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NCT07079020Not yet recruiting

Efgartigimod for Consolidation Therapy in gMG

Multicenter Cohort Study on Efgartigimod for Consolidation Therapy After the Acute Exacerbation of Generalized Myasthenia Gravis in Adults

Source: ClinicalTrials.gov · Last updated 22 Jul 2025 · Not updated for over 12 months - ask the site whether it is still open

Brief summary (registry, in English)

The goal of this observational study is to evaluate the efficacy and safety of consolidation therapy with corticosteroids and/or immunosuppressants combined with efgartigimod in patients with generalized myasthenia gravis after the acute exacerbation.

Status (registry)
Not yet recruiting
Study type
Observational
Enrollment
130 (estimated)
First submitted
29 Jun 2025
Start date
30 Jul 2025
Primary completion date
30 Jun 2026
Lead sponsor
Da, Yuwei, M.D.
NCT number
NCT07079020

What you commit to

  • Study type: Observational
  • Planned participants: 130
  • From 30 Jul 2025 to the primary completion date, 30 Jun 2026
  • No sites listed in no country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Treatment with IVIg, plasma exchange (PE), IV methylprednisolone (IVMP), or immunoadsorption (IA) within 1 month before consolidation baseline.
  • Thymectomy within 6 months before exacerbation baseline.
  • Use of immunomodulatory monoclonal antibodies or investigational drugs (not listed above) within 3 months before baseline or 5 half-lives (whichever is longer).

Other illness

  • Known hypersensitivity to efgartigimod or any FcRn-targeting therapy.
  • Clinically significant comorbidities, including severe cardiovascular, hepatic, renal, pulmonary, or hematologic disorders, active malignancy and uncontrolled systemic infections.
  • Other autoimmune diseases that may interfere with efficacy assessment (e.g., uncontrolled thyroid disease, severe rheumatoid arthritis).
  • Any other condition deemed unsuitable by the investigator.

Other

  • Pregnancy or lactation (women of childbearing potential must have negative pregnancy test and use contraception).

Who the study is looking for

  • Age ≥18 years, male or female.
  • Diagnosis of myasthenia gravis (MG) based on the following:
    • Typical clinical features of MG.
    • At least one of the following:
    • Seropositive for anti-AChR antibodies (confirmed by reliable assay). Abnormal neuromuscular transmission on electrophysiological testing (e.g., RNS or SFEMG).
    • Positive neostigmine test or documented response to cholinesterase inhibitors.
  • MGFA classification II-IV at consolidation baseline.
  • Seropositive for anti-AChR antibodies (required for enrollment).
  • Hospitalized for myasthenic crisis (MC) in the acute exacerbation and completed one treatment cycle of efgartigimod: acute exacerbation definition: Presence of MC warning signs (new or worsening within 2 weeks): Bulbar symptoms: Dysphagia, choking, weak cough, dysarthria. Respiratory symptoms: Dyspnea, respiratory muscle weakness. Generalized weakness: Head drop, jaw weakness, facial weakness. One treatment cycle of efgartigimod: 10 mg/kg IV, once weekly for 4 doses.
  • ≥2-point improvement in MG-ADL score from acute exacerbation baseline by Day 4 of efgartigimod treatment.
  • Willing and able to provide written informed consent before study participation.

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

This page is information, not medical advice. Discuss any trial with your doctor.