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비대형 심근증 : 시장 인사이트, 역학 및 예측(2036년)

Hypertrophic Cardiomyopathy - Market Insight, Epidemiology, and Market Forecast - 2036

발행일: | 리서치사: 구분자 DelveInsight | 페이지 정보: 영문 200 Pages | 배송안내 : 2-10일 (영업일 기준)

    
    
    




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비대형 심근증(HCM)에 대한 인사이트 및 동향

  • HCM은 가장 흔한 유전성 심장 질환으로, 특히 젊은 성인층에서 심부전 및 돌연사(SCD)의 주요 원인이 되고 있습니다.
  • HCM은 여성보다 남성에게서 더 많이 나타납니다. 또한, 미국에서는 2036년까지 환자 수가 증가할 것으로 예측되고 있습니다.
  • 임상적으로 진단된 사례의 대부분은 폐쇄형 HCM(oHCM)이지만, 비폐쇄형 HCM(non-oHCM)의 경우 표적 치료 옵션이 제한적이고 증상으로 인한 부담도 여전히 크기 때문에 치료상의 과제가 여전히 남아 있습니다.
  • HCM에 대한 승인된 치료법 선택지는 여전히 비교적 제한적이며, 현재 이용 가능한 질환 특이적 표적 치료법은 마바캄텐(CAMZYOS)이나 아피캄텐(MYQORZO) 등 극히 일부에 불과합니다.
  • 마바캄텐은 증상성 폐쇄형 HCM에 대해 승인된 최초의 질환 수정형 심근 미오신 억제제입니다.
  • 아피캄텐은 oHCM 치료제로 승인된 두 번째 심근 미오신 억제제로, 마바캄텐에 있어 가장 심각한 경쟁 위협으로 널리 인식되고 있습니다. 이러한 승인은 제3상 SEQUOIA-HCM 임상시험의 긍정적인 결과에 의해 뒷받침되었습니다.
  • 약물 요법만으로는 HCM을 완치할 수는 없지만, 증상을 효과적으로 관리하고, 심장 기능을 개선하며, 질병의 진행을 막는 데 도움이 됩니다. 최신 치료법은 과도한 심근 수축이라는 근본적인 문제를 해결하며, 시간이 지남에 따라 질환과 관련된 변화를 늦추거나 원래 상태로 되돌릴 가능성이 있습니다.
  • HCM의 약물 치료는 그동안 증상 관리와 합병증 예방에 중점을 두어 왔습니다. 박출률이 유지되고 있는 증상이 있는 환자의 경우, β-차단제, 비디하이드로피리딘계 칼슘 채널 차단제(베라파밀 및 질티아젬), 디소피라미드가 1차 치료의 주축을 이루고 있으며, 이들은 좌심실 충만도를 개선하고 좌심실 출구부 협착(LVOTO)을 완화하는 것을 목적으로 합니다.
  • HCM 분야의 파이프라인은 여전히 견조하며 상업적으로도 매력적이어서, 제약사와 생명공학 기업들은 심장 및 대사 질환을 대상으로 한 표적 치료법에 대한 투자를 점점 더 늘리고 있습니다. Lexicon Pharmaceuticals(소타글리플로진), Imbria Pharmaceuticals(니네라팩스스타트), Edgewise Therapeutics(EDG-7500), Tenaya Therapeutics(TN-201) 등의 기업들이 혁신의 영역을 적극적으로 확대되고 있습니다.

본 비대형 심근증 시장 보고서에서는 표준 치료, 임상 실무, 진화하는 치료 알고리즘 등 현재의 치료 현황에 대한 종합적인 분석을 제공합니다. 또한, HCM 환자의 부담 추이, 수익 및 시장 점유율 동향, 피크 시기의 환자 점유율 및 치료 도입률 분석을 평가하는 한편, 세계 각 지역 시장 규모에 대한 상세한 평가 및 성장률 예측(과거 데이터 및 2022-2036년 예측)을 제시하고 있습니다. 본 보고서에서는 HCM 분야의 주요 미충족 수요 사항을 부각시키고, 경쟁 구도와 임상 환경을 분석하여 고부가가치 기회를 도출하는 한편, 향후 시장 성장 가능성에 대한 명확한 전망을 제시하고 있습니다.

비대형 심근증 시장을 주도하는 주요 요인

HCM 유병률 증가와 진단 기술의 발전

유전성 심혈관 질환에 대한 인식이 높아지고, 심초음파 검사, 심장 MRI, 유전자 검사가 널리 보급됨에 따라 HCM을 조기에 정확하게 진단할 수 있게 되었습니다. 또한, 가족 및 고위험군을 대상으로 한 선별 검사의 확충도 진단되는 환자 수 증가에 기여하고 있습니다.

표적형 심근 미오신 억제제의 등장

마바캄텐(CAMZYOS) 등 새로운 표적 치료제의 도입으로 HCM의 치료 환경은 크게 변화했습니다. 이러한 치료법들은 HCM에 수반되는 근본적인 과수축성을 직접 표적으로 삼고 있어, 임상적 및 상업적 측면에서 큰 관심을 받고 있습니다.

임상 연구의 확대와 파이프라인의 혁신

각 제약사는 심근의 에너지 대사, 섬유화 및 심근절 기능 장애를 표적으로 하는 차세대 HCM 치료제에 적극적으로 투자하고 있습니다. 심근 미오신 억제제나 대사 조절제 등의 새로운 치료법은 치료 선택지의 추가 확대와 시장 성장으로 이어질 것으로 기대됩니다.

비대형 심근증(HCM)의 이해와 치료 알고리즘

비대형 심근증(HCM)의 개요와 진단

HCM은 심근, 특히 좌심실 및 심실 중격의 비정상적인 비후를 특징으로 하는 만성적이고 진행성인 유전성 심혈관 질환입니다. 이 질환은 일반적으로 사르코메어 단백질 유전자의 변이와 관련이 있으며, 심장 이완 장애, 심근 경직, 그리고 경우에 따라 좌심실의 혈류 폐쇄를 유발합니다. HCM은 폐쇄형 또는 비폐쇄형으로 나타나며, 호흡 곤란, 흉통, 피로감, 심계항진, 현기증, 실신 등의 증상을 유발할 수 있습니다. 중증의 경우, 특히 젊은이나 운동선수에게서 부정맥, 심부전, 뇌졸중 및 급사의 위험을 높일 수 있습니다.

HCM 진단에는 임상 평가, 가족력 평가, 영상 검사 및 유전자 검사를 종합적으로 실시합니다. 심초음파 검사는 좌심실 비대, 좌심실 유출로(LVOT) 폐쇄 및 이완기 기능 장애를 확인하기 위한 주요 진단 수단으로 계속해서 활용되고 있습니다. 심장 자기공명영상(MRI)은 상세한 구조 평가 및 섬유화 검출을 위해 점점 더 널리 활용되고 있는 반면, 심전도(ECG)는 부정맥 및 전도 이상을 파악하는 데 도움이 됩니다. 유전자 검사와 가족 선별 검사는 유전성 질환의 양상을 파악하고, 위험에 처한 친족의 조기 진단을 가능하게 하는 데 중요한 역할을 합니다. 또한, 돌연사 위험도의 계층화 역시 HCM 환자의 질환 평가에 있어 매우 중요한 요소입니다.

비대형 심근증(HCM)의 현재 치료 현황

HCM의 치료는 증상 관리, 좌심실 유출로(LVOT) 폐색 완화, 합병증 예방 및 장기적인 심장 예후 개선을 목적으로 합니다. 기존의 약물 요법에는 β-차단제, 칼슘 채널 차단제, 항부정맥제 등이 포함됩니다. 마바캄텐(CAMZYOS)의 승인은 oHCM에 수반되는 심근 과수축을 직접 표적으로 삼음으로써 치료의 현 상황을 크게 변화시켰습니다. 약물 치료에 반응하지 않는 중증의 증상성 폐색을 보이는 환자의 경우, 외과적 근육 절제술이나 알코올 중격 절제술 등의 중격 축소술이 필요할 수 있습니다. 또한, 고위험군 환자의 경우, 돌연사 위험을 줄이기 위해 이식형 제세동기(ICD) 삽입이 권장됩니다.

비대형 심근증(HCM)의 역학

HCM의 역학 분석 및 예측에 관한 주요 조사 결과

  • DelveInsight사의 추산에 따르면, 2025년 주요 7개국에서 HCM의 총 환자 수는 약 1,090만 명이었습니다.
  • 2025년, 주요 7개국에서 HCM으로 진단받은 환자 수는 미국(약 50%)이 가장 많은 비중을 차지했습니다.
  • DelveInsight 애널리스트의 평가에 따르면, 2025년 미국의 진단된 유병 사례 중 oHCM이 약 70%, nHCM이 약 30%를 차지했습니다.
  • EU4 및 영국 중에서 2025년 HCM 확진 환자 수가 가장 많았던 나라는 독일이었습니다.

비대형 심근증 시장 전망

비대형 심근증 시장은 기존의 베타 차단제, 칼슘 채널 차단제, 항부정맥제를 뛰어넘는 표적 맞춤형 심장 치료법의 등장으로 큰 변화를 맞이하고 있습니다.

마바캄텐(CAMZYOS) 등 승인된 치료제는 최초로 승인된 심근 미오신 억제제로서, 선점 우위, 풍부한 실제 임상 경험, 의료진 사이에서 높아지는 인지도, 그리고 좌심실 유출로(LVOT) 폐색 완화 및 기능 능력 개선에 있어 확립된 임상적 유효성을 바탕으로 여전히 강력한 주도적 지위를 유지하고 있습니다. 한편, 아피캄텐(MYQORZO)은 심근 미오신 억제제 계열에서 직접적인 경쟁 약물로 등장하고 있습니다. 마바캄텐과 비교했을 때, 아피캄텐은 반감기가 짧아 투여의 유연성이 높아지도록 설계되었습니다. 마바캄텐은 확고한 시장 입지를 바탕으로 여전히 높은 시장 점유율을 유지할 것으로 예상되지만, 아피캄텐은 주요 상업적 경쟁자로 부상하여 블록버스터급 매출 잠재력을 달성할 것으로 전망됩니다. 이러한 치료법은 단순한 대증요법이 아니라, 질환을 표적으로 한 관리로의 큰 전환을 상징합니다.

소타글리플로진(ZYNQUISTA) 등의 임상시험 후보 약물은 SGLT1/SGLT2 이중 억제를 통해 심혈관 대사 및 심부전과 관련된 잠재적 이점이 검토되고 있습니다. 사르코메어를 표적으로 하는 치료법과 달리, 소타글리플로진은 심장의 에너지 대사를 개선하고 심혈관계의 부담을 줄임으로써 차별화된 작용기전을 제공할 가능성이 있습니다. 니넬라팩스스타트와 EDG-7500은 현재 중기 임상 개발 단계에 있으며, 이는 HCM에 대한 대사 중심 치료법 및 사르코메아를 표적으로 하는 치료법에 대한 업계의 투자가 확대되고 있음을 반영합니다. 이러한 약제들의 임상시험이 진행됨에 따라, HCM 파이프라인 전망이 강화되고, 치료법의 다양성이 심근 미오신 억제제의 범위를 넘어 확대되며, 차별화된 질환 수정적 접근법의 도입을 통해 장기적인 시장 성장이 뒷받침될 것으로 기대됩니다.

심근 미오신 억제제, 대사 조절제, 사르코메어를 표적으로 하는 치료법 분야의 지속적인 혁신에 힘입어, 2022년부터 2036년에 걸쳐 주요 7개국 전체에서 꾸준한 시장 성장이 주도될 것으로 예상되며, 비대형 심근증 시장에서 승인된 제품과 신흥 파이프라인 후보 모두에 큰 상업적 기회가 창출될 전망입니다.

  • 심근 미오신 억제제 : 마바캄텐(CAMZYOS) 및 아피캄텐(MYQORZO)과 같은 승인된 치료법은 근소포체 기능 장애에 따른 과도한 심수축성을 직접 표적으로 삼음으로써 HCM 치료의 패러다임을 재정의하고 있습니다. 이러한 치료법은 좌심실 유출로(LVOT) 폐색을 완화하고 운동 내성을 개선할 뿐만 아니라, 기존의 대증 요법에 비해 질환에 더 특화된 치료 접근법을 제공합니다.
  • SGLT1/SGLT2 억제제 : 신흥 치료제인 소타글리플로진(ZYNQUISTA)은 HCM 환자에서 심장 대사 및 심부전 관련 잠재적 이점에 대한 연구가 진행되고 있습니다. SGLT1/SGLT2 이중 억제를 통해, 이 치료법은 심장의 에너지 이용 효율을 개선하고, 심근에 가해지는 부담을 줄이며, 장기적인 심혈관 예후를 개선할 가능성이 있습니다.
  • 대사 조절제 : 니네라팩스스타트는 심장의 대사를 산소 효율이 더 높은 포도당 이용 방식으로 전환함으로써 심근의 에너지 효율을 개선하도록 설계된, 대사에 초점을 맞춘 치료제로 개발되고 있습니다. 이러한 접근 방식은 HCM의 병태에 있어 주요 요인으로 에너지 대사 기능 장애를 표적으로 삼아야 한다는 관심이 높아지고 있음을 반영하고 있습니다.

자주 묻는 질문

  • 비대형 심근증(HCM)의 유병률은 어떻게 변화하고 있나요?
  • HCM의 주요 치료법은 무엇인가요?
  • HCM의 진단 방법은 무엇인가요?
  • HCM 시장의 성장 요인은 무엇인가요?
  • HCM 치료제의 시장 전망은 어떻게 되나요?
  • HCM의 주요 경쟁 기업은 어디인가요?
  • HCM의 약물 치료는 어떤 방식으로 이루어지나요?

목차

제1장 주요 인사이트

제2장 서론

제3장 비대형 심근증 : 주요 요약

제4장 주요 이벤트

제5장 비대형 심근증 : 역학 및 시장 조사 방법

제6장 비대형 심근증 : 시장 개요

제7장 비대형 심근증 : 질환 배경 및 개요

제8장 비대형 심근증 : 역학 및 환자 인구

제9장 비대형 심근증 : 환자 경과

제10장 비대형 심근증 : 시판 치료제

제11장 비대형 심근증 : 신흥 치료법

제12장 비대형 심근증 : 주요 7개국 분석

제13장 비대형 심근증 : 미충족 수요

제14장 비대형 심근증 : SWOT 분석

제15장 비대형 심근증 : KOL(Key Opinion Leader)의 견해

제16장 비대형 심근증 : 시장 참여 및 상환

제17장 부록

제18장 DelveInsight의 서비스 내용

제19장 면책사항

제20장 DelveInsight에 대해

KTH 26.07.24

Hypertrophic Cardiomyopathy (HCM) Insights and Trends

  • HCM is the most common inherited cardiac disorder and a major cause of heart failure and sudden cardiac death (SCD), particularly among young adults.
  • Males are more affected by HCM than females. Also, the cases are projected to increase by 2036 in the United States.
  • Obstructive HCM (oHCM) represents the majority of clinically diagnosed cases, while non-oHCM continues to pose significant treatment challenges due to limited targeted therapeutic options and persistent symptom burden.
  • The approved therapy landscape in HCM remains relatively limited, with only a few disease-specific targeted therapies currently available, including mavacamten (CAMZYOS) and aficamten (MYQORZO).
  • Mavacamten was the first disease-modifying cardiac myosin inhibitor approved for symptomatic obstructive HCM.
  • Aficamten became the second approved cardiac myosin inhibitor for oHCM and is widely viewed as the most significant competitive threat to mavacamten. Approval was supported by positive Phase III SEQUOIA-HCM results.
  • Although medications do not cure HCM, they can effectively manage symptoms, improve cardiac function, and help prevent the disease from worsening. The latest treatments address the underlying problem of excessive muscle contraction and may slow or reverse disease-related changes over time.
  • Pharmacologic treatment of HCM has traditionally focused on symptom control and complication prevention. In symptomatic patients with preserved ejection fraction, beta blockers, nondihydropyridine calcium channel blockers (verapamil and diltiazem), and disopyramide have been the mainstay of first-line therapy, aimed at improving left ventricular filling and reducing LVOTO.
  • The HCM pipeline remains robust and commercially attractive, with pharmaceutical and biotechnology companies increasingly investing in targeted cardiac and metabolic therapies. Companies such as Lexicon Pharmaceuticals (Sotagliflozin), Imbria Pharmaceuticals (Ninerafaxstat), and Edgewise Therapeutics (EDG-7500), Tenaya Therapeutics (TN-201), and others are actively expanding the innovation landscape.

DelveInsight's 'Hypertrophic Cardiomyopathy (HCM) - Market Insights, Epidemiology and Market Forecast - 2036' report delivers an in-depth understanding of the HCM, historical and forecasted epidemiology, as well as the HCM market trends in the United States, EU4 (Germany, Spain, Italy, and France) and the United Kingdom, and Japan.

The HCM market report delivers a comprehensive analysis of the current treatment landscape, including standards of care, clinical practices, and evolving therapeutic algorithms. It evaluates HCM patient burden trends, revenue & market share dynamics, peak patient share & therapy uptake analysis, and provides an in-depth market size assessment, and growth rate projections (Historical & Forecast 2022-2036) across global regions. The report highlights key unmet medical needs in HCM and maps the competitive and clinical landscape to uncover high-value opportunities, providing a clear outlook on future market growth potential.

Key Factors Driving the Hypertrophic Cardiomyopathy (HCM) Market

Increasing Prevalence and Improved Diagnosis of HCM

Growing awareness of genetic cardiovascular disorders, wider use of echocardiography, cardiac MRI, and genetic testing are contributing to earlier and more accurate diagnosis of HCM. Improved screening among family members and high-risk populations is also expanding the diagnosed patient pool.

Emergence of Targeted Cardiac Myosin Inhibitors

The introduction of novel targeted therapies such as mavacamten (CAMZYOS) has significantly transformed the HCM treatment landscape. These therapies directly target the underlying hypercontractility associated with HCM, driving strong clinical and commercial interest.

Expanding Clinical Research and Pipeline Innovation

Pharmaceutical companies are actively investing in next-generation HCM therapies targeting myocardial energetics, fibrosis, and sarcomere dysfunction. Emerging therapies such as cardiac myosin inhibitors and metabolic modulators are expected to further expand treatment options and market growth.

Hypertrophic Cardiomyopathy (HCM) Understanding and Treatment Algorithm

Hypertrophic Cardiomyopathy (HCM) Overview and Diagnosis

HCM is a chronic and progressive genetic cardiovascular disorder characterized by abnormal thickening of the heart muscle, particularly the left ventricle and interventricular septum. The disease is commonly associated with mutations in sarcomeric protein genes, leading to impaired cardiac relaxation, increased myocardial stiffness, and in some cases obstruction of blood flow from the left ventricle. HCM can present as obstructive or non-obstructive disease and may cause symptoms such as shortness of breath, chest pain, fatigue, palpitations, dizziness, and syncope. In severe cases, the condition may increase the risk of arrhythmias, heart failure, stroke, and sudden cardiac death, particularly in younger individuals and athletes.

Diagnosis of HCM involves a combination of clinical evaluation, family history assessment, imaging studies, and genetic testing. Echocardiography remains the primary diagnostic tool for identifying left ventricular hypertrophy, left ventricular outflow tract (LVOT) obstruction, and diastolic dysfunction. Cardiac magnetic resonance imaging (MRI) is increasingly utilized for detailed structural assessment and fibrosis detection, while electrocardiography (ECG) may help identify arrhythmias and conduction abnormalities. Genetic testing and family screening play an important role in identifying inherited disease patterns and enabling early diagnosis among at-risk relatives. Risk stratification for sudden cardiac death is also a critical component of disease assessment in HCM patients.

Current Hypertrophic Cardiomyopathy (HCM) Treatment Landscape

Treatment of HCM is aimed at symptom control, reduction of LVOT obstruction, prevention of complications, and improvement of long-term cardiac outcomes. Conventional pharmacological therapies include beta-blockers, calcium channel blockers, and antiarrhythmic agents. The approval of mavacamten (CAMZYOS) has significantly transformed the treatment landscape by directly targeting cardiac hypercontractility associated with oHCM. In patients with severe symptomatic obstruction unresponsive to medical therapy, septal reduction procedures such as surgical myectomy or alcohol septal ablation may be required. Implantable cardioverter defibrillators (ICDs) are also recommended in high-risk patients to reduce the risk of sudden cardiac death.

Hypertrophic Cardiomyopathy (HCM) Unmet Needs

The section "unmet needs of Hypertrophic Cardiomyopathy (HCM)" outlines the critical gaps between the current state of patient care, diagnosis, and the ideal & effective management of the disease. It highlights the obstacles experienced by patients, clinicians, and researchers and identifies potential solutions for future progress.

1. Inadequate treatment options for non-obstructive HCM

2. Risk of sudden cardiac death and arrhythmias

3. High treatment burden and accessibility issues

4. Limited predictive biomarkers, and others.....

Hypertrophic Cardiomyopathy (HCM) Epidemiology

Key Findings from HCM Epidemiological Analysis and Forecast

  • According to DelveInsight's estimate total prevalent cases of HCM in the 7MM was approximately 10,900,000 in 2025.
  • In 2025, the US (~50%) accounted for the highest diagnosed prevalent cases of HCM in the 7MM.
  • As per assessments by DelveInsight analysts, there were ~70% diagnosed prevalent cases of oHCM, and ~30% diagnosed prevalent cases of nHCM in 2025 in US.
  • Among the EU4 and the UK, Germany accounted for the highest diagnosed prevalent cases of HCM in 2025.

Hypertrophic Cardiomyopathy (HCM) Drug Analysis & Competitive Landscape

The HCM drug chapter provides a detailed, market-focused review of the emerging pipeline across Phase III/II clinical trials. It covers the mechanism of action, clinical trial data, regulatory approvals, patents, collaborations, and strategic partnerships for each therapy, along with their advantages, limitations, and recent developments. This section offers critical insights into the HCM treatment landscape, supporting market assessment, competitive analysis, and growth forecasting for the HCM therapeutics market.

Approved Therapies for Hypertrophic Cardiomyopathy (HCM)

Aficamten (MYQORZO): Cytokinetics

It is an allosteric and reversible inhibitor of cardiac myosin motor activity. In patients with oHCM, myosin inhibition with aficamten reduces cardiac contractility and LVOT obstruction. The approval of aficamten is based on the positive results from the pivotal Phase III clinical trial (SEQUOIA-HCM), published in the New England Journal of Medicine, which demonstrated robust efficacy, safety, and clinically meaningful benefits across symptoms, exercise capacity, hemodynamics, and biomarker endpoints.

Mavacamten (CAMZYOS): Bristol Myers Squibb

Mavacamten (CAMZYOS) is the first and only FDA-approved allosteric and reversible inhibitor selective for cardiac myosin that targets the underlying pathophysiology of oHCM. The approval is based on data from the Phase III (EXPLORER-HCM) trial. Because of the risk of heart failure due to systolic dysfunction, mavacamten is available only through a restricted program under a Risk Evaluation and Mitigation Strategy (REMS) called the Camzyos REMS PROGRAM.

Hypertrophic Cardiomyopathy (HCM) Pipeline Analysis

Sotagliflozin (ZYNQUISTA): Lexicon Pharmaceuticals

Sotagliflozin is an investigational therapy in development for the treatment of both obstructive and non-obstructive HCM. As a dual SGLT1/SGLT2 inhibitor, sotagliflozin may help improve cardiac energy utilization, reduce cardiac stress, and lower the risk of heart failure events in HCM patients, particularly those with preserved ejection fraction or metabolic comorbidities. The topline results of sotagliflozin are anticipated in Q1 2027.

Ninerafaxstat: Imbria Pharmaceuticals

Ninerafaxstat, is the Imbria's lead product candidate, being evaluated in Phase II (FORTITUDE-HCM) clinical trials as a potential treatment for oHCM, a debilitating disease with no currently approved treatments. It is a partial fatty acid oxidation (pFOX) inhibitor designed to improve myocardial energetics and cardiac efficiency in patients with non-obstructive HCM. Ninerafaxstat represents a novel metabolism-focused therapeutic strategy in HCM.

Hypertrophic Cardiomyopathy (HCM) Key Players, Market Leaders and Emerging Companies

  • Cytokinetics
  • Bristol Myers Squibb
  • Lexicon Pharmaceuticals
  • Imbria Pharmaceuticals
  • Edgewise Therapeutics
  • Tenaya Therapeutics, and others

Hypertrophic Cardiomyopathy (HCM) Drug Updates

  • In June 2026, Bristol Myers Squibb announced the US FDA accepted a supplemental New Drug Application (sNDA) for Mavacamten as a potential treatment for adolescents (ages 12 years to <18 years) with symptomatic oHCM. The FDA has granted the application Priority Review and assigned a Prescription Drug User Fee Act (PDUFA) date of September 30, 2026.
  • In May 2026, Cytokinetics today announced positive topline results from ACACIA-HCM, the pivotal Phase III clinical trial of aficamten in patients with symptomatic non-obstructive HCM. ACACIA-HCM met both dual primary endpoints, demonstrating statistically significant improvements from baseline to Week 36 compared to placebo in both Kansas City Cardiomyopathy Questionnaire Clinical Summary Score (KCCQ-CSS) and maximal exercise performance (pVO2).
  • In May 2026, Cytokinetics today announced the presentation of new data reinforcing the clinical profile of aficamten at the European Society of Cardiology (ESC) Heart Failure 2026 Congress. The presentations include new analyses from SEQUOIA-HCM, the pivotal Phase III clinical trial of aficamten in patients with oHCM.
  • In May 2026, Lexicon Pharmaceuticals announced that SONATA-HCM pivotal Phase III study evaluating sotagliflozin in HCM remains on track with anticipated enrollment completion in mid-2026.
  • In Feburary 2026, Cytokinetics announced that the European Commission (EC) has approved aficamten (MYQORZO), 5 mg, 10 mg, 15 mg and 20 mg tablets for the treatment of symptomatic oHCM in adult patients.
  • In December 2025, Cytokinetics announced that the US FDA has approved aficamten (MYQORZO), 5 mg, 10 mg, 15 mg, 20 mg tablets for the treatment of adults with symptomatic oHCM to improve functional capacity and symptoms.
  • In December 2025, Edgewise Therapeutics announced positive updates from the ongoing (CIRRUS-HCM) Phase II clinical trial of EDG-7500 in HCM.

Hypertrophic Cardiomyopathy (HCM) Market Outlook

The HCM market is undergoing a major transformation with the emergence of targeted cardiac therapies beyond conventional beta-blockers, calcium channel blockers, and antiarrhythmic agents.

Approved therapies such as mavacamten (CAMZYOS) maintains a strong leadership position as the first approved cardiac myosin inhibitor, benefiting from first-mover advantage, extensive real-world clinical experience, and growing physician familiarity along with established clinical efficacy in reducing LVOT obstruction and improving functional capacity, while aficamten (MYQORZO) introduces direct competition within the cardiac myosin inhibitor class. Compared with mavacamten, aficamten has been designed with a shorter half-life and potentially greater dosing flexibility. While mavacamten is expected to retain a significant share of the market due to its established presence, aficamten is projected to emerge as a major commercial competitor and achieve blockbuster-level sales potential. These therapies represent a major shift toward disease-targeted management rather than solely symptomatic treatment.

Investigational candidates as sotagliflozin (ZYNQUISTA) is being explored for its potential cardiometabolic and heart failure-related benefits through dual SGLT1/SGLT2 inhibition. Unlike sarcomere-targeted therapies, sotagliflozin may provide a differentiated mechanism of action by improving cardiac energetics and reducing cardiovascular burden. Ninerafaxstat and EDG-7500 are currently in mid-stage clinical development, reflecting growing industry investment in metabolism-focused and sarcomere-targeted therapies for HCM. Their progression through clinical trials is expected to strengthen the forecast HCM pipeline, expand therapeutic diversity beyond cardiac myosin inhibitors, and support long-term market growth through the introduction of differentiated disease-modifying approaches.

Continued innovation in cardiac myosin inhibitors, metabolic modulators, and sarcomere-targeted therapies is projected to drive steady market growth across the 7MM from 2022 to 2036, creating significant commercial opportunities for both approved products and emerging pipeline candidates in the HCM market.

Drug Class/Insights into Leading Emerging and Marketed Therapies in HCM (2022-2036 Forecast)

The HCM market (2022-2036 forecast) is evolving toward mechanism-based and disease-targeted therapies. Key pathways involved include cardiac myosin inhibition, cardiac metabolism modulation, SGLT-mediated cardiometabolic regulation, and selective sarcomere modulation.

  • Cardiac Myosin Inhibitors: Approved therapies such as mavacamten (CAMZYOS) and aficamten (MYQORZO) are redefining the HCM treatment landscape by directly targeting excessive cardiac contractility associated with sarcomeric dysfunction. These therapies reduce LVOT obstruction, improve exercise capacity, and provide a more disease-specific treatment approach compared with conventional symptomatic management.
  • SGLT1/SGLT2 Inhibitors: Emerging therapy sotagliflozin (ZYNQUISTA) is being explored for its potential cardiometabolic and heart failure-related benefits in HCM patients. Through dual SGLT1/SGLT2 inhibition, the therapy may improve cardiac energy utilization, reduce myocardial stress, and support long-term cardiovascular outcomes.
  • Metabolic Modulators: Ninerafaxstat is developed as a metabolism-focused therapy designed to improve myocardial energy efficiency by shifting cardiac metabolism toward more oxygen-efficient glucose utilization. This approach reflects increasing interest in targeting energetic dysfunction as a core contributor to HCM pathology.

Hypertrophic Cardiomyopathy (HCM) Drug Uptake

This section focuses on the uptake rate of potential drugs expected to be launched in the market during the forecast period (2026-2036). The analysis covers the HCM drug's uptake, performance at peak, factors affecting performance during prime years of growth, patient uptake by therapy, and anticipated sales generated by each drug.

During the forecast period, uptake of HCM therapies is expected to increase steadily, driven by rising diagnosis rates, growing awareness of genetic cardiovascular disorders, and the availability of targeted treatments. Mavacamten (CAMZYOS) is expected to maintain strong uptake due to its ability to reduce LVOT obstruction and improve functional capacity in symptomatic patients. Its potential label expansion into adolescents with symptomatic oHCM, supported by an FDA PDUFA date of September 30, 2026, could further increase adoption and market potential. Aficamten (MYQORZO) is also anticipated to gain traction owing to its next-generation cardiac myosin inhibition profile, dosing flexibility, and potential advantages in cardiac function management.

Among emerging therapies, sotagliflozin (ZYNQUISTA) is expected to achieve medium uptake, particularly in patients with HCM and cardiometabolic comorbidities or heart failure-related manifestations, reflecting growing interest in SGLT-mediated cardiovascular therapies. Ninerafaxstat is also anticipated to see medium uptake due to its metabolism-focused approach to improving myocardial energetics and exercise capacity. In contrast, EDG-7500 is projected to experience slow uptake following potential approval, as adoption may be moderated by the need for long-term clinical validation despite its differentiated selective sarcomere-targeting mechanism.

Detailed insights of emerging therapies' drug uptake is included in the report

Market Access and Reimbursement of Approved therapies in Hypertrophic Cardiomyopathy (HCM)

Reimbursement is a crucial factor that affects the drug's access to the market. Often, the decision to reimburse comes down to the price of the drug relative to the benefit it produces in treated patients. To reduce the healthcare burden of these high-cost therapies, many payment models are being considered by payers and other industry insiders.

Hypertrophic Cardiomyopathy (HCM) Therapies Price Scenario & Trends

Pricing and analogue assessment of HCM therapies highlights evolving price dynamics structures. This section summarizes the cost of approved treatments, closest and most appropriate analogue selection for emerging therapies, and understanding of how pricing influences market access, adherence, and long-term uptake.

Industry Experts and Physician Views for Hypertrophic Cardiomyopathy (HCM)

To keep up with HCM market trends, we take Key Opinion Leaders (KOLs) and Subject Matter Experts (SMEs) opinions working in the domain through primary research to fill the data gaps and validate our secondary research. Industry experts were contacted for insights on the HCM emerging therapies, evolving treatment landscape, patient adherence to conventional therapies, therapy switching trends, drug adoption and uptake, accessibility challenges, and epidemiology and real-world prescription patterns in HCM, including MD, PhD, Instructor, Postdoctoral Researcher, Professor, Researcher, and others.

DelveInsight's analysts connected with 15+ KOLs to gather insights at the country level. Centers such as American Heart Association, Deutsches Zentrum fur Herz-Kreislauf-Forschung, and University of California, etc. were contacted.Their opinion helps understand and validate current and emerging HCM therapies, highlight unmet medical needs, provide epidemiological context, and support strategic decisions for market access, therapy adoption, and pipeline prioritization in HCM.

Qualitative Analysis: SWOT and Conjoint Analysis

We perform qualitative and market Intelligence analysis using various approaches, such as SWOT analysis and conjoint analysis.

In the SWOT analysis of HCM, strengths, weaknesses, opportunities, and threats in terms of disease diagnosis, patient awareness, patient burden, competitive landscape, cost-effectiveness, and geographical accessibility of therapies are provided.

Conjoint analysis analyzes emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. Scoring is given based on these parameters to analyze the effectiveness of therapy.

The team of analysts analyzes promising emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. In efficacy, the trial's primary and secondary outcome measures are evaluated, whereas the therapies' safety is evaluated, wherein the acceptability, tolerability, and adverse events are majorly observed. In addition, the scoring is also based on the route of administration, order of entry, probability of success, and the addressable patient pool for each therapy. According to these parameters, the final weightage score and the ranking of the emerging therapies are decided.

Scope of the Report:

  • The report covers a segment of key events, an executive summary, a descriptive overview of HCM, explaining their causes, signs and symptoms, pathogenesis, and currently available treatments.
  • Comprehensive insight has been provided into the epidemiology segments and forecasts, the future growth potential of the diagnosis rate, and disease progression along treatment guidelines.
  • Additionally, an all-inclusive account of both the current and emerging treatments, along with the elaborative profiles of late-stage and prominent therapies, will have an impact on the current treatment landscape.
  • A detailed review of the HCM market, historical and forecasted market size, market share by therapies, detailed assumptions, and rationale behind our approach is included in the report, covering the 7MM drug outreach.
  • The report provides an edge while developing business strategies by understanding trends through SWOT analysis and expert insights/KOL views, patient journey, and treatment preferences that help in shaping and driving the 7MM HCM market.

Report Insights

  • Hypertrophic Cardiomyopathy (HCM) Patient Population Forecast
  • Hypertrophic Cardiomyopathy (HCM) Therapeutics Market Size
  • Hypertrophic Cardiomyopathy (HCM) Pipeline Analysis
  • Hypertrophic Cardiomyopathy (HCM) Market Size and Trends
  • Hypertrophic Cardiomyopathy (HCM) Market Opportunity (Current and Forecasted)

Report Key Strengths

  • Epidemiology-based (Epi-based) Bottom-up Forecasting
  • Artificial Intelligence (AI)-Enabled Market Research Report
  • 11-Year Forecast
  • Hypertrophic Cardiomyopathy (HCM) Market Outlook (North America, Europe, Asia-Pacific)
  • Patient Burden Trends (By Geography)
  • Hypertrophic Cardiomyopathy (HCM) Treatment Addressable Market (TAM)
  • Hypertrophic Cardiomyopathy (HCM) Competitive Landscape
  • Hypertrophic Cardiomyopathy (HCM) Major Companies Insights
  • Hypertrophic Cardiomyopathy (HCM) Price Trends and Analogue Assessment
  • Hypertrophic Cardiomyopathy (HCM) Therapies Drug Adoption/Uptake
  • Hypertrophic Cardiomyopathy (HCM) Therapies Peak Patient Share Analysis

Report Assessment

  • Hypertrophic Cardiomyopathy (HCM) Current Treatment Practices
  • Hypertrophic Cardiomyopathy (HCM) Unmet Needs
  • Hypertrophic Cardiomyopathy (HCM) Clinical Development Analysis
  • Hypertrophic Cardiomyopathy (HCM) Emerging Drugs Product Profiles
  • Hypertrophic Cardiomyopathy (HCM) Market attractiveness
  • Hypertrophic Cardiomyopathy (HCM) Qualitative Analysis (SWOT and Conjoint Analysis)

FAQs:

Market Insights

  • What was the HCM market size, the market size by therapies, market share (%) distribution in 2025, and what would it look like by 2036? What are the contributing factors for this growth?
  • What are the anticipated pricing variations among different geographies for the emerging therapies in the future?
  • What can be the future treatment paradigm of HCM?
  • What are the disease risks, burdens, and unmet needs of HCM? What will be the growth opportunities across the 7MM concerning the patient population with HCM?
  • Who is the major future competitor in the market, and how will the competitors affect their market share?
  • What are the current options for the treatment of HCM? What are the current guidelines for treating HCM in the US, Europe, and Japan?

Reasons to Buy:

  • The report will help in developing business strategies by understanding the latest trends and changing treatment dynamics driving the HCM market.
  • Bottom up forecasting builds from the affected population to product forecasts, delivering a robust, data driven approach ideal for new therapies and novel classes.
  • Insights on patient burden/disease incidence, evolution in diagnosis, and factors contributing to the change in the epidemiology of the disease during the forecast years.
  • Understand the existing market opportunities in varying geographies and the growth potential over the coming years.
  • Identifying strong upcoming players in the market will help devise strategies to help get ahead of competitors.
  • Detailed analysis and ranking of class-wise potential emerging therapies under the conjoint analysis section to provide visibility around leading classes.
  • To understand KOLs' perspectives on the accessibility, acceptability, and compliance-related challenges of existing treatment to overcome barriers in the future.
  • Detailed insights on the unmet needs of the existing market so that the upcoming players can strengthen their development and launch strategy.
  • This Artificial Intelligence (AI) enabled report summarize and simplify complex datasets with in the report into clear, actionable insights for stakeholders, investors, and healthcare providers, enabling faster, data driven decisions.

Table of Contents

1. Key Insights

2. Report Introduction

3. Executive Summary of Hypertrophic Cardiomyopathy (HCM)

4. Key Events

  • 4.1. Upcoming Key Catalyst
  • 4.2. Key Conferences And Meetings
  • 4.3. Key Transactions And Collaborations
  • 4.4. News Flow

5. Epidemiology and Market Methodology of Hypertrophic Cardiomyopathy (HCM)

6. Hypertrophic Cardiomyopathy (HCM) Market Overview at a Glance

  • 6.1. Emerging Landscape Analysis (By Molecule Type, Phase, and Route of Administration [ROA])
  • 6.2. Market Share of Hypertrophic Cardiomyopathy (HCM) By Therapies (%) in the 7MM in 2026
  • 6.3. Market Share of Hypertrophic Cardiomyopathy (HCM) By Therapies (%) in the 7MM in 2036

7. Disease Background And Overview of Hypertrophic Cardiomyopathy (HCM)

  • 7.1. Introduction
  • 7.2. Causes
  • 7.3. Signs And Symptoms
  • 7.4. Diagnosis
    • 7.4.1. Differential Diagnosis
    • 7.4.2. Diagnostic Algorithm
  • 7.5. Treatment and Management
    • 7.5.1. Treatment Algorithm

8. Epidemiology and Patient Population of Hypertrophic Cardiomyopathy (HCM)

  • 8.1. Key Findings
  • 8.2. Assumption and Rationale
  • 8.3. Total Diagnosed Prevalent Cases of Hypertrophic Cardiomyopathy (HCM) in the 7MM
  • 8.4. The United States
    • 8.4.1. Total Prevalent Cases of Hypertrophic Cardiomyopathy (HCM) in the United States
    • 8.4.2. Diagnosed Prevalent Cases of Hypertrophic Cardiomyopathy (HCM) in the United States
    • 8.4.3. Gender-specific Diagnosed Prevalent Cases of Hypertrophic Cardiomyopathy (HCM) in the United States
    • 8.4.4. Type-specific Diagnosed Prevalent Cases of Hypertrophic Cardiomyopathy (HCM) in the United States
    • 8.4.5. Total Treated Cases of Hypertrophic Cardiomyopathy (HCM) in the United States
  • 8.5. EU4 and the UK
    • 8.5.1. Total Prevalent Cases of Hypertrophic Cardiomyopathy (HCM) in EU4 and the UK
    • 8.5.2. Diagnosed Prevalent Cases of Hypertrophic Cardiomyopathy (HCM) in EU4 and the UK
    • 8.5.3. Gender-specific Diagnosed Prevalent Cases of Hypertrophic Cardiomyopathy (HCM) in EU4 and the UK
    • 8.5.4. Type-specific Diagnosed Prevalent Cases of Hypertrophic Cardiomyopathy (HCM) in EU4 and the UK
    • 8.5.5. Total Treated Cases of Hypertrophic Cardiomyopathy (HCM) in EU4 and the UK
  • 8.6. Japan
    • 8.6.1. Total Prevalent Cases of Hypertrophic Cardiomyopathy (HCM) in Japan
    • 8.6.2. Diagnosed Prevalent Cases of Hypertrophic Cardiomyopathy (HCM) in Japan
    • 8.6.3. Gender-specific Diagnosed Prevalent Cases of Hypertrophic Cardiomyopathy (HCM) in Japan
    • 8.6.4. Type-specific Diagnosed Prevalent Cases of Hypertrophic Cardiomyopathy (HCM) in Japan
    • 8.6.5. Total Treated Cases of Hypertrophic Cardiomyopathy (HCM) in Japan

9. Patient Journey of Hypertrophic Cardiomyopathy (HCM)

10. Marketed Therapies of Hypertrophic Cardiomyopathy (HCM)

  • 10.1. Marketed Competitive Landscape of Hypertrophic Cardiomyopathy (HCM)
  • 10.2. Aficamten (MYQORZO): Cytokinetics
    • 10.2.1. Product Description
    • 10.2.2. Regulatory Milestones
    • 10.2.3. Other Developmental Activities
    • 10.2.4. Summary of Pivotal Trials
    • 10.2.5. Analyst Views
  • 10.3. Mavacamten (CAMZYOS): Bristol Myers Squibb
    • 10.3.1. Product Description
    • 10.3.2. Regulatory Milestones
    • 10.3.3. Other Developmental Activities
    • 10.3.4. Summary of Pivotal Trials
    • 10.3.5. Analyst Views

11. Emerging Therapies of Hypertrophic Cardiomyopathy (HCM)

  • 11.1. Emerging Competitive Landscape of Hypertrophic Cardiomyopathy (HCM)
  • 11.2. Sotagliflozin (ZYNQUISTA): Lexicon Pharmaceuticals
    • 11.2.1. Product Description
    • 11.2.2. Other Developmental Activities
    • 11.2.3. Clinical Development
      • 11.2.3.1. Clinical Trial Information
    • 11.2.4. Safety and Efficacy
    • 11.2.5. Analyst Views
  • 11.3. Ninerafaxstat: Imbria Pharmaceuticals
    • 11.3.1. Product Description
    • 11.3.2. Other Developmental Activities
    • 11.3.3. Clinical Development
      • 11.3.3.1. Clinical Trial Information
    • 11.3.4. Safety and Efficacy
    • 11.3.5. Analyst Views

12. Hypertrophic Cardiomyopathy (HCM): Seven Major Market Analysis

  • 12.1. Key Findings
  • 12.2. Market Outlook of Hypertrophic Cardiomyopathy (HCM)
  • 12.3. Conjoint Analysis of Hypertrophic Cardiomyopathy (HCM)
  • 12.4. Key Market Forecast Assumptions
    • 12.4.1. Cost Assumptions
    • 12.4.2. Pricing Trends
    • 12.4.3. Analogue Assessment
    • 12.4.4. Launch Year and Therapy Uptakes
  • 12.5. Total Market Size of Hypertrophic Cardiomyopathy (HCM) in the 7MM
  • 12.6. The United States
    • 12.6.1. Total Market Size of Hypertrophic Cardiomyopathy (HCM) in the United States
    • 12.6.2. Market Size of Hypertrophic Cardiomyopathy (HCM) by Therapies in the United States
  • 12.7. EU4 and the UK
    • 12.7.1. Total Market Size of Hypertrophic Cardiomyopathy (HCM) in EU4 and the UK
    • 12.7.2. Market Size of Hypertrophic Cardiomyopathy (HCM) by Therapies in EU4 and the UK
  • 12.8. Japan
    • 12.8.1. Total Market Size of Hypertrophic Cardiomyopathy (HCM) in Japan
    • 12.8.2. Market Size of Hypertrophic Cardiomyopathy (HCM) by Therapies in Japan

13. Unmet Needs of Hypertrophic Cardiomyopathy (HCM)

14. SWOT Analysis of Hypertrophic Cardiomyopathy (HCM)

15. KOL Views of Hypertrophic Cardiomyopathy (HCM)

  • 15.1. Expert/KOL Interview Highlights

16. Market Access and Reimbursement of Hypertrophic Cardiomyopathy (HCM)

  • 16.1. The US
  • 16.2. In EU4 and the UK
    • 16.2.1. Germany
    • 16.2.2. France
    • 16.2.3. Italy
    • 16.2.4. Spain
    • 16.2.5. United Kingdom
  • 16.3. Japan
  • 16.4. Summary and Comparison of Market Access and Pricing Policy Developments in 2025
  • 16.5. Market Access and Reimbursement of Hypertrophic Cardiomyopathy (HCM) Therapies

17. Appendix

  • 17.1. Bibliography
  • 17.2. Report Methodology

18. DelveInsight Capabilities

19. Disclaimer

20. About DelveInsight

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