Trial Outcomes & Findings for A Study to Assess the Efficacy and Safety of IGIV-C in Patients With Myasthenia Gravis Exacerbations (NCT NCT02413580)

NCT ID: NCT02413580

Last Updated: 2020-04-24

Results Overview

Mean Change in Quantitative Myasthenia Gravis (QMG) Scale Score from Baseline (Day 0) to Day 14. The minimum and maximum scores of the QMG Scale are 0 and 39, respectively, and a higher score means a worse outcome.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

49 participants

Primary outcome timeframe

From Baseline (Day 0) to Day 14

Results posted on

2020-04-24

Participant Flow

Participant milestones

Participant milestones
Measure
IGIV-C Treatment
An IV dose of 2 g/kg of IGIV-C was administered in subjects with myasthenia gravis exacerbations. IGIV-C: an IV dose of 2 g/kg of IGIV-C was administered as 2 doses of 1 g/kg on two consecutive days
Overall Study
STARTED
49
Overall Study
COMPLETED
46
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Assess the Efficacy and Safety of IGIV-C in Patients With Myasthenia Gravis Exacerbations

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
IGIV-C Treatment
n=49 Participants
An IV dose of 2 g/kg of IGIV-C was administered in subjects with myasthenia gravis exacerbations. IGIV-C: an IV dose of 2 g/kg of IGIV-C was administered as 2 doses of 1 g/kg on two consecutive days
Age, Categorical
<=18 years
2 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
40 Participants
n=5 Participants
Age, Categorical
>=65 years
7 Participants
n=5 Participants
Age, Continuous
47.3 year
STANDARD_DEVIATION 15.22 • n=5 Participants
Sex: Female, Male
Female
34 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
Race (NIH/OMB)
White
44 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
Canada
3 participants
n=5 Participants
Region of Enrollment
Argentina
3 participants
n=5 Participants
Region of Enrollment
Latvia
10 participants
n=5 Participants
Region of Enrollment
Romania
5 participants
n=5 Participants
Region of Enrollment
Belgium
6 participants
n=5 Participants
Region of Enrollment
Czechia
4 participants
n=5 Participants
Region of Enrollment
Poland
4 participants
n=5 Participants
Region of Enrollment
South Africa
2 participants
n=5 Participants
Region of Enrollment
France
2 participants
n=5 Participants
Region of Enrollment
Russia
10 participants
n=5 Participants

PRIMARY outcome

Timeframe: From Baseline (Day 0) to Day 14

Population: The primary efficacy analysis of change in the score of MG symptoms as measured by the change in QMG score from Baseline (Day 0) to Day 14 in the Evaluable population which consisted of all subjects who received the entire dose of Investigational Product (2 g/kg over 2 consecutive days) and had valid baseline and Day 14 QMG Score measurements.

Mean Change in Quantitative Myasthenia Gravis (QMG) Scale Score from Baseline (Day 0) to Day 14. The minimum and maximum scores of the QMG Scale are 0 and 39, respectively, and a higher score means a worse outcome.

Outcome measures

Outcome measures
Measure
IGIV-C Treatment
n=43 Participants
An IV dose of 2 g/kg of IGIV-C was administered in subjects with myasthenia gravis exacerbations. IGIV-C: an IV dose of 2 g/kg of IGIV-C was administered as 2 doses of 1 g/kg on two consecutive days
Change in Quantitative Myasthenia Gravis (QMG) Scale Score
-6.4 score on a scale
Standard Deviation 5.15

SECONDARY outcome

Timeframe: Baseline (Day 0) to Day 14

Population: The percentage of subjects with clinical improvement at Day 14 as assessed by the QMG scale in the Evaluable population is presented.

The percentage of subjects with clinical improvement at Day 14 as assessed by the Quantitative Myasthenia Gravis (QMG) scale in the Evaluable population is presented, in which clinical improvement is defined as at least 3-point decrease in QMG score from Baseline (Day 0) to Day 14. The minimum and maximum scores of the QMG scale are 0 and 39, respectively, and a higher score means a worse outcome.

Outcome measures

Outcome measures
Measure
IGIV-C Treatment
n=43 Participants
An IV dose of 2 g/kg of IGIV-C was administered in subjects with myasthenia gravis exacerbations. IGIV-C: an IV dose of 2 g/kg of IGIV-C was administered as 2 doses of 1 g/kg on two consecutive days
Percentage of Subjects With Clinical Improvement Assessed by QMG
33 Participants

SECONDARY outcome

Timeframe: Baseline (Day 0) to Day 14

Population: The percentage of subjects with clinical improvement at Day 14 as assessed by the MG-ADL in the Evaluable population is presented.

The percentage of subjects with clinical improvement at Day 14 as assessed by the MG-ADL Scale in the Evaluable population is presented, in which clinical improvement is defined as at least 2-point decrease in the MG-ADL score. The minimum and maximum scores of the MG-DAL scale are 0 and 24, respectively, and a higher score means a worse outcome.

Outcome measures

Outcome measures
Measure
IGIV-C Treatment
n=43 Participants
An IV dose of 2 g/kg of IGIV-C was administered in subjects with myasthenia gravis exacerbations. IGIV-C: an IV dose of 2 g/kg of IGIV-C was administered as 2 doses of 1 g/kg on two consecutive days
Percentage of Subjects With Clinical Improvement Assessed by MG-Activities of Daily Living (MG-ADL) Scale
38 Participants

SECONDARY outcome

Timeframe: Baseline (Day 0) to Day 14

Population: The percentage of subjects with clinical improvement at Day 14 as assessed by the MG Composite scale in the Evaluable population is presented.

The percentage of subjects with clinical improvement at Day 14 as assessed by the MG Composite scale in the Evaluable population is presented in which clinical improvement is defined as at least 3-point decrease in the MG Composite score. The minimum and maximum scores of the MG Composite scale are 0 and 50, respectively, with a higher score meaning a worse outcome.

Outcome measures

Outcome measures
Measure
IGIV-C Treatment
n=43 Participants
An IV dose of 2 g/kg of IGIV-C was administered in subjects with myasthenia gravis exacerbations. IGIV-C: an IV dose of 2 g/kg of IGIV-C was administered as 2 doses of 1 g/kg on two consecutive days
Percentage of Subjects With Clinical Improvement Assessed by the MG Composite
37 Participants

Adverse Events

IGIV-C Treatment

Serious events: 0 serious events
Other events: 30 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
IGIV-C Treatment
n=49 participants at risk
An IV dose of 2 g/kg of IGIV-C was administered in subjects with myasthenia gravis exacerbations. IGIV-C: an IV dose of 2 g/kg of IGIV-C was administered as 2 doses of 1 g/kg on two consecutive days
Nervous system disorders
Headache
38.8%
19/49 • Number of events 21 • Subjects with MG exacerbations not attributable to an infection or change in medication were planned to receive 2 g/kg of IGIV-C on Day 0 (Baseline) and on Day 1 (dosed as 1 g/kg per day), followed by 28 days of post-infusion assessments. During this 30-day period, the adverse event data were collected.
General disorders
Influenza like illness
6.1%
3/49 • Number of events 3 • Subjects with MG exacerbations not attributable to an infection or change in medication were planned to receive 2 g/kg of IGIV-C on Day 0 (Baseline) and on Day 1 (dosed as 1 g/kg per day), followed by 28 days of post-infusion assessments. During this 30-day period, the adverse event data were collected.
General disorders
Pyrexia
16.3%
8/49 • Number of events 9 • Subjects with MG exacerbations not attributable to an infection or change in medication were planned to receive 2 g/kg of IGIV-C on Day 0 (Baseline) and on Day 1 (dosed as 1 g/kg per day), followed by 28 days of post-infusion assessments. During this 30-day period, the adverse event data were collected.
Gastrointestinal disorders
Vomiting
6.1%
3/49 • Number of events 3 • Subjects with MG exacerbations not attributable to an infection or change in medication were planned to receive 2 g/kg of IGIV-C on Day 0 (Baseline) and on Day 1 (dosed as 1 g/kg per day), followed by 28 days of post-infusion assessments. During this 30-day period, the adverse event data were collected.
Skin and subcutaneous tissue disorders
Urticaria
8.2%
4/49 • Number of events 4 • Subjects with MG exacerbations not attributable to an infection or change in medication were planned to receive 2 g/kg of IGIV-C on Day 0 (Baseline) and on Day 1 (dosed as 1 g/kg per day), followed by 28 days of post-infusion assessments. During this 30-day period, the adverse event data were collected.
Skin and subcutaneous tissue disorders
Rash
6.1%
3/49 • Number of events 4 • Subjects with MG exacerbations not attributable to an infection or change in medication were planned to receive 2 g/kg of IGIV-C on Day 0 (Baseline) and on Day 1 (dosed as 1 g/kg per day), followed by 28 days of post-infusion assessments. During this 30-day period, the adverse event data were collected.

Additional Information

Rhonda Griffin

Grifols Therapeutics LLC

Phone: 9193166693

Results disclosure agreements

  • Principal investigator is a sponsor employee Site may publish results from the Study, after providing Sponsor thirty days' notice prior to submitting a manuscript or other materials related to the Study to any outside party. At Sponsors' request, Site will remove any Confidential Information (other than Study results), and Site will upon Sponsors' request, delay publication or presentation for a period of up to one hundred twenty days to allow Sponsor to protect its interests in any Sponsor Inventions.
  • Publication restrictions are in place

Restriction type: OTHER