A Study to Evaluate Mavacamten in Adolescents With Symptomatic Obstructive Hypertrophic Cardiomyopathy

December 18, 2025 updated by: Bristol-Myers Squibb

A Randomized, Double-blind, Placebo-controlled Clinical Study to Evaluate Mavacamten in Adolescents (Age 12 Years to < 18 Years) With Symptomatic Obstructive Hypertrophic Cardiomyopathy

The purpose of this study is to evaluate the efficacy, safety, and pharmacokinetics of mavacamten in adolescent patients with symptomatic obstructive hypertrophic cardiomyopathy (HCM).

Study Overview

Status

Active, not recruiting

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

44

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • New South Wales
      • Sydney, New South Wales, Australia, 2145
        • Local Institution - 0020
    • Victoria
      • Clayton, Victoria, Australia, 3168
        • Local Institution - 0042
    • Alberta
      • Edmonton, Alberta, Canada, T6G 2R7
        • Local Institution - 0041
    • Ontario
      • Toronto, Ontario, Canada, M5G 1X8
        • Local Institution - 0046
      • Paris, France, 75015
        • Local Institution - 0022
      • Pessac, France, 33604
        • Local Institution - 0026
    • Bavaria
      • Munich, Bavaria, Germany, 80636
        • Local Institution - 0006
    • State of Berlin
      • Berlin, State of Berlin, Germany, 13353
        • Local Institution - 0018
      • Dublin 12, D12 N512, Ireland, D12 N512
        • Local Institution - 0047
      • Napoli, Italy, 80131
        • Local Institution - 0027
    • FI
      • Florence, FI, Italy, 50100
        • Local Institution - 0016
    • GE
      • Genova, GE, Italy, 16147
        • Local Institution - 0051
      • Madrid, Spain, 28046
        • Local Institution - 0025
    • B
      • Barcelona, B, Spain, 8950
        • Local Institution - 0014
      • London, United Kingdom, WC1N 3JH
        • Local Institution - 0007
    • BFS
      • Belfast, BFS, United Kingdom, BT12 6BA
        • Local Institution - 0049
    • Alabama
      • Birmingham, Alabama, United States, 35294-0004
        • Local Institution - 0017
    • Arizona
      • Phoenix, Arizona, United States, 85016-7710
        • Local Institution - 0050
    • California
      • Los Angeles, California, United States, 90027-6062
        • Local Institution - 0032
      • Los Angeles, California, United States, 90095-8344
        • Local Institution - 0008
      • Palo Alto, California, United States, 94304-1601
        • Local Institution - 0033
      • San Diego, California, United States, 92123-4223
        • Local Institution - 0044
    • Colorado
      • Aurora, Colorado, United States, 80045-7106
        • Local Institution - 0038
    • Florida
      • St. Petersburg, Florida, United States, 33701-4634
        • Local Institution - 0031
    • Georgia
      • Atlanta, Georgia, United States, 30329-3117
        • Local Institution - 0053
    • Illinois
      • Chicago, Illinois, United States, 60637-1447
        • Local Institution - 0013
    • Indiana
      • Indianapolis, Indiana, United States, 46202-5272
        • Local Institution - 0009
    • Massachusetts
      • Boston, Massachusetts, United States, 02115-5724
        • Local Institution - 0043
    • Michigan
      • Ann Arbor, Michigan, United States, 48109
        • Local Institution - 0002
    • Missouri
      • St Louis, Missouri, United States, 63110
        • Local Institution - 0037
    • New Jersey
      • Morristown, New Jersey, United States, 07960
        • Local Institution - 0052
    • New York
      • New Hyde Park, New York, United States, 11042
        • Local Institution - 0010
      • New York, New York, United States, 10029-6574
        • Local Institution - 0024
      • New York, New York, United States, 10032-1559
        • Local Institution - 0036
      • The Bronx, New York, United States, 10467-2403
        • Local Institution - 0040
    • North Carolina
      • Charlotte, North Carolina, United States, 28204
        • Local Institution - 0015
      • Durham, North Carolina, United States, 27705
        • Local Institution - 0039
    • Ohio
      • Cincinnati, Ohio, United States, 45229
        • Local Institution - 0019
      • Cleveland, Ohio, United States, 44195-0001
        • Local Institution - 0001
      • Columbus, Ohio, United States, 43205
        • Local Institution - 0029
    • Pennsylvania
      • Philadelphia, Pennsylvania, United States, 19104-4319
        • Local Institution - 0030
      • Pittsburgh, Pennsylvania, United States, 15224-1334
        • Local Institution - 0005
    • Tennessee
      • Memphis, Tennessee, United States, 38105
        • Local Institution - 0034
    • Texas
      • Austin, Texas, United States, 78712
        • Local Institution - 0045
      • Houston, Texas, United States, 77030
        • Local Institution - 0054
    • Utah
      • Salt Lake City, Utah, United States, 84113-1103
        • Local Institution - 0003
    • Virginia
      • Charlottesville, Virginia, United States, 22908-0816
        • Local Institution - 0012

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Diagnosis of HCM
  • Presence of LVOT obstruction
  • Presence of symptoms

Exclusion Criteria:

  • Phenocopy diseases resulting in myocardial hypertrophy not related to sarcomere dysfunction
  • Evidence of LVEF <50% in prior 6 months
  • Planned escalation in HCM therapy or upcoming intervention (eg, major cardiac surgery, HCM medication dose increase)

Other protocol-defined Inclusion/Exclusion criteria apply.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Mavacamten
Participants assigned to this arm will receive mavacamten (1 mg to 15 mg) from day 1 to end of treatment at week 200.
Specified dose on specified days
Other Names:
  • BMS-986427
Experimental: Placebo
Participants assigned to this arm will receive mavacamten (1 mg to 15 mg) from week 28 to end of treatment at week 200.
Specified dose on specified days

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Change from baseline in Valsalva left ventricular outflow tract (LVOT) (VLVOT) gradient
Time Frame: At Week 28
At Week 28

Secondary Outcome Measures

Outcome Measure
Time Frame
Change from baseline in resting LVOT gradient
Time Frame: At Week 28
At Week 28
Change from baseline in post-exercise peak LVOT gradient
Time Frame: At Week 28
At Week 28
Change from baseline in maximal wall thickness
Time Frame: At Week 28
At Week 28
Change from baseline in ratio between early mitral inflow velocity and mitral annular early diastolic velocity (E/e')
Time Frame: At Week 28
At Week 28
Proportion of participants achieving an increase from baseline to Week 28 in peak oxygen uptake test (pVO2)
Time Frame: From baseline up to Week 28
From baseline up to Week 28
Proportion of participants achieving a reduction from baseline to Week 28 in maximal LVOT gradient to < 30 mmHg
Time Frame: From baseline up to Week 28
From baseline up to Week 28
Proportion of participants with at least 1 class improvement in New York Heart Association (NYHA) class from baseline to Week 28
Time Frame: From baseline up to Week 28
From baseline up to Week 28
Proportion of participants with at least 1 grade improvement in mitral regurgitation at Week 28
Time Frame: From baseline up to Week 28
From baseline up to Week 28
Change from baseline in electrocardiogram (ECG) (QT interval)
Time Frame: At Week 28
At Week 28
Proportion of participants who evaluate taste and swallowability as neutral or better using taste and swallowability scales
Time Frame: At Day 1 and Week 11
At Day 1 and Week 11
Change from baseline in the Hypertrophic Cardiomyopathy Symptom Questionnaire - Shortness of Breath (HCMSQ SoB) domain
Time Frame: At Week 28
At Week 28
Number of participants with treatment-emergent adverse events (TEAEs)
Time Frame: Up to Week 218
Up to Week 218
Number of participants with treatment-emergent serious adverse events (TESAEs)
Time Frame: Up to Week 218
Up to Week 218
Number of participants with left ventricular ejection fraction (LVEF) ≤ 30%
Time Frame: Up to Week 200
Up to Week 200
Trough observed plasma concentration (Ctrough)
Time Frame: Up to Week 200
Up to Week 200
Post-dose plasma concentration of mavacamten
Time Frame: Up to Week 200
Up to Week 200
Maximum observed concentration (Cmax)
Time Frame: Up to Week 200
Up to Week 200
Area under the concentration-time curve (AUC)
Time Frame: Up to Week 200
Up to Week 200
Number of participants with LVEF < 50%
Time Frame: Up to Week 200
Up to Week 200

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 17, 2024

Primary Completion (Actual)

November 25, 2025

Study Completion (Estimated)

March 28, 2031

Study Registration Dates

First Submitted

February 2, 2024

First Submitted That Met QC Criteria

February 2, 2024

First Posted (Actual)

February 12, 2024

Study Record Updates

Last Update Posted (Actual)

December 19, 2025

Last Update Submitted That Met QC Criteria

December 18, 2025

Last Verified

December 1, 2025

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at: https://www.bms.com/researchers-and-partners/clinical-trials-and-research/disclosure-commitment.html

IPD Sharing Time Frame

See plan description

IPD Sharing Access Criteria

See plan description

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP
  • CSR

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Cardiomyopathy, Hypertrophic

Clinical Trials on Placebo

Subscribe