An Open-Label Uncontrolled Multicenter Study to Evaluate the Pharmacokinetics, Pharmacodynamics, Safety and Activity of Nipocalimab in Children Aged 2 to Less Than 18 Years With Generalized Myasthenia Gravis
Summary
The purpose of this study is to determine the effect of nipocalimab on total serum immunoglobulin G (IgG) in pediatric participants 2 to less than (\<) 18 years of age (globally) and 8 to \<18 years of age (for Unites Stated (US) sites only), the safety and tolerability of treatment with nipocalimab in children and adolescents and to evaluate the pharmacokinetics (PK) of nipocalimab in children and adolescents with generalized myasthenia gravis (gMG) who have an insufficient clinical response to ongoing, stable standard-of-care therapy.
Arms & interventions
- DrugNipocalimab
Nipocalimab will be administered as an IV infusion.
Outcome measures
Primary
Change from Baseline in Total Serum Immunoglobulin-G (IgG) Levels
Change from baseline in total serum IgG levels were reported.
Time frame: Up to 3 years
Number of Participants with Infectious Adverse Events (AEs)
Number of participants with infectious AEs will be reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.
Time frame: Up to 3 years
Number of Participants with Serious AEs (SAEs)
Number of participants with SAEs will be reported. A SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect, is suspected transmission of any infectious agent via a medicinal product, is medically important to prevent one of the outcomes listed above.
Time frame: Up to 3 years
Number of Participants with Adverse Events of Special Interests (AESIs)
Number of participants with AESIs will be reported. Treatment-emergent AEs associated with the following situations are considered an AESI: a) infections that are severe or require intravenous (IV) anti-infective or operative/invasive intervention; b) hypoalbuminemia with albumin less than (\<)20 grams per liter (g/L) \[\<\] 2.0 grams per deciliter \[g/dL\]) c) opportunistic infections and d) Serious and non-serious deep-vein thrombosis (DVT) and/or pulmonary embolism (PE). Any AE occurring at or after the initial administration of study intervention through end of study is treatment emergent.
Time frame: Up to 3 years
Number of Participants with Abnormalities in Clinical Laboratory Tests
Number of participants with abnormalities in clinical laboratory tests (including chemistry, hematology, coagulation, and urinalysis) will be reported.
Time frame: Up to 3 years
Number of Participants with Abnormalities in Vital Signs
Number of participants with abnormalities in vital signs including sitting pulse/heart rate, sitting systolic and diastolic blood pressure, and oral temperature (degrees Celsius) will be reported.
Time frame: Up to 3 years
Number of Participants with Abnormalities in Physical Examination
Number of participants with abnormalities in physical examinations including height, weight, assessments of the skin, head, eyes, ears, nose, throat, neck, thyroid, lungs, heart, abdomen, lymph nodes and extremities will be reported.
Time frame: Up to 3 years
Serum Concentration of Nipocalimab over Time
Serum samples will be analyzed to determine concentrations of nipocalimab using a validated, specific, and sensitive immunoassay method.
Time frame: Up to 3 years
Clearance (CL) of Nipocalimab
CL is defined as the volume of serum from which nipocalimab is completely removed per unit time.
Time frame: Up to 3 years
Volume of Distribution (V) of Nipocalimab
V is defined as the representation of nipocalimab's propensity to either remain in the serum or redistribute to other tissue compartments.
Time frame: Up to 3 years
Half-life (t1/2) of Nipocalimab
t1/2 is defined as the time it takes for nipocalimab's active substance in the body to reduce by half.
Time frame: Up to 3 years
Steady-state Peak Concentration (Cpeak,ss) of Nipocalimab
Cpeak,ss is defined as the peak serum concentration of nipocalimab at steady state.
Time frame: Up to 3 years
Steady-state Trough concentration (Ctrough,ss) of Nipocalimab
Ctrough,ss will be reported. It is defined as the observed serum concentration of nipocalimab just prior to the beginning of a dosing interval at steady state.
Time frame: Up to 3 years
Steady-state Area Under the Curve (AUCss) of Nipocalimab
AUCss is defined as the area under the curve for nipocalimab at steady state.
Time frame: Up to 3 years
Secondary
Change from Baseline in Myasthenia Gravis -Activities of Daily Living (MG-ADL) Score
Time frame: Up to 3 years
Change in the Quantitative Myasthenia Gravis (QMG) Score
Time frame: Up to 3 years
European Quality of Life 5-Dimension Youth (EQ-5D-Y) Tool Score
Time frame: Up to 3 years
Neurological Quality of Life (Neuro-QoL) Pediatric Fatigue Score
Time frame: Up to 3 years
Patient Global Impression of Severity (PGI-S) Score
Time frame: Up to 3 years
Patient Global Impression of Change (PGI-C) Score
Time frame: Up to 3 years
Number of Participants with Anti-Drug Antibodies [ADAs] to Nipocalimab
Time frame: Up to 3 years
Number of Participants with Neutralizing Antibodies (NAbs) to Nipocalimab
Time frame: Up to 3 years
Number of Participants with Vaccine Antibody Titers to Diphtheria or Tetanus
Time frame: Up to 3 years
Eligibility criteria
Study locations (11)
Phoenix Children's Hospital
Phoenix, Arizona, 85016
Childrens Hospital Los Angeles
Los Angeles, California, 90027
Lucile Packard Children's Hospital Stanford
Palo Alto, California, 94304
UCSF Benioff Children's Hospital
San Francisco, California, 94158
Children's Hospital Colorado
Aurora, Colorado, 80045
University of South Florida Morsani Center for Advanced Healthcare
Tampa, Florida, 33613
University of Kansas Medical Center
Lawrence, Kansas, 66045
C.S. Mott Children's Hospital
Ann Arbor, Michigan, 48109
Penn State Milton S Hershey Medical Ctr
Hershey, Pennsylvania, 17033
Childrens Hospital Of Philadelphia
Philadelphia, Pennsylvania, 19106
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15224