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Mavacamten

CAS No.: 1642288-47-8
Product introduction:Mavacamten is a first-in-class, oral small-molecule cardiac myosin inhibitor developed by MyoKardia (a subsidiary of Bristol Myers Squibb) for the treatment of obstructive hypertrophic cardiomyopathy (HCM) . It received its first approval from the U.S. FDA in April 2022 under the brand name Camzyos®, and was subsequently approved in Australia, Canada, Switzerland, Brazil, Singapore, and Macau. In 2024, mavacamten was approved in China and included in the national医保目录, bringing a new targeted treatment option to patients with this inherited cardiac disorder . Unlike traditional symptomatic therapies, mavacamten directly targets the underlying sarcomere hypercontractility that causes HCM, representing a paradigm shift in the management of this condition.

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CAS No.:1642288-47-8

Mavacamten is a white to off-white crystalline solid with the molecular formula C₁₅H₁₉N₃O₂ and a molecular weight of approximately 273.33 g/mol. It is a selective, allosteric, and reversible inhibitor of cardiac myosin ATPase, acting by reducing the formation of actin-myosin cross-bridges and shifting the overall myosin population toward an energy-sparing super-relaxed state. The compound exhibits an oral bioavailability of approximately 85%, reaches peak plasma concentration within 1 to 2 hours, and has a mean elimination half-life of about 8 days. Mavacamten is primarily metabolized by CYP2C19 and, to a lesser extent, by CYP3A4. It is supplied as oral hard capsules in dosage strengths of 2.5 mg, 5 mg, 10 mg, and 15 mg.

Core Functions:

  • Active pharmaceutical ingredient (API) in Camzyos® for treating adults with symptomatic NYHA class II-III obstructive hypertrophic cardiomyopathy

  • Research use in cardiac sarcomere biology and hypertrophic cardiomyopathy pathophysiology studies

  • Investigational use in adolescent patients with obstructive HCM (Phase 3 SCOUT-HCM trial completed) 

  • Clinical applications in patients eligible for septal reduction therapy (as shown in VALOR-HCM trial) 

  • Reference standard for analytical method development and quality control in pharmaceutical testing

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