Can a new pill beat a standard heart drug for a stiff heart condition?

NCT ID NCT07755904

First seen Aug 10, 2026 · Last updated Aug 11, 2026 · Updated 1 time

Summary

This phase 3 trial is testing whether an experimental drug called BHB-1893 works better than the standard beta-blocker metoprolol for adults with symptomatic obstructive hypertrophic cardiomyopathy (oHCM), a condition where the heart muscle thickens and blocks blood flow. The study will enroll about 210 adults who are either already being treated for oHCM or have not yet started treatment. Participants will be randomly assigned to receive either BHB-1893 or metoprolol, and the main goal is to see if BHB-1893 improves exercise capacity (measured by peak oxygen uptake) more than metoprolol.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
BHB-1893 (an experimental oral drug)
What this could lead to
If BHB-1893 outperforms metoprolol, it could offer a new, more effective treatment option for people with obstructive hypertrophic cardiomyopathy, potentially improving their exercise capacity and quality of life.
What could go wrong
This is a phase 3 trial, but success is not guaranteed. BHB-1893 may not prove superior to metoprolol, and like any drug, it carries risks of side effects. The results will need careful review before any conclusions are drawn.

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Conditions

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