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Phase 4
Age: 18Years - 90Years
All Genders
ID07600177

Study of Switching from Mavacamten to Aficamten for Treatment of Obstructive Hypertrophic Cardiomyopathy

Led by Oregon Health and Science University · Updated on 2026-05-20

40

Participants Needed

2

Research Sites

10 weeks

Total Duration

AI-Summary

What this Trial Is About

Researchers are evaluating the safety, feasibility, and effectiveness of switching from mavacamten to aficamten in patients with obstructive hypertrophic cardiomyopathy oHCM. This study focuses on patients who have documented oHCM with significant left ventricular outflow tract LVOT obstruction and are already receiving mavacamten. The study is investigator-initiated and conducted at two centers. Participants will stop taking mavacamten on day 1 of the study and then start aficamten two weeks later. This seamless transition aims to assess how well patients tolerate the change and the impact on their heart condition. The study is designed as an interventional trial without masking, and the treatment phase lasts up to 16 weeks. During the study, participants will be closely monitored for safety outcomes and changes in heart function. Assessments include measurements of LVOT gradients at rest and during Valsalva maneuver, blood tests for heart stress markers like NT-proBNP and troponin I, and evaluation of symptoms using the New York Heart Association functional classification. The total participation time covers up to 16 weeks with regular evaluations to track the transition effects.

CONDITIONS

Brief Title

Mavacamten to Aficamten Transition in Patients With Obstructive Hypertrophic Cardiomyopathy

Research Team

A

Ahmad Masri

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