RecruitingNCT07541833

Effectiveness and Treatment Patterns of Mavacamten in Patients With Obstructive Hypertrophic Cardiomyopathy in Japan (MANAGE-HCM)

A Study Evaluating Effectiveness and Treatment Patterns of Mavacamten in Patients With Obstructive Hypertrophic Cardiomyopathy Treated With Cibenzoline in Japan (MANAGE-HCM)


Sponsor

Bristol-Myers Squibb

Enrollment

36 participants

Start Date

Feb 5, 2026

Study Type

OBSERVATIONAL

Conditions

Summary

The purpose of this study is to assess the real-world effectiveness and safety of mavacamten in adults diagnosed with symptomatic obstructive hypertrophic cardiomyopathy (HOCM) receiving cibenzoline in Japan


Eligibility

Min Age: 18 Years

Inclusion Criteria11

  • Signed informed consent form (ICF): Participants, or their legally acceptable representative, must have signed and dated an Institutional Review Board (IRB)/Independent Ethics Committee (IEC)-approved ICF in accordance with regulatory, local, and institutional guidelines. This must be obtained before the performance of any protocol-related procedures.
  • Diagnosed with obstructive hypertrophic cardiomyopathy (HOCM) consistent with Japanese Circulation Society guidelines (2025), i.e., satisfy all criteria below:
  • Has unexplained left ventricular (LV) hypertrophy with nondilated ventricular chambers in the absence of other cardiac (e.g., hypertension, aortic stenosis) or systemic disease and with maximal LV wall thickness ≥ 15 mm (or ≥ 13 mm with positive family history of HCM).
  • Has Left Ventricular Outflow Tract (LVOT) peak gradient ≥ 30 mmHg (resting, Valsalva maneuver, or post-exercise).
  • Has documented Left Ventricular Ejection Fraction (LVEF) ≥ 55% at baseline.
  • Participants who meet any of the following criteria:
  • Participants who have previously received mavacamten continuously for ≥ 16 weeks
  • Participants who are currently receiving mavacamten
  • Participants who are scheduled to receive mavacamten
  • Treated with a stable dose of cibenzoline for at least 3 months prior to initiating mavacamten treatment. Tapered cibenzoline within 3 months prior to initiating mavacamten treatment is allowed if stable dose of cibenzoline was used for at least 3 months prior to tapering.
  • At least 18 years of age at the time of signing the informed consent.

Exclusion Criteria11

  • Hypersensitivity to the active substance or to any of the excipients.
  • During pregnancy and in women of childbearing potential.
  • Treated with strong CYP3A4 inhibitors (itraconazole, clarithromycin, voriconazole, posaconazole, ritonavir, cobicistat, ceritinib, ensitrelvir fumaric acid, lonafarnib, josamycin, or mifepristone/misoprostol).
  • Severe hepatic impairment (Child-Pugh C).
  • Severe atrioventricular block or severe sinoatrial block.
  • Congestive heart failure.
  • Requiring dialysis.
  • Angle-closure glaucoma.
  • Tendency to urinary retention.
  • Treated with vardenafil hydrochloride hydrate, moxifloxacin hydrochloride, lascufloxacin hydrochloride (injection), toremifene citrate, fingolimod hydrochloride, siponimod fumarate, or eliglustat tartrate.
  • Mavacamten treatment within 8 weeks prior to baseline. Mavacamten treatment initiation was judged based on post-exercise LVOT peak gradient.

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Interventions

DRUGMavacamten

According to the product label


Locations(1)

Kochi University

Kochi, Japan

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NCT07541833


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