Summary

Eligibility
for people ages 18-85 (full criteria)
Location
at La Jolla, California and other locations
Dates
study started
completion around

Description

Summary

This clinical trial will study the effects of aficamten (versus placebo) on the quality of life, exercise capacity, and clinical outcomes of patients with non-obstructive hypertrophic cardiomyopathy.

Official Title

A Phase 3, Multi-Center, Randomized, Double-Blind Trial to Evaluate the Efficacy and Safety of Aficamten Compared to Placebo in Adults With Symptomatic Non-Obstructive Hypertrophic Cardiomyopathy

Keywords

Symptomatic Non-Obstructive Hypertrophic Cardiomyopathy, CK-3773274, CK-274, Aficamten, nHCM, ACACIA-HCM, ACACIA, Cardiomyopathies, Hypertrophic Cardiomyopathy, Hypertrophy

Eligibility

You can join if…

Open to people ages 18-85

  • Between 18-85 years of age
  • Body mass index < 40 kg/m2
  • Diagnosed with nHCM and has a screening echocardiogram with the following:
    • End-diastolic left ventricular (LV) wall thickness:
      • ≥ 15 mm in one or more myocardial segments OR
      • ≥ 13 mm in one or more wall segments and a known disease-causing gene mutation or positive family history of HCM AND
      • Resting LVOT-G < 30 mmHg AND Valsalva LVOT-G < 50 mmHg AND
      • LVEF ≥ 60%
    • Participants with a history of intracavitary obstruction are eligible.
  • NYHA class II or III
  • Respiratory exchange ratio of ≥ 1.00 at screening by cardiopulmonary exercise testing (CPET) and predicted peak oxygen uptake (pVO2) ≤ 90% for age and sex
  • KCCQ-CSS score of ≥ 30 and ≤ 85
  • NT-proBNP of:
    • NT-pro BNP ≥ 300 pg/mL or NT-proBNP ≥ 900 pg/mL if in atrial fibrillation or atrial flutter OR
    • For Black participants, an NT-pro BNP ≥ 225 pg/mL or NT-proBNP ≥ 675 pg/mL if in atrial fibrillation or atrial flutter

You CAN'T join if...

  • Significant valvular heart disease (per Investigator judgment)
    • Moderate or severe valvular aortic stenosis or fixed subaortic obstruction
    • Moderate or severe mitral regurgitation
  • Known or suspected infiltrative, genetic or storage disorder causing cardiac hypertrophy that mimics nHCM (eg, Noonan syndrome, Fabry disease, amyloidosis)
  • Known current unrevascularized coronary artery stenosis of ≥ 70% or documented history of myocardial infarction.
  • History of LV systolic dysfunction (LVEF < 45%) or stress cardiomyopathy
  • Inability to exercise on a treadmill or bicycle (eg, orthopedic limitations)
  • Documented room air oxygen saturation reading < 90% at screening or history of significant chronic obstructive pulmonary disease or severe/significant pulmonary hypertension
  • History of syncope, symptomatic ventricular arrhythmia, or sustained ventricular tachyarrhythmia with exercise within 3 months prior to screening
  • History of resistant hypertension (persistently elevated blood pressure despite maximal doses of 3 or more classes of medications for hypertension control)
  • Screening diastolic blood pressure ≥ 100 mmHg
  • Received prior treatment with aficamten
  • Received treatment with mavacamten within 3 months prior to screening (must be discussed with the medical monitor prior to screening)
  • Undergone septal reduction therapy < 6 months prior to screening
  • Is being considered for or is likely to be considered for heart transplant listing or left ventricular assist device placement during the study period
  • Paroxysmal or permanent atrial fibrillation is excluded only if:
    • rhythm restoring treatment (e.g., direct-current cardioversion, atrial fibrillation ablation procedure, or antiarrhythmic therapy) has been required ≤ 3 months prior to screening
    • rate control and anticoagulation have not been achieved for at least 3 months prior to screening.

Locations

  • UC San Diego Health - Sulpizio Cardiovascular Center accepting new patients
    La Jolla California 92037 United States
  • Cedars-Sinai Medical Center (Smidt Heart Institute) accepting new patients
    Los Angeles California 90048 United States

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
Cytokinetics
ID
NCT06081894
Phase
Phase 3 Cardiomyopathy Research Study
Study Type
Interventional
Participants
Expecting 420 study participants
Last Updated