Aficamten and Patient-Reported Outcomes in Real-World nHCM (CAMPHOR-HCM)
Comprehensive Aficamten Management and Patient-reported Health Outcomes in Real-world nHCM
This multicenter, prospective, observational, real-world clinical study aims to evaluate the efficacy and safety of Aficamten in patients with symptomatic non-obstructive hypertrophic cardiomyopathy (nHCM) by prospectively observing changes in symptoms, biomarkers, imaging findings, and adverse reactions, etc. It will also record the dosing regimens at which individual patients achieve steady state, and explore the treatment patterns of Aficamten in Chinese patients with symptomatic nHCM.
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:Xiaojie Xie, MD, PhD
- 電話番号:86+571-87784700
- メール:xiexj@zju.edu.cn
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
Patients with symptomatic non-obstructive hypertrophic cardiomyopathy
説明
Inclusion Criteria:
-
Age 18-85 years.
-
Confirmed diagnosis of HCM:
- Left ventricular wall thickness ≥15 mm at any site on echocardiography or cardiac magnetic resonance.
- Left ventricular wall thickness ≥13 mm in individuals testing positive for a pathogenic variant or in genetically affected family members.
- Ventricular wall thickening caused by other cardiovascular diseases or systemic or metabolic disorders has been excluded.
-
Symptomatic nHCM patients meeting all of the following conditions:
- Left ventricular outflow tract gradient (LVOTG) <30 mmHg at rest and/or with provocation.
- Presence of any one of the following symptoms: fatigue (weakness), dyspnea, chest pain, palpitations, or syncope.
- New York Heart Association (NYHA) functional class II or III.
-
Left ventricular ejection fraction (LVEF) ≥60% as assessed by transthoracic echocardiography.
-
Signed and dated written informed consent, and willingness to return for clinical follow-up.
Exclusion Criteria:
- LVOTG ≥30 mmHg at rest and/or with provocation.
- LVEF <50% on transthoracic echocardiography.
- Symptomatic hypotension or systolic blood pressure (SBP) <100 mmHg.
- Severe renal impairment, estimated glomerular filtration rate (eGFR) <30 mL/min/1.73 m², or currently receiving blood purification therapy.
- Planned implantable cardioverter-defibrillator (ICD) implantation or cardiac resynchronization therapy (CRT) within 3 months.
- Women who are pregnant or planning to become pregnant during the trial.
- Currently participating in another investigational device or drug trial.
- Any other clinical condition with an expected survival of less than 2 years.
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:PROSPECTIVE
コホートと介入
グループ/コホート |
介入・治療 |
|---|---|
|
Aficamten group
Patients with non-obstructive hypertrophic cardiomyopathy (nHCM) receiving aficamten therapy |
Aficamten will be administered at a specified dose according to each patient's tolerability, as assessed by echocardiography. |
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 |
|---|---|
|
Percentage change from baseline in NT-proBNP and/or absolute change from baseline in KCCQ-CSS
時間枠:From enrollment to the end of treatment at 24 months
|
From enrollment to the end of treatment at 24 months
|
二次結果の測定
結果測定 |
時間枠 |
|---|---|
|
Absolute change from baseline in NT-proBNP
時間枠:From enrollment to the end of treatment at 24 months
|
From enrollment to the end of treatment at 24 months
|
|
Percentage change from baseline in TnT/TnI
時間枠:From enrollment to the end of treatment at 24 months
|
From enrollment to the end of treatment at 24 months
|
|
Absolute change from baseline in TnT/TnI
時間枠:From enrollment to the end of treatment at 24 months
|
From enrollment to the end of treatment at 24 months
|
|
Absolute change from baseline in maximal wall thickness (MWT)
時間枠:From enrollment to the end of treatment at 24 months
|
From enrollment to the end of treatment at 24 months
|
|
Absolute change from baseline in E/e'
時間枠:From enrollment to the end of treatment at 24 months
|
From enrollment to the end of treatment at 24 months
|
|
Absolute change from baseline in left ventricular end-diastolic volume index (LVEDdi)
時間枠:From enrollment to the end of treatment at 24 months
|
From enrollment to the end of treatment at 24 months
|
|
Proportion of patients with improvement of ≥1 NYHA functional class
時間枠:From enrollment to the end of treatment at 24 months
|
From enrollment to the end of treatment at 24 months
|
協力者と研究者
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
- 2026-1382
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
米国で製造され、米国から輸出された製品。
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