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Mavacamten

Phase 4FDA approved

Obstructive Hypertrophic Cardiomyopathy | Small Molecules | Cardiovascular |LianBio|Trials Updated: Sep 19, 2024

Mavacamten development status

FDA approval on record Apr 28, 2022 as Camzyos
Approval holderBristol
ApplicationNDA214998
Highest phase Phase 4 run by Bristol-Myers Squibb (NCT07004972)
Phase scored for LIANYPhase 3
Registered trials 35 across 4 sponsors since Dec 2014

Label indication CAMZYOS ® is indicated for the treatment of adults with symptomatic New York Heart Association (NYHA) class II-III obstructive hypertrophic cardiomyopathy (HCM) to improve functional capacity and symptoms. CAMZYOS is a cardiac myosin inhibitor indicated for the treatment of adults with symptomatic New York Heart Association (NYHA) class II-III obstructive hypertrophic cardiomyopathy (HCM) to improve functional… FDA label

Mavacamten target and mechanism

Molecular targetMYH7, MYH6, MYH7B, MYL3, MYL2, MYL7
Target classInhibitor
ModalitySmall Molecules

Also known as MYK-461, BMS-986327, Mavacamten capsule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment126

FDA Designations

No designations recorded

Mavacamten clinical trials

Mavacamten · 2 trials · 2 indications

Phase 3 1Phase 1 1
NCT05174416A Study to Evaluate the Efficacy and Safety of Mavacamten in Chinese Adults With Symptomatic Obstructive HCMObstructive Hypertrophic Cardiomyopathy
COMPLETED81 Analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of Mavacamten in Chinese Adults With Symptomatic Obstructive HCM
Obstructive Hypertrophic CardiomyopathyUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline to Week 30 in Valsalva Left Ventricular Outflow Tract (LVOT) Peak Gradient
30 weeks

To compare the effect of a 30-week course of mavacamten with placebo on Valsalva LVOT peak gradient as determined by Doppler echocardiography

Area Under the Curve (AUC) (0-last), AUC(0-inf)
Predose, Day 1, Day 7, Day 10, Day 14, Day 21, Day 28, Day 35, Day 45, Day 67 and Day 75 post-dose

Determination of pharmacokinetics parameters as measured by area under curve AUC(0-last), AUC(0-inf)

Maximum Concentration (Cmax)
Predose, Day 1, Day 7, Day 10, Day 14, Day 21, Day 28, Day 35, Day 45, Day 67 and Day 75 post-dose

Determination of pharmacokinetics parameters as measured by maximum concentration (Cmax)

Time to Maximum Concentration (Tmax)
Predose, Day 1, Day 7, Day 10, Day 14, Day 21, Day 28, Day 35, Day 45, Day 67 and Day 75 post-dose

Determination of pharmacokinetics parameters as measured by time to maximum concentration (Tmax)

Elimination Half-life (T1⁄2)
Predose, Day 1, Day 7, Day 10, Day 14, Day 21, Day 28, Day 35, Day 45, Day 67 and Day 75 post-dose

Determination of pharmacokinetics parameters as measured by elimination half-life (T1⁄2)

Apparent Volume of Distribution (Vd/F)
Predose, Day 1, Day 7, Day 10, Day 14, Day 21, Day 28, Day 35, Day 45, Day 67 and Day 75 post-dose

Determination of pharmacokinetics parameters as measured by apparent volume of distribution (Vd/F)

Apparent Clearance (CL/F)
Predose, Day 1, Day 7, Day 10, Day 14, Day 21, Day 28, Day 35, Day 45, Day 67 and Day 75 post-dose

Determination of pharmacokinetics parameters as measured by apparent clearance (CL/F)

Secondary Endpoints

Change From Baseline to Week 30 in Resting LVOT Peak Gradient
30 weeks
Proportion of Participants Achieving a Valsalva LVOT Peak Gradient < 30 mmHg at Week 30
30 weeks
Proportion of Participants Achieving a Valsalva LVOT Peak Gradient < 50 mmHg at Week 30.
30 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
MavacamtenEXPERIMENTALMavacamten Capsules
placeboPLACEBO_COMPARATORMatching Placebo Capsules
Cohort 1: Mavacamten 15 mgEXPERIMENTALCohort 1: 15 mg capsules × 1 on Day 1
Cohort 2: Mavacamten 25 mgEXPERIMENTALCohort 2: 10 mg capsules x 1 and 15 mg capsules x 1 on Day 1
Cohort 3: Mavacamten 15 mgEXPERIMENTALCohort 3: 15 mg capsules × 1 on Day 1
Cohort 4: Mavacamten 15 mgEXPERIMENTALCohort 4: 15 mg capsules × 1 on Day 1

Interventions

NameTypeDescription
MavacamtenDRUGMavacamten Capsules
PlaceboDRUGMatching PBO capsules during placebo controlled period,and mavacamten capsules during long term extension period
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Eligibility Criteria

Age Range18 Years to 99 Years
SexALL
Healthy VolunteersNo
Study Sites1

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 * H...

Countries:China
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