New heart drug aficamten challenges standard Beta-Blocker in major trial

NCT ID NCT05767346

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tested a new drug called aficamten against the standard medicine metoprolol in 175 adults with a heart condition that makes the heart muscle thick and blocks blood flow. The goal was to see which drug better improves exercise ability and symptoms like shortness of breath. Participants took either aficamten or metoprolol for 24 weeks, and their exercise capacity was measured with a special test.

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Conditions

The condition(s) this trial relates to.

hypertrophic cardiomyopathy

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • AOU Careggi

    Florence, Italy

  • Aarhus University Hospital

    Aarhus, Denmark

  • AdventHealth

    Orlando, Florida, 32804, United States

  • Alaska Heart and Vascular Institute

    Anchorage, Alaska, 99508, United States

  • Ascension Saint Thomas Heart West

    Nashville, Tennessee, 37205, United States

  • Barts Health NHS Trust

    London, United Kingdom

  • Barzilai Medical Center

    Ashkelon, Israel

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115, United States

  • CHI St. Luke's Health Baylor-St. Luke's Medical Center

    Houston, Texas, 77030, United States

  • CHU La Timone

    Marseille, France

  • CHU Pontchaillou

    Rennes, France

  • Cedars-Sinai Medical Center (Smidt Heart Institute)

    Los Angeles, California, 90048, United States

  • Charite-Universitatsmedizin Berlin - Campus Virchow Klinikum

    Berlin, Germany

  • Columbia University Medical Center/New York Presbyterian Hospital

    New York, New York, 10032, United States

  • Complejo Hospitalario Universitario A Coruna

    A Coruña, Spain

  • Copenhagen University Hospital

    Copenhagen, Denmark

  • Division of Heart Failure and Transplantation (Hospital of the University of Pennsylvania)

    Philadelphia, Pennsylvania, 19104, United States

  • Duke Health Center Arringdon

    Morrisville, North Carolina, 27560, United States

  • Emory Clinic

    Atlanta, Georgia, 30322, United States

  • Erasmus Medical Center

    Rotterdam, Netherlands

  • Guangdong Provincial People's Hospital

    Guangzhou, China

  • Hadassah Hebrew Medical Center- Ein Kerem

    Jerusalem, Israel

  • Henry Ford Hospital

    Detroit, Michigan, 48202, United States

  • Hopital Cardiologique Haut Leveque - CHU de Bordeaux

    Pessac, France

  • Hopital Europeen Georges Pompidou

    Paris, France

  • Hopital Laennec - CHU de Nantes

    Saint-Herblain, France

  • Hopital Lariboisiere - APHP

    Paris, France

  • Hospital Clinic de Barcelona

    Barcelona, Spain

  • Hospital Clinico Universitario Virgen Arrixaca

    El Palmar, Spain

  • Hospital Universitario Puerta de Hierro

    Madrid, Spain

  • Hospital Universitario Son Llatzer

    Son Ferriol, Spain

  • Hospital Universitario Virgen Macarena

    Seville, Spain

  • Hospital Universitario Virgen del Rocio

    Seville, Spain

  • Hospital Universitario de Salamanca

    Salamanca, Spain

  • Houston Methodist Hospital

    Houston, Texas, 77030, United States

  • Inova Schar Heart and Vascular

    Falls Church, Virginia, 22042, United States

  • Institut universitaire de cardiologie et de pneumonlogie de Quebec - Universite Laval

    Québec, Canada

  • Institutdo Danta Pazzanese

    Ibirapuera, 04012-909, Brazil

  • Instituto de Pesquisa Clinica de Campinas - IPECC

    Campinas, São Paulo, 13060-080, Brazil

  • Intermountain Medical Center

    Murray, Utah, 84107, United States

  • Kaplan Medical Center

    Rehovot, Israel

  • Lahey Hospital & Medical Center

    Burlington, Massachusetts, 01803, United States

  • Liverpool Heart and Chest Hospital NHS Foundation Trust

    Liverpool, United Kingdom

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114, United States

  • Mayo Clinic

    Phoenix, Arizona, 85054, United States

  • Medical University of South Carolina

    Charleston, South Carolina, 29425, United States

  • Morristown Medical Center

    Morristown, New Jersey, 07960, United States

  • NHS Greater Glasgow and Clyde

    Glasgow, United Kingdom

  • Northwestern University

    Evanston, Illinois, 60208, United States

  • Oregon Health & Science University

    Portland, Oregon, 97239, United States

  • Oxford University Hospital NHS Trust - John Radcliffe Hospital - OCMR

    Oxford, United Kingdom

  • Piedmont Fayette Hospital

    Fayetteville, Georgia, 30214, United States

  • Providence St. Vincent Medical Center

    Portland, Oregon, 97225, United States

  • Renmin Hospital of Wuhan University

    Wuhan, China

  • Royal Brompton Hospital

    London, United Kingdom

  • Saint Luke's Hospital of Kansas City

    Kansas City, Missouri, 64111, United States

  • Sanger Heart & Vascular Institute - HCM Clinic

    Charlotte, North Carolina, 28204, United States

  • Semmelweis Egyetem, Városmajori Szív- és Érgyógyászati Klinika

    Budapest, Hungary

  • St George's University Hospitals NHS Foundation Trust

    London, United Kingdom

  • The Chaim Sheba Medical Center

    Ramat Gan, Israel

  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, China

  • The First Affiliated Hospital, Sun Yat-sen University

    Guangzhou, 510080, China

  • UC San Diego Health - Sulpizio Cardiovascular Center

    La Jolla, California, 92037, United States

  • Universitaetsklinikum Essen

    Essen, Germany

  • Universitaetsklinikum Jena

    Jena, Germany

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232, United States

  • Xiangya Second Hospital of Central South University

    Changsha, China

  • Yale New Haven Hospital

    New Haven, Connecticut, 06519, United States

  • Zhongshan Hospital Fudan University

    Shanghai, China

  • Ziv Medical Center

    Safed, Israel

  • lnstituto do Coracao do Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo

    São Paulo, São Paulo, 05403-900, Brazil