Evidence map›Paper›PMID 42101453›Full record

Trial reportCPT: pharmacometrics & systems pharmacology2026

Towards a Quantitative Understanding of Aficamten Clinical Pharmacology: Pharmacokinetic-Cardiodynamic Modeling to Support Safety and Efficacy.

Justin D Lutz, Russ Wada, Daniel L Jacoby, Stephen B Heitner, Stuart Kupfer, Polina German

Registry-linked trialAbstract readClinical Trial, Phase III
In one paragraph

Trial report in CPT: pharmacometrics & systems pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05186818 (A Phase 3, Multi-Center, Randomized, Double-blind, Placebo-controlled Trial to Evaluate the Efficacy and Safety of CK-3773274 in Adults With Symptomatic Hypertrophic Cardiomyopathy and Left Ventricular Outflow Tract Obstruction), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT05186818 phase3completednot on this map

A Phase 3, Multi-Center, Randomized, Double-blind, Placebo-controlled Trial to Evaluate the Efficacy and Safety of CK-3773274 in Adults With Symptomatic Hypertrophic Cardiomyopathy and Left Ventricular Outflow Tract Obstruction

TypeinterventionalSponsorCytokineticsRan2022 to 2023Enrolled282ConditionsObstructive Hypertrophic Cardiomyopathy (oHCM)ArmsAficamten (5 mg, 10 mg, 15 mg, and 20 mg), Placebo to match aficamten
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Justin D LutzClinical Pharmacology, Cytokinetics, South San Francisco, California, USA.ORCID https://orcid.org/0009-0009-9353-9139
Russ WadaQuanTx Consulting, Mountain View, California, USA.
Daniel L JacobyClinical Research, Cytokinetics, South San Francisco, California, USA.ORCID https://orcid.org/0000-0002-9182-275X
Stephen B HeitnerClinical Research, Cytokinetics, South San Francisco, California, USA.ORCID https://orcid.org/0000-0003-2189-1474
Stuart KupferClinical Research, Cytokinetics, South San Francisco, California, USA.ORCID https://orcid.org/0000-0002-5469-1287
Polina GermanClinical Pharmacology, Cytokinetics, South San Francisco, California, USA.ORCID https://orcid.org/0000-0002-4516-6691

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the phase 3 study SEQUOIA-HCM (NCT05186818), aficamten, a next-in-class cardiac myosin inhibitor, was safe and efficacious in participants with obstructive hypertrophic cardiomyopathy (oHCM). Using pharmacokinetics/pharmacodynamics (PKPD) modeling, we quantified the relationship between aficamten exposure and cardiodynamic measures of safety (left ventricular ejection fraction [LVEF]) and efficacy (post-Valsalva left ventricular outflow tract gradient [LVOT-G]), and used Clinical Trial Simulations (CTS) to predict cardiodynamics for a flexible dose regimen in a post-approval setting. PKPD relationships between aficamten average concentration over 24 h (C

Indexed as

Cardiomyopathy, HypertrophicModels, BiologicalAdultBenzylaminesComputer SimulationDose-Response Relationship, DrugFemaleHumansMaleMiddle AgedPyrazolesStroke VolumeUracilVentricular Function, LeftaficamtenBenzylaminesMYK-461PyrazolesUracilaficamtencardiovascular diseaseclinical trialshypertrophic cardiomyopathymodeling and simulationpopulation pharmacokinetics‐pharmacodynamics

Identifiers

PMID42101453
PMCPMC13155137

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Registered trials

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.