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August 1, 2026American Heart JournalOpen Access

Mavacamten monotherapy in obstructive hypertrophic cardiomyopathy: an integrated analysis of phase 3 clinical trials

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Why the study?

Does mavacamten monotherapy improve left ventricular outflow tract gradients and symptoms in patients with obstructive hypertrophic cardiomyopathy?

Population

Patients with obstructive hypertrophic cardiomyopathy across four phase 3 studies

Comparison

Mavacamten monotherapy vs mavacamten plus beta-blockers or calcium-channel blockers

Design

Integrated analysis of four phase 3 studies

Follow-up

Week 128

Key result

Mavacamten monotherapy improved left ventricular outflow tract gradients and symptoms in obstructive hypertrophic cardiomyopathy, with LVEF reductions of ≤8.8% at 128 weeks.

Authors

IOIacopo OlivottoPGPablo Garcia-PaviaZTZhuang Tian

Discussion

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Member takes

Overview

Mavacamten monotherapy may improve LVOT gradients and symptoms in obstructive HCM; leaves open comparative efficacy versus combination regimens.

Study Design

Type

Meta-Analysis

Structured PICO

Does mavacamten monotherapy improve left ventricular outflow tract gradients and symptoms in patients with obstructive hypertrophic cardiomyopathy?

P
Population
Patients with obstructive hypertrophic cardiomyopathy analyzed across four phase 3 clinical trials with follow-up to 128 weeks.
I
Intervention
Mavacamten monotherapy
C
Comparator
Mavacamten plus beta-blockers or calcium-channel blockers (descriptive comparison)
O
Outcome
Left ventricular outflow tract gradients and symptomssurrogate

Mavacamten monotherapy appears effective and safe for obstructive hypertrophic cardiomyopathy, showing similar efficacy and safety trends to combination therapy with beta-blockers or calcium-channel blockers.

Cite This Study

Olivotto et al. (2026) conducted a meta-analysis in obstructive hypertrophic cardiomyopathy. Mavacamten monotherapy vs. Mavacamten plus beta-blockers or calcium-channel blockers was evaluated on left ventricular outflow tract gradients and symptoms. Mavacamten monotherapy improved left ventricular outflow tract gradients and symptoms in obstructive hypertrophic cardiomyopathy, with LVEF reductions of ≤8.8% at 128 weeks.

synapsesocial.com/papers/6aa9352015a756b5ce462917https://doi.org/10.1016/j.ahj.2026.107587
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