Mavacamten Impact on Myocardial Structure in Obstructive Hypertrophic Cardiomyopathy

2022-502316-36-00 Protocol CV0271088 Phase III and Phase IV (Integrated) Ended

End 15 Mar 2024 · Status Ended · 11 EU/EEA countries · 50 sites · Protocol CV0271088

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Ended
Participants planned 175
Countries 11
Sites 50

Symptomatic Obstructive Hypertrophic Cardiomyopathy

The purpose of this study is to see if mavacamten treatment reduces the heart wall (ventricle) thickness and size of the upper heart chamber (atria) on imaging studies by cardiac magnetic resonance (CMR).

Key facts

Sponsor
Myokardia Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Trial duration
completed 15 Mar 2024
Decision date (initial)
2024-02-12
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Myokardia, Inc, A Wholly Owned Susidiary of Bristol Myers Squibb Company.

External identifiers

EU CT number
2022-502316-36-00
WHO UTN
U1111-1284-1414

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

The purpose of this study is to see if mavacamten treatment reduces the heart wall (ventricle) thickness and size of the upper heart chamber (atria) on imaging studies by cardiac magnetic resonance (CMR).

Secondary objectives 1

  1. To explore the effect of mavacamten on the NYHA functional classification as well as safety events during the study period.

Conditions and MedDRA coding

Symptomatic Obstructive Hypertrophic Cardiomyopathy

VersionLevelCodeTermSystem organ class
20.0 PT 10020871 Hypertrophic cardiomyopathy 100000004850

Regulatory references

EU CT numberTitleSponsor
2022-502858-14-00 A Long-term Safety Extension Study of Mavacamten (MYK-461) in Adults with Hypertrophic Cardiomyopathy Who Have Completed the MAVERICKHCM (MYK-461-006) or EXPLORER-HCM (MYK-461-005) Trials (MAVA-LTE) Myokardia Inc.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. This trial will assess elegible adults with symptomatic oHCM (NYHA Funtional Class II or III)

Exclusion criteria 1

  1. Adults with no symptomatic oHCM (NYHA Funtional Class II or III)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. To evaluate the efficacy of mavacamten on both the reduction in heart wall thickness and upper chamber size at week 48 on cardiac magnetic resonance (CMR).

Secondary endpoints 1

  1. To evaluate the impact of mavacamten treatment: on improvement of heart failure class in symptomatic oHCM (New York Heart Association [NYHA] Functional Class) as well as monitor for other cardiac events as a safety assessment.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 4

Mavacamten

PRD10116939 · Product

Active substance
Mavacamten
Substance synonyms
MYK-461, 6-{[(1S)-1-phenylethyl]amino}-3-(propan-2-yl)-1,2,3,4 tetrahydropyrimidine-2,4-dione, SAR439152, 3-(1-methylethyl)-6-[[(1S)-1-phenylethyl]amino]-2,4(1H,3H)-pyrimidinedione
Other product name
10 mg per capsule
Pharmaceutical form
CAPSULE
Route of administration
ORAL
Max daily dose
15 mg milligram(s)
Max total dose
15 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Not Authorised
MA holder
BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
Paediatric formulation
No
Orphan designation
No

Mavacamten

PRD10116938 · Product

Active substance
Mavacamten
Substance synonyms
MYK-461, 6-{[(1S)-1-phenylethyl]amino}-3-(propan-2-yl)-1,2,3,4 tetrahydropyrimidine-2,4-dione, SAR439152, 3-(1-methylethyl)-6-[[(1S)-1-phenylethyl]amino]-2,4(1H,3H)-pyrimidinedione
Other product name
5 mg per capsule
Pharmaceutical form
CAPSULE
Route of administration
ORAL
Max daily dose
15 mg milligram(s)
Max total dose
15 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Not Authorised
MA holder
BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
Paediatric formulation
No
Orphan designation
No

Mavacamten

PRD10116937 · Product

Active substance
Mavacamten
Substance synonyms
MYK-461, 6-{[(1S)-1-phenylethyl]amino}-3-(propan-2-yl)-1,2,3,4 tetrahydropyrimidine-2,4-dione, SAR439152, 3-(1-methylethyl)-6-[[(1S)-1-phenylethyl]amino]-2,4(1H,3H)-pyrimidinedione
Other product name
2.5 mg per capsule
Pharmaceutical form
CAPSULE
Route of administration
ORAL
Max daily dose
15 mg milligram(s)
Max total dose
15 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Not Authorised
MA holder
BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
Paediatric formulation
No
Orphan designation
No

Mavacamten

PRD10116941 · Product

Active substance
Mavacamten
Substance synonyms
MYK-461, 6-{[(1S)-1-phenylethyl]amino}-3-(propan-2-yl)-1,2,3,4 tetrahydropyrimidine-2,4-dione, SAR439152, 3-(1-methylethyl)-6-[[(1S)-1-phenylethyl]amino]-2,4(1H,3H)-pyrimidinedione
Other product name
15 mg per capsule
Pharmaceutical form
CAPSULE
Route of administration
ORAL
Max daily dose
15 mg milligram(s)
Max total dose
15 mg milligram(s)
Max treatment duration
96 Week(s)
Authorisation status
Not Authorised
MA holder
BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
Paediatric formulation
No
Orphan designation
No

Placebo 1

"MYK-461 Capsules, Placebo is a solid oral dosage form in size 2 gelatin capsules each containing 120 mg of an excipient blend. It is intended as a placebo to match MYK-461 Capsules of all active strengths"

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Myokardia Inc.

Sponsor organisation
Myokardia Inc.
Address
1000 Sierra Point Pky
City
Brisbane
Postcode
94005
Country
United States

Scientific contact point

Organisation
Myokardia Inc.
Contact name
GSM-CT

Public contact point

Organisation
Myokardia Inc.
Contact name
GSM-CT

Third parties 8

OrganisationCity, countryDuties
Signant Health Global LLC
ORG-100040604
Blue Bell, United States Other
Perceptive Informatics Inc.
ORG-100013171
Billerica, United States Code 13
Pharmaceutical Product Development LLC
ORG-100016999
Wilmington, United States On site monitoring, Code 10, Code 11, Code 12, Code 2, Data management, Code 8, Code 9
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Other
Yprime LLC
ORG-100042888
Malvern, United States Interactive response technologies (IRT)
PPD Global Ltd.
ORG-100007531
Marousi, Greece On site monitoring, Code 12, Code 2, Code 8
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
Labcorp Central Laboratory Services LP
ORG-100032236
Indianapolis, United States Laboratory analysis

Locations

11 EU/EEA countries · 50 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ended 11 5
Belgium Ended 10 5
Czechia Ended 7 2
Finland Ended 5 2
France Ended 7 4
Germany Ended 7 4
Greece Ended 12 6
Hungary Ended 12 6
Italy Ended 11 6
Poland Not authorised 11 3
Spain Ended 12 7
Rest of world
Argentina, United States, Australia, Switzerland, United Kingdom, Canada
70

Investigational sites

Austria

5 sites · Ended
Medical University Of Graz
Department of Internal Medicine Division of Cardiology, Neue Stiftingtalstrasse 6, 8010, Graz
Medical University of Vienna
Department of Internal Medicine II Division of Cardiology, Waehringer Guertel 18-20, Alsergrund, Vienna
Landeskrankenanstalten-Betriebsgesellschaft Kabeg
N/A, Feschnigstrasse 11, Klagenfurt,09.Bez.:Annabichl, Klagenfurt Am Woerthersee
A.O. Krankenhaus St. Josef Braunau GmbH
N/A, Ringstrasse 60, 5280, Braunau Am Inn
Klinik Favoriten
5th Medical Department/Cardiology, Kundratstrasse 3, Favoriten, Vienna

Belgium

5 sites · Ended
Hopital Erasme
Cardiology, Lennikse Baan 808, 1070, Anderlecht
Algemeen Ziekenhuis Delta
Cardiology, Deltalaan 1, 8800, Roeselare
UZ Brussel
Cardiology, Laarbeeklaan 101, 1090, Jette
Cliniques Universitaires Saint-Luc
Cardiology, Hippokrateslaan 10, Batiment 54, Sint-Lambrechts-Woluwe
UZ Leuven
Cardiology, Herestraat 49, 3000, Leuven

Czechia

2 sites · Ended
Fakultni Nemocnice U Sv Anny V Brne
I. Interní kardioangiologická klinika, Pekarska 53, Stare Brno, Brno-Stred
Nemocnice AGEL Trinec-Podlesi a.s.
Kardiologické oddělení, Konska 453, 739 61, Konska

Finland

2 sites · Ended
HUS Helsinki University Hospital
Cardiovascular laboratory, Haartmaninkatu 4, 00290, Helsinki
Turku University Hospital
Heart Center, Hameentie 11, 20520, Turku

France

4 sites · Ended
Centre Hospitalier Universitaire De Rennes
N/A, 2 Rue Henri Le Guilloux, 35000, Rennes
Centre Hospitalier Universitaire Grenoble Alpes
N/A, Boulevard De La Chantourne, Cs 10217, Grenoble Cedex 9
Assistance Publique Hopitaux De Paris
N/A, 20 Rue Leblanc, 75015, Paris
Centre Hospitalier Universitaire De Bordeaux
N/A, Avenue De Magellan, 33600, Pessac

Germany

4 sites · Ended
Charite Universitaetsmedizin Berlin KöR
Deutsches Herzzentrum der Charité Klinik für Kardiologie, Angiologie und Intensivmedizin, Hindenburgdamm 30, Lichterfelde, Berlin
Herz Und Diabeteszentrum NRW Bad Oeynhausen Universitaetsklinik Der Ruhr-Universitaet Bochum
Herz- und Diabeteszentrum Nordrhein-Westfalen, Georgstrasse 11, Innenstadt, Bad Oeynhausen
Universitaetsmedizin Goettingen
Klinik für Kardiologie und Pneumologie, Robert-Koch-Strasse 40, Weende, Goettingen
Justus-Liebig-Universitaet Giessen
Medizinische Klinik I Abteilung für Kardiologie/Angiologie, Klinikstrasse 33, 35392, Giessen

Greece

6 sites · Ended
Hippokration Hospital
1 st Department of Cardiology, Vassilissas Sofias Avenue 114, 115 27, Athens
University General Hospital Of Thessaloniki Ahepa
1 st Department of Cardiology, 1st St Kiriakidis Str, 546 36, Thessaloniki
Hippokration Hospital
3rd Department of Cardiology, Konstadinoupoleos 49, 546 42, Thessaloniki
University General Hospital Of Heraklion
Department of Cardiology, Stavrakia And Voutes, 715 00, Heraklion
Onassis Cardiac Surgery Center
Unit of Inherited and Rare Cardiovascular Diseases, Leoforos Andrea Siggrou 356, 176 74, Kallithea
University General Hospital Attikon
2nd Department of Cardiology, Rimini Street 1, 124 62, Athens

Hungary

6 sites · Ended
University Of Pecs
Heart Institute, Ifjusag Utja 13, 7624, Pecs
Central Hospital Of Northern Pest Military Hospital
Cardiology, Robert Karoly Korut 44, 1134, Budapest XIII
Semmelweis University
Heart and Vascular Center, Varosmajor Utca 68, Kerulet, Budapest XII
Gottsegen National Cardiovascular Center
Adult cardiology department, Kerulet, Haller Utca 29/IX., Budapest
University Of Szeged
2nd department of Internal medicine and Cardiology Center, Semmelweis Utca 8, 6725, Szeged
Balatonfueredi Allami Szivkorhaz
Cardiology Department I., Gyogy Ter 2, 8230, Balatonfured

Italy

6 sites · Ended
Istituto Auxologico Italiano
Department of Cardiology, Cardiological, Piazzale Brescia 20, 20149, Milan
Careggi University Hospital
Clinica medica di cardiologia, Largo Giovanni Alessandro Brambilla 3, 50134, Florence
Fondazione IRCCS Policlinico San Matteo
Cardiology Unit 1, Viale Camillo Golgi 19, 27100, Pavia
Fondazione Toscana Gabriele Monasterio
Cardio-Thoracic-UOC Cardiology and cardiovascular Medicine, Via Giuseppe Moruzzi 1, 56124, Pisa
Azienda USL Toscana Sud Est
Cardiology department, Ospedale Area Aretina Nord, Via Pietro Nenni 20/22, Arezzo
ASST Grande Ospedale Metropolitano Niguarda
Cardio-toracico-vascolare, Piazza Dell'ospedale Maggiore 3, 20162, Milan

Poland

3 sites · Not authorised
Panstwowy Instytut Medyczny Ministerstwa Spraw Wewnetrznych I Administracji
Klinika Kardiologii, Ul. Woloska 137, 02-507, Warsaw
Slaskie Centrum Chorob Serca W Zabrzu
II Oddział Kardiologii i Angiologii, Ul. Marii Curie-Sklodowskiej 9, 41-800, Zabrze
Kardio Brynow Sp. z o.o.
N/A, Ul. Rolna 17/4-5, 40-555, Katowice

Spain

7 sites · Ended
University Hospital Virgen Del Rocio S.L.
Cardiology department, Avenida De Manuel Siurot S/n, 41013, Sevilla
Hospital Universitario Ramon Y Cajal
Cardiology department, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Hospital Universitari Vall D Hebron
Cardiology department, Edificio Materno-Infantil, Passeig De La Vall D'hebron 119-129, Barcelona
Area De Salud De Salamanca
Cardiology Department, Paseo De San Vicente 55-182, 37007, Salamanca
Hospital Universitario Puerta De Hierro De Majadahonda
Cardiology department, Calle De Joaquin Rodrigo 2, 28222, Majadahonda
Hospital Son Llatzer
Department of cardiology, Carretera De Manacor Km 4, 07198, Palma
Hospital Universitario Virgen De La Victoria
Cardilology department, Calle Del Arroyo Teatinos Sn, 29010, Malaga

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-09-28 Austria Acceptable with conditions
2024-02-05
2024-02-06