Could a Copper-Binding drug shrink thickened heart muscle?
NCT ID NCT04706429
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether the drug trientine can reduce heart muscle thickening and improve exercise ability in people with hypertrophic cardiomyopathy (HCM), a condition where the heart muscle becomes abnormally thick. 154 adults with HCM took either trientine or a placebo for 12 months. The main goal was to see if the drug could shrink the heart muscle and improve heart function.
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.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
154 people
The number who actually took part.
- Started
-
Dec 2020
- Finished
-
Jul 2024
- Lead sponsor
-
A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 75 years
- Sex
-
Anyone
- Healthy volunteers
-
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: 1. Written informed consent. 2. Age 18-75 inclusive. 3. Hypertrophic cardiomyopathy (HCM), as defined by the European Society of Cardiology HCM guidelines as: "a wall thickness ≥15 mm in one or more LV myocardial segments that is not explained solely by loading conditions". The same definition is applied to first-degree relatives of patients with HCM i.e. all participants are required to have a LV wall thickness ≥15 mm. Wall thickness is as measured on the most recent cardiovascular magnetic resonance (CMR) scan performed prior to the baseline visit. If CMR has not been performed previously, wall thickness measurement should be taken from the most recent echocardiogram performed prior to the baseline visit. (It is recognised that in the European Society of Cardiology guidelines a clinical diagnosis of HCM in first-degree relatives requires a wall thickness that is less than this value, however ≥15 mm is applied here in order to ensure that all participants have an unequivocal phenotype). 4. New York Heart Association class I, II or III at the most recent clinical assessment performed prior to the baseline visit. Exclusion Criteria: 1. Previous or planned septal reduction therapy. 2. Previously documented myocardial infarction or severe coronary artery disease. 3. Uncontrolled hypertension, defined as a systolic blood pressure of \>180mmHg or a diastolic blood pressure of \> 100mmHg at Visit 1. 4. Known LV EF \< 50%, as measured on the most recent CMR scan performed prior to the baseline visit. If CMR has not been performed previously, the most recent echocardiogram performed prior to the baseline visit should be used. 5. Previously documented persistent atrial fibrillation. 6. Anaemia, defined as haemoglobin being below the local site normal reference range, at Visit 1. 7. Iron deficiency, defined as serum iron being below the local site normal reference range, at Visit 1. 8. Copper deficiency, defined as serum copper being below the normal reference range, at Visit 1. 9. Pacemaker or implantable cardioverter defibrillator. 10. Known severe valvular heart disease, as demonstrated on the most recent heart imaging performed prior to the baseline visit. 11. Previously documented other cardiomyopathic cause of myocardial hypertrophy (e.g. amyloidosis, Fabry disease, mitochondrial disease). 12. History of hypersensitivity to any of the components of the investigational medicinal product (IMP). 13. Known contraindication to MRI scanning. 14. Pregnancy, lactation or planning pregnancy. Women of childbearing capacity are required to have a negative serum pregnancy test before treatment, must agree to pregnancy tests at study visits as defined in the Section 8 and must agree to maintain highly effective contraception as defined in Section 8 during the study. 15. Any medical condition, which in the opinion of the Investigator, may place the patient at higher risk from his/her participation in the study, or is likely to prevent the patient from complying with the requirements of the study or completing the study.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Hypertrophic cardiomyopathy are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
Contacts and locations
Locations
-
Liverpool Heart and Chester Hospital NHS Foundation Trust
Liverpool, L14 3PE, United Kingdom
-
Manchester University NHS Foundation Trust
Manchester, M23 9LT, United Kingdom
-
NHS Grampian
Aberdeen, AB25 2ZN, United Kingdom
-
Northumbria Healthcare NHS Foundation Trust
North Shields, NE29 8NH, United Kingdom
-
Oxford University Hospitals NHS Foundation Trust
Oxford, OX3 9DU, United Kingdom
-
Royal Brompton and Harefield NHS Foundation Trust
London, SW3 6NP, United Kingdom
-
University Hospitals of Leicester NHS Foundation Trust
Leicester, LE3 9QP, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a catheter slice thick heart muscle without open surgery?
- A glowing dye could expose hidden heart scarring
- Blood test could offer gentler way to track Children's heart disease
- Heart scans may unlock hidden risks in minority communities
- Global registry aims to unlock clues for heart transplant success in adults born with heart defects
- Heart conditions in kids: study reveals impact on daily life and play