HCMR Re-Imaging Study
1 other identifier
observational
314
2 countries
8
Brief Summary
This study aims to learn what might predict heart problems (like sudden death from a fast heart rhythm or heart failure) in people with a genetic condition called hypertrophic cardiomyopathy (HCM). HCM causes the heart muscle to become thick, which can make the heart stiff and harder to work properly. It can also affect the heart's electrical system. This study is looking to enroll patients that were previously part of a research project called "HCMR - Novel Predictors of Outcome in Hypertrophic Cardiomyopathy." The results of that study are still being reviewed, but they might show that people who had a substance called Gadolinium (MRI contrast or dye) collected in their heart muscle may have a higher risk for heart problems, including sudden cardiac death. This is called "late gadolinium enhancement" (LGE). This study is aiming to do follow-up imaging on those patients to better understand how LGE affects people with HCM.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Mar 2026
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 27, 2025
CompletedFirst Posted
Study publicly available on registry
July 8, 2025
CompletedStudy Start
First participant enrolled
March 30, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 1, 2027
March 18, 2026
March 1, 2026
11 months
June 27, 2025
March 17, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Change in % LGE mass
To assess the change in LGE extent from baseline over a minimum of 7 years of follow-up extent in HCM patients who would have been candidates for clinical trials of aficamten.
From baseline over a minimum of 7 years
Study Arms (2)
Obstructive HCM
Non-obstructive HCM
Interventions
Eligibility Criteria
Participants from the HCMR original cohort who also meet this study's eligibility criteria.
You may qualify if:
- Patients in the original HCMR cohort with:
- Obstructive HCM
- Males and females between 18 and 65 years of age
- BMI \< 35 kg/m2
- LVOT-G at entry as follows:
- Resting gradient ≥50 mmHg OR Resting gradient ≥30 mmHg and \<50 mmHg with post-Valsalva LVOT-G ≥50 mmHg
- NYHA Class II or III or
- Non-obstructive HCM
- Same criteria as above except resting LVOT-G is \<30mmHg and post-Valsalva gradient \<50mm Hg
- BMI \<40kg/m2
- Elevated NT-proBNP \> 300 pg/mL at the time of enrollment
- LVEF ≥55%
You may not qualify if:
- Paroxysmal atrial fibrillation or flutter documented prior to entry.
- History of syncope or sustained ventricular tachyarrhythmia with exercise within 6 months prior to entry.
- Pregnancy due to potential risk of gadolinium to the fetus
- Patients with a pacemaker that are pacer-dependent as they cannot undergo MRI
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Brigham and Women's Hospitalcollaborator
- Mayo Cliniccollaborator
- Tufts Medical Centercollaborator
- Northwestern Universitycollaborator
- University of Michigancollaborator
- The Cleveland Cliniccollaborator
- Glenfield Hospital, Leicestercollaborator
- London Chest Hospitalcollaborator
- Cytokineticscollaborator
- Toronto General Hospitalcollaborator
- Christopher Kramerlead
- University Hospital Birmingham NHS Foundation Trustcollaborator
Study Sites (8)
Northwestern
Evanston, Illinois, 60208, United States
Brigham & Women's Hospital
Boston, Massachusetts, 02115, United States
Tufts Medical Center
Medford, Massachusetts, 02155, United States
University of Michigan
Ann Arbor, Michigan, 48109, United States
Cleveland Clinic
Cleveland, Ohio, 44195, United States
University of Virginia
Charlottesville, Virginia, 22903, United States
University Hospitals Birmingham NHS Foundation Trust
Birmingham, B15 2GW, United Kingdom
London Chest Hospital
London, E2 9JX, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Christopher Kramer, MD
University of Virginia
- PRINCIPAL INVESTIGATOR
Stefan Neubauer, MD
University of Oxford
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Target Duration
- 1 Day
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- University of Virginia Health System
Study Record Dates
First Submitted
June 27, 2025
First Posted
July 8, 2025
Study Start
March 30, 2026
Primary Completion (Estimated)
March 1, 2027
Study Completion (Estimated)
July 1, 2027
Last Updated
March 18, 2026
Record last verified: 2026-03