Study of ALXN2050 in Adult Participants With Generalized Myasthenia Gravis

NCT ID: NCT05218096

Last Updated: 2025-01-09

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-27

Study Completion Date

2024-04-03

Brief Summary

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This study will evaluate the efficacy and safety of ALXN2050 (120 milligrams \[mg\], 180 mg) in participants with generalized myasthenia gravis (gMG).

Safety will be monitored throughout the study.

Detailed Description

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The study consists of a blinded 8-week Primary Evaluation Period (PEP) and a blinded 26-week Extended Treatment Period (ETP). After completion of 34 weeks of treatment, participants will enter an Open-label Extension (OLE) Period for up to 1.5 years.

Conditions

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Generalized Myasthenia Gravis Myasthenia Gravis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
Masking of treatment allocation will be observed until at least Week 34.

Study Groups

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ALXN2050: 180 mg

Participants will receive ALXN2050.

Group Type EXPERIMENTAL

ALXN2050

Intervention Type DRUG

Oral tablet.

ALXN2050: 120 mg

Participants will receive ALXN2050.

Group Type EXPERIMENTAL

ALXN2050

Intervention Type DRUG

Oral tablet.

Placebo

Participants will receive placebo followed by ALXN2050.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Oral tablet.

Interventions

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ALXN2050

Oral tablet.

Intervention Type DRUG

Placebo

Oral tablet.

Intervention Type DRUG

Other Intervention Names

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ACH-0145228 (formerly)

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with MG at least 3 months (90 days) prior to the date of the Screening Visit. Confirmation of MG must be made via the following:

1. Positive serologic test for anti AChR antibodies at the Screening Visit, and
2. Abnormal neuromuscular transmission demonstrated by single fiber electromyography or repetitive nerve stimulation, or
3. Positive response to an AChEI test (eg, edrophonium chloride test), or
4. Improvement of signs or symptoms related to MG during treatment with an oral AChEI, as determined by the treating physician
* Myasthenia Gravis Foundation of America Clinical Classification Class II to IV at the Screening Visit.
* MG-ADL total score must be ≥ 5 (with at least 50% of the score attributed to non-ocular elements) at the Screening Visit and at randomization (Day 1).
* Participants receiving treatment with protocol-specified immunosuppressive therapies, corticosteroids, or acetylcholinesterase inhibitors must have been receiving treatment and on a stable dose prior to the date of the Screening Visit, with no changes to the regimen expected during screening, the PEP, and/or the ETP.

Exclusion Criteria

* Estimated glomerular filtration rate ≤ 30 milliliters/minute/1.73 squared meters during Screening calculated by Chronic Kidney Disease Epidemiology Collaboration.
* History of thymectomy, thymomectomy, or any other thymic surgery within 12 months prior to the Screening Visit.
* Any untreated thymic malignancy, carcinoma, or thymoma. Participants with a history of treated thymic malignancy or carcinoma are eligible for enrollment if they meet pre-specified conditions outlined in the protocol.
* Clinical features consistent with Clinical Deterioration at the time of the Screening Visit or at any time during the Screening Period prior to randomization (Day 1).
* Use of the following within the time periods specified below:

1. Intravenous immunoglobulin G or subcutaneous immunoglobulin within the 4 weeks (28 days) prior to the Screening Visit.
2. Use of tacrolimus or cyclosporine within the 4 weeks (28 days) prior to the Screening Visit.
Minimum Eligible Age

18 Years

Maximum Eligible Age

130 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alexion Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Phoenix, Arizona, United States

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Aurora, Colorado, United States

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Boca Raton, Florida, United States

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Port Charlotte, Florida, United States

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Tampa, Florida, United States

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Lexington, Kentucky, United States

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New Hyde Park, New York, United States

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Chapel Hill, North Carolina, United States

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Charlotte, North Carolina, United States

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West Chester, Ohio, United States

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Portland, Oregon, United States

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Springfield, Oregon, United States

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Philadelphia, Pennsylvania, United States

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Nashville, Tennessee, United States

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Houston, Texas, United States

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San Antonio, Texas, United States

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Milwaukee, Wisconsin, United States

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Edmonton, Alberta, Canada

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London, Ontario, Canada

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Toronto, Ontario, Canada

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Berlin, , Germany

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Bochum, , Germany

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Düsseldorf, , Germany

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Hamburg, , Germany

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Leipzig, , Germany

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Bergamo, , Italy

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Milan, , Italy

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Napoli, , Italy

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Pisa, , Italy

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Roma, , Italy

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Rome, , Italy

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Udine, , Italy

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Belgrade, , Serbia

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Niš, , Serbia

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Daegu, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Yangsan, , South Korea

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Barcelona, , Spain

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Madrid, , Spain

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Málaga, , Spain

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Murcia, , Spain

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Seville, , Spain

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Hualien City, , Taiwan

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Taipei, , Taiwan

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Taoyuan, , Taiwan

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Countries

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United States Canada Germany Italy Serbia South Korea Spain Taiwan

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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2021-001229-26

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ALXN2050-MG-201

Identifier Type: -

Identifier Source: org_study_id

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