Heart failure & cardiomyopathiesTrial design

Rationale and design of the TAILOR-HCM multicenter randomized controlled trial: Transapical beating-heart septal myectomy for obstructive hypertrophic cardiomyopathy

Am Heart JPublished

  • multicenter, randomized, controlled, assessor-blinded, noninferiority trial
  • 11 experienced conventional septal myectomy (CSM) centers in China
  • 1:1 randomization
  • trial rationale and design (no results)

Study context

Population
Symptomatic patients with obstructive hypertrophic cardiomyopathy (oHCM) who meet guideline-directed indications for septal myectomyplanned enrolment
Participants
216 patients
Planned comparison
TA-BSM vs CSM
Primary endpoint
Relief of left ventricular outflow tract (LVOT) obstruction (resting LVOT gradient <30 mm Hg and standardized Valsalva maneuver-provoked LVOT gradient <50 mm Hg)
Follow-up
12 months

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Rationale and design of the TAILOR-HCM multicenter randomized controlled trial: Transapical beating-heart septal myectomy for obstructive hypertrophic cardiomyopathy. Am Heart J. Published 22 July 2026. doi:10.1016/j.ahj.2026.107543

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