
ABSTRACT Aficamten is a next‐in‐class, cardiac myosin inhibitor in development as a potential chronic oral treatment for patients with hypertrophic cardiomyopathy (HCM). A population pharmacokinetic (PK) model was developed using data from nine clinical studies to characterize aficamten PK and identify covariates that may alter aficamten exposure. Aficamten PK was best described by a 2‐compartment model with linear elimination and first‐order absorption following a time lag (Tlag). Population parameter estimates for a typical male participant with obstructive HCM (oHCM) and weighing 80 kg were: apparent clearance (CL/F), 2.62 L/h; apparent volume of the central compartment (Vc/F), 18.1 L; apparent intercompartmental clearance (Q/F), 57.6 L/h; and apparent volume of the peripheral compartment (Vp/F), 295 L. Estimated interindividual variability on CL/F and overall residual error (includes within‐subject variability) was low; the coefficient of variation was 28.7% and 20.3%, respectively. Body weight on volume and clearance, population and sex on CL/F and Vp/F were identified as statistically significant covariates. A male patient with a baseline body weight of 56 kg (5th percentile of the population) exhibited a 23% higher AUC tau compared with a male patient with a typical body weight of 80 kg. Female patients demonstrated a 14.7% higher AUC tau than male patients of the same body weight. Healthy participants had a 23% lower AUC tau compared with participants with oHCM. This population PK analysis demonstrated that aficamten has a linear and predictable PK profile, with a favorable half‐life and time‐to‐steady state, and low interindividual variability on CL/F and overall residual error (includes within‐subject variability).
Male, Adult, Research, Humans, Female, Middle Aged, Cardiomyopathy, Hypertrophic, Models, Biological, Aged
Male, Adult, Research, Humans, Female, Middle Aged, Cardiomyopathy, Hypertrophic, Models, Biological, Aged
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