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.
- Diseases
- Myasthenia gravis
- 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
Sites (3)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Berufsgenossenschaftliches Universitaetsklinikum Bergmannsheil gGmbH Coordinator of this site? Confirm its status | Bochum | Germany | Completed |
| Azienda Ospedaliera Universitaria Federico II Di Napoli Coordinator of this site? Confirm its status | Naples | Italy | Completed |
| Azienda Ospedaliero-Universitaria Sant Andre Coordinator of this site? Confirm its status | Rome | Italy | Completed |
This page is information, not medical advice. Discuss any trial with your doctor.