BMS NDA for Inherited Heart Condition
FDA has accepted a Bristol Myers Squibb NDA for mavacamten, an investigational allosteric modulator of cardiac myosin for treating patients with symptomatic obstructive hypertrophic cardiomyopathy (oHCM). The agency has set a user fee review action target date of 1/28/2022.
The submission was based on data from the pivotal Phase 3 EXPLORER-HCM trial, which evaluated mavacamten in patients with symptomatic oHCM versus placebo. Results from the trial, which met all endpoints, showed that mavacamten demonstrated “clinically meaningful improvements in symptoms, functional status, and quality of life, as well as the ability to relieve left ventricular outflow tract obstruction,” the company says.
Bristol Meyers says the drug is thought to work by “reducing cardiac muscle contractility by inhibiting excessive myosin-actin cross-bridge formation that results in hypercontractility, left ventricular hypertrophy and reduced compliance. In clinical and preclinical studies, mavacamten has consistently reduced biomarkers of cardiac wall stress, lessened excessive cardiac contractility, and increased diastolic compliance.”