Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2026, Vol. 31 ›› Issue (9): 1249-1255.doi: 10.12092/j.issn.1009-2501.2026.09.011
Received:2026-02-14
Revised:2026-06-04
Online:2026-09-26
Published:2026-10-08
Contact:
Yunzeng ZOU
E-mail:wang.qi@zs-hospital.sh.cn;zou.yunzeng@zs-hospital.sh.cn
CLC Number:
Qi WANG, Yunzeng ZOU. Evidence-based progress and future therapeutic directions of myosin inhibitor aficamten—from mechanistic exploration to clinical practice[J]. Chinese Journal of Clinical Pharmacology and Therapeutics, 2026, 31(9): 1249-1255.
| 研究名称 (阶段) | 核心设计与目的 | 标准给药方案 | 主要结果 (对照组vs. 基线) | 安全性概要 | 临床意义与定位 |
| REDWOOD-HCM(Ⅱ期) | 多中心、随机、双盲、安慰剂对照;分4个队列(3个梗阻性+ 1 个nHCM探索不同人群的疗效与安全性 | 剂量递增探索 个体化滴定至 目标 LVOT-G | 疗效:治疗10周后,显著降低静息及Valsalva后LVOT压差,改善NYHA分级和NT-proBNP水平 | 不良事件与安慰剂相当无药物相关严重不良事件无治疗中断 | 全球首个概念验证研究首次证实对nHCM有效支持进入Ⅲ期临床试验 |
| SEQUOIA-HCM (Ⅲ 期) | 全球多中心、随机、双盲、安慰剂对照;282例症状性梗阻性 HCM(含46例中国患者)确证 24周治疗的疗效与安全性 | 起始 5 mg qd;每2周递增5 mg; 最高20 mg qd; 根据 LVOT-G和LVEF 调整 | 主要终点: 峰值摄氧量(pVO2)显著改善 次要终点: 全部10个预设终点均显著改善,包括KCCQ-CSS、NYHA分级、LVOT压差等 | 安全性良好,不良事件与安慰剂相当;Aficamten组有3.5%患者出现无症状、可逆的LVEF<50%,无相关心衰或停药事件 | 核心注册研究确立阿非卡坦在症状性梗阻性HCM 中的标准治疗地位 |
| MAPLE-HCM (Ⅲ期) | 国际多中心、双盲、双模拟、头对头;175例症状性梗阻性HCM(含22例中国患者)对比阿非卡坦与美托洛尔的优效性 | 阿非卡坦:起始 5 mg qd,每2 周+ 5 mg,最高20 mg qd;美托洛尔:起始 50 mg qd,每2 周 + 50 mg,最高 200 mg qd | 主要终点:pVO2改善显著优于美托洛尔 全面获益:在NYHA分级改善、KCCQ-CSS、LVOT压差、NT-proBNP、LAVI等方面均更优 | 两组总体不良事件发生率相似;Aficamten组剂量调整需求(5%)远低于美托洛尔组(30%) | 全球首个CMI与β受体阻滞剂头对头研究证实阿非卡坦单药疗效显著优于美托洛尔推动HCM治疗从“对症”向“对因”转变 |
| FOREST-HCM (Ⅱ/Ⅲ期) | 开放标签延续性研究;296例完成前期试验的梗阻性HCM患者;评估长期(平均62周)疗效与安全性 | 延续前期个体化给药方案 | 疗效持久:LVOT压差降低、NYHA分级和KCCQ评分改善在长期随访中早期出现并持续维持 生物标志物:NT-proBNP和肌钙蛋白Ⅰ持续显著降低 | 长期耐受性良好;严重不良事件发生率低,极少患者因LVEF<50%需减量(10例,3.4%)或停药(1例) | 证实长期治疗的疗效持续性和良好安全性支持临床长期应用 |
Table 1 Summary of key clinical trials of aficamten in oHCM
| 研究名称 (阶段) | 核心设计与目的 | 标准给药方案 | 主要结果 (对照组vs. 基线) | 安全性概要 | 临床意义与定位 |
| REDWOOD-HCM(Ⅱ期) | 多中心、随机、双盲、安慰剂对照;分4个队列(3个梗阻性+ 1 个nHCM探索不同人群的疗效与安全性 | 剂量递增探索 个体化滴定至 目标 LVOT-G | 疗效:治疗10周后,显著降低静息及Valsalva后LVOT压差,改善NYHA分级和NT-proBNP水平 | 不良事件与安慰剂相当无药物相关严重不良事件无治疗中断 | 全球首个概念验证研究首次证实对nHCM有效支持进入Ⅲ期临床试验 |
| SEQUOIA-HCM (Ⅲ 期) | 全球多中心、随机、双盲、安慰剂对照;282例症状性梗阻性 HCM(含46例中国患者)确证 24周治疗的疗效与安全性 | 起始 5 mg qd;每2周递增5 mg; 最高20 mg qd; 根据 LVOT-G和LVEF 调整 | 主要终点: 峰值摄氧量(pVO2)显著改善 次要终点: 全部10个预设终点均显著改善,包括KCCQ-CSS、NYHA分级、LVOT压差等 | 安全性良好,不良事件与安慰剂相当;Aficamten组有3.5%患者出现无症状、可逆的LVEF<50%,无相关心衰或停药事件 | 核心注册研究确立阿非卡坦在症状性梗阻性HCM 中的标准治疗地位 |
| MAPLE-HCM (Ⅲ期) | 国际多中心、双盲、双模拟、头对头;175例症状性梗阻性HCM(含22例中国患者)对比阿非卡坦与美托洛尔的优效性 | 阿非卡坦:起始 5 mg qd,每2 周+ 5 mg,最高20 mg qd;美托洛尔:起始 50 mg qd,每2 周 + 50 mg,最高 200 mg qd | 主要终点:pVO2改善显著优于美托洛尔 全面获益:在NYHA分级改善、KCCQ-CSS、LVOT压差、NT-proBNP、LAVI等方面均更优 | 两组总体不良事件发生率相似;Aficamten组剂量调整需求(5%)远低于美托洛尔组(30%) | 全球首个CMI与β受体阻滞剂头对头研究证实阿非卡坦单药疗效显著优于美托洛尔推动HCM治疗从“对症”向“对因”转变 |
| FOREST-HCM (Ⅱ/Ⅲ期) | 开放标签延续性研究;296例完成前期试验的梗阻性HCM患者;评估长期(平均62周)疗效与安全性 | 延续前期个体化给药方案 | 疗效持久:LVOT压差降低、NYHA分级和KCCQ评分改善在长期随访中早期出现并持续维持 生物标志物:NT-proBNP和肌钙蛋白Ⅰ持续显著降低 | 长期耐受性良好;严重不良事件发生率低,极少患者因LVEF<50%需减量(10例,3.4%)或停药(1例) | 证实长期治疗的疗效持续性和良好安全性支持临床长期应用 |
| 对比维度 | 传统药物治疗(β受体阻滞剂/钙通道阻滞剂/丙吡胺) | Aficamten | 介入/外科治疗(室间隔减容术) |
| 核心作用机制 | 间接对症:通过降低心率、减弱 心肌收缩力、改善舒张功能减轻 LVOT梗阻不直接干预疾病分子 基础 | 直接对因:心肌肌球蛋白抑制剂,结合肌球蛋白S1结构域别构位点减慢磷酸盐释放,减少肌球蛋白-肌动蛋白横桥形成,从根本上纠正心肌高收缩状态 | 物理解除:通过外科切除或酒精消融肥厚室间隔直接解决解剖学梗阻问题 |
| 疗效特点 | 仅部分缓解症状;对运动耐量改 善有限(甚至可能降低,如美托洛尔);对长期预后无明确获益;约30%~50%患者疗效不佳或出现 耐受 | 全面改善:显著降低LVOT梯度、提升运动耐量(pVO2)、改善NYHA分级和生活质量,降低心衰生物标志物(NT-proBNP、肌钙蛋白),疗效早期出现且长期持续,对梗阻性和nHCM均有效 | 能快速、显著降低LVOT梯度;可有效改善严重症状;对心肌本身的高收缩性病理基础无作用;对nHCM无效 |
| 适用人群 | 所有症状性HCM患者的一线基础治疗;轻中度症状患者;作为联合治疗的基础 | 传统药物疗效不佳或不耐受的症状性HCM 患者,oHCM和nHCM均适用,不适合手术的高龄或多共病患者,希望避免有创操作的患者 | 药物治疗无效的严重症状性 oHCM(NYHA Ⅲ-Ⅳ级)、静息/激发LVOT-G≥50 mmHg、无手术禁忌证的患者 |
| 主要局限性 | 仅对症治疗,无法阻止疾病进展,疗效个体差异大,存在心率、血压过度降低等剂量限制性副作用,丙吡胺有抗心律失常副作用,儿童使用受限 | 长期(5年)预后和安全性数据仍在积累,治疗费用较高,需定期监测LVEF调整剂量 | 有创操作,存在手术风险;并发症发生率较高;对高龄或伴多种共病患者适应性差;无法解决心肌舒张功能异常和非梗阻性病变 |
| 安全性与风险 | β受体阻滞剂:心动过缓、低血压、乏力、支气管痉挛。钙通道阻滞剂:房室传导阻滞、低血压、便秘。丙吡胺:口干、尿潴留、QT间期延长、致心律失常 | 总体耐受性极佳,不良事件发生率与安慰剂相似;主要风险:一过性无症状LVEF降低 (3%~5%),可通过减量或停药恢复;无严重药物相关死亡或永久停药事件 | 外科肌束切除:死亡率约 1%~ 2%,并发症包括传导阻滞(需永久起搏器)、室间隔穿孔、主动脉瓣损伤;酒精消融:死亡率约1%,并发症包括房室传导阻滞(10%~15%)、心肌梗死、残余梗阻 |
| 临床治疗定位 | HCM治疗的基础一线用药,用于症状控制和基础管理 | 传统药物的升级替代选择;有望成为症状性 oHCM的首选一线治疗;可替代约30%~50% 原本需要手术的患者;可作为手术前的桥接治疗优化心功能 | 药物治疗完全无效后的最后防 线,仅用于严重梗阻且药物难治 的患者 |
| 对治疗格局的影响 | 传统对症治疗模式的代表,已应用数十年 | 推动HCM治疗从“对症管理”向“分子靶向对因治疗”转变,重塑治疗流程 | 地位逐渐从“主要治疗”向 “补救性治疗”转变,适用人群范围缩小 |
Table 2 Comparison of aficamten with conventional drugs and interventional therapy
| 对比维度 | 传统药物治疗(β受体阻滞剂/钙通道阻滞剂/丙吡胺) | Aficamten | 介入/外科治疗(室间隔减容术) |
| 核心作用机制 | 间接对症:通过降低心率、减弱 心肌收缩力、改善舒张功能减轻 LVOT梗阻不直接干预疾病分子 基础 | 直接对因:心肌肌球蛋白抑制剂,结合肌球蛋白S1结构域别构位点减慢磷酸盐释放,减少肌球蛋白-肌动蛋白横桥形成,从根本上纠正心肌高收缩状态 | 物理解除:通过外科切除或酒精消融肥厚室间隔直接解决解剖学梗阻问题 |
| 疗效特点 | 仅部分缓解症状;对运动耐量改 善有限(甚至可能降低,如美托洛尔);对长期预后无明确获益;约30%~50%患者疗效不佳或出现 耐受 | 全面改善:显著降低LVOT梯度、提升运动耐量(pVO2)、改善NYHA分级和生活质量,降低心衰生物标志物(NT-proBNP、肌钙蛋白),疗效早期出现且长期持续,对梗阻性和nHCM均有效 | 能快速、显著降低LVOT梯度;可有效改善严重症状;对心肌本身的高收缩性病理基础无作用;对nHCM无效 |
| 适用人群 | 所有症状性HCM患者的一线基础治疗;轻中度症状患者;作为联合治疗的基础 | 传统药物疗效不佳或不耐受的症状性HCM 患者,oHCM和nHCM均适用,不适合手术的高龄或多共病患者,希望避免有创操作的患者 | 药物治疗无效的严重症状性 oHCM(NYHA Ⅲ-Ⅳ级)、静息/激发LVOT-G≥50 mmHg、无手术禁忌证的患者 |
| 主要局限性 | 仅对症治疗,无法阻止疾病进展,疗效个体差异大,存在心率、血压过度降低等剂量限制性副作用,丙吡胺有抗心律失常副作用,儿童使用受限 | 长期(5年)预后和安全性数据仍在积累,治疗费用较高,需定期监测LVEF调整剂量 | 有创操作,存在手术风险;并发症发生率较高;对高龄或伴多种共病患者适应性差;无法解决心肌舒张功能异常和非梗阻性病变 |
| 安全性与风险 | β受体阻滞剂:心动过缓、低血压、乏力、支气管痉挛。钙通道阻滞剂:房室传导阻滞、低血压、便秘。丙吡胺:口干、尿潴留、QT间期延长、致心律失常 | 总体耐受性极佳,不良事件发生率与安慰剂相似;主要风险:一过性无症状LVEF降低 (3%~5%),可通过减量或停药恢复;无严重药物相关死亡或永久停药事件 | 外科肌束切除:死亡率约 1%~ 2%,并发症包括传导阻滞(需永久起搏器)、室间隔穿孔、主动脉瓣损伤;酒精消融:死亡率约1%,并发症包括房室传导阻滞(10%~15%)、心肌梗死、残余梗阻 |
| 临床治疗定位 | HCM治疗的基础一线用药,用于症状控制和基础管理 | 传统药物的升级替代选择;有望成为症状性 oHCM的首选一线治疗;可替代约30%~50% 原本需要手术的患者;可作为手术前的桥接治疗优化心功能 | 药物治疗完全无效后的最后防 线,仅用于严重梗阻且药物难治 的患者 |
| 对治疗格局的影响 | 传统对症治疗模式的代表,已应用数十年 | 推动HCM治疗从“对症管理”向“分子靶向对因治疗”转变,重塑治疗流程 | 地位逐渐从“主要治疗”向 “补救性治疗”转变,适用人群范围缩小 |
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