Efficacy and Safety of Nipocalimab vs Efgartigimod for Patients With Generalized Myasthenia Gravis in a Randomized, Open-label, Phase 3b, Interventional Trial Including Within Class Switching From Efgartigimod to Nipocalimab
Summary
The purpose of this study is to assess how well nipocalimab works when compared to efgartigimod in participants with generalized myasthenia gravis (a condition in which body's immune system mistakenly attacks and damages the connection between nerves and muscles causing muscle weakness).
Arms & interventions
- DrugNipocalimab
Nipocalimab will be administered intravenously.
- DrugEfgartigimod
Efgartigimod will be administered intravenously.
Outcome measures
Primary
Arms 1 and 2: Averaged Mean Percent Change from Baseline in Total Immunoglobulin G (IgG) Levels Over Weeks 8, 10 and 12
Average mean percent change from baseline in total IgG levels over Weeks 8 , 10 and 12 will be reported.
Time frame: Baseline, Weeks 8, 10 and 12
Secondary
Arms 1 and 2: Averaged Mean Change from Baseline in Myasthenia Gravis-Activities of Daily Living (MG-ADL) Total Score Over Weeks 8, 10 and 12
Time frame: Baseline, Weeks 8, 10 and 12
Arms 1 and 2: Mean Percent Change from Baseline in Total IgG Between Arm 1 at EoT and Arm 2 at EoC Based on Clinical Evaluation
Time frame: Baseline, EoT (for Arm 1) and EoC (Arm 2) up to Week 12
Arms 1 and 2: Mean Percent Change from Baseline in MG-ADL Total Score Between Arm 1 at EoT and Arm 2 at EoC Based on Clinical Evaluation
Time frame: Baseline, EoT (for Arm 1) and EoC (Arm 2) up to Week 12
Arms 1 and 2: Mean Percent Change from Baseline in Total IgG Levels at Week 8
Time frame: Baseline and Week 8
Arms 1 and 2: Mean Change from Baseline in MG-ADL Total Score at Week 8
Time frame: Baseline and Week 8
Arms 1 and 2: Averaged Mean Change from Baseline in Quantitative Myasthenia Gravis (QMG) Total Score Over Weeks 8 and 12
Time frame: Baseline, Weeks 8 and 12
Arms 1 and 2: Mean Percent Change from Baseline in QMG Total Score Between Arm 1 at EoT and Arm 2 at EoC Based on Clinical Evaluation
Time frame: Baseline, EoT (for Arm 1) and EoC (Arm 2) up to Week 12
Arms 1 and 2: Mean Change from Baseline in QMG Total Score at Week 8
Time frame: Baseline and Week 8
Arms 1 and 2: Percentage of Participants Maintaining >= 2-Point Improvement in MG-ADL Total Score for At Least 6 Weeks During Randomized Treatment Phase
Time frame: Baseline up to Week 12
Arms 1 and 2: Percentage of Participants Maintaining >= 2-Point Improvement in MG-ADL Total Score for At Least 8 Weeks During Randomized Treatment Phase
Time frame: Baseline up to Week 12
Arms 1 and 2: Percentage of Participants Maintaining >= 2-Point Improvement in MG-ADL Total Score for 50% of Postbaseline Observations
Time frame: Baseline, Week 2 up to Week 12
Arms 1 and 2: Percentage of Participants Maintaining >= 2-Point Improvement in MG-ADL Total Score for 75% of Postbaseline Observations
Time frame: Baseline, Week 2 up to Week 12
Arms 1 and 2: Percentage of Participants with MG-ADL Total Score of 0 or 1 at Week 12
Time frame: Week 12
Arm 3: Mean Percent Change in Total IgG from Switch Day 1 to Switch Week 12
Time frame: Switch Day 1 to Switch Week 12
Arm 3: Mean Change in MG-ADL Total Score from Switch Day 1 to Switch Week 12
Time frame: Switch Day 1 to Switch Week 12
Arm 3: Percentage of Participants with >= 2-Point Improvement in MG-ADL Total Score at Switch Week 12
Time frame: At Switch Week 12
Arm 3: Percentage of Participants Maintaining >= 2-Point Improvement in MG-ADL Total Score for At Least 6 Weeks During Treatment Phase
Time frame: Switch Day 1 up to Switch Week 12
Arm 3: Percentage of Participants with MG-ADL Total Score of 0 or 1 at Switch Week 12
Time frame: At Switch Week 12
Arms 1 and 2: Number of Participants with Adverse Events (AEs), Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESIs)
Time frame: Up to Week 20
Arm 3: Number of Participants with AEs, SAEs and AESIs
Time frame: Up to Switch Week 20
Eligibility criteria
Study locations (11)
Neurology Center of North Orange County
Fullerton, California, 92835
The Neurology Group
Pomona, California, 91767
Advanced Neurology of Colorado
Fort Collins, Colorado, 80528
University of Connecticut
Farmington, Connecticut, 06030
SFM Clinical Research LLC
Boca Raton, Florida, 33487
HSHS St. Elizabeth's Hospital
O'Fallon, Illinois, 62269
Josephson Wallack Munshower Neurology, PC
Indianapolis, Indiana, 46256
Henry Ford Hospital
Detroit, Michigan, 48202
Velocity Clinical Research, Inc.
Raleigh, North Carolina, 27607 6010
Atrium Health Wake Forest Baptist
Winston-Salem, North Carolina, 27157
Texas Neurology
Dallas, Texas, 75206