Heart failure & cardiomyopathies

Effects of Mavacamten on Cardiac Biomarkers in Nonobstructive Hypertrophic Cardiomyopathy: Insights From the ODYSSEY-HCM Trial

J Am Coll CardiolPublished Secondary analysis of the ODYSSEY-HCM randomised trial

Authors' conclusion

Treatment with mavacamten for 48 weeks in nHCM patients was associated with marked biomarker improvements compared with placebo.

Study context

Population
Symptomatic adults with nonobstructive hypertrophic cardiomyopathy (nHCM)randomized
Participants
580 adults
Comparison
Mavacamten vs placebo
Methodological detailsexploratory analysis
  • Exploratory analysis

Primary result

As reported in the abstract

Change in NT-proBNP and hs-cTnI · week 48
Mavacamten vs PlaceboGeometric mean ratio (95% CI)P value
NT-proBNP; 58% reduction
0.42(0.37–0.47)
P < 0.001
hs-cTnI; 51% reduction
0.49(0.45–0.53)
P < 0.001

Further findings

Baseline biomarkers

ng/L

NT-proBNP, median (IQR 463-1,725 ng/L)
917.5
hs-cTnI, median (IQR 14.4-91.7 ng/L)
29.1
Female sex, BMI, NYHA class, maximal LV wall thickness, left atrial volume index and E/e' associated with higher baseline NT-proBNP (multivariable)
Only younger age and LV mass index associated with higher baseline hs-cTnI

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Effects of Mavacamten on Cardiac Biomarkers in Nonobstructive Hypertrophic Cardiomyopathy: Insights From the ODYSSEY-HCM Trial. J Am Coll Cardiol. Published 27 August 2025. doi:10.1016/j.jacc.2025.08.017

Summarised from the published abstract; every number is checked against it

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