A Study to Evaluate the Efficacy and Safety of Mavacamten in Chinese Adults With Symptomatic Obstructive HCM
Primary Purpose
Obstructive Hypertrophic Cardiomyopathy
Status
Active
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Mavacamten
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Obstructive Hypertrophic Cardiomyopathy focused on measuring Mavacamten
Eligibility Criteria
Inclusion Criteria:
- Is at least 18 years old at screening.
- Body weight is greater than 45 kg at screening.
- Has adequate acoustic windows to enable accurate TTEs
- Diagnosed with oHCM
- Has documented LVEF ≥ 55% at rest.
- Has a valid measurement of Valsalva LVOT peak gradient at screening
- Female participants must not be pregnant or lactating
- Able to understand and comply with the study procedures, understand the risks involved in the study, and provide written informed consent according to national, local, and institutional guidelines before the first study specific procedure.
Exclusion Criteria:
- 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 (if known), whichever is longer.
- Causing cardiac hypertrophy in other reasons
- Previously participated in a clinical study with mavacamten.
- Hypersensitivity to any of the components of the mavacamten formulation.
- Current treatment (within 14 days prior to screening) or planned treatment during the double-blinded treatment with a combination of beta-blockers and verapamil or a combination of beta-blockers and diltiazem.
- Has been successfully treated with invasive septal reduction
- Has documented obstructive coronary artery disease
- Has known moderate or severe (as per investigator's judgment) aortic valve stenosis, constrictive pericarditis, or clinically significant congenital heart disease at screening.
- Has any acute or serious comorbid condition 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 malignant disease within 10 years of screening
- Has safety laboratory parameters outside normal limits at screening as assessed by the local laboratory
- Has a positive serologic test at screening for infection with human immunodeficiency virus, hepatitis C virus, or hepatitis B virus, with the exception of hepatitis B s-antibody positive, which is a marker of immunity.
- Known infection with COVID-19 (coronavirus disease 2019) within 90 days of screening.
- Has a history or evidence of any other clinically significant disorder, condition, or disease that, in the opinion of the investigator, would pose a risk to participant safety or interfere with the study evaluation, procedures, or completion.
- Prior treatment with cardio toxic agents
- Unable to comply with the study requirements, including the number of required visits to the clinical site
- Is a first degree relative of personnel directly affiliated with the study at the clinical study site, any study vendor, or the study sponsor.
- Identified as alcohol addicts.
Sites / Locations
- Peking Union Medical College Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Mavacamten
placebo
Arm Description
Mavacamten Capsules
Matching Placebo Capsules
Outcomes
Primary Outcome Measures
Change from baseline to Week 30 in Valsalva left ventricular outflow tract (LVOT) peak gradient
To compare the effect of a 30-week course of mavacamten with placebo on Valsalva LVOT peak gradient as determined by Doppler echocardiography
Secondary Outcome Measures
Change from baseline to Week 30 in resting LVOT peak gradient
To compare the effect of a 30-week course of mavacamten with placebo on LVOT obstruction.
Proportion of participants achieving a Valsalva LVOT peak gradient < 30 mmHg at Week 30
To compare the effect of a 30-week course of mavacamten with placebo on LVOT obstruction.
Proportion of participants achieving a Valsalva LVOT peak gradient < 50 mmHg at Week 30.
To compare the effect of a 30-week course of mavacamten with placebo on LVOT obstruction.
Proportion of participants with at least 1 class improvement in New York Heart Association (NYHA) functional classification from baseline to Week 30
To compare the effect of a 30-week course of mavacamten with placebo on clinical symptoms
Change from baseline to Week 30 in Kansas City Cardiomyopathy Questionnaire (KCCQ) Clinical Summary Score (CSS)
To compare the effect of a 30-week course of mavacamten with placebo on Participant-Reported health status individually
Change from baseline to Week 30 in N-terminal pro-B-type natriuretic peptide (NT-proBNP)
To compare the effect of a 30-week course of mavacamten on cardiac biomarkers
Change from baseline to Week 30 in cardiac troponin
To compare the effect of a 30-week course of mavacamten on cardiac biomarkers
Change from baseline to Week 30 in left ventricular (LV) mass index
To compare the effect of a 30-week course of mavacamten with placebo on LV mass evaluated by cardiac magnetic resonance (CMR) imaging.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05174416
Brief Title
A Study to Evaluate the Efficacy and Safety of Mavacamten in Chinese Adults With Symptomatic Obstructive HCM
Official Title
A Phase III, Randomized, Double-blinded, Placebo-controlled Clinical Study With A Long-term Extension to Evaluate the Efficacy and Safety of Mavacamten in Chinese Adults With Symptomatic Obstructive Hypertrophic Cardiomyopathy
Study Type
Interventional
2. Study Status
Record Verification Date
December 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
January 4, 2022 (Actual)
Primary Completion Date
March 6, 2023 (Actual)
Study Completion Date
August 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
LianBio LLC
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Mavacamtenis a novel, small molecule, selective allosteric inhibitor of cardiac-specific myosin, for the treatment of patients with symptomatic oHCM. This study will assess the efficacy and safety of mavacamten in Chinese adults with symptomatic oHCM.
Detailed Description
This is a randomized, double-blinded, placebo-controlled clinical study witha long-term extension to evaluate the efficacy and safety of mavacamten in Chinese adults with symptomatic oHCM. Approximately 81eligible participants will be enrolled and randomized in a 2:1 ratio (mavacamten:placebo). Participants will receive mavacamten or matching placebofor 30 weeks indouble-blinded manner. After 30-week double-blinded placebo-controlled treatment, eligible participants will receive mavacamten for additional 48 weeks (placebogroup: switch from placebo to mavacamten, mavacamten group: maintain on mavacamten).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Obstructive Hypertrophic Cardiomyopathy
Keywords
Mavacamten
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
81 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Mavacamten
Arm Type
Experimental
Arm Description
Mavacamten Capsules
Arm Title
placebo
Arm Type
Placebo Comparator
Arm Description
Matching Placebo Capsules
Intervention Type
Drug
Intervention Name(s)
Mavacamten
Other Intervention Name(s)
MYK-461, BMS-986327
Intervention Description
Mavacamten Capsules
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching PBO capsules during placebo controlled period,and mavacamten capsules during long term extension period
Primary Outcome Measure Information:
Title
Change from baseline to Week 30 in Valsalva left ventricular outflow tract (LVOT) peak gradient
Description
To compare the effect of a 30-week course of mavacamten with placebo on Valsalva LVOT peak gradient as determined by Doppler echocardiography
Time Frame
30 weeks
Secondary Outcome Measure Information:
Title
Change from baseline to Week 30 in resting LVOT peak gradient
Description
To compare the effect of a 30-week course of mavacamten with placebo on LVOT obstruction.
Time Frame
30 weeks
Title
Proportion of participants achieving a Valsalva LVOT peak gradient < 30 mmHg at Week 30
Description
To compare the effect of a 30-week course of mavacamten with placebo on LVOT obstruction.
Time Frame
30 weeks
Title
Proportion of participants achieving a Valsalva LVOT peak gradient < 50 mmHg at Week 30.
Description
To compare the effect of a 30-week course of mavacamten with placebo on LVOT obstruction.
Time Frame
30 weeks
Title
Proportion of participants with at least 1 class improvement in New York Heart Association (NYHA) functional classification from baseline to Week 30
Description
To compare the effect of a 30-week course of mavacamten with placebo on clinical symptoms
Time Frame
30 weeks
Title
Change from baseline to Week 30 in Kansas City Cardiomyopathy Questionnaire (KCCQ) Clinical Summary Score (CSS)
Description
To compare the effect of a 30-week course of mavacamten with placebo on Participant-Reported health status individually
Time Frame
30 weeks
Title
Change from baseline to Week 30 in N-terminal pro-B-type natriuretic peptide (NT-proBNP)
Description
To compare the effect of a 30-week course of mavacamten on cardiac biomarkers
Time Frame
30 weeks
Title
Change from baseline to Week 30 in cardiac troponin
Description
To compare the effect of a 30-week course of mavacamten on cardiac biomarkers
Time Frame
30 weeks
Title
Change from baseline to Week 30 in left ventricular (LV) mass index
Description
To compare the effect of a 30-week course of mavacamten with placebo on LV mass evaluated by cardiac magnetic resonance (CMR) imaging.
Time Frame
30 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Is at least 18 years old at screening.
Body weight is greater than 45 kg at screening.
Has adequate acoustic windows to enable accurate TTEs
Diagnosed with oHCM
Has documented LVEF ≥ 55% at rest.
Has a valid measurement of Valsalva LVOT peak gradient at screening
Has NYHA Class II or III symptoms at screening
Female participants must not be pregnant or lactating
Able to understand and comply with the study procedures, understand the risks involved in the study, and provide written informed consent according to national, local, and institutional guidelines before the first study specific procedure.
Exclusion Criteria:
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 (if known), whichever is longer.
Causing cardiac hypertrophy in other reasons
Previously participated in a clinical study with mavacamten.
Hypersensitivity to any of the components of the mavacamten formulation.
Current treatment (within 14 days prior to screening) or planned treatment during the double-blinded treatment with a combination of beta-blockers and verapamil or a combination of beta-blockers and diltiazem.
Has been successfully treated with invasive septal reduction
Has documented obstructive coronary artery disease
Has known moderate or severe (as per investigator's judgment) aortic valve stenosis, constrictive pericarditis, or clinically significant congenital heart disease at screening.
Has any acute or serious comorbid condition 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 malignant disease within 10 years of screening
Has safety laboratory parameters outside normal limits at screening as assessed by the local laboratory
Has a positive serologic test at screening for infection with human immunodeficiency virus, hepatitis C virus, or hepatitis B virus surface antigen.
Known uncured COVID-19 (coronavirus disease 2019) infection or with severe complication before screening.
Has a history or evidence of any other clinically significant disorder, condition, or disease that, in the opinion of the investigator, would pose a risk to participant safety or interfere with the study evaluation, procedures, or completion.
Prior treatment with cardio toxic agents.
Unable to comply with the study requirements, including the number of required visits to the clinical site.
Is a first degree relative of personnel directly affiliated with the study at the clinical study site, any study vendor, or the study sponsor.
Identified as alcohol addicts.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shuyang Zhang, M.D., Ph.D.
Organizational Affiliation
Peking Union Medical College Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Peking Union Medical College Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100730
Country
China
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
A Study to Evaluate the Efficacy and Safety of Mavacamten in Chinese Adults With Symptomatic Obstructive HCM
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