Safety, Tolerability, and Efficacy of Zilucoplan in Subjects With Generalized Myasthenia Gravis

NCT ID: NCT04115293

Last Updated: 2025-07-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

174 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-17

Study Completion Date

2021-12-30

Brief Summary

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The RAISE study is a multicenter, randomized, double-blind, placebo controlled study to confirm the efficacy, safety, and tolerability of zilucoplan in subjects with generalized Myasthenia Gravis. Subjects will be randomized in a 1:1 ratio to receive daily SC doses of 0.3 mg/kg zilucoplan or placebo for 12 weeks.

Detailed Description

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Conditions

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Myasthenia Gravis, Generalized

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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0.3 mg/kg zilucoplan (RA101495)

Group Type EXPERIMENTAL

zilucoplan (RA101495)

Intervention Type DRUG

Daily subcutaneous (SC) injection

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Daily subcutaneous (SC) injection

Interventions

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zilucoplan (RA101495)

Daily subcutaneous (SC) injection

Intervention Type DRUG

Placebo

Daily subcutaneous (SC) injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of gMG \[Myasthenia Gravis Foundation of America (MGFA) Class II-IV\] at Screening
* Positive serology for acetylcholine receptor (AChR) autoantibodies
* MG-ADL Score of ≥ 6 at Screening and Baseline
* QMG score ≥ 12 at Screening and Baseline
* No change in corticosteroid dose for at least 30 days prior to Baseline or anticipated to occur during the 12-week Treatment Period
* No change in immunosuppressive therapy, including dose, for at least 30 days prior to Baseline or anticipated to occur during the 12-week Treatment Period

Exclusion Criteria

* Thymectomy within 12 months prior to Baseline or scheduled to occur during the 12 week Treatment Period
* History of meningococcal disease
* Current or recent systemic infection within 2 weeks prior to Baseline or injection requiring intravenous (IV) antibiotics within 4 weeks prior to Baseline
Minimum Eligible Age

18 Years

Maximum Eligible Age

74 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ra Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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UCB Cares

Role: STUDY_DIRECTOR

0018445992273 (UCB)

Locations

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Site 41: Diagnostic and Medical Clinic

Mobile, Alabama, United States

Site Status

Site 116: Neuromuscular Clinic and Research Center

Phoenix, Arizona, United States

Site Status

Site 4: University of Southern California

Los Angeles, California, United States

Site Status

Site 31: University of California Irvine

Orange, California, United States

Site Status

Site 220: Investigator Site

Pasadena, California, United States

Site Status

Site 160: Forbes Norris MDA/ALS Research and Treatment Center

San Francisco, California, United States

Site Status

Site 24: Yale University

New Haven, Connecticut, United States

Site Status

Site 27: George Washington University

Washington D.C., District of Columbia, United States

Site Status

Site 182: Gelasio Baras Neurology

Miami, Florida, United States

Site Status

Site 25: University of South Florida

Tampa, Florida, United States

Site Status

Site 135: Augusta University Medical Center

Augusta, Georgia, United States

Site Status

Site 176: Hawaii Pacific Neuroscience

Honolulu, Hawaii, United States

Site Status

Site 188: North Shore Medical Group - Glenview

Glenview, Illinois, United States

Site Status

Site 156: Indiana University Health Neuroscience Center

Indianapolis, Indiana, United States

Site Status

Site 32: Kansas University Medical Center Research Institute

Kansas City, Kansas, United States

Site Status

Site 221: Neurology Center of New England

Foxborough, Massachusetts, United States

Site Status

Site 33: Detroit medical Center - University Health Center

Detroit, Michigan, United States

Site Status

Site 49: Michigan State University

East Lansing, Michigan, United States

Site Status

Site 127: University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Site 134: Neurology and Sleep Disorders Clinic

Columbia, Missouri, United States

Site Status

Site 117: Las Vegas Clinic

Las Vegas, Nevada, United States

Site Status

Site 123: Northwell Health Neuroscience Institute

Great Neck, New York, United States

Site Status

Site 23: Hospital for Special Surgery

New York, New York, United States

Site Status

Site 47: Mount Sinai Hospital

New York, New York, United States

Site Status

Site 22: University of North Carolina

Chapel Hill, North Carolina, United States

Site Status

Site 15: Duke University

Durham, North Carolina, United States

Site Status

Site 122: Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Site 38: Ohio State University

Columbus, Ohio, United States

Site Status

Site 40: Allegheny Neurological Associates

Pittsburgh, Pennsylvania, United States

Site Status

Site 128: Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Site 185: Neurology Clinic Cordova

Cordova, Tennessee, United States

Site Status

Site 131: Austin Neuromuscular Center

Austin, Texas, United States

Site Status

Site 19: University of Texas Southwestern

Dallas, Texas, United States

Site Status

Site 39: University of Utah

Salt Lake City, Utah, United States

Site Status

Site 164: University of Virginia Health System

Charlottesville, Virginia, United States

Site Status

Site 154: University of Washington

Seattle, Washington, United States

Site Status

Site 45: Center for Neurological Disorders

Milwaukee, Wisconsin, United States

Site Status

Site 44: London Health Sciences Centre University Hospital

London, Ontario, Canada

Site Status

Site 11: Montreal Neurological Institute and Hospital (McGill University)

Montreal, Quebec, Canada

Site Status

Site 191: Centre Hosptitalier Universitaire d'Angers

Angers, , France

Site Status

Site 204: Centre Hospitalier Régional Universitaire de Lille

Lille, , France

Site Status

Site 118: Hôpital Pasteur

Nice, , France

Site Status

Site 105: Pitié-Salpêtrière University Hospital

Paris, , France

Site Status

Site 137: Les Hôpitaux Universitaires de Strasbourg

Strasbourg, , France

Site Status

Site 150: Universitätsmedizin Göttingen

Göttingen, , Germany

Site Status

Site 129: Universitätsklinikum Tübingen

Tübingen, , Germany

Site Status

Site 126: Fondazione IRCCS Istituto Neurologico Carlo Besta

Milan, , Italy

Site Status

Site 132: Università Cattolica del Sacro Cuore - Campus di Milano

Roma, , Italy

Site Status

Site 169: International University of Health and Welfare Narita Hospital

Narita, Chiba, Japan

Site Status

Site 151: Chiba University Hospital

Chiba, , Japan

Site Status

Site 136: General Hanamaki Hospital

Iwata, , Japan

Site Status

Site 179: Kagawa University Hospital - Collagen disease/Rheumatic int

Kita-gun, , Japan

Site Status

Site 146: Nagasaki University Hospital

Nagasaki, , Japan

Site Status

Site 152: Hokkaido Medical Center

Sapporo, , Japan

Site Status

Site 144: Sendai Medical Center

Sendai, , Japan

Site Status

Site 153: Toho University Ohashi Medical Center

Tokyo, , Japan

Site Status

Site 163: Tokyo Medical University Hospital

Tokyo, , Japan

Site Status

Site 141: Keio University Hospital

Tokyo, , Japan

Site Status

Site 165: Osaka University Hospital

Tokyo, , Japan

Site Status

Site 140: Haukeland University Hospital / Health Bergen

Bergen, , Norway

Site Status

Site 143: Oslo Universitetssykehus

Oslo, , Norway

Site Status

Site 209: Niepubliczny Zakład Opieki Zdrowotnej NEURO - KARD

Poznan, Greater Poland Voivodeship, Poland

Site Status

Site 192: Krakowski Szpital Specjalistyczny im. Jana Pawła II

Krakow, Lesser Poland Voivodeship, Poland

Site Status

Site 205: Prywatny Gabinet Lekarski Urszula Chyrchel-Paszkiewicz

Lublin, Lublin Voivodeship, Poland

Site Status

Site 194: Twoja Przychodnia - Centrum Medyczne Nowa Sól

Nowa Sól, Lubusz Voivodeship, Poland

Site Status

Site 214: AmiCare Centrum Medyczne

Lodz, Lódzkie, Poland

Site Status

Site 201: Centrum Medyczne Pratia - Warszawa

Warsaw, Masovian Voivodeship, Poland

Site Status

Site 195: Wielospecjalistyczna Poradnia Lekarska Synapsis

Katowice, Silesian Voivodeship, Poland

Site Status

Site 213: Niepubliczny Zakład Opieki Zdrowotnej NOVO-MED

Katowice, Silesian Voivodeship, Poland

Site Status

Site 193: Krakowska Akademia Neurologii - Centrum Neurologii Kliniczne

Krakow, , Poland

Site Status

Site 211: Specjalistyczne Gabinety Sp. z o.o.

Krakow, , Poland

Site Status

Site 210: Clinhouse Centrum Medyczne

Lublin, , Poland

Site Status

Site 133: Hospital Universitari Vall d'Hebrón

Barcelona, , Spain

Site Status

Site 168: Hospital de la Santa Creu i Sant Pau

Barcelona, , Spain

Site Status

Site 138: Hospital Universitario de Basurto

Bilbao, , Spain

Site Status

Site 119: Oxford University Hospitals NHS Foundation Trust

Oxford, , United Kingdom

Site Status

Site 130: Royal Hallamshire Hospital

Sheffield, , United Kingdom

Site Status

Countries

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United States Canada France Germany Italy Japan Norway Poland Spain United Kingdom

References

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Howard JF Jr, Bresch S, Genge A, Hewamadduma C, Hinton J, Hussain Y, Juntas-Morales R, Kaminski HJ, Maniaol A, Mantegazza R, Masuda M, Sivakumar K, Smilowski M, Utsugisawa K, Vu T, Weiss MD, Zajda M, Boroojerdi B, Brock M, de la Borderie G, Duda PW, Lowcock R, Vanderkelen M, Leite MI; RAISE Study Team. Safety and efficacy of zilucoplan in patients with generalised myasthenia gravis (RAISE): a randomised, double-blind, placebo-controlled, phase 3 study. Lancet Neurol. 2023 May;22(5):395-406. doi: 10.1016/S1474-4422(23)00080-7.

Reference Type RESULT
PMID: 37059508 (View on PubMed)

Weiss MD, Freimer M, Leite MI, Maniaol A, Utsugisawa K, Bloemers J, Boroojerdi B, Howard E, Savic N, Howard JF Jr. Improvement of fatigue in generalised myasthenia gravis with zilucoplan. J Neurol. 2024 May;271(5):2758-2767. doi: 10.1007/s00415-024-12209-3. Epub 2024 Feb 24.

Reference Type RESULT
PMID: 38400914 (View on PubMed)

de la Borderie G, Chimits D, Boroojerdi B, Brock M, Duda PW, Grimson F, Mahoney P, Strimenopoulou F, Cutter G, Aban I, Brauner S, Petersson M, Howard JF Jr, Bennett N. Maintenance of zilucoplan efficacy in patients with generalised myasthenia gravis up to 24 weeks: a model-informed analysis. Ther Adv Neurol Disord. 2024 Sep 21;17:17562864241279125. doi: 10.1177/17562864241279125. eCollection 2024.

Reference Type RESULT
PMID: 39314260 (View on PubMed)

Hewamadduma C, Freimer M, Genge A, Leite MI, Utsugisawa K, Vu T, Boroojerdi B, Grimson F, Savic N, Vanderkelen M, Howard JF Jr; RAISE-XT study team. Changes in corticosteroid and non-steroidal immunosuppressive therapy with long-term zilucoplan treatment in generalized myasthenia gravis. J Neurol. 2025 Jun 12;272(7):457. doi: 10.1007/s00415-025-13113-0.

Reference Type RESULT
PMID: 40504283 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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RA101495-02.301

Identifier Type: -

Identifier Source: org_study_id

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