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CK-3773274

Phase 2

Hypertrophic Cardiomyopathy (HCM) | Small molecule | Cardiovascular |Cytokinetics, Incorporated|Last Updated: Feb 24, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment96
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04219826Dose-finding Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of CK-3773274 in Adults With Hypertrophic CardiomyopathyPHASE2 COMPLETED 96Jan 10, 2020Feb 28, 2023Feb 24, 202622 United States, Italy +2
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Study Endpoints
Primary Endpoints
Incidence of Adverse Events (AEs)
14 weeks

Participant incidence of reported AEs to determine the safety and tolerability of aficamten in participants with HCM.

Incidence of Left Ventricular Ejection Fraction (LVEF) < 50%
14 weeks

Participant incidence of LVEF \< 50% as assessed by the core laboratory assessment.

Incidence of Serious Adverse Events (SAEs)
14 weeks

Participant incidence of reported SAEs to determine the safety and tolerability of aficamten in participants with symptomatic HCM.

Secondary Endpoints
Slope of the Relationship of the Plasma Concentration of CK-3773274 to the Change From Baseline in the Resting Left Ventricular Outflow Track Gradient (LVOT-G)
Baseline and 10 weeks
Slope of the Relationship of the Plasma Concentration of CK-3773274 to the Change From Baseline in the Post-Valsalva LVOT-G
Baseline and 10 Weeks
Change From Baseline in Resting LVOT-G Over Time as a Function of Dose.
Baseline and 10 Weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort 1 (oHCM) - AficamtenEXPERIMENTALParticipants received CK-3773274 doses of 5 - 15 mg once daily with dose levels guided by echocardiography assessments for up to 10 weeks
Cohort 1 (oHCM) - PlaceboPLACEBO_COMPARATORParticipants received placebo once daily for up to 10 weeks
Cohort 2 (oHCM) - AficamtenEXPERIMENTALParticipants received CK-3773274 doses 10 - 30 mg once daily with dose levels guided by echocardiography assessments for up to 10 weeks
Cohort 2 (oHCM) - PlaceboPLACEBO_COMPARATORParticipants received placebo once daily for up to 10 weeks
Cohort 3 (oHCM) - Aficamten & Background DisopyramideEXPERIMENTALParticipants received CK-3773274 doses 5 - 15 mg once daily with dose levels guided by echocardiography assessments for up to 10 weeks while taking disopyramide
Cohort 4 (nHCM) - AficamtenEXPERIMENTALParticipants received CK-3773274 doses of 5 - 15 mg once daily with dose levels guided by echocardiography assessments for up to 10 weeks
Interventions
NameTypeDescription
CK-3773274 (5 - 15 mg)DRUGCK-3773274 tablets administered orally once daily
CK-3773274 (10 - 30 mg)DRUGCK-3773274 tablets administered orally once daily
Placebo for CK-3773274DRUGPlacebo administered orally once daily
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Eligibility Criteria
Age Range18 Years — 85 Years
SexALL
Healthy VolunteersNo
Study Sites22

Inclusion Criteria * Males and females between 18 and 85 years of age at screening. * Body weight is ≥45 kg at screening. * Diagnosed with HCM per the following criteria: * Has left ventricular (LV) hypertrophy with non-dilated LV chamber in the absence of other cardiac disease. * Has minimal ...

Countries:United StatesItalyNetherlandsSpain
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Recent Changes (Last 90 Days)
MEDIUMApr 8, 2026NCT04219826TRIAL_REMOVED: changed
MEDIUMApr 8, 2026NCT04219826TRIAL_REMOVED: changed