Hypertrophic CardiomyopathyPhase 2/3NCT03723655
A Long-Term Safety Extension Study of Mavacamten in Adults Who Have Completed MAVERICK-HCM or EXPLORER-HCM
A Phase 2/3 study testing mavacamten in people with Hypertrophic Cardiomyopathy and Obstructive Hypertrophic Cardiomyopathy, run by Bristol-Myers Squibb at 68 sites in 13 countries.
Trial summary
Approximately 30 sites that enrolled participants in the MAVERICK-HCM (MYK-461-006) study in the United States (US) will initiate this study. Approximately 90 sites that enrolled participants in the EXPLORER-HCM (MYK-461-005) study in the US, Europe, and Israel will initiate this study. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hypertrophic Cardiomyopathy, Obstructive Hypertrophic Cardiomyopathy, Non-obstructive Hypertrophic Cardiomyopathy
- What is being tested?
- mavacamten
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 314 participants
- Where
- 68 sitesin 13 countries
- Study dates
- 27 Sep 2018to 16 Jan 2026
- Phase
- Phase 2/3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Has completed the Parent Study through to the EOS Visit within 90 days of consent. (Participants who are beyond the 90-day window from EOS Visit may be included in this study pending MyoKardia Medical Monitoring approval) Participants who prematurely discontinued from the Parent Study or the MAVA-LTE study may be considered for inclusion.
- Has a body weight greater than 45 kg at the Screening Visit
- Has adequate acoustic windows to enable accurate TTEs.
- Has documented LVEF ≥ 50% by echocardiography core laboratory read of screening TTE at rest.
- Has safety laboratory parameters (chemistry, hematology, coagulation, and urinalysis) within normal limits (according to the central laboratory reference range).
- Female participants must not be pregnant or lactating and, if sexually active, must use one of the following highly effective birth control methods from the Screening Visit through 90 days after the last dose of investigational medicinal product (IMP).
- In addition to the above contraceptive requirements for female participants, male partners must also use a contraceptive (eg. barrier, condom, or vasectomy).
Who cannot join
- Has any ECG abnormality considered by the investigator to pose a risk to participant safety (eg. second degree atrioventricular block type II).
- Has a history of syncope or a history of sustained ventricular tachyarrhythmia with exercise between Parent Study EOS Visit and Screening Visit.
- Has a history of resuscitated sudden cardiac arrest or known history of appropriate implantable cardioverter-defibrillator (ICD) discharge for life-threatening ventricular arrhythmia between Parent Study EOS Visit and Screening Visit. (Note: history of anti-tachycardia pacing (ATP) is allowed).• Currently treated with disopyramide or ranolazine (within 14 days prior to Screening) or treatment with disopyramide or ranolazine is planned during the study.
- Has any acute or serious comorbid condition (eg. major infection or hematologic, renal, metabolic, gastrointestinal, or endocrine dysfunction) that, in the judgment of the Investigator, could lead to premature termination of study participation or interfere with the measurement or interpretation of the efficacy and safety assessments in the study.
- History of clinically significant malignant disease that developed since enrollment in the Parent Study.
- Is unable to comply with the study requirements, including the number of required visits to the clinical site.
- Has participated in a clinical trial in which the participant received any investigational drug (or is currently using an investigational device) within 30 days prior to Screening, or at least 5 times the respective elimination half-life (whichever is longer), except for participation in MAVERICK-HCM or EXPLORER-HCM. Prior participation in a non-interventional observational study is allowed.
Trial locations and contacts
68 sites in 13 countries.
68 sites in 13 countries
United States31 sites
Local Institution - 0051
Ann Arbor, Michigan, 48109
Local Institution - 0068
Bethlehem, Pennsylvania, 18015
Local Institution - 0054
Boston, Massachusetts, 02115
Local Institution - 0071
Charlotte, North Carolina, 28204
Local Institution - 0053
Charlottesville, Virginia, 22903
Local Institution - 0050
Chicago, Illinois, 60611
Local Institution - 0052
Cincinnati, Ohio, 45267
Local Institution - 0061
Dallas, Texas, 75390
Local Institution - 0047
Durham, North Carolina, 27710
Local Institution - 0074
Grand Rapids, Michigan, 49503
Local Institution - 0055
Houston, Texas, 77030
Local Institution - 0057
Houston, Texas, 77030
Local Institution - 0070
Indianapolis, Indiana, 46260
Local Institution - 0049
Iowa City, Iowa, 52242
Local Institution - 0067
Jacksonville, Florida, 32224
Local Institution - 0058
Los Angeles, California, 90027
Local Institution - 0073
Memphis, Tennessee, 38104
Local Institution - 0072
Murray, Utah, 84107-5701
Local Institution - 0043
New Haven, Connecticut, 06520-8017
Local Institution - 0060
New York, New York, 10016
Local Institution - 0056
New York, New York, 10032
Local Institution - 0046
Philadelphia, Pennsylvania, 19104
Local Institution - 0064
Pittsburgh, Pennsylvania, 15213
Local Institution - 0044
Portland, Oregon, 97239
Local Institution - 0059
Richmond, Virginia, 23298
Local Institution - 0062
Salt Lake City, Utah, 84112
Local Institution - 0066
San Francisco, California, 94143
Local Institution - 0045
Scottsdale, Arizona, 85259
Local Institution - 0065
Seattle, Washington, 98195
Local Institution - 0048
St Louis, Missouri, 63110
Local Institution - 0063
Stanford, California, 94305
Israel6 sites
Local Institution - 0027
Jerusalem, 9112001
Local Institution - 0024
Petah Tikva, 4941492
Local Institution - 0022
Ramat Gan, 52621
Local Institution - 0025
Rehovot, 76100
Local Institution - 0023
Safed, 13100
Local Institution - 0026
Tel Aviv, 6423906
Spain5 sites
Local Institution - 0038
A Coruña, 15006
Local Institution - 0037
El Palmar, 30120
Local Institution - 0040
Madrid, 28034
Local Institution - 0039
Majadahonda, 28222
Local Institution - 0041
Seville, 41009
France4 sites
Local Institution - 0014
Nantes, 44093
Local Institution - 0017
Paris, 75013
Local Institution - 0016
Paris, 75015
Local Institution - 0015
Toulouse, 31059
Germany4 sites
Local Institution - 0020
Bad Nauheim, 61231
Local Institution - 0018
Dresden, 01277
Local Institution - 0019
Göttingen, 37075
Local Institution - 0021
Heidelberg, 69120
Poland4 sites
Local Institution - 0033
Katowice, 40-555
Local Institution - 0034
Krakow, 31-501
Local Institution - 0031
Poznan, 61-848
Local Institution - 0032
Warsaw, 04-628
Belgium3 sites
Local Institution - 0002
Aalst, 9300
Local Institution - 0001
Brussels, 1070
Local Institution - 0003
Edegem, 2650
Denmark3 sites
Local Institution - 0011
Aarhus, 8000
Local Institution - 0012
Frederiksberg, 2000
Local Institution - 0013
Odense, 5000
Czechia2 sites
Local Institution - 0010
Prague, 128 08
Local Institution - 0009
Prague, 140 21
Netherlands2 sites
Local Institution - 0029
Maastricht, 6229 HX
Local Institution - 0030
Rotterdam, 3015 CE
Portugal2 sites
Local Institution - 0036
Almada, 2805-267
Local Institution - 0035
Lisbon, 1500-650
About this study
Official title: A Long-Term Safety Extension Study of Mavacamten (MYK-461) in Adults With Hypertrophic Cardiomyopathy Who Have Completed the MAVERICK-HCM (MYK-461-006) or EXPLORER-HCM (MYK-461-005) Trials (MAVA-LTE)
Approximately 30 sites that enrolled participants in the MAVERICK-HCM (MYK-461-006) study in the United States (US) will initiate this study.
Approximately 90 sites that enrolled participants in the EXPLORER-HCM (MYK-461-005) study in the US, Europe, and Israel will initiate this study.
Note: Approximately 30 centers overlap between MAVERICK and EXPLORER.
- Conditions
- Hypertrophic Cardiomyopathy, Obstructive Hypertrophic Cardiomyopathy, Non-obstructive Hypertrophic Cardiomyopathy
- Being tested
- mavacamten
- Keywords
- Symptomatic, left ventricular outflow tract gradient
- Medical subject headings
- Cardiomyopathy, Hypertrophic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
mavacamtenDrug
Also called MYK-461
mavacamten capsules
| Study group | Role | What they receive |
|---|---|---|
| Group 1 | Experimental | Active Treatment for participants with base target trough concentration Receives: Drug: mavacamten |
| Group 2 | Experimental | Active Treatment for participants with higher target trough concentration Receives: Drug: mavacamten |
| Group 3 | Experimental | Active Treatment for participants dose titrated to clinical response Receives: Drug: mavacamten |
What is being measured
The primary outcome is the main question the study is designed to answer.
Frequency and severity of treatment-emergent adverse events and serious adverse events
Measured: 252 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Oct 2018
- Study start27 Sep 2018
- Primary completion16 Jan 2026
- Study completion16 Jan 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Hypertrophic CardiomyopathyStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 314 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03723655
- Sponsor's protocol ID
- CV027-003
- Status last verified
- Feb 2026
- First submitted
- 24 Oct 2018
- Last updated
- 20 Feb 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: 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.html
Publications
Olivotto I, Garcia-Pavia P, Tian Z, Owens AT, Lakdawala NK MD, Balaratnam G, Zhong Y, Memaj A, Barrett YC, Desai M. Mavacamten monotherapy in obstructive hypertrophic cardiomyopathy: An integrated analysis of phase 3 clinical trials. Am Heart J. 2026 Aug 24;303:107587. doi: 10.1016/j.ahj.2026.107587. Online ahead of print.
PubMed 42636950Garcia-Pavia P, Oreziak A, Masri A, Barriales-Villa R, Abraham TP, Owens AT, Jensen MK, Wojakowski W, Seidler T, Hagege A, Lakdawala NK, Wang A, Wheeler MT, Choudhury L, Balaratnam G, Shah A, Fox S, Hegde SM, Olivotto I. Long-term effect of mavacamten in obstructive hypertrophic cardiomyopathy. Eur Heart J. 2024 Dec 16;45(47):5071-5083. doi: 10.1093/eurheartj/ehae579.
PubMed 39217450Rader F, Oreziak A, Choudhury L, Saberi S, Fermin D, Wheeler MT, Abraham TP, Garcia-Pavia P, Zwas DR, Masri A, Owens A, Hegde SM, Seidler T, Fox S, Balaratnam G, Sehnert AJ, Olivotto I. Mavacamten Treatment for Symptomatic Obstructive Hypertrophic Cardiomyopathy: Interim Results From the MAVA-LTE Study, EXPLORER-LTE Cohort. JACC Heart Fail. 2024 Jan;12(1):164-177. doi: 10.1016/j.jchf.2023.09.028.
PubMed 38176782
Study at a glance
From the registry record, last updated by the sponsor on 20 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Long-Term Safety Extension Study of Mavacamten (MYK-461) in Adults With Hypertrophic Cardiomyopathy Who Have Completed the MAVERICK-HCM (MYK-461-006) or EXPLORER-HCM (MYK-461-005) Trials (MAVA-LTE)
- ClinicalTrials.gov ID
- NCT03723655
- Acronym / sponsor ID
- CV027-003
- Conditions
- Hypertrophic Cardiomyopathy, Obstructive Hypertrophic Cardiomyopathy, Non-obstructive Hypertrophic Cardiomyopathy
- Keywords
- Symptomatic, left ventricular outflow tract gradient
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 314 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- 27 Sep 2018 (actual)
- Primary completion
- 16 Jan 2026 (actual)
- Study completion
- 16 Jan 2026 (actual)
- First posted
- 29 Oct 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Approximately 30 sites that enrolled participants in the MAVERICK-HCM (MYK-461-006) study in the United States (US) will initiate this study.
Approximately 90 sites that enrolled participants in the EXPLORER-HCM (MYK-461-005) study in the US, Europe, and Israel will initiate this study.
Note: Approximately 30 centers overlap between MAVERICK and EXPLORER.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Group 1 | Experimental | Drug: mavacamtenActive Treatment for participants with base target trough concentration |
| Group 2 | Experimental | Drug: mavacamtenActive Treatment for participants with higher target trough concentration |
| Group 3 | Experimental | Drug: mavacamtenActive Treatment for participants dose titrated to clinical response |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Has completed the Parent Study through to the EOS Visit within 90 days of consent. (Participants who are beyond the 90-day window from EOS Visit may be included in this study pending MyoKardia Medical Monitoring approval) Participants who prematurely discontinued from the Parent Study or the MAVA-LTE study may be considered for inclusion.
- Has a body weight greater than 45 kg at the Screening Visit
- Has adequate acoustic windows to enable accurate TTEs.
- Has documented LVEF ≥ 50% by echocardiography core laboratory read of screening TTE at rest.
- Has safety laboratory parameters (chemistry, hematology, coagulation, and urinalysis) within normal limits (according to the central laboratory reference range).
Key exclusion criteria (7 listed)
- Has any ECG abnormality considered by the investigator to pose a risk to participant safety (eg. second degree atrioventricular block type II).
- Has a history of syncope or a history of sustained ventricular tachyarrhythmia with exercise between Parent Study EOS Visit and Screening Visit.
- Has a history of resuscitated sudden cardiac arrest or known history of appropriate implantable cardioverter-defibrillator (ICD) discharge for life-threatening ventricular arrhythmia between Parent Study EOS Visit and Screening Visit. (Note: history of anti-tachycardia pacing (ATP) is allowed).• Currently treated with disopyramide or ranolazine (within 14 days prior to Screening) or treatment with disopyramide or ranolazine is planned during the study.
- Has any acute or serious comorbid condition (eg. major infection or hematologic, renal, metabolic, gastrointestinal, or endocrine dysfunction) that, in the judgment of the Investigator, could lead to premature termination of study participation or interfere with the measurement or interpretation of the efficacy and safety assessments in the study.
- History of clinically significant malignant disease that developed since enrollment in the Parent Study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| mavacamtenAlso: MYK-461mavacamten capsules | Drug | Group 1, Group 2, Group 3 |
Primary outcome
Frequency and severity of treatment-emergent adverse events and serious adverse events
Time frame: 252 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Feb 2026.
- Derived from this study: PubMed 42636950Olivotto I, Garcia-Pavia P, Tian Z, Owens AT, Lakdawala NK MD, Balaratnam G, Zhong Y, Memaj A, Barrett YC, Desai M. Mavacamten monotherapy in obstructive hypertrophic cardiomyopathy: An integrated analysis of phase 3 clinical trials. Am Heart J. 2026 Aug 24;303:107587. doi: 10.1016/j.ahj.2026.107587. Online ahead of print.
- Derived from this study: PubMed 39217450Garcia-Pavia P, Oreziak A, Masri A, Barriales-Villa R, Abraham TP, Owens AT, Jensen MK, Wojakowski W, Seidler T, Hagege A, Lakdawala NK, Wang A, Wheeler MT, Choudhury L, Balaratnam G, Shah A, Fox S, Hegde SM, Olivotto I. Long-term effect of mavacamten in obstructive hypertrophic cardiomyopathy. Eur Heart J. 2024 Dec 16;45(47):5071-5083. doi: 10.1093/eurheartj/ehae579.
- Derived from this study: PubMed 38176782Rader F, Oreziak A, Choudhury L, Saberi S, Fermin D, Wheeler MT, Abraham TP, Garcia-Pavia P, Zwas DR, Masri A, Owens A, Hegde SM, Seidler T, Fox S, Balaratnam G, Sehnert AJ, Olivotto I. Mavacamten Treatment for Symptomatic Obstructive Hypertrophic Cardiomyopathy: Interim Results From the MAVA-LTE Study, EXPLORER-LTE Cohort. JACC Heart Fail. 2024 Jan;12(1):164-177. doi: 10.1016/j.jchf.2023.09.028.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. 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.html
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
68 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing mavacamten in people with Hypertrophic Cardiomyopathy and Obstructive Hypertrophic Cardiomyopathy, run by Bristol-Myers Squibb at 68 sites in 13 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 68 sites in United States, Israel, Spain, France, Germany and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Frequency and severity of treatment-emergent adverse events and serious adverse events (time frame: 252 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03723655, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Feb 2026.