Symptomatic Hypertrophic Cardiomyopathy (HCM)Phase 2/3FOREST-HCMNCT04848506
Open-label Extension Study to Evaluate the Long-term Safety and Tolerability of Aficamten in Adults With HCM
A Phase 2/3 study testing Aficamten (5 - 20 mg) in people with Symptomatic Hypertrophic Cardiomyopathy (HCM), run by Cytokinetics at 141 sites in 19 countries.
Trial summary
The purpose of this study is to collect long-term safety and tolerability data for aficamten. Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Symptomatic Hypertrophic Cardiomyopathy (HCM)
- What is being tested?
- Aficamten (5 - 20 mg)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 900 participants
- Where
- 141 sitesin 19 countries
- Study dates
- 6 May 2021to Mar 2029
- Phase
- Phase 2/3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Completion of a Cytokinetics trial investigating aficamten
- LVEF ≥ 55% at the Screening Visit
Who cannot join
- Has received treatment with mavacamten: (a) within 56 days prior to dosing and (b) has not received approval for participation from the Medical Monitor.
- Has participated in another investigational device or drug study or received an investigational device or drug < 1 month (or 5 half-lives for drugs, whichever is longer) prior to screening. Other investigational procedures while participating in this study are not permitted.
- Since completion of a previous trial of aficamten has:
- Developed new-onset paroxysmal or permanent atrial fibrillation requiring rhythm restoring treatment (eg, direct-current cardioversion, ablation procedure, or antiarrhythmic therapy) < 30 days prior to screening. Patient may re-screen for CY 6022 after 30 days if heart rate (HR) < 100 bpm and/or rhythm is stable > 30 days
- Undergone septal reduction therapy (surgical myectomy or transcatheter alcohol ablation)
- Had a confirmed LVEF < 40% with an associated dose interruption during participation in a prior study with aficamten
- History of implantable ICD placement within 30 days prior to screening.
Trial locations and contacts
141 sites in 19 countries. Contact the study team or a site near you to ask about taking part.
141 sites in 19 countries
United States57 sites
Alaska Heart and Vascular Institute
Anchorage, Alaska, 99508
Michigan Medicine - University of Michigan
Ann Arbor, Michigan, 48109
University of Michigan Health System (UMHS) - University Hospital (University of Michigan Medical Center)
Ann Arbor, Michigan, 48109
Emory Clinic
Atlanta, Georgia, 30322
University of Alabama at Birmingham
Birmingham, Alabama, 35233
Massachusetts General Hospital
Boston, Massachusetts, 02114
Brigham and Women's Hospital
Boston, Massachusetts, 02115
Lahey Hospital & Medical Center
Burlington, Massachusetts, 01805
Medical University of South Carolina
Charleston, South Carolina, 29425
Sanger Heart & Vascular Institute, Atrium Health
Charlotte, North Carolina, 28204
University of Virginia Health System University Hospital
Charlottesville, Virginia, 22908
Northwestern University
Chicago, Illinois, 60611
The Linder Research Center at The Christ Hospital
Cincinnati, Ohio, 45219
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
Cleveland Clinic
Cleveland, Ohio, 44195
The University of Texas Southwestern Medical Center at Dallas
Dallas, Texas, 75390
Henry Ford Hospital
Detroit, Michigan, 48202
Duke Cardiology at Southpoint
Durham, North Carolina, 27710
Inova Health Care Services
Falls Church, Virginia, 22042
Piedmont Fayette Hospital
Fayetteville, Georgia, 30214
Holy Cross Hospital / Cardiology Associates
Fort Lauderdale, Florida, 33308
Greenville Memorial Hospital
Greenville, South Carolina, 29605
The Queen's Medical Center
Honolulu, Hawaii, 96813
CHI St. Luke's Health Baylor College of Medicine Medical Center
Houston, Texas, 77030
Houston Methodist Hospital
Houston, Texas, 77030
The University of Iowa Hospitals & Clinics
Iowa City, Iowa, 52242
The University of Kansas Medical Center
Kansas City, Kansas, 66160
Saint Luke's Hospital of Kansas City
Kansas City, Missouri, 64111
UC San Diego Health - Sulpizio Cardiovascular Center
La Jolla, California, 92037
Cedar-Sinai Medical Center
Los Angeles, California, 90048
Cedars-Sinai Medical Center (Smidt Heart Institute)
Los Angeles, California, 90048
UCLA Health System - UCLA Cardiovascular Center
Los Angeles, California, 90095
Northwell Health North Shore University Hospital
Manhasset, New York, 11030
Aurora St. Luke's Medical Center
Milwaukee, Wisconsin, 53215
University of Minnesota
Minneapolis, Minnesota, 55455
WVUMedicine
Morgantown, West Virginia, 26506
Morristown Medical Center
Morristown, New Jersey, 07960
Intermountain Medical Center
Murray, Utah, 84107
Ascension Saint Thomas Heart West
Nashville, Tennessee, 37205
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Yale New Haven Hospital
New Haven, Connecticut, 06519
NYU Langone Health
New York, New York, 10016
Weill Cornell Medicine
New York, New York, 10021
Mount Sinai Hospital
New York, New York, 10029
Columbia University Medical Center/New York Presbyterian Hospital
New York, New York, 10032
Hospital of the University of Pennsylvania (University of Pennsylvania School of Medicine)
Philadelphia, Pennsylvania, 19104
Mayo Clinic Building - Phoenix
Phoenix, Arizona, 85054
UPMC Presbyterian
Pittsburgh, Pennsylvania, 15213
Providence St. Vincent Medical Center
Portland, Oregon, 97225
Oregon Health & Science University
Portland, Oregon, 97239
Mayo Clinic
Rochester, Minnesota, 55905
University of Utah Health
Salt Lake City, Utah, 84132
UCSF Medical Center
San Francisco, California, 94143
Virginia Mason Medical Center
Seattle, Washington, 98101
Ascension St. John Clinical Research Institute
Tulsa, Oklahoma, 76104
Westchester Medical Center
Valhalla, New York, 10595
MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010
Spain12 sites
Complejo Hospitalario Universitario A Coruna
A Coruña, 15006
Hospital Clinic Barcelona
Barcelona, 08036
Hospital General Universitario Gregorio Marañón (HGUGM)
Madrid, 28007
Hospital Clinico Universitario San Carlos
Madrid, 28040
Hospital Universitario Puerta de Hierro Majadahonda
Madrid, 28220
Hospital Clinico Universitario Virgen de la Arrixaca
Madrid, 30120
Hospital Universitario Virgen de la Victoria
Málaga, 29010
Hospital Universitario Son Llatzer
Palma, 07198
Complexo Hospitalario Universitario De Vigo
Pontevedra, 36312
Hospital Universitario de Salamanca
Salamanca, 37007
Hospital Universitario Virgen Macarena-merge
Seville, 41009
Hospital Universitario Virgen del Rocío
Seville, 41013
France9 sites
Hopital de la Timone Service de cardiologie
Marseille, 130005
Clinique Du Millenaire
Montpellier, 340000
CHU Montpellier - Hopital Arnaud de Villeneuve
Montpellier, 34295
CHU de Nantes Institut Du Thorax et du systeme nerveux Clinique Cardiologique et des Maladies Vasculaires
Nantes, 44093
Hopital Lariboisiere
Paris, 75010
Hopital Europeen Georges Pompidou
Paris, 75015
Hopital cardiologique de Haut-Leveque
Pessac, 33604
Centre hospitalier universitaire (CHU) de Rennes-Hopital Pontchaillou
Rennes, 35033
Centre Hospitalier universitaire de Toulouse - Rangueil Hospital
Toulouse, 31059
United Kingdom8 sites
Queen Elizabeth Hospital Birmingham University Hospitals Birmingham NHS Foundation Trust
Birmingham, B15 2GW
Ninewells Hospital and Medical School
Dundee, DD2 1SG
Glasgow Clinical Research Facility Neuroscience Institute
Glasgow, G51 4TF
Liverpool Heart and Chest Hospital
Liverpool, L14 3PE
St Bartholomew's Hospital
London, EC1A 7BE
St George's University Hospitals NHS Foundation Trust
London, SW17 0QT
Royal Brompton Hospital
London, SW3 6NP
Oxford Centre for Clinical Magnetic Resonance Research (OCMR) Division of Cardiovascular Medicine Radcliffe Department of Medicine University of Oxford
Oxford, OX3 9DU
Italy7 sites
Unit Cardiomiopatie, Dipartimento Cardio ToracoVascolare
Florence, 50134
IRCCS Policlinico San Donato
Milan, 20097
ASST Grande Ospedale Metropolitano Niguarda
Milan, 20162
Azienda Ospedaliera Universitaria Federico II di Napoli
Naples, 80131
Fondazione toscana Gabriele Monesterio per la ricarca medica Dipartimento Cardiotoracico UOC Cardiologia e Medicina Cardiovasculare Ospedale San Cataldo
Pisa, 56124
Dipartimento di Medicina Clinica e Molecolare Universita Sapienza di Roma Unita di Terapia Intensiva Cardiologica Azienda Ospedaliero Universitaria Sant'Andrea
Roma, 00189
Azienda Sanitaria Universitaria Giuliano Isontina
Trieste, 34149
Brazil6 sites
Nucleo de Pesquisa Clinica NUPEC
Belo Horizonte, Minas Gerais, 30220
Associacao Lar Sao Francisco de Assis na Providencia de Deus - Hospital Universitario Sao Francisco na Providencia de Deus (HUSF)
Bragança Paulista, São Paulo, 12916-542
IPECC - Instituto De Pesquisa Clinica de Campinas
Campinas, São Paulo, 13060-080
Centro Avancado de Pesquisa-Estudo para-Diagnostico-CAPED
Ribeirão Preto, São Paulo, 14026-020
Universidade de Sao Paulo (USP) Hospital das Clinicas da Faculdade de Medicina Instituto do Coracao (InCor)
São Paulo, São Paulo, 5403000
Instituto Dante Pazzanese de Cardiologia
São Paulo, 04012-909
Germany6 sites
Charite-Universitaetsmedizin Berlin
Berlin, 13353
Universitaetsklinikum Essen
Essen, 45147
Universitaetsmedizin Goettingen Klinik fur Kardiologie und Pneumologie
Goettigen, 37075
Universitaesklinkum Heidelberg
Heidelberg, 69120
Universitaetsklinikum Jena
Jena, 07747
Universitaetskinikum Wuerzburg Deutsches Zentrum fur Herzinsuffzienz Wurzburg (DZHI) Comprehensive Heart Failure Center (CHFC)
Würzburg, 97078
Canada5 sites
Royal Alexandra Hospital
Edmonton, T5H 3V9
QEII Health Science Centre (Halifax Infirmary site)
Halifax, B3H 3A7
Montreal Heart Institute
Montreal, Quebec, H1T 1C8
Institut universitaire de cardiologie et de pneumologie de Quebec-Universite Laval
Québec, Quebec, G1V 4G5
St. Boniface General Hospital
Winnipeg, Manitoba, R2H 2A6
Denmark5 sites
Department of Cardiology Aalborg University Hospital
Aalborg, 9000
Department of Cardiology Aarhus University Hospital
Aarhus, 8200
The Heart Center, Department of Cardiology
Copenhagen, 2100
Copenhagen University Hospital
Copenhagen, 2400
Odense University Hospital
Odense, 5000
Israel5 sites
The Barzilai University Medical Center
Ashkelon, 7830604
Hadassah Medical Center- Ein Kerem
Jerusalem, 9112001
Meir Medical Center
Kfar Saba, 4428164
The Chaim Sheba Medical Center
Ramat Gan, 5265601
Ziv Medical Center
Safed, 1311001
Greece4 sites
Evangelismos General Hospital of Athens
Athens, 10676
"Hippokration" General Hospital of Athens
Athens, 11527
Onassis Hospital
Athens, 17674
University General Hospital "ATTIKON"
Attiki, 12462
Portugal4 sites
Centro Hospitalar Do Baixo Vouga, EPE Cardiology Department
Aveiro, 3814-501
Unidade Local De Saude De Sao Jose E.P.E
Lisbon, 1150-199
Hospital Cuf Descobertas S.A.
Lisbon, 1998-018
Hospital da Luz
Lisbon
Australia3 sites
Flinders Medical Centre, Cardiology Research
Bedford Park, 5042
The Prince Charles Hospital
Chermside, 4032
Fiona Stanley Hospital, AHF Unit
Murdoch, 6150
Netherlands3 sites
Amsterdam UMC
Amsterdam, 1105
Maastricht University Medical Center (MUMC)
Maastricht, 6229 HX
Erasmus Medical Center Department of Cardiology
Rotterdam, 3015
Hungary2 sites
Semmelweis Egyetem Varosmajori Sziv es Ergyogyaszati Klinika
Budapest, 1122
Szegedi Tudományegyetem, Belgyógyászati Klinika, Kardiológiai Központ
Szeged, 6725
Poland2 sites
Kardio Brynow S.C.
Katowice, 40-555
Narodowy Instytut Kardiologii Stefana Kardynala Wyszynskiego - Panstwowy Instytut Badawczy Centrum Zaburzen Rytmu Serca
Warsaw, 04-628
Argentina1 site
Instituto Cardiovascular de Buenos Aires(ICBA)
Buenos Aires, C1428
About this study
Official title: A Follow-Up, Open-Label, Research Evaluation of Sustained Treatment With Aficamten (CK-3773274) in Hypertrophic Cardiomyopathy (HCM)
The purpose of this study is to collect long-term safety and tolerability data for aficamten.
- Being tested
- Aficamten (5 - 20 mg)
- Keywords
- Obstructive Hypertrophic Cardiomyopathy, oHCM, CK-3773274, CK-274, Non obstructive hypertrophic cardiomyopathy, nHCM, HCM, Hypertrophic cardiomyopathy, Aficamten, REDWOOD-OLE, CY 6022, FOREST-HCM, Forest
- Medical subject headings
- Cardiomyopathy, Hypertrophic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Aficamten (5 - 20 mg)Drug
Aficamten tablets, 5-20 mg daily, administered orally. Participants may continue on Aficamten until end of treatment criteria defined in the protocol is met.
| Study group | Role | What they receive |
|---|---|---|
| Aficamten | Experimental | Participants in this arm take aficamten starting at the lowest prespecified dose and titrating up to their individual maximum tolerated dose. During titration phase, clinic visits will occur approximately every 2-6 weeks. In the maintenance phase clinic visits will occur every 24 weeks, with safety check-in occurring every 12 weeks between visits by phone or, if desirable, in the clinic. After Week 48, the visits can be yearly if participants meet criteria. Receives: Drug: Aficamten (5 - 20 mg) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of adverse events observed during dosing of aficamten in patients with HCM
Patient incidence of reported Adverse Events (AEs)
Measured: Baseline to End of study, up to 5 years
Incidence of serious adverse events observed during dosing of aficamten in patients with HCM
Patient incidence of reported Serious Adverse Events (SAEs)
Measured: Baseline to End of study, up to 5 years
Incidence of left ventricular ejection fraction (LVEF) < 50% observed during dosing of aficamten in patients with HCM
Patient incidence of reported LVEF <50%
Measured: Baseline to End of study, up to 5 years
Secondary outcomes (12)
Long-term effects of aficamten on left ventricular outflow tract gradient (LVOT G) in patients with obstructive Hypertrophic Cardiomyopathy (oHCM)
Peak LVOT-G at rest; applicable only to patients with oHCM
Measured: Baseline through the end of participation at 12-24 week intervals
Long-term effects of aficamten on resting LVOT-G
Proportion of patients with resting LVOT-G < 30 mmHg; applicable only to patients with oHCM
Measured: Baseline through the end of participation at 12-24 week intervals
Long-term effects of aficamten on post Valsalva LVOT-G
Proportion of patients with post-Valsalva LVOT-G < 50 mmHg; applicable only to patients with oHCM
Measured: Baseline through the end of participation at 12-24 week intervals
Long-term effects of aficamten on post Valsalva LVOT-G
Proportion of patients with post-Valsalva LVOT-G < 30 mmHg; applicable only to patients with oHCM
Measured: Baseline through the end of participation at 12-24 week intervals
Long-term effects of aficamten on left ventricular ejection fraction (LVEF) and post-Valsalva LVOT-G
Proportion of patients with LVEF ≥ 50%, resting LVOT-G < 30 mmHg, and post-Valsalva LVOT-G < 50 mmHg; applicable only to patients with oHCM
Measured: Baseline through the end of participation at 12-24 week intervals
Long-term effects of aficamten on time to first resting LVOT-G < 30 mmHg through last follow-up
Applicable only to patients with oHCM
Measured: Time to the following event through last follow-up, up to 5 years
Long-term effects of aficamten on time to first post-Valsalva LVOT-G < 50 mmHg through last follow-up
Applicable only to patients with oHCM
Measured: Time to the following event through last follow-up, up to 5 years
Long-term effects of aficamten on time to first post-Valsalva LVOT-G < 30 mmHg through last follow-up
Applicable only to patients with oHCM
Measured: Time to the following event through last follow-up, up to 5 years
Long-term effects of aficamten on time to first LVEF ≥ 50%, resting LVOT-G < 30 mmHg, and post-Valsalva LVOT-G < 50 mmHg through last follow-up
Applicable only to patients with oHCM
Measured: Time to the following event through last follow-up, up to 5 years
Change from baseline values in N-terminal pro-B-type natriuretic peptide (NT-proBNP)
Measured: Baseline to end of collection, up to 5 years
Change from baseline values in high sensitivity cardiac troponin I (hs-cTnI)
Measured: Baseline to end of collection, up to 5 years
Change from baseline in Kansas City Cardiomyopathy Questionnaire (KCCQ) score
Measured: Baseline to end of collection, up to 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Apr 2021
- Study start6 May 2021
- Primary completionMar 2029 (estimated)
- Study completionMar 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Symptomatic Hypertrophic Cardiomyopathy (HCM)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 900 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cytokinetics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Cytokinetics, MD, Study director, Cytokinetics
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04848506
- Sponsor's protocol ID
- CY 6022
- Other IDs
- 2020-003571-17, 2023-508963-58-00, 2023
- Acronym
- FOREST-HCM
- Status last verified
- Oct 2026
- First submitted
- 9 Apr 2021
- Last updated
- 13 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Chen ML, Hodovan J, Masri A, Liu V, Kim MO, Melloni C, Jacoby DL, Heitner SB, Abraham TP. Aficamten is associated with improvements in cardiac mechanics in obstructive hypertrophic cardiomyopathy: Results from FOREST-HCM. Prog Cardiovasc Dis. 2026 Aug 25:S0033-0620(26)00098-8. doi: 10.1016/j.pcad.2026.08.013. Online ahead of print.
PubMed 42641848Saberi S, Abraham TP, Choudhury L, Barriales-Villa R, Elliott PM, Nassif ME, Oreziak A, Owens AT, Tower-Rader A, Rader F, Garcia-Pavia P, Olivotto I, Coats CJ, Fifer MA, Sherrid MV, Solomon SD, Watkins H, Heitner SB, Jacoby DL, Kupfer S, Malik FI, Melloni C, Meng L, Wei J, Maron MS, Masri A; FOREST-HCM Steering Committee and Investigators. Aficamten Treatment for Symptomatic Obstructive Hypertrophic Cardiomyopathy: 48-Week Results From FOREST-HCM. JACC Heart Fail. 2025 Aug;13(8):102496. doi: 10.1016/j.jchf.2025.03.040. Epub 2025 Jun 19.
PubMed 40540987Masri A, Maron MS, Abraham TP, Nassif ME, Barriales-Villa R, Bilen O, Coats CJ, Elliott P, Garcia-Pavia P, Massera D, Olivotto I, Oreziak A, Owens AT, Saberi S, Solomon SD, Tower-Rader A, Heitner SB, Jacoby DL, Melloni C, Wei J, Sherrid MV; REDWOOD-HCM, SEQUOIA-HCM, and FOREST-HCM Investigators. Concomitant Aficamten and Disopyramide in Symptomatic Obstructive Hypertrophic Cardiomyopathy. JACC Heart Fail. 2026 Feb;14(2):102441. doi: 10.1016/j.jchf.2025.03.008. Epub 2025 Apr 2.
PubMed 40285763Masri A, Choudhury L, Barriales-Villa R, Elliott P, Maron MS, Nassif ME, Oreziak A, Owens AT, Saberi S, Tower-Rader A, Rader F, Garcia-Pavia P, Olivotto I, Nagueh SF, Wang A, Heitner SB, Jacoby DL, Kupfer S, Malik FI, Melloni C, Meng L, Wei J, Sherrid MV, Abraham TP; FOREST-HCM Investigators. Standard-of-Care Medication Withdrawal in Patients With Obstructive Hypertrophic Cardiomyopathy Receiving Aficamten in FOREST-HCM. J Am Coll Cardiol. 2024 Nov 5;84(19):1839-1849. doi: 10.1016/j.jacc.2024.09.002.
PubMed 39477631
Study at a glance
From the registry record, last updated by the sponsor on 13 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Follow-Up, Open-Label, Research Evaluation of Sustained Treatment With Aficamten (CK-3773274) in Hypertrophic Cardiomyopathy (HCM)
- ClinicalTrials.gov ID
- NCT04848506
- Acronym / sponsor ID
- FOREST-HCM / CY 6022
- Keywords
- Obstructive Hypertrophic Cardiomyopathy, oHCM, CK-3773274, CK-274, Non obstructive hypertrophic cardiomyopathy, nHCM, HCM, Hypertrophic cardiomyopathy
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 900 participants (estimated)
- Lead sponsor
- CytokineticsIndustry (pharma, biotech, devices)
- Study start
- 6 May 2021 (actual)
- Primary completion
- Mar 2029 (estimated)
- Study completion
- Mar 2029 (estimated)
- First posted
- 19 Apr 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to collect long-term safety and tolerability data for aficamten.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Aficamten | Experimental | Drug: Aficamten (5 - 20 mg)Participants in this arm take aficamten starting at the lowest prespecified dose and titrating up to their individual maximum tolerated dose. During titration phase, clinic visits will occur approximately every 2-6 weeks. In the maintenance phase clinic visits will occur every 24 weeks, with safety check-in occurring every 12 weeks between visits by phone or, if desirable, in the clinic. After Week 48, the visits can be yearly if participants meet criteria. |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Completion of a Cytokinetics trial investigating aficamten
- LVEF ≥ 55% at the Screening Visit
Key exclusion criteria (7 listed)
- Has received treatment with mavacamten: (a) within 56 days prior to dosing and (b) has not received approval for participation from the Medical Monitor.
- Has participated in another investigational device or drug study or received an investigational device or drug < 1 month (or 5 half-lives for drugs, whichever is longer) prior to screening. Other investigational procedures while participating in this study are not permitted.
- Since completion of a previous trial of aficamten has:
- Had a confirmed LVEF < 40% with an associated dose interruption during participation in a prior study with aficamten
- History of implantable ICD placement within 30 days prior to screening.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Aficamten (5 - 20 mg)Aficamten tablets, 5-20 mg daily, administered orally. Participants may continue on Aficamten until end of treatment criteria defined in the protocol is met. | Drug | Aficamten |
Primary outcome
Incidence of adverse events observed during dosing of aficamten in patients with HCM
Time frame: Baseline to End of study, up to 5 years
Patient incidence of reported Adverse Events (AEs)
Incidence of serious adverse events observed during dosing of aficamten in patients with HCM
Time frame: Baseline to End of study, up to 5 years
Patient incidence of reported Serious Adverse Events (SAEs)
Incidence of left ventricular ejection fraction (LVEF) < 50% observed during dosing of aficamten in patients with HCM
Time frame: Baseline to End of study, up to 5 years
Patient incidence of reported LVEF <50%
12 secondary outcomes
Long-term effects of aficamten on left ventricular outflow tract gradient (LVOT G) in patients with obstructive Hypertrophic Cardiomyopathy (oHCM)
Time frame: Baseline through the end of participation at 12-24 week intervals
Long-term effects of aficamten on resting LVOT-G
Time frame: Baseline through the end of participation at 12-24 week intervals
Long-term effects of aficamten on post Valsalva LVOT-G
Time frame: Baseline through the end of participation at 12-24 week intervals
Long-term effects of aficamten on post Valsalva LVOT-G
Time frame: Baseline through the end of participation at 12-24 week intervals
Long-term effects of aficamten on left ventricular ejection fraction (LVEF) and post-Valsalva LVOT-G
Time frame: Baseline through the end of participation at 12-24 week intervals
Long-term effects of aficamten on time to first resting LVOT-G < 30 mmHg through last follow-up
Time frame: Time to the following event through last follow-up, up to 5 years
Long-term effects of aficamten on time to first post-Valsalva LVOT-G < 50 mmHg through last follow-up
Time frame: Time to the following event through last follow-up, up to 5 years
Long-term effects of aficamten on time to first post-Valsalva LVOT-G < 30 mmHg through last follow-up
Time frame: Time to the following event through last follow-up, up to 5 years
Long-term effects of aficamten on time to first LVEF ≥ 50%, resting LVOT-G < 30 mmHg, and post-Valsalva LVOT-G < 50 mmHg through last follow-up
Time frame: Time to the following event through last follow-up, up to 5 years
Change from baseline values in N-terminal pro-B-type natriuretic peptide (NT-proBNP)
Time frame: Baseline to end of collection, up to 5 years
Change from baseline values in high sensitivity cardiac troponin I (hs-cTnI)
Time frame: Baseline to end of collection, up to 5 years
Change from baseline in Kansas City Cardiomyopathy Questionnaire (KCCQ) score
Time frame: Baseline to end of collection, up to 5 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Oct 2026.
- Derived from this study: PubMed 42641848Chen ML, Hodovan J, Masri A, Liu V, Kim MO, Melloni C, Jacoby DL, Heitner SB, Abraham TP. Aficamten is associated with improvements in cardiac mechanics in obstructive hypertrophic cardiomyopathy: Results from FOREST-HCM. Prog Cardiovasc Dis. 2026 Aug 25:S0033-0620(26)00098-8. doi: 10.1016/j.pcad.2026.08.013. Online ahead of print.
- Derived from this study: PubMed 40540987Saberi S, Abraham TP, Choudhury L, Barriales-Villa R, Elliott PM, Nassif ME, Oreziak A, Owens AT, Tower-Rader A, Rader F, Garcia-Pavia P, Olivotto I, Coats CJ, Fifer MA, Sherrid MV, Solomon SD, Watkins H, Heitner SB, Jacoby DL, Kupfer S, Malik FI, Melloni C, Meng L, Wei J, Maron MS, Masri A; FOREST-HCM Steering Committee and Investigators. Aficamten Treatment for Symptomatic Obstructive Hypertrophic Cardiomyopathy: 48-Week Results From FOREST-HCM. JACC Heart Fail. 2025 Aug;13(8):102496. doi: 10.1016/j.jchf.2025.03.040. Epub 2025 Jun 19.
- Derived from this study: PubMed 40285763Masri A, Maron MS, Abraham TP, Nassif ME, Barriales-Villa R, Bilen O, Coats CJ, Elliott P, Garcia-Pavia P, Massera D, Olivotto I, Oreziak A, Owens AT, Saberi S, Solomon SD, Tower-Rader A, Heitner SB, Jacoby DL, Melloni C, Wei J, Sherrid MV; REDWOOD-HCM, SEQUOIA-HCM, and FOREST-HCM Investigators. Concomitant Aficamten and Disopyramide in Symptomatic Obstructive Hypertrophic Cardiomyopathy. JACC Heart Fail. 2026 Feb;14(2):102441. doi: 10.1016/j.jchf.2025.03.008. Epub 2025 Apr 2.
- Derived from this study: PubMed 39477631Masri A, Choudhury L, Barriales-Villa R, Elliott P, Maron MS, Nassif ME, Oreziak A, Owens AT, Saberi S, Tower-Rader A, Rader F, Garcia-Pavia P, Olivotto I, Nagueh SF, Wang A, Heitner SB, Jacoby DL, Kupfer S, Malik FI, Melloni C, Meng L, Wei J, Sherrid MV, Abraham TP; FOREST-HCM Investigators. Standard-of-Care Medication Withdrawal in Patients With Obstructive Hypertrophic Cardiomyopathy Receiving Aficamten in FOREST-HCM. J Am Coll Cardiol. 2024 Nov 5;84(19):1839-1849. doi: 10.1016/j.jacc.2024.09.002.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Cytokinetics, MD study director
Cytokinetics
141 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Aficamten (5 - 20 mg) in people with Symptomatic Hypertrophic Cardiomyopathy (HCM), run by Cytokinetics at 141 sites in 19 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: enrolling by invitation, as of the sponsor's last update on 13 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 141 sites in United States, Spain, France, United Kingdom, Italy and 14 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence of adverse events observed during dosing of aficamten in patients with HCM (time frame: Baseline to End of study, up to 5 years). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04848506, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Oct 2026.