Evidence map›Paper›PMID 39314763›Full record

ArticleFrontiers in cardiovascular medicine2024

One-year real-world experience with mavacamten and its physiologic effects on obstructive hypertrophic cardiomyopathy.

Daniel Seung Kim, Emily L Chu, Emily E Keamy-Minor, Ishan Dhananjay Paranjpe, Wilson L Tang, Jack W O'Sullivan, Yaanik B Desai, Michael B Liu, Elise Munsey, Kimberly Hecker and 19 more

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
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  10. Review
  11. Article
  12. Obstructive hypertrophic cardiomyopathy: from genetic insights to a multimodal therapeutic approach with mavacamten, aficamten, and beyond.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors.

Daniel Seung KimDivision of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Emily L Chu *Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Emily E Keamy-Minor *Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Ishan Dhananjay Paranjpe *Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Wilson L Tang *Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Jack W O'SullivanDivision of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Yaanik B DesaiDivision of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Michael B LiuDivision of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Elise MunseyStanford Center for Inherited Cardiovascular Disease, Stanford University School of Medicine, Stanford, CA, United States.
Kimberly HeckerStanford Center for Inherited Cardiovascular Disease, Stanford University School of Medicine, Stanford, CA, United States.
Isabella CuencoStanford Center for Inherited Cardiovascular Disease, Stanford University School of Medicine, Stanford, CA, United States.
Beth KaoStanford Center for Inherited Cardiovascular Disease, Stanford University School of Medicine, Stanford, CA, United States.
Ellen BacolorStanford Center for Inherited Cardiovascular Disease, Stanford University School of Medicine, Stanford, CA, United States.
Colleen BonnettStanford Center for Inherited Cardiovascular Disease, Stanford University School of Medicine, Stanford, CA, United States.
Andrea LinderStanford Center for Inherited Cardiovascular Disease, Stanford University School of Medicine, Stanford, CA, United States.
Kathleen LacarStanford Center for Inherited Cardiovascular Disease, Stanford University School of Medicine, Stanford, CA, United States.
Nancy RoblesStanford Center for Inherited Cardiovascular Disease, Stanford University School of Medicine, Stanford, CA, United States.
Cindy LamendolaStanford Center for Inherited Cardiovascular Disease, Stanford University School of Medicine, Stanford, CA, United States.
Allysonne SmithStanford Center for Inherited Cardiovascular Disease, Stanford University School of Medicine, Stanford, CA, United States.
Joshua W KnowlesDivision of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Marco V PerezDivision of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Masataka KawanaDivision of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Karim I SallamDivision of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Chad S WeldyDivision of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Matthew T WheelerDivision of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Victoria N ParikhDivision of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Heidi SalisburyStanford Center for Inherited Cardiovascular Disease, Stanford University School of Medicine, Stanford, CA, United States.
Euan A AshleyDivision of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Stanford Center for Inherited Cardiovascular Disease

Funding

Pathogenic hotspots illuminate mechanism and therapeutic potential in arrhythmogenic cardiomyopathyR01HL168059 · NHLBI · STANFORD UNIVERSITY · PI Victoria Parikh · 2023 to 2026
$3.0M
The Role of RBM20 Sequence and Expression in Dilated CardiomyopathiesK08HL143185 · NHLBI · STANFORD UNIVERSITY · PI PARIKH, VICTORIA · 2019 to 2023
$725k
ADAR mediated RNA editing is a causal mechanism in coronary artery diseaseK08HL167699 · NHLBI · STANFORD UNIVERSITY · PI Chad S Weldy · 2023 to 2026
$664k
A transcriptional network which governs smooth muscle transition is mediated by causal coronary artery disease gene PDGFDF32HL160067 · NHLBI · STANFORD UNIVERSITY · PI WELDY, CHAD S · 2021 to 2022
$135k
NHLBI NIH HHS F32 HL160067NHLBI NIH HHS K08 HL143185NHLBI NIH HHS K08 HL167699NHLBI NIH HHS L30 HL159413NHLBI NIH HHS L30 HL170306NHLBI NIH HHS R01 HL168059
6 · The paper itself

Abstract

Mavacamten is a first-in-class cardiac myosin ATPase inhibitor, approved by the United States Food and Drug Administration for the treatment of hypertrophic cardiomyopathy with obstructive physiology (oHCM). Here, we present the real-world use of mavacamten in 50 patients with oHCM at a tertiary care referral center. In both our highlighted case and in our aggregate data, we report significant improvement in wall thickness, mitral regurgitation, left ventricular outflow tract obstruction and New York Heart Association symptom class. Moreover, in our center's experience, neither arrhythmia burden, nor contractility have worsened in the vast majority of patients: we note a clinically insignificant mean decrease in left ventricular ejection fraction (LVEF), with only two patients requiring temporary mavacamten discontinuance for LVEF < 50%. Adverse events were rare, unrelated to mavacamten itself, and seen solely in patients with disease too advanced to have been represented in clinical trials. Moreover, our multidisciplinary pathway enabled us to provide a large number of patients with a novel closely-monitored therapeutic within just a few months of commercial availability. These data lead us to conclude that mavacamten, as a first-in-class cardiac myosin inhibitor, is safe and efficacious in real-world settings.

Indexed as

cardiac myosin inhibitorhypertrophic cardiomyopathyhypertrophic cardiomyopathy with obstruction (oHCM)hypertrophic obstructive cardiomyopathy (HOCM)left ventricular outflow tract obstructionmavacamtenMYK-461

Identifiers

PMID39314763
PMCPMC11417615

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.