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Generalized Myasthenia GravisPhase 2NCT03772587

A Study to Evaluate the Safety, Tolerability, Efficacy, Pharmacokinetics and Pharmacodynamics of M281 Administered to Adults With Generalized Myasthenia Gravis

A Phase 2 study testing M281 in people with Generalized Myasthenia Gravis, run by Momenta Pharmaceuticals, Inc. at 61 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the safety, tolerability, and efficacy of M281 administered to participants with generalized myasthenia gravis (gMG) who have an insufficient clinical response to ongoing standard of care therapy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Generalized Myasthenia Gravis
What is being tested?
M281
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
68 participants
Where
61 sitesin 8 countries
Study dates
10 Apr 2019to 25 Jun 2020
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Participants must be ≥18 years of age with a documented history of Generalized Myasthenia Gravis (gMG) and clinical signs/symptoms of gMG, not pregnant or breastfeeding, and no history of any neurologic disorder other than MG that might interfere with the accuracy of study assessments.

Additional, more specific criteria are defined in the protocol.

Trial locations and contacts

61 sites in 8 countries.

61 sites in 8 countries

United States31 sites
  • Momenta Investigational Site

    Augusta, Georgia, 30912

  • Momenta Investigational Site

    Aurora, Colorado, 80045

  • Momenta Investigational Site

    Austin, Texas, 78756

  • Momenta Investigational Site

    Boca Raton, Florida, 33487

  • Momenta Investigational Site

    Boston, Massachusetts, 02114

  • Momenta Investigational Site

    Boston, Massachusetts, 02115

  • Momenta Investigational Site

    Boston, Massachusetts, 02215

  • Momenta Investigational Site

    Charlotte, North Carolina, 28207

  • Momenta Investigational Site

    Cincinnati, Ohio, 45267

  • Momenta Investigational Site

    Columbia, Missouri, 65212

  • Momenta Investigational Site

    Columbus, Ohio, 43210

  • Momenta Investigational Site

    Cordova, Tennessee, 38106

  • Momenta Investigational Site

    Detroit, Michigan, 48202

  • Momenta Investigational Site

    Durham, North Carolina, 27710

  • Momenta Investigational Site

    East Lansing, Michigan, 48824

  • Momenta Investigational Site

    Fairway, Kansas, 66205

  • Momenta Investigational Site

    Lake Barrington, Illinois, 60010

  • Momenta Investigational Site

    Los Angeles, California, 90048

  • Momenta Investigational Site

    Maitland, Florida, 32751

  • Momenta Investigational Site

    Meridian, Idaho, 83642

  • Momenta Investigational Site

    New Brunswick, New Jersey, 08550

  • Momenta Investigational Site

    New Haven, Connecticut, 06511

  • Momenta Investigational Site

    New York, New York, 10021

  • Momenta Investigational Site

    Orange, California, 92868

  • Momenta Investigational Site

    Phoenix, Arizona, 85013

  • Momenta Investigational Site

    Port Charlotte, Florida, 33952

  • Momenta Investigational Site

    Raleigh, North Carolina, 27607

  • Momenta Investigational Site

    Round Rock, Texas, 78681

  • Momenta Investigational Site

    St. Petersburg, Florida, 33713

  • Momenta Investigational Site

    Stanford, California, 94305

  • Momenta Investigational Site

    Tucson, Arizona, 85724

Other trials in United States

Spain9 sites
  • Momenta Investigational Site

    Badalona, Catalonia, 08036

  • Momenta Investigational Site

    Barcelona, Catalan, 08035

  • Momenta Investigational Site

    Barcelona, Catalan, 08041

  • Momenta Investigational Site

    Donostia / San Sebastian, Gipuzkoa, 20014

  • Momenta Investigational Site

    L'Hospitalet de Llobregat, Catalonia, 08907

  • Momenta Investigational Site

    Madrid, 28007

  • Momenta Investigational Site

    Madrid, 28040

  • Momenta Investigational Site

    Seville, 41013

  • Momenta Investigational Site

    Valencia, 46026

Other trials in Spain

Canada4 sites
  • Momenta Investigational Site

    Edmonton, Alberta, T6G 2G3

  • Momenta Investigational Site

    London, Ontario, N6A 5A5

  • Momenta Investigational Site

    Québec, Quebec, G1J 1Z4

  • Momenta Investigational Site

    Toronto, Ontario, M5G 2C4

Other trials in Canada

Germany4 sites
  • Momenta Investigational Site

    Düsseldorf, 40225

  • Momenta Investigational Site

    Göttingen, Lower Saxony, 37075

  • Momenta Investigational Site

    Gummersbach, 51643

  • Momenta Investigational Site

    Münster, 48149

Other trials in Germany

Poland4 sites
  • Momenta Investigational Site

    Krakow, 31-505

  • Momenta Investigational Site

    Lodz, 90-324

  • Momenta Investigational Site

    Warsaw, 01-684

  • Momenta Investigational Site

    Warsaw, 01-868

Other trials in Poland

Belgium3 sites
  • Momenta Investigational Site

    Antwerp, 2650

  • Momenta Investigational Site

    Brussels, 1070

  • Momenta Investigational Site

    Leuven, Vlaams Brabant, 3000

Other trials in Belgium

Italy3 sites
  • Momenta Investigational Site

    Cefalù, 90015

  • Momenta Investigational Site

    Messina, 98125

  • Momenta Investigational Site

    Milan, 20133

Other trials in Italy

United Kingdom3 sites
  • Momenta Investigational Site

    Birmingham, B15 2TH

  • Momenta Investigational Site

    Sheffield, S11 9NE

  • Momenta Investigational Site

    Southampton, SO16 6YD

Other trials in United Kingdom

About this study

Official title: A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability, Efficacy, Pharmacokinetics and Pharmacodynamics of M281 Administered to Adults With Generalized Myasthenia Gravis

The purpose of this study is to evaluate the safety, tolerability, and efficacy of M281 administered to participants with generalized myasthenia gravis (gMG) who have an insufficient clinical response to ongoing standard of care therapy.

Being tested
M281, Placebo
Keywords
M281, Generalized Myasthenia Gravis
Medical subject headings
Myasthenia Gravis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • M281Drug

    M281 administered as IV infusion

  • PlaceboOther

    Placebo administered as intravenous (IV) infusion

Study groups in NCT03772587
Study groupRoleWhat they receive
Group 1Placebo comparatorNot described
Receives: Other: Placebo
Group 2ExperimentalNot described
Receives: Drug: M281
Group 3ExperimentalNot described
Receives: Drug: M281
Group 4ExperimentalNot described
Receives: Drug: M281
Group 5ExperimentalNot described
Receives: Drug: M281

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs) as a Measure of Safety and Tolerability

    An adverse event (AE) is any untoward medical event that occurs in a participant administered an investigational product and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAE are defined as any AE occurring during or after the initiation of the first infusion of study drug.

    Measured: Up to Day 113

  2. Number of Participants With Treatment-emergent Serious Adverse Events (SAEs)

    An AE is any untoward medical event that occurs in a participant administered an investigational product and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAEs are defined as any AE occurring during or after the initiation of the first infusion of study drug. An SAE is defined as any AE occurring at any dose that results in any of the following outcomes: death, life-threatening AE, hospitalization or prolongation of existing hospitalization, a persistent or significant disability/incapacity, or a congenital anomaly/birth defect.

    Measured: Up to Day 113

  3. Number of Participants With Treatment-emergent Adverse Events of Special Interest (AESI)

    An AE is any untoward medical event that occurs in a participant administered an investigational product and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAEs are defined as any AE occurring during or after the initiation of the first infusion of study drug. For this study, any common terminology criteria for adverse events (CTCAE) Grade 3 or higher event of severe infection or hypoalbuminemia was considered as AESI.

    Measured: Up to Day 113

  4. Change From Baseline to Day 57 in the Myasthenia Gravis - Activities of Daily Living (MG-ADL) Total Score

    The MG-ADL was used to assess the participant's MG symptom severity. It assesses eight functions (talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to arise from a chair, double vision, and eyelid droop) which were rated on a 4-point scale: 0 (no impairment) to 3 (severe impairment). The total score is the sum of the eight function scores and ranges from 0 to 24. Higher scores indicated greater symptom severity/difficulty in performing daily living activities.

    Measured: Baseline to Day 57

Secondary outcomes (16)
  1. Change From Baseline in Total MG-ADL Score as a Function of Total Serum Immunoglobulin G (IgG) at Day 57

    Estimate of additional change from baseline in MG-ADL total score for every 10 percent (%) additional reduction in IgG based on a linear regression of change from baseline in MG-ADL total score on percent reduction in IgG at Day 57. The MG-ADL was used to assess the participant's MG symptom severity. It assesses eight functions (talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to arise from a chair, double vision, and eyelid droop) which were rated on a 4-point scale: 0 (no impairment) to 3 (severe impairment). The total score is the sum of the eight function scores and ranges from 0 to 24. Higher scores indicated greater symptom severity/difficulty in performing daily living activities.

    Measured: Baseline and Day 57

  2. Change From Baseline in Total MG-ADL Score as a Response to Percent Change in Total Serum IgG, for Participants Positive for Anti-acetylcholine Receptor (Anti-AChR) Antibodies, at Day 57

    Estimate of additional change from baseline in MG-ADL total score for every 10% additional reduction in IgG based on a linear regression of change from baseline in MG-ADL total score on percent reduction in IgG at Day 57 in anti-AChR positive participants. The MG-ADL was used to assess participant's MG symptom severity. It assesses eight functions (talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to arise from a chair, double vision, and eyelid droop) which were rated on a 4-point scale: 0 (no impairment) to 3 (severe impairment). Total score is sum of eight function scores and ranges from 0 to 24. Higher scores indicated greater symptom severity/difficulty in performing daily living activities.

    Measured: Baseline and Day 57

  3. Change From Baseline in Total Quantitative Myasthenia Gravis (QMG) Score as a Function of Total Serum IgG at Day 57

    Estimate of additional change from baseline in QMG total score for every 10% additional reduction in IgG based on a linear regression of change from baseline in QMG total score on percent reduction in IgG at Day 57. The QMG test was used to assess the participant's strength. The quantitative results of each of the 13 strength components were mapped to a 4-point scale where 0 equals to (=) none, 1= mild, 2= moderate and 3= severe. The total score is the sum of the 13 scale scores and ranges from 0 to 39. Higher scores indicated more severe impairment.

    Measured: Baseline and Day 57

  4. Change From Baseline in Total QMG Score as a Response to Percent Change in Total Serum IgG, for Participants Positive for Anti-acetylcholine Receptor (Anti-AChR) Antibodies, at Day 57

    Estimate of additional change from baseline in QMG total score for every 10% additional reduction in IgG based on a linear regression of change from baseline in QMG total score on percent reduction in IgG at Day 57 in anti-AChR positive participants. The QMG test was used to assess the participant's strength. The quantitative results of each of the 13 strength components were mapped to a 4-point scale where 0 equals to (=) none, 1= mild, 2= moderate and 3= severe. The total score is the sum of the 13 scale scores and ranges from 0 to 39. Higher scores indicated more severe impairment.

    Measured: Baseline and Day 57

  5. Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 57

    The MG-ADL was used to assess the participant's MG symptom severity. It assesses eight functions (talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to arise from a chair, double vision, and eyelid droop) which were rated on a 4-point scale: 0 (no impairment) to 3 (severe impairment). The total score is the sum of the eight function scores and ranges from 0 to 24. Higher scores indicated greater symptom severity/difficulty in performing daily living activities.

    Measured: Day 57

  6. Change From Baseline in Total QMG Score at Day 57

    The QMG test was used to assess the participant's strength. The quantitative results of each of the 13 strength components were mapped to a 4-point scale where 0 equals to (=) none, 1= mild, 2= moderate and 3= severe. The total score is the sum of the 13 scale scores and ranges from 0 to 39. Higher scores indicated more severe impairment.

    Measured: Baseline and Day 57

  7. Number of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 57

    The QMG test was used to assess the participant's strength. The quantitative results of each of the 13 strength components were mapped to a 4-point scale where 0 equals to (=) none, 1= mild, 2= moderate and 3= severe. The total score is the sum of the 13 scale scores and ranges from 0 to 39. Higher scores indicated more severe impairment.

    Measured: Day 57

  8. Change From Baseline in Total Revised Myasthenia Gravis Quality of Life - 15 (MG-QoL-15r) Scale Score at Day 57

    The MG-QoL15r was used to assess the participant's limitations related to living with MG. Each of the 15 questions were rated by the participant on a 3-point scale (0= Not at all, 1= somewhat, 2=very much) based on a recall period of "over the past few weeks". The total score is the sum of the 15 question scores and ranges from 0 to 30. Higher scores indicated more limitation.

    Measured: Baseline and Day 57

  9. Change From Baseline in Total Serum IgG at Day 57

    Change from baseline in total serum IgG was reported. Blood samples were collected for analysis of total serum IgG.

    Measured: Baseline and Day 57

  10. Change From Baseline in Total MG-ADL Score at Day 85 and Day 113

    The MG-ADL was used to assess the participant's MG symptom severity. It assesses eight functions (talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to arise from a chair, double vision, and eyelid droop) which were rated on a 4-point scale: 0 (no impairment) to 3 (severe impairment). The total score is the sum of the eight function scores and ranges from 0 to 24. Higher scores indicated greater symptom severity/difficulty in performing daily living activities.

    Measured: Baseline, Day 85 and Day 113

  11. Change From Baseline in Total QMG Score at Day 85 and Day 113

    The QMG test was used to assess the participant's strength. The quantitative results of each of the 13 strength components were mapped to a 4-point scale where 0 equals to (=) none, 1= mild, 2= moderate and 3= severe. The total score is the sum of the 13 scale scores and ranges from 0 to 39. Higher scores indicated more severe impairment.

    Measured: Baseline, Day 85 and Day 113

  12. Change From Baseline in Total MG-QoL15r Score at Day 85 and Day 113

    The MG-QoL15r was used to assess the participant's limitations related to living with MG. Each of the 15 questions were rated by the participant on a 3-point scale (0= Not at all, 1= somewhat, 2=very much) based on a recall period of "over the past few weeks". The total score is the sum of the 15 question scores and ranges from 0 to 30. Higher scores indicated more limitation.

    Measured: Baseline, Day 85 and Day 113

  13. Number of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57

    The MGFA was used to assess the participant's MG severity. MGFA classification identifies the subgroup participants with MG who share distinct clinical features or severity of disease: Class I (ocular MG), classes II, III and IV generalized MG with mild, moderate and severe disease, respectively; Class V MG crisis. Separate subclasses under classes II, III and IV are designed: "a" if the predominant weakness is affecting limb/axial weakness or both; subclass "b" if the predominant weakness is affecting oropharyngeal or respiratory muscles or both. In the MGFA classification, lower roman numerals mean less severity. Changes in MGFA classification (regardless of subclass) are categorized as "Improved" (example, III to II), "Same" (example, II to II), or "Worsened" (example, II to III).

    Measured: Baseline and Day 57

  14. Number of Participants With Shift From Baseline in MGFA Classification to Day 113

    The MGFA was used to assess the participant's MG severity. MGFA classification identifies the subgroup participants with MG who share distinct clinical features or severity of disease: Class I (ocular MG), classes II, III and IV generalized MG with mild, moderate and severe disease, respectively; Class V MG crisis. Separate subclasses under classes II, III and IV are designed: "a" if the predominant weakness is affecting limb/axial weakness or both; subclass "b" if the predominant weakness is affecting oropharyngeal or respiratory muscles or both. In the MGFA classification, lower roman numerals mean less severity. Changes in MGFA classification (regardless of subclass) are categorized as "Improved" (example, III to II), "Same" (example, II to II), or "Worsened" (example, II to III).

    Measured: Baseline to Day 113

  15. Change From Baseline in Total Serum IgG at Day 85 and Day 113

    Change from baseline in total serum IgG at Day 85 and Day 113 was analyzed. Blood samples were collected for analysis of total serum IgG.

    Measured: Baseline, Day 85 and Day 113

  16. Serum Concentrations of Nipocalimab

    Serum concentrations of nipocalimab were reported. Concentrations below the lowest quantifiable concentration (< LLOQ) that is <0.15 microgram/milliliter (mcg/mL) was treated as zero in calculating the summary statistics.

    Measured: Baseline (Pre Infusion and Post Infusion), Day 15 (Pre Infusion), Day 29 (Pre Infusion), Day 43 (Pre Infusion), Day 57 (Pre Infusion and Post Infusion) and Day 85

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Dec 2018
  2. Study start10 Apr 2019
  3. Primary completion25 Jun 2020
  4. Study completion25 Jun 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
68 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03772587
Sponsor's protocol ID
MOM-M281-004
Other IDs
2018-002247-28, 2018
Status last verified
May 2023
First submitted
10 Dec 2018
Last updated
27 Jun 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Antozzi C, Guptill J, Bril V, Gamez J, Meuth SG, Nowak RJ, Quan D, Sevilla T, Jouvin MH, Jin J, Karcher K, Ramchandren S, Sun H, Ling L, Zhu Y, Arroyo S; Vivacity-MG Phase 2 Study Group. Safety and Efficacy of Nipocalimab in Patients With Generalized Myasthenia Gravis: Results From the Randomized Phase 2 Vivacity-MG Study. Neurology. 2024 Jan 23;102(2):e207937. doi: 10.1212/WNL.0000000000207937. Epub 2023 Dec 21.

    PubMed 38165333

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing M281 in people with Generalized Myasthenia Gravis, run by Momenta Pharmaceuticals, Inc. at 61 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 61 sites in United States, Spain, Canada, Germany, Poland and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 27 Oct 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Treatment-emergent Adverse Events (TEAEs) as a Measure of Safety and Tolerability (time frame: Up to Day 113). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03772587, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jun 2023.

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