Obstructive Hypertrophic CardiomyopathyDISCOVER-HCMNCT05489705
A Prospective Registry Study to Assess Real-world Patient Characteristics, Treatment Patterns, and Longitudinal Outcomes in Patients Receiving Mavacamten and Other Treatments for Symptomatic Obstructive Hypertrophic Cardiomyopathy (Obstructive-HCM)
An observational study of Obstructive Hypertrophic Cardiomyopathy, run by Bristol-Myers Squibb at 101 sites in 9 countries.
Trial summary
This registry evaluates patient characteristics, real-world treatment patterns, and short- and long-term outcomes in a population of patients in the United States and Europe with symptomatic obstructive hypertrophic cardiomyopathy (HCM) who are receiving mavacamten, receiving other treatment for obstructive HCM, or… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Obstructive Hypertrophic Cardiomyopathy
- What is being tested?
- Mavacamten and Non-mavacamten symptomatic oHCM therapy
- How many people
- 1,700 participants
- Where
- 101 sitesin 9 countries
- Study dates
- 16 Aug 2022to 17 Aug 2029
- How long will I take part?
- 5 Years
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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
Study population: The study population will include adult participants with symptomatic obstructive HCM who are receiving pharmacological treatment for obstructive HCM (for example, BBs, non-DHP CCBs, disopyramide, and/or mavacamten) as part of routine care in the United States or Europe.
Who may be able to join
- ≥ 18 years of age at the time of informed consent.
- Willing and able to provide written informed consent form (ICF) and any required privacy authorization prior to the initiation of study procedures (or in those situations where consent cannot be given by participants, consent provided by their legally acceptable representatives)
- United States Sub-Study
- Diagnosis of obstructive HCM consistent with 2020 American Heart Association/American College of Cardiology (AHA/ACC) guidelines.
- Obstructive HCM is defined clinically by the presence of increased LV wall thickness ≥ 15 mm (or ≥ 13 mm with positive family history of HCM) in a nondilated ventricular chamber that is not solely explained by abnormal loading conditions (eg, another cardiac or systemic disease) and peak LVOT gradient of ≥ 30 mmHg at rest or with provocation.
- Has documented LVEF of ≥ 55% recorded by echocardiography within the last 6 months.
Show all 13Show fewer
- Symptoms consistent with NYHA functional class II-IV.
- Receiving beta blocker (BB)s, non-dihydropyridine calcium. channel blockers (nonDHP CCBs), disopyramide, and/or mavacamten (once available) as part of routine clinical care; or currently receiving no treatment due to intolerance or failure of prior treatment (eg, BBs, non-DHP CCBs, or disopyramide) for obstructive HCM.
- European Sub-study
- Diagnosis of obstructive HCM consistent with the most recent European Society of Cardiology (ESC) and American Heart Association/American College of Cardiology (AHA/ACC) guidelines
- Documented LVEF of ≥55% recorded by TTE
- Documented symptoms consistent with NYHA functional class II-III at enrollment or within 6 months prior to enrollment (if not available at enrollment).
- As part of routine clinical care for obstructive HCM: receiving BBs, non-DHP CCBs, disopyramide; initiating mavacamten at enrollment; or currently receiving no treatment due to intolerance or failure of prior treatment (e.g., BBs, non-DHP CCBs, or disopyramide).
Who cannot join
- Known phenocopy disease (e.g., Fabry disease, amyloidosis) or LV hypertrophy associated with hypertension.
- Documentation of any fixed obstruction of the outflow tract such as aortic valve stenosis or replacement.
- Prior treatment of obstructive HCM with invasive septal reduction (surgical myectomy or percutaneous alcohol septal ablation [ASA]) within 6 months prior to enrollment; participants with an unsuccessful myectomy or percutaneous ASA performed > 6 months prior to enrollment may be enrolled.
- Naïve to treatment for obstructive HCM (ie, never treated with BBs, nonDHP CCBs, or disopyramide).
- United States Sub-Study
- Receiving an investigational therapeutic agent for obstructive HCM (eg, myosin-inhibitors other than mavacamten) in an interventional clinical trial at participant enrollment.
Show all 12Show fewer
- Previously or currently enrolled in a long-term safety extension study of mavacamten (eg, EXPLORER-HCM [ClinicalTrials.gov, NCT03470545], MAVA-LTE [NCT03723655], PIONEER-OLE [NCT03496168], VALORHCM [NCT04349072], or MAVERICK [NCT03442764])
- European Sub-study
- Receiving an investigational therapeutic agent or any cardiac myosin inhibitor and/or modulators for obstructive HCM at patient enrolment
- Previously or currently enrolled in other HCM registry studies (e.g., TORCH, REMY, EU-PASS)
- Previously or currently enrolled in a study of mavacamten (e.g., EXPLORER-HCM [ClinicalTrials.gov, NCT03470545], MAVA-LTE [NCT03723655], PIONEER-OLE [NCT03496168], VALOR-HCM [NCT04349072], MAVERICK [NCT03442764], or MEMENTO [NCT2264899])
- Previously treated with mavacamten
Trial locations and contacts
101 sites in 9 countries. Contact the study team or a site near you to ask about taking part.
BMS Clinical Trials Contact Center www.BMSClinicalTrials.com contact
First line of the email MUST contain NCT # and Site #. contact
101 sites in 9 countries
United States60 sites, 48 recruiting
- Recruiting
Alaska Heart Institute
Anchorage, Alaska, 99508
Ahmed Abuzaid, Site 0023, 907-561-3211
- Recruiting
UC Denver, AMC
Aurora, Colorado, 48377
David Raymer, Site 0050, 720-848-5300
- Active, not recruiting
Local Institution - 0059
Baltimore, Maryland, 21201
- Recruiting
MedStar Health Research Institute
Baltimore, Maryland, 21218
Sandeep Jani, Site 0030
- Recruiting
St. Luke's University Health Network
Bethlehem, Pennsylvania, 18015
Jamshid Shirani, Site 0043, 718-430-3314
- Recruiting
Harvard (Massachusetts General Hospital)
Boston, Massachusetts, 02114
Albree Tower-Rader, Site 0024, 617-724-5434
- Recruiting
Harvard Medical School - Brigham and Women's Hospital (BWH)
Boston, Massachusetts, 02215
Carolyn Ho, Site 0068, 617-732-5500
- Recruiting
Focus Clinical Research
Charlotte, North Carolina, 28207
Aamer Qurehshi, Site 0040, 888-635-0552
- Recruiting
The Rector and Visitors of the Univ of Virginia
Charlottesville, Virginia, 22908
Christopher Kramer, Site 0011, 434-982-0853
- Recruiting
University of Chicago Dept of Medicine
Chicago, Illinois, 60637
Gene Kim, Site 0063, 773-702-9396
- Recruiting
Christ Hospital Health Network
Cincinnati, Ohio, 45219
Wojciech Mazur, Site 0015, 513-721-8881
- Recruiting
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
Anene Clair Ukaigwe, Site 0041, 216-286-1023
- Active, not recruiting
Local Institution - 0003
Cleveland, Ohio, 44195
- Recruiting
Bassett Medical Center
Cooperstown, New York, 13326
Mun Hong, Site 0006, 607-547-4582
- Recruiting
North Texas Cardiology Center
Dallas, Texas, 75208
Manavjot Sidhu, Site 0018, 214-933-7430
- Recruiting
Baylor Scott & White Research Institute
Dallas, Texas, 75246
Robert Gottlieb, Site 0008
- Recruiting
Duke University Health System
Durham, North Carolina, 27710
Andrew Wang, Site 0022
- Recruiting
Spectrum Health Medical Group
Grand Rapids, Michigan, 49525
David Fermin, Site 0073, 616-885-5000
- Recruiting
Prisma Health - Upstate
Greenville, South Carolina, 29605
Josh Doll, Site 0042, 864-455-7727
- Recruiting
Hackensack University Medical Center
Hackensack, New Jersey, 07601
Dmitry Nemirovsky, Site 0029, 551-996-5870
- Active, not recruiting
Local Institution - 0067
Hartford, Connecticut, 06106
- Active, not recruiting
Local Institution - 0046
Honolulu, Hawaii, 96813
- Recruiting
The Methodist Hospital, Methodist Cancer Cencer
Houston, Texas, 77030
Sherif Nagueh, Site 0058, 713-441-2850
- Recruiting
BI Research Center
Houston, Texas, 77084
Asif Akhtar, Site 0039, 281-944-3610
- Recruiting
Indiana. University
Indianapolis, Indiana, 46202
Roopa Rao, Site 0013, 317-962-9700
- Recruiting
Franciscan Physician Network-Indiana Heart Physicians
Indianapolis, Indiana, 46237
George Lolay, Site 0016, 317-893-1712
- Active, not recruiting
Local Institution - 0045
Iowa City, Iowa, 52242
- Active, not recruiting
Local Institution - 0065
Jacksonville, Florida, 32209
- Recruiting
St. Luke's Mid-America Heart Institute
Kansas City, Missouri, 64111
Michael Nassif, Site 0069
- Active, not recruiting
Local Institution - 0033
Kansas City, Missouri, 66160
- Active, not recruiting
Local Institution - 0037
La Jolla, California, 92037
- Active, not recruiting
Local Institution - 0076
Lancaster, Pennsylvania, 17603
- Recruiting
UAMS
Little Rock, Arkansas, 72205-7199
Srikanth Vallurupalli, Site 0007, 501-686-5545
- Recruiting
Keck School of Medicine of USC-Usc
Los Angeles, California, 90033
Eugene DePasquale, Site 0057, 323-442-6130
- Active, not recruiting
Local Institution - 0004
Madison, Wisconsin, 53792
- Recruiting
Medical College of Wisconsin, Inc (PI Address)
Milwaukee, Wisconsin, 53226
Abhinav Sharma, Site 0054, 414-805-6000
- Recruiting
Minneapolis Heart Institute Foundation
Minneapolis, Minnesota, 55407
Robert Fraser, Site 0010, 612-863-3900
- Recruiting
WVU Hospitals
Morgantown, West Virginia, 26506
Christopher Bianco, Site 0055, 304-598-4000
- Active, not recruiting
Local Institution - 0026
Morristown, New Jersey, 07960
- Recruiting
Tristar Centennial Medical Ctr
Nashville, Tennessee, 37203
Bryan Doherty, Site 0048, 347-949-3060
- Recruiting
Saint Thomas Health
Nashville, Tennessee, 37205-2018
Mark Zenker, Site 0019, 615-269-4545
- Active, not recruiting
Local Institution - 0009
New York, New York, 10019
- Recruiting
Mount Sinai Hospital
New York, New York, 10029
Johanna Contreras, Site 0035, 917-751-5850
- Recruiting
CHI Health Reseach Center
Omaha, Nebraska, 68124
Amjad Kabach, Site 0070
- Recruiting
Stanford Health Care Hospital & Clinics
Palo Alto, California, 94304
Matthew Wheeler, Site 0012
- Recruiting
University Of Pittsburgh
Pittsburgh, Pennsylvania, 15213
Timothy Wong, Site 0027
- Recruiting
Baylor Scott & White The Heart Hospital Plano
Plano, Texas, 75093
David Rawitscher, Site 0028, 469-800-6390
- Recruiting
VCU Medical Center
Richmond, Virginia, 23298
Mohammed Makkiya, Site 0080, 804-828-9989
- Recruiting
Carilion Clinic; Virginia Tech-Carilion School of Medicine
Roanoke, Virginia, 24014
Ali Hama Amin, Site 0044, 540-982-8204
- Recruiting
Saint Francis Hospital
Roslyn, New York, 11576
Allen Jeremias, Site 0075, 631-707-2586
- Recruiting
University Of California San Francisco Medical Center
San Francisco, California, 94117
Theodore Abraham, Site 0021
- Recruiting
Virginia Mason Medical Center
Seattle, Washington, 98101
Mariko Harper, Site 0052, 206-341-1111
- Recruiting
Washington University
St Louis, Missouri, 63110
Richard Bach, Site 0036, 314-362-1963
- Recruiting
Baylor Scott & White Medical Centre - Temple
Temple, Texas, 76508
Vinh Nguyen, Site 0051, 254-724-5119
- Recruiting
Pima Heart and Vascular
Tucson, Arizona, 85704
Greg Koshkarian, Site 0025, 000-000-0000
- Recruiting
Cardiology Associates Research, Llc
Tupelo, Mississippi, 38801
Barry Bertolet, Site 0062, 904-392-2469
- Recruiting
WMCHealth Advanced Physician Services
Valhalla, New York, 10595
Srihari Naidu, Site 0053, 914-598-7651
- Recruiting
MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010
Patrick Bering, Site 0081, 202-877-5975
- Recruiting
Henry Ford Health System
West Bloomfield, Michigan, 48322
Karthikeyan Ananthasubramaniam, Site 0034
- Recruiting
Geisinger Health System
Wilkes-Barre, Pennsylvania, 18711
Vernon Mascarenhas, Site 0056, 570-808-6020
Spain8 sites, 7 recruiting
- Recruiting
Hospital Universitario de Burgos
Burgos, 09006
Ana Merino Merino, Site 0107, +34947281800
- Recruiting
Hospital Universitario Virgen de La Arrixaca
El Palmar, Murcia, 30120
Juan Ramon Gimeno Blanes, Site 0105, +34619068153
- Withdrawn
Local Institution - 0102
Madrid, 28007
- Recruiting
Hospital Clinico San Carlos
Madrid, 28040
Maria Alejandra Restrepo Cordoba, Site 0108, +34913303944
- Recruiting
Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda, Madrid, 28222
Pablo García Pavia, Site 0104, +34911917297
- Recruiting
Hospital Clinico Universitario Virgen de La Victoria
Málaga, 29010
José Manuel García Pinilla, Site 0103, +34951032349
- Recruiting
Hospital Universitario Central de Asturias
Oviedo, Principality of Asturias, 33011
Rebeca Lorca Gutierrez, Site 0106, +3498510800033114
- Recruiting
Hospital Fundacion Son Llatzer
Palma de Mallorca, Balearic Islands, 07198
Tomas Ripoll, Site 0109, +34871202102
Austria7 sites, 6 recruiting
- Recruiting
KH St.Josef Braunau am Inn
Braunau am Inn, 5280
Johann Auer, Site 0082, +437722804510
- Recruiting
LKH-Univ. Klinikum Graz
Graz, 8036
Nicolas Verheyen, Site 0087, +433163851254
- Not yet recruiting
Local Institution - 0088
Innsbruck, 6020
Site 0088
- Withdrawn
Local Institution - 0084
Klagenfurt, 9020
- Recruiting
Kepler Universitätsklinikum Linz
Linz, 4021
Christian Reiter, Site 0086, 4357680836220
- Not yet recruiting
Local Institution - 0085
Sankt Pölten, 3100
Site 0085
- Not yet recruiting
Local Institution - 0083
Vienna, 1090
Site 0083
France7 sites, 6 recruiting
- Recruiting
CHU Amiens-Picardie
Amiens, Somme, 80054
Yohann Bohbot, Site 0091, 33322087258
- Recruiting
Centre Hospitalier Haguenau
Haguenau, Bas Rhin, 67500
Charlotte Dagrenat, Site 0092, 33388063435
- Recruiting
Hôpital Saint Vincent-de-Paul
Lille, Nord, 59000
Ludovic Appert, Site 0090, 33320874996
- Withdrawn
Local Institution - 0117
Montpellier, 34000
- Recruiting
CHU De Poitiers - Hopital De La Miletrie
Poitiers, Vienne, 86000
Benjamin Alos, Site 0089, 33549444444
- Recruiting
CHU Nantes Hopital Nord Laennec
Saint-Herblain, Loire Atlantique, 44800
Nicolas Piriou, Site 0093, +33240165716
- Recruiting
Hôpital Sainte Musse
Toulon, Var, 83000
Jean-Michel Tartière, Site 0094, 33483772070
Germany7 sites, 6 recruiting
- Recruiting
Ostalb-Klinikum Aalen
Aalen, Baden-Wurttemberg, 73430
Stephanie Loebig, Site 0098, 497361550
- Recruiting
Kardiologische und angiologische Praxen im Spreebogen
Berlin, 10719
Wilhelm Haverkamp, Site 0096, +4930450565906
- Recruiting
Immanuel Klinikum Bernau
Bernau, State of Berlin, 16321
Christian Butter, Site 0095, +493338694644
- Recruiting
Praxisklinik Herz Und Gefasse-Klinikum Weisser Hirsch
Dresden, Saxony, 01099
Gregor Simonis, Site 0099, 493518064440
- Withdrawn
Local Institution - 0101
Erlangen, Bavaria, 91054
- Recruiting
Universitaetsklinikum Leipzig Aoer
Leipzig, Saxony, 04103
Karsten Lenk, Site 0097, +4936419324521000000
- Recruiting
Universitatsklinikum Muenster
Münster, North Rhine-Westphalia, 48149
Jürgen Sindermann, Site 0100, +492518347426
United Kingdom7 sites, 6 recruiting
- Active, not recruiting
Local Institution - 0110
Birmingham, West Midlands, B15 2GW
- Recruiting
University Hospital of Wales
Cardiff, CF14 4XW
Zaheer Yousef, Site 0116, +442920716008
- Recruiting
Leeds General Infirmary
Leeds, West Yorkshire, LS1 3EX
Alex Simms, Site 0114, +441133922385
- Recruiting
Liverpool Heart and Chest Hospital
Liverpool, Merseyside, L14 3PE
Robert Cooper, Site 0111, +441512281616
- Not yet recruiting
Local Institution - 0113
London, Greater London, SW3 6NP
Site 0113
- Recruiting
Imperial College Healthcare NHS Trust
London, Greater London, W6 8RF
Amanda Varnava, Site 0115, +447532199693
- Recruiting
University Of Manchester
Manchester, Greater Manchester, M13 9WL
Andrew Crean, Site 0112, +441612761234
Czechia2 sites
- Withdrawn
Local Institution - 0002
Olomouc, 779 00
- Withdrawn
Local Institution - 0001
Prague, 150 00
Poland2 sites
- Withdrawn
Local Institution - 0002
Katowice, 40-635
- Withdrawn
Local Institution - 0001
Warsaw, 04-628
Puerto Rico1 site, 1 recruiting
- Recruiting
Research & Cardiovascular Corp
Ponce, 00717-1322
Jose Vazquez-Tanus, Site 0077, 7872908585
About this study
Official title: Deliver Insights in Hypertrophic Cardiomyopathy and Observational Outcomes in Real World: United States and European Prospective Registry Study
This registry evaluates patient characteristics, real-world treatment patterns, and short- and long-term outcomes in a population of patients in the United States and Europe with symptomatic obstructive hypertrophic cardiomyopathy (HCM) who are receiving mavacamten, receiving other treatment for obstructive HCM, or not receiving treatment for obstructive HCM due to intolerance or failure of prior treatment.
United States Sub-Study: The purpose of this study is to evaluate the safety of mavacamten in patients with symptomatic obstructive HCM in the real-world setting.
Europe Sub-Study: The purpose of this study is to evaluate the effectiveness and safety of mavacamten in patients with symptomatic obstructive HCM in the real-world setting.
- Conditions
- Obstructive Hypertrophic Cardiomyopathy
- Being tested
- Mavacamten, Non-mavacamten symptomatic oHCM therapy
- Keywords
- Obstructive hypertrophic cardiomyopathy, Obstructive HCM (oHCM), Mavacamten, Heart failure, oHCM
- Medical subject headings
- Cardiomyopathy, Hypertrophic, Heart Failure
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MavacamtenDrug
As per product label
Non-mavacamten symptomatic oHCM therapyDrug
Including Beta-blocker (BB), non-dihydropyridine (non-DHP) calcium channel blocker (CCB) and/or disopyramide as per product label
| Study group | Role | What they receive |
|---|---|---|
| Mavacamten | Participants will receive mavacamten as prescribed by a physician according to standard of care for symptomatic oHCM Receives: Drug: Mavacamten | |
| Beta-blocker (BB) / non-dihydropyridine (non-DHP) calcium channel blocker (CCB) / disopyramide | Participants will receive BB/non-DHP CCB/disopyramide as prescribed by a physician according to standard of care for symptomatic oHCM Receives: Drug: Non-mavacamten symptomatic oHCM therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence rate of new or worsening heart failure due to systolic dysfunction among participants with symptomatic obstructive HCM during periods of exposure to mavacamten and other oHCM treatment
Systolic dysfunction defined as symptomatic Left Ventricular Ejection Fraction (LVEF) < 50%. United States participants only.
Measured: Up to 5 Years
Change in resting left ventricular outflow tract (LVOT) gradient from baseline
European Participants only
Measured: Up to 18 months
Secondary outcomes (18)
Occurrence of arrhythmia
Incidence rates of participants with arrhythmia (new onset)
Measured: Baseline, and up to 18 months (European participants), or 5 Years (United States participants)
New or worsening heart failure due to systolic dysfunction
Symptomatic left ventricular ejection fraction (LVEF) <50%. European Participants only
Measured: Baseline and up to 18 months
Proportion of participants with a resting or provoked peak left ventricular outflow tract (LVOT) gradient below 50 mmHG
European participants only
Measured: Baseline and up to 18 months
Proportion of participants with a resting or provoked peak left ventricular outflow tract (LVOT) gradient below 30 mmHG
European participants only
Measured: Baseline and up to 18 months
Occurrence of Major Adverse Cardiovascular Events (MACE)
A composite endpoint consisting of non-fatal acute Myocardial Infarction (MI), stroke, hospitalization due to Heart Failure (HF) and Cardiovascular (CV) mortality. United States participants only.
Measured: Up to 5 Years
Occurrence of non-fatal acute Myocardial Infarction (MI)
United States participants only
Measured: Up to 5 Years
Occurrence of Stroke
United States participants only
Measured: Up to 5 Years
Occurrence of hospitalization due to heart failure
Measured: Baseline, and up to 18 months (European participants), or 5 Years (United States participants)
Occurrence of cardiovascular mortality
United States participants only
Measured: Up to 5 Years
Occurrence of all-cause mortality
Measured: Baseline, and up to 18 months (European participants), or 5 Years (United States participants)
Evaluation of functional responses: New York Heart Association (NYHA) function class
Percentage of Participants Whose NYHA Class Changes
Measured: Baseline, and up to 18 months (European participants), or 5 Years (United States participants)
Evaluation of functional responses: Left Ventricular Outflow Tract (LVOT) gradient
Mean Change From Baseline in LVOT Gradients At Rest and Provoked
Measured: Baseline, and up to 18 months (European participants), or 5 Years (United States participants)
Evaluation of functional responses: LVEF
Mean Change from Baseline in LVEF
Measured: Baseline, and up to 18 months (European participants), or 5 Years (United States participants)
Evaluation of patient reported outcome measure: Kansas City Cardiomyopathy Questionnaire 23 (KCCQ-23)
The KCCQ-23 is a disease-specific health status instrument composed of 23 items that quantifies the domains of physical limitations, symptoms, self-efficacy, social limitation and quality of life from heart failure. Scores range from 0-100, in which higher scores reflect better health status. United States participants only
Measured: Baseline, and up to 5 Years
Evaluation of patient reported outcome measure: EuroQol Five Dimensions Questionnaire (5-level) (EQ-5D-5L): Health Utility Index
The EQ-5D-5L is a 2-part instrument for use as a measure of health outcome, designed for self-completion by respondents. It consists of EQ-5D-5L health utility index and EQ Visual Analog Scale (VAS). EQ-5D-5L health utility index is comprised of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each has 5 levels of perceived problems (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). Participants select an answer for each of the 5 dimensions that best matches his/her health "today". Responses are used to generate a weighted summary index, which ranges from 0 to 1.00. A higher score indicates better health and positive changes from baseline indicate improvement of health. United States participants only
Measured: Baseline, and up to 5 Years
Evaluation of patient reported outcome measure: EQ-5D-5L: VAS
The EQ-5D-5L is a 2-part instrument for use as a measure of health outcome, designed for self-completion by respondents. It consists of EQ-5D-5L descriptive system and VAS.
The VAS self-rating records the participant's own assessment of his or her overall health status at the time of completion, on a vertical line VAS with scale of 0 (the worst health you can imagine) to 100 (the best health you can imagine). A higher score indicates better health and positive changes from baseline indicate improvement of health status. United States participants only
Measured: Baseline, and up to 5 Years
Evaluation of biomarkers of response: NT-proBNP
Change From Baseline in Serum concentration of NT-proBNP. United States participants only
Measured: Baseline, and up to 5 Years
Evaluation of biomarkers of response: Cardiac troponin
Change From Baseline in Serum Concentration of Cardiac Troponins. United States participants only
Measured: Baseline, and up to 5 Years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Aug 2022
- Study start16 Aug 2022
- Primary completion17 Aug 2029 (estimated)
- Study completion17 Aug 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Obstructive 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 1,700 participants (estimated)
- Target duration
- 5 Years
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
- NCT05489705
- Sponsor's protocol ID
- CV027-012
- Acronym
- DISCOVER-HCM
- Status last verified
- Aug 2026
- First submitted
- 3 Aug 2022
- Last updated
- 19 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Deliver Insights in Hypertrophic Cardiomyopathy and Observational Outcomes in Real World: United States and European Prospective Registry Study
- ClinicalTrials.gov ID
- NCT05489705
- Acronym / sponsor ID
- DISCOVER-HCM / CV027-012
- Conditions
- Obstructive Hypertrophic Cardiomyopathy
- Keywords
- Obstructive hypertrophic cardiomyopathy, Obstructive HCM (oHCM), Mavacamten, Heart failure, oHCM
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 1,700 participants (estimated)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- 16 Aug 2022 (actual)
- Primary completion
- 17 Aug 2029 (estimated)
- Study completion
- 17 Aug 2029 (estimated)
- First posted
- 5 Aug 2022 (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.
This registry evaluates patient characteristics, real-world treatment patterns, and short- and long-term outcomes in a population of patients in the United States and Europe with symptomatic obstructive hypertrophic cardiomyopathy (HCM) who are receiving mavacamten, receiving other treatment for obstructive HCM, or not receiving treatment for obstructive HCM due to intolerance or failure of prior treatment.
United States Sub-Study: The purpose of this study is to evaluate the safety of mavacamten in patients with symptomatic obstructive HCM in the real-world setting.
Europe Sub-Study: The purpose of this study is to evaluate the effectiveness and safety of mavacamten in patients with symptomatic obstructive HCM in the real-world setting.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 5 Years
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Mavacamten | – | Drug: MavacamtenParticipants will receive mavacamten as prescribed by a physician according to standard of care for symptomatic oHCM |
| Beta-blocker (BB) / non-dihydropyridine (non-DHP) calcium channel blocker (CCB) / disopyramide | – | Drug: Non-mavacamten symptomatic oHCM therapyParticipants will receive BB/non-DHP CCB/disopyramide as prescribed by a physician according to standard of care for symptomatic oHCM |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- The study population will include adult participants with symptomatic obstructive HCM who are receiving pharmacological treatment for obstructive HCM (for example, BBs, non-DHP CCBs, disopyramide, and/or mavacamten) as part of routine care in the United States or Europe.
Key inclusion criteria (13 listed)
- ≥ 18 years of age at the time of informed consent.
- Willing and able to provide written informed consent form (ICF) and any required privacy authorization prior to the initiation of study procedures (or in those situations where consent cannot be given by participants, consent provided by their legally acceptable representatives)
- United States Sub-Study
- Diagnosis of obstructive HCM consistent with 2020 American Heart Association/American College of Cardiology (AHA/ACC) guidelines.
- Has documented LVEF of ≥ 55% recorded by echocardiography within the last 6 months.
Key exclusion criteria (12 listed)
- Known phenocopy disease (e.g., Fabry disease, amyloidosis) or LV hypertrophy associated with hypertension.
- Documentation of any fixed obstruction of the outflow tract such as aortic valve stenosis or replacement.
- Prior treatment of obstructive HCM with invasive septal reduction (surgical myectomy or percutaneous alcohol septal ablation [ASA]) within 6 months prior to enrollment; participants with an unsuccessful myectomy or percutaneous ASA performed > 6 months prior to enrollment may be enrolled.
- Naïve to treatment for obstructive HCM (ie, never treated with BBs, nonDHP CCBs, or disopyramide).
- United States Sub-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 |
|---|---|---|
| MavacamtenAs per product label | Drug | Mavacamten |
| Non-mavacamten symptomatic oHCM therapyIncluding Beta-blocker (BB), non-dihydropyridine (non-DHP) calcium channel blocker (CCB) and/or disopyramide as per product label | Drug | Beta-blocker (BB) / non-dihydropyridine (non-DHP) calcium channel blocker (CCB) / disopyramide |
Primary outcome
Incidence rate of new or worsening heart failure due to systolic dysfunction among participants with symptomatic obstructive HCM during periods of exposure to mavacamten and other oHCM treatment
Time frame: Up to 5 Years
Systolic dysfunction defined as symptomatic Left Ventricular Ejection Fraction (LVEF) < 50%. United States participants only.
Change in resting left ventricular outflow tract (LVOT) gradient from baseline
Time frame: Up to 18 months
European Participants only
18 secondary outcomes
Occurrence of arrhythmia
Time frame: Baseline, and up to 18 months (European participants), or 5 Years (United States participants)
New or worsening heart failure due to systolic dysfunction
Time frame: Baseline and up to 18 months
Proportion of participants with a resting or provoked peak left ventricular outflow tract (LVOT) gradient below 50 mmHG
Time frame: Baseline and up to 18 months
Proportion of participants with a resting or provoked peak left ventricular outflow tract (LVOT) gradient below 30 mmHG
Time frame: Baseline and up to 18 months
Occurrence of Major Adverse Cardiovascular Events (MACE)
Time frame: Up to 5 Years
Occurrence of non-fatal acute Myocardial Infarction (MI)
Time frame: Up to 5 Years
Occurrence of Stroke
Time frame: Up to 5 Years
Occurrence of hospitalization due to heart failure
Time frame: Baseline, and up to 18 months (European participants), or 5 Years (United States participants)
Occurrence of cardiovascular mortality
Time frame: Up to 5 Years
Occurrence of all-cause mortality
Time frame: Baseline, and up to 18 months (European participants), or 5 Years (United States participants)
Evaluation of functional responses: New York Heart Association (NYHA) function class
Time frame: Baseline, and up to 18 months (European participants), or 5 Years (United States participants)
Evaluation of functional responses: Left Ventricular Outflow Tract (LVOT) gradient
Time frame: Baseline, and up to 18 months (European participants), or 5 Years (United States participants)
Evaluation of functional responses: LVEF
Time frame: Baseline, and up to 18 months (European participants), or 5 Years (United States participants)
Evaluation of patient reported outcome measure: Kansas City Cardiomyopathy Questionnaire 23 (KCCQ-23)
Time frame: Baseline, and up to 5 Years
Evaluation of patient reported outcome measure: EuroQol Five Dimensions Questionnaire (5-level) (EQ-5D-5L): Health Utility Index
Time frame: Baseline, and up to 5 Years
Evaluation of patient reported outcome measure: EQ-5D-5L: VAS
Time frame: Baseline, and up to 5 Years
Evaluation of biomarkers of response: NT-proBNP
Time frame: Baseline, and up to 5 Years
Evaluation of biomarkers of response: Cardiac troponin
Time frame: Baseline, and up to 5 Years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Aug 2026.
- BMS Clinical Trial InformationLink provided by the sponsor.
- FDA Safety Alerts and RecallsLink provided by the sponsor.
- Individual participant dataSharing planned: No
Related trials for Obstructive Hypertrophic Cardiomyopathy
Recruiting
Positron Emission Tomography to Assess the Effect of Camzyos on Ischaemia in HOCM: PEACH Trial
Hypertrophic Obstructive Cardiomyopathy \(HOCM\), Left Ventricular Outflow Tract Obstruction
RecruitingObservational study
A Study to Assess the Real-World Effectiveness of Mavacamten in Adult Patients With Obstructive Hypertrophic Cardiomyopathy in China
Hypertrophic Cardiomyopathy
Not yet recruitingPhase 4
Dapagliflozin in Patients With Non-Obstructive Hypertrophic Cardiomyopathy: A Prospective, Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial
Nonobstructive Hypertrophic Cardiomyopathy
RecruitingPhase 2
A Trial to Evaluate the Efficacy and Safety of Ninerafaxstat in Patients With Symptomatic Non-obstructive Hypertrophic Cardiomyopathy
Non-obstructive Hypertrophic Cardiomyopathy
Active, not recruitingPhase 3
A Study to Learn More About How Well Aficamten Works in Japanese Participants With Symptomatic Obstructive Hypertrophic Cardiomyopathy
Obstructive Hypertrophic Cardiomyopathy
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.
BMS Clinical Trials Contact Center www.BMSClinicalTrials.com contact
First line of the email MUST contain NCT # and Site #. contact
Bristol-Myers Squibb study director
Bristol-Myers Squibb
101 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Obstructive Hypertrophic Cardiomyopathy, run by Bristol-Myers Squibb at 101 sites in 9 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 13 inclusion and 12 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: looking for participants now, as of the sponsor's last update on 19 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 101 sites in United States, Spain, Austria, France, Germany and 4 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.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact BMS Clinical Trials Contact Center www.BMSClinicalTrials.com (855-907-3286, Clinical.Trials@bms.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence rate of new or worsening heart failure due to systolic dysfunction among participants with symptomatic obstructive HCM during periods of exposure to mavacamten and other oHCM treatment (time frame: Up to 5 Years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 19 Aug 2026.