Obstructive Hypertrophic Cardiomyopathy (oHCM)
Conditions
Brief summary
The purpose of this observational, retrospective, physician survey study is to describe the real-world effectiveness and use of mavacamten in participants who initiated treatment for obstructive hypertrophic cardiomyopathy (oHCM) in Canada.
Interventions
As detailed in the product label
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who have initiated mavacamten, as part of routine clinical care, through the Bristol Myers Squibb CAMZYOS Patient Support Program for the treatment of symptomatic obstructive hypertrophic cardiomyopathy (oHCM) * Adult patient (≥18 years of age or as defined per local province/territory) at Index Date (first prescribed dose of mavacamten). * Patient has been diagnosed with symptomatic oHCM of New York Heart Association (NYHA) class II to III at the time of mavacamten initiation.
Exclusion criteria
* In the 6 weeks prior to baseline (i.e., Index Date; date of first prescribed dose of mavacamten), patient has received any cardiac myosin inhibitor (including mavacamten) for oHCM or any other medical condition as part of a clinical trial.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in New York Heart Association (NYHA) functional class following mavacamten treatment initiation | Up to 1.5 years | * Proportion of patients in each New York Heart Association (NYHA) functional class following mavacamten treatment initiation * Proportion of patients with a reduction of ≥1 New York Heart Association (NYHA) functional class following mavacamten treatment initiation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients with left ventricular outflow tract (LVOT) with Valsalva maneuver gradient (vLVOT) < 20mmHg following mavacamten treatment initiation | Up to 1.5 years | — |
| Age | Baseline | — |
| Sex at birth | Baseline | — |
| Ethnicity | Baseline | — |
| Employment status | Baseline | — |
| Body mass index (BMI) | Baseline | — |
| Obstructive hypertrophic cardiomyopathy (oHCM) disease duration | Baseline | — |
| Proportion of patients in each New York Heart Association (NYHA) functional class II and III | Baseline | — |
| Change in left ventricular outflow tract (LVOT) with Valsalva maneuver (vLVOT) gradient following mavacamten treatment initiation | Up to 1.5 years | — |
| Left ventricular ejection fraction by 2D echocardiogram (LVEFb) | Baseline | — |
| Mavacamten dose regimen | Up to 1.5 years | — |
| Proportion of patients who discontinued mavacamten | Up to 1.5 years | — |
| Duration of treatment prior to mavacamten discontinuation | Up to 1.5 years | — |
| Left ventricular ejection fraction by 2D echocardiogram (LVEF) at the time of mavacamten treatment discontinuation | Up to 1.5 years | — |
| Proportion of patients with left ventricular ejection fraction by 2D echocardiogram (LVEF) < 50% at the time of mavacamten treatment discontinuation | Up to 1.5 years | — |
| Reason for discontinuing mavacamten treatment | Up to 1.5 years | — |
| Functional assessment schedule | Up to 1.5 years | * Proportion of patients who undergo left ventricular outflow tract with Valsalva maneuver gradient (vLVOT) functional assessment * Proportion of patients who undergo left ventricular ejection fraction (LVEF) assessment |
| Left ventricular outflow tract (LVOT) with Valsalva maneuver (vLVOT) gradient | Baseline | — |
Countries
Canada