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NCT07221838CompletedPhase 4

A single arm study to investigate OCS tapering in adult participants with generalized Myasthenia Gravis treated with ravulizumab

OCTAGON:A Phase 4, Single Arm Study to Investigate Oral Corticosteroid Tapering in Adult Patients with Generalized Myasthenia Gravis Treated with Ravulizumab

Source: EU CTIS (euclinicaltrials.eu) · Last updated 9 Jun 2026

Brief summary (registry, in English)

To assess the effectiveness of a predefined Oral corticosteroids (OCS) tapering schedule in adult participants with Generalized myasthenia gravis (gMG) treated with ravulizumab and OCS

Status (registry)
Completed
Phase (registry)
Phase 4
Study type
Interventional
Enrollment
15 (actual)
First submitted
17 Feb 2026
Start date
1 Jun 2026
Lead sponsor
Alexion Pharmaceuticals Inc.
NCT number
NCT07221838
EU CT number
2025-522555-26-00

What you commit to

  • Study type: Interventional · Phase 4
  • Participants enrolled: 15
  • 3 sites in 2 countries
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of EU CTIS (euclinicaltrials.eu). It describes the study, not your situation.

Who cannot take part

Copied verbatim from EU CTIS (euclinicaltrials.eu) and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Concurrent participation in an interventional clinical trial.
  • Use of concomitant OCS for comorbid conditions other than gMG.

Other illness

  • History of chronic hypoadrenalism (ie, Addison’s disease).

Other

  • Receipt of a biologic for gMG (e.g., efgartigimod, rozanolixizumab, inebilizumab, rituximab, intravenous immunoglobulin) within 5 half-lives of enrollment.
  • Pregnant, breastfeeding, or intending to conceive during the course of the study

Who the study is looking for

  • Aged ≥ 18 years at the time of enrollment.
  • Clinical diagnosis of gMG.
  • Receiving ravulizumab treatment prior to enrollment, in accordance with the locally approved label
  • Receipt of OCS therapy equivalent to a daily dose ≥ 7.5 mg of prednisone/prednisolone for ≥ 4 continuous weeks directly preceding enrollment. - Alternative dosing of OCS (such as every other day) is allowed at enrollment, provided the average daily dose per week is equivalent to ≥ 7.5 mg of prednisone/prednisolone and the participant is willing to switch to a daily intake of prednisone/prednisolone at Baseline/Visit 1. - The use of other OCS (e.g., methylprednisolone) is allowed prior to enrolment provided the participant is willing to switch to a daily intake of prednisone/prednisolone at Baseline/Visit 1
  • Male or female assigned at birth
  • Agrees to follow protocol-specified contraception guidance as outlined in Section 10.5
  • A participant of childbearing potential must have a negative highly sensitive pregnancy test (serum or urine, as required by local regulations) taken at Screening before OCS tapering begins, see Section 8.3.3 Pregnancy Testing. • Additional requirements for pregnancy testing at Visit 3 are located in Section 8.3.3 Pregnancy Testing
  • Willing to provide informed consent as described in Section 10.1.3.

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

Full criteria on EU CTIS (euclinicaltrials.eu)

Sites (3)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Berufsgenossenschaftliches Universitaetsklinikum Bergmannsheil gGmbH
Coordinator of this site? Confirm its status
BochumGermanyCompleted
Azienda Ospedaliera Universitaria Federico II Di Napoli
Coordinator of this site? Confirm its status
NaplesItalyCompleted
Azienda Ospedaliero-Universitaria Sant Andre
Coordinator of this site? Confirm its status
RomeItalyCompleted

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