MyoKardia Gets Breakthrough Status for Mavacamten

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FDA has granted MyoKardia a breakthrough therapy designation for mavacamten, an oral, allosteric modulator of cardiac myosin for treating symptomatic, obstructive hypertrophic cardiomyopathy. In May, MyoKardia announced topline results from the pivotal Phase 3 EXPLORER clinical trial that showed mavacamten was well tolerated and has a safety profile comparable to placebo, the company says. The data “demonstrated a robust treatment effect, with patients experiencing clinically meaningful responses to treatment, including reductions in symptoms, improvements in cardiac function and reduction or elimination of the obstruction of the left ventricle,” it says. MyoKardia is currently preparing an NDA that will be submitted in the first quarter of 2021.

 

Hypertrophic cardiomyopathy is a chronic, progressive disease in which excessive contraction of the heart muscle and reduced ability of the left ventricle to fill can lead to debilitating symptoms and cardiac dysfunction, according to the company. The most frequent cause is mutations in the heart muscle proteins of the sarcomere.

 

Mavacamten works by “reducing cardiac muscle contractility by inhibiting excessive myosin-actin cross-bridge formation that results in hypercontractility, left ventricular hypertrophy and reduced compliance,” MyoKardia says. “In clinical and preclinical studies, mavacamten has consistently reduced biomarkers of cardiac wall stress, lessened excessive cardiac contractility and increased diastolic compliance.”

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