Evaluation of Mavacamten-Based Practice in Chinese Adults With Obstructive Hypertrophic Cardiomyopathy (REMAP-HCM)
Real-world Evaluation of Mavacamten-Based Practice in Chinese Adults With Obstructive Hypertrophic Cardiomyopathy
The study will describe how mavacamten is used in routine care for Chinese adults with symptomatic obstructive hypertrophic cardiomyopathy (oHCM), including use as monotherapy or with other background/concomitant oHCM medications.
調査の概要
研究の種類
入学 (推定)
連絡先と場所
研究連絡先
- 名前：First line of the email MUST contain NCT # and Site #.
研究連絡先のバックアップ
- 名前：BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- 電話番号：855-907-3286
- メール：Clinical.Trials@bms.com
研究場所
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Shanghai、中国
- Fudan University Zhongshan Hospital
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
The study will include adults in China diagnosed with obstructive hypertrophic cardiomyopathy (oHCM) who initiated mavacamten treatment between 24 October 2024 and 31 March 2026.
説明
Inclusion Criteria:
Participants must meet all of the following criteria to be included:
- Diagnosis: Have a documented diagnosis of obstructive hypertrophic cardiomyopathy (oHCM), identified by the corresponding International Classification of Diseases (ICD)-10 codes in the medical record system.
- Medication Exposure: Have a first-ever recorded prescription for Mavacamten within the Patient Identification Period (24 October 2024 to 31 March 2026). This date is defined as the Index Date.
- Age: Be ≥ 18 years of age at the Index Date.
- Treatment Continuity: Have at least two valid clinical records of any type (e.g., outpatient visit, inpatient encounter, prescription refill, laboratory test, or echocardiogram) after the Index Date.
Exclusion Criteria:
Participants meeting any of the following criteria will be excluded:
(1) Prior Use of Study Drug: Have any documented history of Mavacamten use (based on medical history records, prescription records, or clinical notes) at any time prior to the Index Date.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 観測モデル：COHORT
- 時間の展望：RETROSPECTIVE
コホートと介入
グループ/コホート |
介入・治療 |
|---|---|
|
Category A1. Sustained Monotherapy
Participants who initiate mavacamten as monotherapy and remained on monotherapy throughout follow-up. |
As per product label |
|
Category A2. Treatment Intensification
Participants who initiate mavacamten monotherapy and subsequently added one or more background obstructive hypertrophic cardiomyopathy (oHCM) medications during follow-up. |
As per product label |
|
Category B1. Stable Combination Therapy at Initiation
Participants who initiate mavacamten with one or more background obstructive hypertrophic cardiomyopathy (oHCM) medications and remain on combination therapy throughout follow-up. |
As per product label |
|
Category B2. Treatment Simplification
Participants who initiate mavacamten with one or more background obstructive hypertrophic cardiomyopathy (oHCM) medications and subsequently discontinued all background oHCM medications, resulting in mavacamten monotherapy. |
As per product label |
|
Category C. Complex/Unclassifiable
Participants whose treatment records indicate multiple treatment changes that could not be classified into the predefined treatment strategy groups. |
As per product label |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
時間枠 |
|---|---|
|
Number of participants in each study cohort
時間枠：Baseline and months 1, 2, 3, 6, 9, 12 and 15
|
Baseline and months 1, 2, 3, 6, 9, 12 and 15
|
|
Absolute change (mmHg) from baseline in resting peak left ventricular outflow tract (LVOT) gradient assessed by transthoracic echocardiography
時間枠：Baseline and at months 1, 2, 3, 6, 9, 12 and 15
|
Baseline and at months 1, 2, 3, 6, 9, 12 and 15
|
|
Absolute change (mmHg) from baseline in post-Valsalva peak left ventricular outflow tract (LVOT) gradient assessed by transthoracic echocardiography
時間枠：Baseline and at months 1, 2, 3, 6, 9, 12 and 15
|
Baseline and at months 1, 2, 3, 6, 9, 12 and 15
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Number of participants with at least 1-class improvement from baseline in New York Heart Association (NYHA) functional class
時間枠：Baseline and at months 1, 2, 3, 6, 9, 12 and 15
|
Baseline and at months 1, 2, 3, 6, 9, 12 and 15
|
|
|
New York Heart Association (NYHA) functional class classification as assessed by the treating physician
時間枠：Baseline and at months 1, 2, 3, 6, 9, 12 and 15
|
Baseline and at months 1, 2, 3, 6, 9, 12 and 15
|
|
|
Change from baseline in left atrial dimension (LAD) or left atrial volume index (LAVI) assessed by transthoracic echocardiography
時間枠：Baseline and at months 1, 2, 3, 6, 9, 12 and 15
|
Baseline and at months 1, 2, 3, 6, 9, 12 and 15
|
|
|
Change from baseline in interventricular septal thickness (IVST) assessed by transthoracic echocardiography
時間枠：Baseline and at months 1, 2, 3, 6, 9, 12 and 15
|
Baseline and at months 1, 2, 3, 6, 9, 12 and 15
|
|
|
Change from baseline in E/e' ratio assessed by transthoracic echocardiography
時間枠：Baseline and months 1, 2, 3, 6, 9, 12 and 15
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Baseline and months 1, 2, 3, 6, 9, 12 and 15
|
|
|
Prescribed mavacamten dose (mg)
時間枠：Day 1 and months 1, 2, 3, 6, 9, 12 and 15
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Day 1 and months 1, 2, 3, 6, 9, 12 and 15
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|
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Prescribed mavacamten maintenance dose (mg) during follow-up
時間枠：Up to 15 months
|
Up to 15 months
|
|
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Number of participants reaching mavacamten maintenance dose
時間枠：Up to 15 months
|
Up to 15 months
|
|
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Number of participants whose prescribed mavacamten dose changed during the observation period
時間枠：Day 1 and and up to 15 months
|
Day 1 and and up to 15 months
|
|
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Time (days) from Index Date to achieving mavacamten maintenance dose
時間枠：Day 1 and up to 15 months
|
Day 1 and up to 15 months
|
|
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Number of participants that discontinued mavacamten treatment
時間枠：Up to 15 months
|
Up to 15 months
|
|
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Time (days) from Index Date to mavacamten discontinuation
時間枠：Day 1 and up to 15 months
|
Day 1 and up to 15 months
|
|
|
Duration of mavacamten treatment during follow-up
時間枠：Day 1 and up to 15 months
|
Day 1 and up to 15 months
|
|
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Prior hypertrophic cardiomyopathy (oHCM) medication drug class
時間枠：Baseline and up to 15 months
|
Drug class of background oHCM medications, including beta-blockers and calcium channel blockers |
Baseline and up to 15 months
|
|
Prior hypertrophic cardiomyopathy (oHCM) medication dose
時間枠：Baseline and up to 15 months
|
Dose of background oHCM medications, including beta-blockers and calcium channel blockers |
Baseline and up to 15 months
|
協力者と研究者
スポンサー
捜査官
- スタディディレクター：Bristol-Myers Squibb、Bristol-Myers Squibb
出版物と役立つリンク
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- CV027-1262
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