Mavacamten: Compelling Ph3 efficacy profile in symptomatic obstructive HCM 12 [Key Data] [Key
Data] Mavacamten group (n=123) Placebo group (n=128) Difference* (95% CI),p value Primary endpoint† Either ≥1.5 mL/kg per min increase in pVO2 with ≥1 NYHA class improvement or ≥3.0 mL/kg per min increase in pVO2 with no
worsening of NYHA class 45 (37%) 22 (17%) 19.4 (8.7 to 30.1; p=0.0005) Both ≥3.0 mL/kg per min increase in pVO2 and ≥1 NYHA class improvement 25 (20%) 10 (8%) 12.5 (4.0 to 21.0) Secondary endpoints‡ Post-exercise LVOT
gradient change from baseline to week 30, mm Hg –47 (40), n=117 –10 (30), n=122 –35.6 (–43.2 to –28.1; p<0.0001) pVO2 change from baseline to week 30, mL/kg per min 1.4 (3.1), n=120 –0.1 (3.0), n=125 1.4 (0.6 to 2.1;
p=0.0006) ≥1 NYHA class improvement from baseline to week 30§ 80 (65%) 40 (31%) 34% (22 to 45; p<0.0001) Change from baseline to week 30 in KCCQ-CSS§ (QoL) 13.6 (14.4), n=92 4.2 (13.7), n=88 9.1 (5.5 to 12.7;
p<0.0001) Change from baseline to week 30 in HCMSQ-SoB§ (QoL) -2.8 (2.7), n=85 –0.9 (2.4), n=86 –1.8 (–2.4 to –1.2; p<0.0001) Exploratory endpoint Complete response, n/N (%) Defined as NYHA Class I and all LVOT gradients
<30 mm Hg 32/117 (27%) 1/126 (1%) 26.6% (18.3% to 34.8%) Data are n (%) or mean (SD). HCMSQ-SoB = Hypertrophic Cardiomyopathy Symptom Questionnaire Shortness-of-Breath subscore. KCCQ-CSS = Kansas City Cardiomyopathy
Questionnaire-Clinical Symptom Score. LVOT = Left ventricular outflow tract. pVO2 = Peak oxygen consumption. NYHA=New York Heart Association. *Model estimated least-square mean differences were reported for continuous variables. †Patients
with a non-evaluable primary endpoint and NYHA secondary endpoint were considered as non-responders. The response rates were calculated with the N value as the denominator. ‡N was the number analysable for secondary endpoints based on
availability of both baseline and week 30 values. §Due to the smaller numbers evaluable for patient-reported outcome endpoints, additional post-hoc analyses compared the reasons for missing data. Adapted from Olivotto. Lancet. 2020.