Efficacy and Safety of HN2301 in Patients With Generalized Myasthenia Gravis (MG)

Trial statusNot yet recruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-80
SponsorShenzhen MagicRNA Biotechnology Co., Ltd

About this trial

This is an open label, single arm study, to evaluate safety, tolerability and preliminary efficacy of HN2301 in patients with Generalized Myasthenia Gravis.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age: 18-80 years, no gender restriction;

Confirmed diagnosis of generalized myasthenia gravis (MG) with positive AchR or MuSK antibodies, meeting at least one of the following conditions#(1) Repetitive nerve stimulation suggesting neuromuscular transmission defect; (2) Positive response to neostigmine test; (3) Clinically judged improvement of --MG symptoms after oral cholinesterase inhibitor therapy;

Clinical classification of MG according to MGFA types IIa-IVb (including IIa, IIb, IIIa, IIIb, IVa, IVb);

Baseline MG-ADL score ≥6, ocular-related score <50%;

Disqualifiers

Subjects positive for hepatitis B surface antigen (HBsAg) and/or hepatitis B core antibody (HBcAb) with detectable or quantifiable HBV DNA, positive for hepatitis C antibody (HCV Ab) with detectable or quantifiable HCV RNA, positive for HIV antibody, positive CMV DNA, or CMV DNA above the lower limit of detection; positive for syphilis antigen or antibody;

Presence of other uncontrolled active infections;

History of major organ transplantation (e.g., heart, lung, liver, kidney) or bone marrow/hematopoietic stem cell transplantation;

Pregnant or breastfeeding women;

Trial design

Design model

Single group

Treatments tested in this trial

  • HN2301 injection

    Drug

    Dosing will begin at a lower dose level and may be escalated to dose levels considered safe and potentially effective according to the study protocol.

Treatment groups

6 Participants
are divided into 1 treatment group
Group A: HN2301 treatment groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Incidence of treatment-emergent adverse events (TEAEs)

Incidence, nature, and severity of treatment-emergent adverse events, assessed according to the study protocol and applicable toxicity grading criteria.

Time frame
Up to 3 months

Secondary outcomes

1

in vivo CAR T cell production

Assessment of in vivo CAR-T cell production, defined by the proportion of CAR-expressing T cells in peripheral blood as measured by flow cytometry.

Time frame
Up to14 days
2

Absolute B-cell count in peripheral blood

Assessment of peripheral blood absolute B-cell count (cells/μL), including naive B cells and memory B cells, by flow cytometry.

Time frame
Up to 12 months
3

Changes from baseline in Myasthenia Gravis Activities of Daily Living(MG-ADL) score

Proportion of patients ≥2 points. A total score can fall between 0 and 24, with a higher score representing a more significant degree of disease activity.

Time frame
Up to 12 months]
4

Changes from baseline in Myasthenia Gravis Composite (MGC) score

Proportion of patients ≥3-point reduction.The total score is 50 points. The higher the score, the more severe the condition is indicated.

Time frame
Up to 12 months

Other outcomes

Sponsors and contacts

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Shenzhen MagicRNA Biotechnology Co., Ltd

Lead sponsor

The First Affiliated Hospital of University of Science and Technology of China

Collaborator

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