About this trial
Myasthenia gravis is an autoimmune neuromuscular disorder characterized by fluctuating weakness, which can worsen suddenly without a clear predictor. The hypothesis is that continuous monitoring of key aspects of patient physiology and activity coupled to rigorous telemedicine-performed examination has the potential to detect MG worsening which requires change in treatment with the benefit of avoiding need for hospitalization or emergent therapy. This study is to evaluate the reliability of the technology and patient compliance to the monitoring program
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Has the capacity to understand and sign an informed consent form
≥18 years old
Diagnosed with acquired autoimmune MG based on clinical syndrome and seropositivity for MG associated autoantibodies (AChR binding, MuSK, or LRP4 antibodies), and/or a decremental response on repetitive nerve stimulation, positive single fiber electromyography (EMG) or positive edrophonium test
Subject has been previously evaluated in a face-to-face clinical encounter at participating study site or referral site within the prior 3 years
Disqualifiers
Inability to comply with study protocol for monitoring
Current MGFA Severity Class IVb or V, or patients in remission with MGFA Class 0
Any significant medical/psychiatric condition that, in the opinion of the Investigator, may interfere with interpretation of subject evaluation(s) or protocol compliance
Any disorder that could limit ability to assess myasthenia gravis specific deficits (not including planned or recent thymectomy)
Trial population
Myasthenia Gravis Patients who satisfy the study's eligibility criteria
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Subject Study Completion
Proportion of subjects complete the 12-month study
Datasets retrieved from study assessments
Proportion of assessments provide data sets that can be analyzed
Secondary outcomes
Subject Satisfaction
Proportion of subjects indicate satisfaction with outcome measure assessment
Myasthenia Gravis-Activities of Daily Living and Myasthenia Gravis-Core Examination
Correlation of Myasthenia Gravis-Core Examination individual assessments to Myasthenia Gravis-Activities of Daily Living assessments
Fitbit correlation
Correlation of Fitbit metrics to MG-ADL and MG-CE
Hospital Anxiety and Depression Scale
Utilizing Hospital Anxiety and Depression Scale questionnaire
Sponsors and contacts
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George Washington University
Lead sponsor
EMD Serono Research & Development Institute, Inc.
Collaborator