4.6 Article

A Phase 1 Dose-Escalation Study of the Cardiac Myosin Inhibitor Aficamten in Healthy Participants

Journal

JACC-BASIC TO TRANSLATIONAL SCIENCE
Volume 7, Issue 8, Pages 763-775

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jacbts.2022.04.008

Keywords

aficamten; cardiac myosin inhibitor; hypertrophic cardiomyopathy; LV contractility; phase 1

Funding

  1. Cytokinetics, Inc.
  2. Actelion
  3. Alnylam
  4. Amgen
  5. AstraZeneca
  6. Bellerophon
  7. Bayer
  8. Bristol Myers Squibb
  9. Celladon
  10. Eidos
  11. Gilead
  12. GlaxoSmithKline
  13. Ionis
  14. Lilly
  15. Mesoblast
  16. MyoKardia
  17. National Institutes of Health/National Heart, Lung, and Blood Institute
  18. Neurotronik
  19. Novartis
  20. Novo Nordisk
  21. Respicardia
  22. Sanofi Pasteur
  23. Theracos
  24. US2.AI

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This phase 1 study investigated the pharmacologically active range, safety, and tolerability of aficamten in healthy adults. The results showed that aficamten exhibited a safe profile and was well tolerated at pharmacologically active doses. The pharmacokinetics of aficamten were not affected by food intake or the presence of a specific genetic phenotype.
This phase 1, randomized, double-blind, placebo-controlled study of aficamten (formerly CK-3773274) in healthy adults identified a pharmacologically active range of doses and exposures. At doses that were pharmacologically active (single doses of <= 50 mg or daily dosing of <= 10 mg for 14 or 17 days), aficamten appeared to be safe and well tolerated. Adverse events were generally mild and no more frequent than with placebo. Pharmacokinetic assessments showed dose proportionality over the range of single doses administered, and pharmacokinetics were not affected by administration with food or in otherwise healthy individuals with a cytochrome P450 2D6 poor metabolizer phenotype. (C) 2022 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.

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