Country
Czechia
Facility Name
Local Institution - 0010
City
Praha 2
ZIP/Postal Code
128 08
Country
Czechia
Facility Name
Local Institution - 0011
City
Aarhus
ZIP/Postal Code
8000
Country
Denmark
Facility Name
Local Institution - 0012
City
Frederiksberg
ZIP/Postal Code
2000
Country
Denmark
Facility Name
Local Institution - 0013
City
Odense
ZIP/Postal Code
5000
Country
Denmark
Facility Name
Local Institution - 0014
City
Nantes
ZIP/Postal Code
44093
Country
France
Facility Name
Local Institution - 0017
City
Paris
ZIP/Postal Code
75013
Country
France
Facility Name
Local Institution - 0016
City
Paris
ZIP/Postal Code
75015
Country
France
Facility Name
Local Institution - 0015
City
Toulouse
ZIP/Postal Code
31059
Country
France
Facility Name
Local Institution - 0020
City
Bad Nauheim
ZIP/Postal Code
61231
Country
Germany
Facility Name
Local Institution - 0018
City
Dresden
ZIP/Postal Code
01277
Country
Germany
Facility Name
Local Institution - 0019
City
Goettingen
ZIP/Postal Code
37075
Country
Germany
Facility Name
Local Institution - 0021
City
Heidelberg
ZIP/Postal Code
69120
Country
Germany
Facility Name
Local Institution - 0027
City
Jerusalem
ZIP/Postal Code
9112001
Country
Israel
Facility Name
Local Institution - 0024
City
Petah Tikva
ZIP/Postal Code
4941492
Country
Israel
Facility Name
Local Institution - 0022
City
Ramat-gan
ZIP/Postal Code
52621
Country
Israel
Facility Name
Local Institution - 0025
City
Rehovot
ZIP/Postal Code
76100
Country
Israel
Facility Name
Local Institution - 0023
City
Safed
ZIP/Postal Code
13100
Country
Israel
Facility Name
Local Institution - 0026
City
Tel Aviv
ZIP/Postal Code
6423906
Country
Israel
Facility Name
Local Institution - 0028
City
Firenze
ZIP/Postal Code
50139
Country
Italy
Facility Name
Local Institution - 0029
City
Maastricht
ZIP/Postal Code
6229 HX
Country
Netherlands
Facility Name
Local Institution - 0030
City
Rotterdam
ZIP/Postal Code
3015 CE
Country
Netherlands
Facility Name
Local Institution - 0033
City
Katowice
ZIP/Postal Code
40-555
Country
Poland
Facility Name
Local Institution - 0034
City
Krakow
ZIP/Postal Code
31-501
Country
Poland
Facility Name
Local Institution - 0031
City
Poznan
ZIP/Postal Code
61-848
Country
Poland
Facility Name
Local Institution - 0032
City
Warsaw
ZIP/Postal Code
04-628
Country
Poland
Facility Name
Local Institution - 0036
City
Almada
ZIP/Postal Code
2805-267
Country
Portugal
Facility Name
Local Institution - 0035
City
Lisboa
ZIP/Postal Code
1500-650
Country
Portugal
Facility Name
Local Institution - 0038
City
A Coruña
ZIP/Postal Code
15006
Country
Spain
Facility Name
Local Institution - 0037
City
El Palmar
ZIP/Postal Code
30120
Country
Spain
Facility Name
Local Institution - 0040
City
Madrid
ZIP/Postal Code
28034
Country
Spain
Facility Name
Local Institution - 0039
City
Majadahonda
ZIP/Postal Code
28222
Country
Spain
Facility Name
Local Institution - 0041
City
Sevilla
ZIP/Postal Code
41009
Country
Spain
Facility Name
Local Institution - 0042
City
London
ZIP/Postal Code
W1G 8PH
Country
United Kingdom

12. IPD Sharing Statement

Links:
URL
https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
Description
BMS Clinical Trial Information
URL
https://www.bmsstudyconnect.com/s/US/English/USenHome
Description
BMS Clinical Trial Patient Recruiting
URL
https://www.fda.gov/Safety/MedWatch/SafetyInformation/default.htm
Description
FDA Safety Alerts and Recalls
URL
https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
Description
Investigator Inquiry Form

Learn more about this trial

A Long-Term Safety Extension Study of Mavacamten in Adults Who Have Completed MAVERICK-HCM or EXPLORER-HCM

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