A Phase 3 Study to Evaluate Claseprubart in Adults With Generalized Myasthenia Gravis (EMERGE)

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-80
SponsorDianthus Therapeutics

About this trial

The purpose of this Phase 3 study is to demonstrate the efficacy, safety, and tolerability of claseprubart in participants with generalized myasthenia gravis (gMG).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Must have given written informed consent before any study-related activities are carried out

Weight range between 40-130 kg at Screening

Acetylcholine receptor antibody (AChR Ab) positive, and

Myasthenia Gravis Foundation of America (MGFA) Class II-IVa

Disqualifiers

History or presence of significant medical/surgical condition including any acute illness, mental illness, or major surgery considered to be clinically significant or that could have potential impact on safety/efficacy or study procedures

Known complement deficiency

Prior history (at any time) of N. meningitidis infection

Participants with known seropositivity or who test positive for an active viral infection with human immunodeficiency virus (HIV-1 or HIV-2), hepatitis B (HBV; except participants who are seropositive because of HBV vaccination) or hepatitis C virus (HCV) during Screening

Trial design

Design model

Parallel

Treatments tested in this trial

  • Claseprubart

    Drug

    IV loading dose on Day 1

  • Placebo

    Drug

    IV infusion on Day 1

  • Claseprubart

    Combination product

    Prefilled syringe containing claseprubart for SC administration

  • Placebo

    Combination product

    Prefilled syringe containing placebo for SC administration

Treatment groups

195 Participants
are divided into 3 treatment groups
Group A: PlaceboPlacebo comparator 2 interventions
Group B: Claseprubart Q2WExperimental treatment 2 interventions
Group C: Claseprubart Every 4 weeks (Q4W)Experimental treatment 3 interventions

Trial outcomes

Primary outcomes

1

Change from Baseline to Week 17 in Myasthenia Gravis Activities of Daily Living (MG-ADL) Scale Score

The MG-ADL score is an 8-item patient reported outcome (PRO) instrument. The MG-ADL targets symptoms of disability across ocular, bulbar, respiratory, and axial symptoms. The item responses are scored from 0 to 3, and the total score of the MG-ADL is the sum of the 8 items and ranges from 0 to 24, with a higher score indicating more disability.

Time frame
Baseline (Day 1) to Week 17

Secondary outcomes

1

Change from Baseline to Week 17 in Quantitative Myasthenia Gravis (QMG) Scale Score

The QMG is a clinician-reported assessment to evaluate muscle strength. The QMG consists of 13 items that measure endurance or fatiguability, with each item having a possible score that ranges from 0 - 3. The total possible QMG scores range from 0 - 39, with a higher score indicating greater disease burden.

Time frame
Baseline (Day 1) to Week 17
2

Change from Baseline to Week 17 in Myasthenia Gravis Composite (MGC) Scale Score

The MGC is a validated assessment tool for measuring clinical status of participants with MG. The range of total MGC score is 0 to 50, with higher scores indicating more severe disease. A clinically meaningful improvement is reflected by a 3-point improvement in MGC score. The MGC assesses 10 important functional areas most frequently affected by MG and the scales are weighted for clinical significance that incorporates patient-reported outcomes.

Time frame
Baseline (Day 1) to Week 17
3

Proportion of Participants with Greater Than or Equal to (≥) a 5-point Reduction in MG-ADL Scale Score at Week 17 Compared to Baseline

Time frame
Baseline (Day 1) to Week 17
4

Proportion of Participants Who Reach Minimal Symptom Expression (MSE), Defined as MG-ADL 0 or 1 at Week 17, Without Use of Rescue Therapy

Time frame
Baseline (Day 1) to Week 17

Other outcomes

Sponsors and contacts

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