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Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Current State of Hypertrophic Cardiomyopathy Clinical Trials
Hussein H Khachfe1, Hamza A Salhab1, Mohamad Y Fares1
1Faculty of Medicine, American University of Beirut, Beirut, Lebanon; Neuroscience Research Center, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Insights
Clinical trials for hypertrophic cardiomyopathy (HCM) are limited, with few published results and a lack of geographic diversity. Improving HCM trial management is crucial for developing new therapies.
Area of Science:
- Cardiovascular Medicine
- Genetics
- Clinical Research
Background:
- Hypertrophic cardiomyopathy (HCM) is a prevalent genetic disorder with significant global health implications.
- Existing therapeutic management strategies for HCM require enhancement.
Purpose of the Study:
- To analyze the landscape of clinical trials for hypertrophic cardiomyopathy.
- To identify limitations in current HCM trial designs and execution.
- To propose improvements for future HCM therapeutic development.
Main Methods:
- A comprehensive search of ClinicalTrials.gov was conducted in January 2019 for all HCM therapeutic and interventional trials.
- Data collected included trial phase, duration, location, sample size, interventions, and publication status.
- Analysis focused on trial characteristics and outcomes to identify trends and shortcomings.
Main Results:
- Sixty-three trials met the inclusion criteria, with an average duration of approximately 3 years.
- North America was the primary location for trials (50%), and 44% were in early phases (I/II).
- A low publication rate (14 publications) was observed across all studied trials.
Conclusions:
- The current body of HCM clinical trials is insufficient, lacking geographic diversity and robust publication of results.
- Addressing these limitations is essential for advancing effective therapeutic options for hypertrophic cardiomyopathy.
- Optimizing the management and reporting of HCM clinical trials is critical for future progress.
Background:
Hypertrophic cardiomyopathy (HCM) is a genetic disorder with a very large global burden for which more therapeutic management regimens are required.
Objectives:
In this study, the authors explore HCM-related clinical trials, determine the shortcomings leading to the lack of development of new HCM therapies, and attempt to shed light on potential areas for improvement.
Methods:
In January 2019, the authors completed a search on ClinicalTrials.gov for all therapeutic and interventional clinical trials involving HCM, without any limits for location or date. Information on trial characteristics such as phase, start and end dates, sample size, experimental intervention, publications, study design, selection criteria, and results were collected and analyzed.
Results:
Sixty-three trials met the selection criteria. The average trial duration across phases was around 3 years. Around one-half of the trials were conducted in North America (United States and Canada) and 44% of the trials were in their early phases (I and II). Approximately one-third of the trials were completed. Only 14 publications were produced from all the clinical trials studied.
Conclusions:
The study revealed a low number of trials, lack of geographic diversity, and scarcity of published results concerning HCM clinical trials. Proper management of HCM trials is of vast importance to achieve effective therapies.
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