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Active, Not Recruiting

NCT Number: NCT06112743

A Study to Evaluate Mavacamten Impact on Myocardial Structure in Participants With Symptomatic Obstructive Hypertrophic Cardiomyopathy

The purpose of this study is to evaluate the mavacamten impact on myocardial structure with cardiac magnetic resonance imaging (CMR) in adult participants with symptomatic obstructive hypertrophic cardiomyopathy (oHCM) [New York Heart Association (NYHA) Functional Class II or III].

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Local Institution - 0075, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosed with obstructive hypertrophic cardiomyopathy (oHCM), in accordance with current American College of Cardiology Foundation/American Heart Association and European Society of Cardiology guidelines as below:.
  • Left ventricular outflow tract (LVOT) peak gradient ≥ 30 mmHg and ≥ 50 mmHg after Valsalva or after exercise.
  • Left ventricular ejection fraction (LVEF) ≥ 55% at rest.
  • New York Heart Association (NYHA) functional class II or III symptoms.

Exclusion criteria

  • A known infiltrative or storage disorder causing cardiac hypertrophy that mimics oHCM.
  • Documented obstructive coronary artery disease or history of myocardial infarction.
  • A history of resuscitated sudden cardiac arrest or life-threatening ventricular arrhythmia within 6 months prior to screening.
  • An implantable cardioverter defibrillator (ICD) or pacemaker, or another contraindication for cardiac magnetic resonance imaging (CMR).
  • Other protocol-defined inclusion/exclusion criteria apply.

Treatment and study plan

Mavacamten

Drug

Specified dose on specified days

Primary outcomes

  1. Composite of maximum left atrial volume index (LAVI) and left ventricular mass index (LVMI) at Week 48

    Time frame: At week 48

    Participants achieving both of the following criteria at Week 48 cardiac magnetic resonance imaging (CMR) assessment:

    • A decrease of at least 5 mL/m2 in maximum LAVI from baseline
    • A decrease of at least 5 g/m2 in LVMI from baseline

Secondary outcomes

  1. Proportion of participants who had at least 1 class of improvement from baseline in New York Heart Association (NYHA) class at Week 48

    Time frame: At week 48

  2. Change from baseline in maximum left atrial volume index (LAVI) at Week 48

    Time frame: At week 48

  3. Change from baseline in left ventricular mass index (LVMI) at Week 48

    Time frame: At week 48

  4. Incidence of major adverse cardiac events (MACE)

    Time frame: Up to 48 weeks

  5. Incidence of MACE-expanded events

    Time frame: Up to 48 weeks

  6. All-cause mortality

    Time frame: Up to 48 weeks

  7. Incidence of heart failure (HF) events

    Time frame: Up to 48 weeks

  8. Incidence of HF events with systolic dysfunction

    Time frame: Up to 48 weeks

  9. Incidence of atrial fibrillation (AF)/atrial flutter

    Time frame: Up to 48 weeks

  10. Incidence of cardiovascular (CV) mortality

    Time frame: Up to 48 weeks

  11. Incidence of ventricular tachyarrhythmias

    Time frame: Up to 48 weeks

  12. Incidence of nonvasovagal syncope and seizures

    Time frame: Up to 48 weeks

  13. Incidence of treatment emergent adverse events (TEAEs)

    Time frame: Up to 48 weeks

  14. Severity of TEAEs

    Time frame: Up to 48 weeks

  15. Incidence of treatment emergent serious adverse events (SAEs)

    Time frame: Up to 48 weeks

  16. TEAEs leading to discontinuation from study intervention

    Time frame: Up to 48 weeks

  17. TEAEs leading to laboratory abnormalities

    Time frame: Up to 48 weeks

Sponsors and collaborators

Lead sponsor

Bristol-Myers Squibb

Industry

Registry information

Official study title

MEMENTO - A Phase 4, Single-arm, Open-label Clinical Study to Evaluate Mavacamten in Adults With Symptomatic Obstructive Hypertrophic Cardiomyopathy to Assess the Impact on Myocardial Structure With Cardiac Magnetic Resonance Imaging (CMR)

Acronym: MEMENTO

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Nov 1, 2023
Registry last updated
Sep 22, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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