UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000059669
Receipt number R000068255
Scientific Title Effects of Mavacamten on Coronary Microcirculation in Obstructive Hypertrophic Cardiomyopathy
Date of disclosure of the study information 2025/11/20
Last modified on 2025/11/06 18:26:54

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Effects of Mavacamten on Coronary Microcirculation in Obstructive Hypertrophic Cardiomyopathy

Acronym

Effects of Mavacamten on Coronary Microcirculation in Obstructive Hypertrophic Cardiomyopathy

Scientific Title

Effects of Mavacamten on Coronary Microcirculation in Obstructive Hypertrophic Cardiomyopathy

Scientific Title:Acronym

Effects of Mavacamten on Coronary Microcirculation in Obstructive Hypertrophic Cardiomyopathy

Region

Japan


Condition

Condition

Obstructive Hypertrophic Cardiomyopathy

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To elucidate the effects of mavacamten on coronary microcirculation in patients with symptomatic obstructive hypertrophic cardiomyopathy.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

To compare the change in the index of microcirculatory resistance (IMR) before and after 16 weeks of mavacamten treatment in patients with obstructive hypertrophic cardiomyopathy who have a peak left ventricular outflow tract pressure gradient 50 mmHg or higher and are in NYHA class 2 or higher.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

90 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients diagnosed with obstructive hypertrophic cardiomyopathy (HCM)

Patients who meet the mavacamten administration criteria described in the 2025 revised Japanese Heart Failure Guidelines (those who continue to have NYHA functional class II-III symptoms despite pharmacological therapy with beta-blockers or calcium channel blockers)

Patients with a left ventricular ejection fraction (LVEF) >=55% at rest

Patients with a peak left ventricular outflow tract (LVOT) pressure gradient >=50 mmHg at rest, during Valsalva maneuver, or during exercise

Patients who have received a sufficient explanation regarding the purpose and details of this study, have fully understood it, and have provided written informed consent of their own free will

Key exclusion criteria

Patients with a history of resuscitation after cardiac arrest

Patients with a history of syncope, sustained ventricular tachycardia, or appropriate implantable cardioverter-defibrillator (ICD) intervention within the past 6 months

Patients who have undergone surgical septal myectomy or percutaneous transluminal septal myocardial ablation (PTSMA) within the past 6 months

Patients with a history of hypersensitivity to mavacamten, severe hepatic impairment (Child-Pugh class C), or who are pregnant or possibly pregnant

Patients who refuse to participate in the study or are deemed ineligible by the principal investigator

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Shohei
Middle name
Last name Hakozaki

Organization

KINDAI University Faculty of Medicine

Division name

Cardiovascular Medicine

Zip code

590-0197

Address

1-14-1 Mihara-dai, Minami-ku, Sakai-shi, Osaka

TEL

072-288-7222

Email

shakozaki@med.kindai.ac.jp


Public contact

Name of contact person

1st name Koichiro
Middle name
Last name Matsumura

Organization

KINDAI University Faculty of Medicine

Division name

Cardiovascular Medicine

Zip code

590-0197

Address

1-14-1 Mihara-dai, Minami-ku, Sakai-shi, Osaka

TEL

072-288-7222

Homepage URL


Email

shakozaki@med.kindai.ac.jp


Sponsor or person

Institute

KINDAI University

Institute

Department

Personal name



Funding Source

Organization

Kindai University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Department of Cardiology, Kindai University

Address

1-14-1 Mihara-dai, Minami-ku, Sakai-shi, Osaka

Tel

072-288-7222

Email

shakozaki@med.kindai.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 11 Month 20 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 11 Month 11 Day

Date of IRB


Anticipated trial start date

2025 Year 11 Month 20 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Study design
Prospective observational study

Registered patients
Patients with obstructive hypertrophic cardiomyopathy treated with mavacamten

Observation items
Medical history
Blood tests
Cardiopulmonary exercise test
Echocardiography
Cardiac magnetic resonance imaging (MRI)
Cardiac catheterization

Evaluation item
Change in the index of microcirculatory resistance (IMR) before and after mavacamten treatment


Management information

Registered date

2025 Year 11 Month 06 Day

Last modified on

2025 Year 11 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000068255