Open-Label Extension of Zilucoplan in Subjects With Generalized Myasthenia Gravis (RAISE-XT)
A Phase 3, Multicenter, Open-Label Extension Study of Zilucoplan in Subjects With Generalized Myasthenia Gravis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Montreal, Canada
- Mg0011 11
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Lille, France
- Mg0011 204
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Nice, France
- Mg0011 118
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Paris, France
- Mg0011 105
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Strasbourg, France
- Mg0011 137
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Göttingen, Germany
- Mg0011 150
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Tübingen, Germany
- Mg0011 129
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Milan, Italy
- Mg0011 132
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Roma, Italy
- Mg0011 126
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Chiba, Japan
- Mg0011 151
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Hanamaki-shi, Japan
- Mg0011 136
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Kita-gun, Japan
- Mg0011 179
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Meguro-ku, Japan
- Mg0011 153
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Nagasaki, Japan
- Mg0011 146
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Narita, Japan
- Mg0011 169
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Sapporo, Japan
- Mg0011 152
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Sendai, Japan
- Mg0011 144
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Shinjuku-ku, Japan
- Mg0011 163
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Tokyo, Japan
- Mg0011 141
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Bergen, Norway
- Mg0011 140
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Oslo, Norway
- Mg0011 143
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Katowice, Poland
- Mg0011 195
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Katowice, Poland
- Mg0011 213
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Krakow, Poland
- Mg0011 192
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Krakow, Poland
- Mg0011 193
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Krakow, Poland
- Mg0011 211
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Lodz, Poland
- Mg0011 214
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Lublin, Poland
- Mg0011 205
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Nowa Sól, Poland
- Mg0011 194
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Poznan, Poland
- Mg0011 209
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Warsaw, Poland
- Mg0011 201
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Zabrze, Poland
- Mg0011 210
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Barcelona, Spain
- Mg0011 133
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Barcelona, Spain
- Mg0011 168
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Bilbao, Spain
- Mg0011 138
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Oxford, United Kingdom
- Mg0011 119
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Sheffield, United Kingdom
- Mg0011 130
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Alabama
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Mobile, Alabama, United States, 36604
- Mg0011 41
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Arizona
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Phoenix, Arizona, United States, 85028
- Mg0011 116
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California
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Irvine, California, United States, 92697
- Mg0011 31
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Los Angeles, California, United States, 90033
- MG0011 4
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Pasadena, California, United States, 91101
- Mg0011 220
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San Francisco, California, United States, 94115
- Mg0011 160
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Connecticut
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New Haven, Connecticut, United States, 06511
- Mg0011 24
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District of Columbia
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Washington D.C., District of Columbia, United States, 20052
- Mg0011 27
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Florida
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Tampa, Florida, United States, 33612
- Mg0011 25
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Georgia
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Augusta, Georgia, United States, 30912
- Mg0011 135
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Illinois
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Glenview, Illinois, United States, 60026-1339
- Mg0011 188
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Indiana
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Indianapolis, Indiana, United States, 46202
- Mg0011 156
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Kansas
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Kansas City, Kansas, United States, 66160
- Mg0011 32
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Michigan
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Detroit, Michigan, United States, 48201
- Mg0011 33
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East Lansing, Michigan, United States, 48824
- Mg0011 49
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Missouri
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Columbia, Missouri, United States, 65201
- Mg0011 134
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Nevada
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Las Vegas, Nevada, United States, 89145
- Mg0011 117
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New York
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Buffalo, New York, United States, 14202-1102
- Mg0011 30
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Great Neck, New York, United States, 11021
- Mg0011 123
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New York, New York, United States, 10021
- Mg0011 23
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New York, New York, United States, 10029
- Mg0011 47
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North Carolina
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Chapel Hill, North Carolina, United States, 27599
- Mg0011 22
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Ohio
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Cleveland, Ohio, United States, 44195
- Mg0011 122
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Columbus, Ohio, United States, 43210
- Mg0011 38
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15212
- Mg0011 40
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South Carolina
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Charleston, South Carolina, United States, 29425-8908
- Mg0011 128
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Tennessee
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Cordova, Tennessee, United States, 38018
- Mg0011 28
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Texas
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Austin, Texas, United States, 78759
- Mg0011 131
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Dallas, Texas, United States, 75390
- Mg0011 19
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Utah
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Salt Lake City, Utah, United States, 84105
- Mg0011 39
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Virginia
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Charlottesville, Virginia, United States, 22903
- Mg0011 164
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Washington
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Seattle, Washington, United States, 98195
- Mg0011 154
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Wisconsin
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Milwaukee, Wisconsin, United States, 53215
- Mg0011 45
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Completion of a qualifying zilucoplan study
Exclusion Criteria:
- With the exception of a prior zilucoplan trial, participation in another concurrent clinical trial involving an experimental therapeutic intervention (participation in observational studies and/or registry studies is permitted)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: 0.3 mg/kg zilucoplan (RA101495)
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Daily subcutaneous (SC) injection
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Incidence of treatment-emergent adverse events (TEAEs)
Time Frame: From Baseline (Day 1) to Safety Follow-Up Visit (up to 36 months)
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A treatment-emergent adverse event is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study medication, whether or not considered related to the study medication.
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From Baseline (Day 1) to Safety Follow-Up Visit (up to 36 months)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change from Baseline to Week 12 in the Myasthenia Gravis-Activities of Daily Living (MG-ADL) Score
Time Frame: From Baseline (Day 1) to Week 12
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The MG-ADL profile provides an assessment of MG symptom severity and measures 8 items on a 0-3 scale, with 0 being the least severe.
The total sum of the 8 items represents the ADL score.
The ADL score can range from 0 (least severe) to 24 (most severe).
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From Baseline (Day 1) to Week 12
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Change from Baseline to Week 12 in the the Quantitative Myasthenia Gravis (QMG) Score
Time Frame: From Baseline (Day 1) to Week 12
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The QMG test is a standardized quantitative strength scoring system and measures 13 items on a 0-3 scale, with 0 being the least severe.
The total sum of the 13 items represents the QMG score.
The QMG score can range from 0 (least severe) to 39 (most severe).
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From Baseline (Day 1) to Week 12
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Change from Baseline to Week 12 in the Myasthenia Gravis Composite (MGC) Score
Time Frame: From Baseline (Day 1) to Week 12
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The MGC is a 10-item scale that has been used to measure the clinical status of patients with Myasthenia Gravis (MG) in order to evaluate treatment response.
The MGC has 4-point Likerttype Scale response options ranging from 0 to 2, 3, 4, 5, 6 or 9 according to the item (weighted response options).
The total score is the sum of all items (range 0-50) where higher scores indicate more severe impairment due to the disease.
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From Baseline (Day 1) to Week 12
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Change from Baseline to Week 12 in the Myasthenia Gravis - Quality of Life revised (MG-QOL15r) Score
Time Frame: From Baseline (Day 1) to Week 12
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The MG-QOL15r is a 15-item survey that was designed to assess quality of life in patients with MG.
The MG-QoL has 3-point Likert Scale response options ranging from 0 to 2. The MGQoL15r score can range from 0 to 30, where higher scores indicate more severe impact of the disease on aspects of the patient's life.
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From Baseline (Day 1) to Week 12
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: UCB Cares, 001 844 599 2273
Publications and helpful links
General Publications
- Weiss MD, Freimer M, Leite MI, Maniaol A, Utsugisawa K, Bloemers J, Boroojerdi B, Howard E, Savic N, Howard JF Jr. Improvement of fatigue in generalised myasthenia gravis with zilucoplan. J Neurol. 2024 May;271(5):2758-2767. doi: 10.1007/s00415-024-12209-3. Epub 2024 Feb 24.
- de la Borderie G, Chimits D, Boroojerdi B, Brock M, Duda PW, Grimson F, Mahoney P, Strimenopoulou F, Cutter G, Aban I, Brauner S, Petersson M, Howard JF Jr, Bennett N. Maintenance of zilucoplan efficacy in patients with generalised myasthenia gravis up to 24 weeks: a model-informed analysis. Ther Adv Neurol Disord. 2024 Sep 21;17:17562864241279125. doi: 10.1177/17562864241279125. eCollection 2024.
- Hewamadduma C, Freimer M, Genge A, Leite MI, Utsugisawa K, Vu T, Boroojerdi B, Grimson F, Savic N, Vanderkelen M, Howard JF Jr; RAISE-XT study team. Changes in corticosteroid and non-steroidal immunosuppressive therapy with long-term zilucoplan treatment in generalized myasthenia gravis. J Neurol. 2025 Jun 12;272(7):457. doi: 10.1007/s00415-025-13113-0.
- Howard JF Jr, Bresch S, Farmakidis C, Freimer M, Genge A, Hewamadduma C, Hinton J, Hussain Y, Juntas-Morales R, Kaminski HJ, Maniaol A, Mantegazza R, Masuda M, Nowak RJ, Sivakumar K, Smilowski M, Utsugisawa K, Vu T, Weiss MD, Zajda M, Bloemers J, Boroojerdi B, Brock M, de la Borderie G, Duda PW, Vanderkelen M, Leite MI; RAISE-XT Study Team*. Long-term safety and efficacy of zilucoplan in patients with generalized myasthenia gravis: interim analysis of the RAISE-XT open-label extension study. Ther Adv Neurol Disord. 2024 Apr 17;17:17562864241243186. doi: 10.1177/17562864241243186. eCollection 2024.
- Howard JF Jr, Bresch S, Genge A, Hewamadduma C, Hinton J, Hussain Y, Juntas-Morales R, Kaminski HJ, Maniaol A, Mantegazza R, Masuda M, Sivakumar K, Smilowski M, Utsugisawa K, Vu T, Weiss MD, Zajda M, Boroojerdi B, Brock M, de la Borderie G, Duda PW, Lowcock R, Vanderkelen M, Leite MI; RAISE Study Team. Safety and efficacy of zilucoplan in patients with generalised myasthenia gravis (RAISE): a randomised, double-blind, placebo-controlled, phase 3 study. Lancet Neurol. 2023 May;22(5):395-406. doi: 10.1016/S1474-4422(23)00080-7.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nervous System Diseases
- Neoplasms by Site
- Neoplasms
- Neuromuscular Diseases
- Autoimmune Diseases
- Immune System Diseases
- Autoimmune Diseases of the Nervous System
- Neurodegenerative Diseases
- Paraneoplastic Syndromes, Nervous System
- Nervous System Neoplasms
- Paraneoplastic Syndromes
- Neuromuscular Junction Diseases
- Myasthenia Gravis
- zilucoplan
Other Study ID Numbers
Other Study ID Numbers
- RA101495-02.302
- 2024-512399-37 (Registry Identifier: EU Clinical Trials)
- U1111-1306-6625 (Other Identifier: World Health Organization (WHO))
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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