Heart drug mavacamten under the microscope: new registry tracks Real-Life results
NCT ID NCT05489705
First seen Jun 27, 2026 · Last updated Aug 20, 2026 · Updated 2 times
Summary
This study is a large registry that will follow about 1,700 people with obstructive hypertrophic cardiomyopathy in the US and Europe. Researchers will track how patients respond to mavacamten or other standard treatments in real-world settings, focusing on safety and effectiveness. The goal is to better understand long-term outcomes and treatment patterns outside of controlled clinical trials.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Mavacamten
- What this could lead to
- If successful, this study could provide a clearer picture of how well mavacamten works and its safety in everyday medical practice for people with obstructive hypertrophic cardiomyopathy.
- What could go wrong
- This is an observational registry, not a controlled trial, so it cannot prove cause and effect. Results may be influenced by differences in patient care and reporting across sites.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 1,700 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2022
- Expected to finish
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Aug 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study population will include adult participants with symptomatic obstructive HCM who are receiving pharmacological treatment for obstructive HCM (for example, BBs, non-DHP CCBs, disopyramide, and/or mavacamten) as part of routine care in the United States or Europe.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria * ≥ 18 years of age at the time of informed consent. * Willing and able to provide written informed consent form (ICF) and any required privacy authorization prior to the initiation of study procedures (or in those situations where consent cannot be given by participants, consent provided by their legally acceptable representatives) United States Sub-Study * Diagnosis of obstructive HCM consistent with 2020 American Heart Association/American College of Cardiology (AHA/ACC) guidelines. * Obstructive HCM is defined clinically by the presence of increased LV wall thickness ≥ 15 mm (or ≥ 13 mm with positive family history of HCM) in a nondilated ventricular chamber that is not solely explained by abnormal loading conditions (eg, another cardiac or systemic disease) and peak LVOT gradient of ≥ 30 mmHg at rest or with provocation. * Has documented LVEF of ≥ 55% recorded by echocardiography within the last 6 months. * Symptoms consistent with NYHA functional class II-IV. * Receiving beta blocker (BB)s, non-dihydropyridine calcium. channel blockers (nonDHP CCBs), disopyramide, and/or mavacamten (once available) as part of routine clinical care; or currently receiving no treatment due to intolerance or failure of prior treatment (eg, BBs, non-DHP CCBs, or disopyramide) for obstructive HCM. European Sub-study * Diagnosis of obstructive HCM consistent with the most recent European Society of Cardiology (ESC) and American Heart Association/American College of Cardiology (AHA/ACC) guidelines * Documented LVEF of ≥55% recorded by TTE * Documented symptoms consistent with NYHA functional class II-III at enrollment or within 6 months prior to enrollment (if not available at enrollment). * As part of routine clinical care for obstructive HCM: receiving BBs, non-DHP CCBs, disopyramide; initiating mavacamten at enrollment; or currently receiving no treatment due to intolerance or failure of prior treatment (e.g., BBs, non-DHP CCBs, or disopyramide). Exclusion Criteria * Known phenocopy disease (e.g., Fabry disease, amyloidosis) or LV hypertrophy associated with hypertension. * Documentation of any fixed obstruction of the outflow tract such as aortic valve stenosis or replacement. * Prior treatment of obstructive HCM with invasive septal reduction (surgical myectomy or percutaneous alcohol septal ablation \[ASA\]) within 6 months prior to enrollment; participants with an unsuccessful myectomy or percutaneous ASA performed \> 6 months prior to enrollment may be enrolled. * Naïve to treatment for obstructive HCM (ie, never treated with BBs, nonDHP CCBs, or disopyramide). United States Sub-Study * Receiving an investigational therapeutic agent for obstructive HCM (eg, myosin-inhibitors other than mavacamten) in an interventional clinical trial at participant enrollment. * Previously or currently enrolled in a long-term safety extension study of mavacamten (eg, EXPLORER-HCM \[ClinicalTrials.gov, NCT03470545\], MAVA-LTE \[NCT03723655\], PIONEER-OLE \[NCT03496168\], VALORHCM \[NCT04349072\], or MAVERICK \[NCT03442764\]) European Sub-study * Receiving an investigational therapeutic agent or any cardiac myosin inhibitor and/or modulators for obstructive HCM at patient enrolment * Previously or currently enrolled in other HCM registry studies (e.g., TORCH, REMY, EU-PASS) * Previously or currently enrolled in a study of mavacamten (e.g., EXPLORER-HCM \[ClinicalTrials.gov, NCT03470545\], MAVA-LTE \[NCT03723655\], PIONEER-OLE \[NCT03496168\], VALOR-HCM \[NCT04349072\], MAVERICK \[NCT03442764\], or MEMENTO \[NCT2264899\]) * Previously treated with mavacamten
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Get notified about this study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
80 sites in 7 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Alaska Heart Institute
RECRUITINGAnchorage, Alaska, 99508, United States
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BI Research Center
RECRUITINGHouston, Texas, 77084, United States
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Bassett Medical Center
RECRUITINGCooperstown, New York, 13326, United States
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Baylor Scott & White Medical Centre - Temple
RECRUITINGTemple, Texas, 76508, United States
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Baylor Scott & White Research Institute
RECRUITINGDallas, Texas, 75246, United States
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Baylor Scott & White The Heart Hospital Plano
RECRUITINGPlano, Texas, 75093, United States
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CHI Health Reseach Center
RECRUITINGOmaha, Nebraska, 68124, United States
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CHU Amiens-Picardie
RECRUITINGAmiens, Somme, 80054, France
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CHU De Poitiers - Hopital De La Miletrie
RECRUITINGPoitiers, Vienne, 86000, France
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CHU Nantes Hopital Nord Laennec
RECRUITINGSaint-Herblain, Loire Atlantique, 44800, France
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Cardiology Associates Research, Llc
RECRUITINGTupelo, Mississippi, 38801, United States
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Carilion Clinic; Virginia Tech-Carilion School of Medicine
RECRUITINGRoanoke, Virginia, 24014, United States
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Centre Hospitalier Haguenau
RECRUITINGHaguenau, Bas Rhin, 67500, France
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Christ Hospital Health Network
RECRUITINGCincinnati, Ohio, 45219, United States
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Duke University Health System
RECRUITINGDurham, North Carolina, 27710, United States
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Focus Clinical Research
RECRUITINGCharlotte, North Carolina, 28207, United States
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Franciscan Physician Network-Indiana Heart Physicians
RECRUITINGIndianapolis, Indiana, 46237, United States
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Geisinger Health System
RECRUITINGWilkes-Barre, Pennsylvania, 18711, United States
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Hackensack University Medical Center
RECRUITINGHackensack, New Jersey, 07601, United States
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Harvard (Massachusetts General Hospital)
RECRUITINGBoston, Massachusetts, 02114, United States
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Harvard Medical School - Brigham and Women's Hospital (BWH)
RECRUITINGBoston, Massachusetts, 02215, United States
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Henry Ford Health System
RECRUITINGWest Bloomfield, Michigan, 48322, United States
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Hospital Clinico San Carlos
RECRUITINGMadrid, 28040, Spain
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Hospital Clinico Universitario Virgen de La Victoria
RECRUITINGMálaga, 29010, Spain
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Hospital Fundacion Son Llatzer
RECRUITINGPalma de Mallorca, Balearic Islands, 07198, Spain
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Hospital Universitario Central de Asturias
RECRUITINGOviedo, Principality of Asturias, 33011, Spain
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Hospital Universitario Puerta de Hierro Majadahonda
RECRUITINGMajadahonda, Madrid, 28222, Spain
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Hospital Universitario Virgen de La Arrixaca
RECRUITINGEl Palmar, Murcia, 30120, Spain
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Hospital Universitario de Burgos
RECRUITINGBurgos, 09006, Spain
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Hôpital Saint Vincent-de-Paul
RECRUITINGLille, Nord, 59000, France
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Hôpital Sainte Musse
RECRUITINGToulon, Var, 83000, France
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Immanuel Klinikum Bernau
RECRUITINGBernau, State of Berlin, 16321, Germany
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Imperial College Healthcare NHS Trust
RECRUITINGLondon, Greater London, W6 8RF, United Kingdom
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Indiana. University
RECRUITINGIndianapolis, Indiana, 46202, United States
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KH St.Josef Braunau am Inn
RECRUITINGBraunau am Inn, 5280, Austria
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Kardiologische und angiologische Praxen im Spreebogen
RECRUITINGBerlin, 10719, Germany
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Keck School of Medicine of USC-Usc
RECRUITINGLos Angeles, California, 90033, United States
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Kepler Universitätsklinikum Linz
RECRUITINGLinz, 4021, Austria
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LKH-Univ. Klinikum Graz
RECRUITINGGraz, 8036, Austria
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Leeds General Infirmary
RECRUITINGLeeds, West Yorkshire, LS1 3EX, United Kingdom
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Liverpool Heart and Chest Hospital
RECRUITINGLiverpool, Merseyside, L14 3PE, United Kingdom
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Local Institution - 0001
WITHDRAWNPrague, 150 00, Czechia
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Local Institution - 0001
WITHDRAWNWarsaw, 04-628, Poland
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Local Institution - 0002
WITHDRAWNOlomouc, 779 00, Czechia
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Local Institution - 0002
WITHDRAWNKatowice, 40-635, Poland
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Local Institution - 0003
ACTIVE_NOT_RECRUITINGCleveland, Ohio, 44195, United States
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Local Institution - 0004
ACTIVE_NOT_RECRUITINGMadison, Wisconsin, 53792, United States
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Local Institution - 0009
ACTIVE_NOT_RECRUITINGNew York, New York, 10019, United States
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Local Institution - 0026
ACTIVE_NOT_RECRUITINGMorristown, New Jersey, 07960, United States
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Local Institution - 0033
ACTIVE_NOT_RECRUITINGKansas City, Missouri, 66160, United States
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Local Institution - 0037
ACTIVE_NOT_RECRUITINGLa Jolla, California, 92037, United States
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Local Institution - 0045
ACTIVE_NOT_RECRUITINGIowa City, Iowa, 52242, United States
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Local Institution - 0046
ACTIVE_NOT_RECRUITINGHonolulu, Hawaii, 96813, United States
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Local Institution - 0059
ACTIVE_NOT_RECRUITINGBaltimore, Maryland, 21201, United States
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Local Institution - 0065
ACTIVE_NOT_RECRUITINGJacksonville, Florida, 32209, United States
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Local Institution - 0067
ACTIVE_NOT_RECRUITINGHartford, Connecticut, 06106, United States
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Local Institution - 0076
ACTIVE_NOT_RECRUITINGLancaster, Pennsylvania, 17603, United States
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Local Institution - 0083
NOT_YET_RECRUITINGVienna, 1090, Austria
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Local Institution - 0084
WITHDRAWNKlagenfurt, 9020, Austria
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Local Institution - 0085
NOT_YET_RECRUITINGSankt Pölten, 3100, Austria
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Local Institution - 0088
NOT_YET_RECRUITINGInnsbruck, 6020, Austria
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Local Institution - 0101
WITHDRAWNErlangen, Bavaria, 91054, Germany
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Local Institution - 0102
WITHDRAWNMadrid, 28007, Spain
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Local Institution - 0110
ACTIVE_NOT_RECRUITINGBirmingham, West Midlands, B15 2GW, United Kingdom
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Local Institution - 0113
NOT_YET_RECRUITINGLondon, Greater London, SW3 6NP, United Kingdom
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Local Institution - 0117
WITHDRAWNMontpellier, 34000, France
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MedStar Health Research Institute
RECRUITINGBaltimore, Maryland, 21218, United States
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MedStar Washington Hospital Center
RECRUITINGWashington D.C., District of Columbia, 20010, United States
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Medical College of Wisconsin, Inc (PI Address)
RECRUITINGMilwaukee, Wisconsin, 53226, United States
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Minneapolis Heart Institute Foundation
RECRUITINGMinneapolis, Minnesota, 55407, United States
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Mount Sinai Hospital
RECRUITINGNew York, New York, 10029, United States
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North Texas Cardiology Center
RECRUITINGDallas, Texas, 75208, United States
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Ostalb-Klinikum Aalen
RECRUITINGAalen, Baden-Wurttemberg, 73430, Germany
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Pima Heart and Vascular
RECRUITINGTucson, Arizona, 85704, United States
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Praxisklinik Herz Und Gefasse-Klinikum Weisser Hirsch
RECRUITINGDresden, Saxony, 01099, Germany
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Prisma Health - Upstate
RECRUITINGGreenville, South Carolina, 29605, United States
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Research & Cardiovascular Corp
RECRUITINGPonce, 00717-1322, Puerto Rico
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Saint Francis Hospital
RECRUITINGRoslyn, New York, 11576, United States
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Saint Thomas Health
RECRUITINGNashville, Tennessee, 37205-2018, United States
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Spectrum Health Medical Group
RECRUITINGGrand Rapids, Michigan, 49525, United States
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St. Luke's Mid-America Heart Institute
RECRUITINGKansas City, Missouri, 64111, United States
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St. Luke's University Health Network
RECRUITINGBethlehem, Pennsylvania, 18015, United States
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Stanford Health Care Hospital & Clinics
RECRUITINGPalo Alto, California, 94304, United States
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The Methodist Hospital, Methodist Cancer Cencer
RECRUITINGHouston, Texas, 77030, United States
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The Rector and Visitors of the Univ of Virginia
RECRUITINGCharlottesville, Virginia, 22908, United States
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Tristar Centennial Medical Ctr
RECRUITINGNashville, Tennessee, 37203, United States
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UAMS
RECRUITINGLittle Rock, Arkansas, 72205-7199, United States
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UC Denver, AMC
RECRUITINGAurora, Colorado, 48377, United States
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Universitaetsklinikum Leipzig Aoer
RECRUITINGLeipzig, Saxony, 04103, Germany
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Universitatsklinikum Muenster
RECRUITINGMünster, North Rhine-Westphalia, 48149, Germany
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University Hospital of Wales
RECRUITINGCardiff, CF14 4XW, United Kingdom
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University Hospitals Cleveland Medical Center
RECRUITINGCleveland, Ohio, 44106, United States
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University Of California San Francisco Medical Center
RECRUITINGSan Francisco, California, 94117, United States
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University Of Manchester
RECRUITINGManchester, Greater Manchester, M13 9WL, United Kingdom
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University Of Pittsburgh
RECRUITINGPittsburgh, Pennsylvania, 15213, United States
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University of Chicago Dept of Medicine
RECRUITINGChicago, Illinois, 60637, United States
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VCU Medical Center
RECRUITINGRichmond, Virginia, 23298, United States
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Virginia Mason Medical Center
RECRUITINGSeattle, Washington, 98101, United States
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WMCHealth Advanced Physician Services
RECRUITINGValhalla, New York, 10595, United States
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WVU Hospitals
RECRUITINGMorgantown, West Virginia, 26506, United States
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Washington University
RECRUITINGSt Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a daily pill ease a stiff heart condition?
- Heart drug trial halted early: MYK-224 studied for thick heart muscle
- Heart drug mavacamten tested for long-term safety in HCM patients
- New drug aficamten shows promise for thick heart muscle in chinese patients
- New heart drug aficamten shows promise for japanese patients with thick heart muscle