A Study to Evaluate the Efficacy and Safety of Maintenance Ublituximab Following Induction With Efgartigimod Administration in Participants With Myasthenia Gravis (MG)

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorTG Therapeutics, Inc.

About this trial

The primary purpose of this study is to evaluate the efficacy of ublituximab in adult participants with MG responding to treatment with efgartigimod.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Documentation of MG diagnosis.

Eligible for treatment with efgartigimod per effective local product label, confirmed by serological testing at screening.

MG-ADL score at the time of screening more than or equal to (≥) 6 and less than or equal to (≤) 10 with more than (>) 50 percent (%) of this score attributed to non-ocular items, or an MG-ADL score ≥ 11.

Disqualifiers

Active chronic (or stable but treated with immune therapy) disease of the immune system other than MG (e.g., rheumatoid arthritis, scleroderma, Sjögren's syndrome, Crohn's disease, ulcerative colitis, etc.) or immunodeficiency syndrome (hereditary immune deficiency, drug-induced immune deficiency, etc.).

Lack of efficacy or observed safety concerns from prior neonatal Fc receptor (FcRn) treatment.

Prior treatment with B-cell depleting therapy, alemtuzumab, total lymphoid irradiation, bone marrow transplant, T-cell vaccination therapy, or natalizumab at any time prior to screening.

Participants with significantly impaired organ function.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Ublituximab

    Drug

    Administered as an IV infusion.

  • Placebo

    Drug

    Administered as an IV infusion.

Treatment groups

120 Participants
are divided into 2 treatment groups
Group A: Randomized controlled period (RCP)Experimental treatment 2 interventions
Group B: Open-label period (OLP): UblituximabExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Time to Onset of a Clinical Worsening Event

Time frame
Up to Week 24

Secondary outcomes

1

Number of Participants with Treatment-Emergent Adverse Events (TEAEs)

Time frame
Up to Week 72
2

Maximum Plasma Concentration (Cmax) of Ublituximab

Time frame
Up to Week 72
3

Proportion of Participants with Cluster of Differentiation 19 + (CD19+) B-cell Counts

Time frame
Up to Week 72
4

Change From Baseline in Myasthenia Gravis-Activities of Daily Living (MG-ADL) Total Score in RCP

The MG-ADL scale focuses on relevant symptoms and functional performance of activities of daily living in participants with MG. The total score varies between 0-24, with higher score indicating more severe disease.

Time frame
Baseline, Week 24

Other outcomes

Sponsors and contacts

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