Efficacy and Safety of Ravulizumab in Chinese Adults Participants With Generalized Myasthenia Gravis (gMG)
An Open-label, Single-arm, Multi-center, Interventional Study to Evaluate the Efficacy, Safety, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of Ravulizumab in Chinese Adult Patients With Generalized Myasthenia Gravis (gMG)
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Alexion Pharmaceuticals, Inc. (Sponsor)
- Telefonnummer: 1-855-752-2356
- E-mail: clinicaltrials@alexion.com
Studiesteder
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-
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Beijing, Kina, 100053
- Rekruttering
- Research Site
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Changchun, Kina, 130021
- Ikke rekrutterer endnu
- Research Site
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Fuzhou, Kina, 350001
- Ikke rekrutterer endnu
- Research Site
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Jinan, Kina, 250012
- Ikke rekrutterer endnu
- Research Site
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Shanghai, Kina, 200040
- Rekruttering
- Research Site
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Shijiazhuang, Kina, 050000
- Rekruttering
- Research Site
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Taiyuan, Kina, 030001
- Rekruttering
- Research Site
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Tianjin, Kina, 300050
- Ikke rekrutterer endnu
- Research Site
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Wuhan, Kina, 430030
- Ikke rekrutterer endnu
- Research Site
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Zhengzhou, Kina, 450000
- Rekruttering
- Research Site
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion (key)
- Confirmed generalized MG: Diagnosis ≥6 months before screening, anti-AChR antibody positive, and supportive diagnostic evidence (e.g., abnormal SFEMG/RNS or response to anticholinesterase therapy).
- Disease severity: MGFA Class II-IV at screening.
- Symptoms threshold: MG-ADL ≥6 at screening and on Day 1.
- Meningococcal vaccination: Up to date within 3 years or vaccinated before first dose to mitigate risk with complement inhibition.
- Body weight: ≥40 kg.
- Vaccinated against meningococcal infections within the 3 years prior to, or at the time of, initiating study drug.
Exclusion (key)
Thymic disease:
- Untreated thymic malignancy/carcinoma/thymoma excluded.
- Prior thymic malignancy allowed only if treatment completed >5 years, no recurrence in last 5 years, and clear CT/MRI within 6 months.
- Prior benign thymoma allowed if confirmed benign, treatment >12 months ago, no recurrence in last 12 months, and clear CT/MRI within 6 months; otherwise follow malignancy rules.
- Thymectomy within the last 12 months
Infection risk:
- History of meningococcal disease or unresolved infection, or active systemic infection within 14 days of Day 1 excluded.
- Persistent/recurrent infections in past 12 months that add risk
- HIV, active HBV (HBsAg+ or anti-HBc+ with anti-HBs-), or active HCV (unless documented successful treatment/SVR)
Safety/medical status:
- Hypersensitivity to study drug components (including murine proteins)
- Recent hospitalization ≥24 hours within 28 days of screening
- Substance use disorder per DSM within 12 months.
- Recent/other malignancy within 5 years (except as above for thymic).
Prior/Concomitant Therapy
- Complement inhibitor within < 5 half-lives before Day 1.
- Human neonatal Fc receptor (FcRn) inhibitor within < 5 half-lives before Day 1.
- Rituximab, ocrelizumab or other B cell-depleting therapy within ≤ 6 months (180 days) before Day 1.
- Periodic (chronic) administration of PP/PE, or IVIg as maintenance therapy received or scheduled within ≤ 6 months before Day 1
Key labs:
- ALT >2× ULN, direct bilirubin >2× ULN.
- eGFR <30 mL/min/1.73 m² or on dialysis.
- Any other clinically significant lab abnormality making participation unsafe.
Note: Other protocol-defined criteria may apply and should be verified during full eligibility review.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Ravulizumab
Participants will receive ravulizumab for up to 26 weeks.
|
Deltagerne vil modtage Ravulizumab via intravenøs (IV) infusion.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Change From Baseline in Myasthenia Gravis Activities of Daily Living Profile (MG-ADL) Total Score at Week 26
Tidsramme: Baseline, Week 26
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Baseline, Week 26
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Change From Baseline in Quantitative Myasthenia gravis (QMG) Total Score at Week 26
Tidsramme: Baseline, Week 26
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Baseline, Week 26
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Number of Participants With Reduction by >=5 Points From Baseline in QMG Total Score at Week 26
Tidsramme: Baseline up to Week 26
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Baseline up to Week 26
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Number of Participants With Reduction by >=3 Points From Baseline in MG-ADL Total Score at Week 26
Tidsramme: Baseline up to Week 26
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Baseline up to Week 26
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Change From Baseline in Revised Myasthenia Gravis Quality of Life 15-Item Scale (MG-QoL15r) Total Score at Week 26
Tidsramme: Baseline, Week 26
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Baseline, Week 26
|
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Change From Baseline in Neurological Quality of Life (Neuro-QoL) Fatigue Score at Week 26
Tidsramme: Baseline, Week 26
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Baseline, Week 26
|
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Serum Ravulizumab Concentration
Tidsramme: Day 1 up to Week 26
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Day 1 up to Week 26
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Change From Baseline in Serum Free C5 Concentration
Tidsramme: Baseline, Week 34
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Baseline, Week 34
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Number of Participants With Anti-Drug Antibodies (ADAs)
Tidsramme: Baseline up to Week 34
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Baseline up to Week 34
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Number of Participants With Treatment-emergent Adverse Events (TEAEs), Treatment-emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interests (AESIs)
Tidsramme: Baseline up to Week 34
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Baseline up to Week 34
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Sygdomme i nervesystemet
- Neoplasmer efter sted
- Neoplasmer
- Neuromuskulære sygdomme
- Autoimmune sygdomme
- Sygdomme i immunsystemet
- Autoimmune sygdomme i nervesystemet
- Neurodegenerative sygdomme
- Paraneoplastiske syndromer, nervesystemet
- Neoplasmer i nervesystemet
- Paraneoplastiske syndromer
- Neuromuskulære Junction-sygdomme
- Myasthenia gravis
- Ravulizumab
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- D9281C00003
- ALXN1210-MG-326 (Anden identifikator: Alexion)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
- CSR
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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