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Study of ALXN2050 in Adult Participants With Generalized Myasthenia Gravis

Primary Purpose

Generalized Myasthenia Gravis, Myasthenia Gravis

Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ALXN2050
Placebo
Sponsored by
Alexion
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Generalized Myasthenia Gravis focused on measuring ALXN2050, gMG

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key 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.

Key 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.

Sites / Locations

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Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

ALXN2050: 180 mg

ALXN2050: 120 mg

Placebo

Arm Description

Participants will receive ALXN2050.

Participants will receive ALXN2050.

Participants will receive placebo followed by ALXN2050.

Outcomes

Primary Outcome Measures

Proportion Of Participants With A Myasthenia Gravis Activities of Daily Living (MG-ADL) Total Score Reduction Of ≥ 2 Points In Any 4 Consecutive Weeks During The First 8 Weeks And Who Did Not Receive Rescue Therapy

Secondary Outcome Measures

Change From Baseline In Quantitative Myasthenia Gravis (QMG) Total Score At Week 8
Proportion Of Participants Meeting Prespecified Threshold In The QMG Total Score At Week 8
Proportion Of Participants Meeting Prespecified Threshold In The QMG Total Score In Any 4 Consecutive Weeks During The First 8 Weeks And Who Did Not Receive Rescue Therapy
Change From Baseline In MG-ADL Total Score At Week 8
Proportion Of Participants Meeting Prespecified Threshold In The MG-ADL Total Score In Any 4 Consecutive Weeks During The First 8 Weeks And Who Did Not Receive Rescue Therapy
Proportion Of Participants Meeting Prespecified Threshold In The MG-ADL Total Score At Week 8
Change From Baseline In Quality Of Life In Neurological Disorders Fatigue Questionnaire (Neuro-QoL) Fatigue Score At Week 8
Maximum Peak Plasma Concentration (Cmax) Of ALXN2050 Over Time
Pre-dose Concentration (Ctrough) Of ALXN2050 Over Time
Absolute Values And Change From Baseline In Plasma Concentration Of Bb Fragment Of Complement Factor B At Week 8
Absolute Values And Change From Baseline In Serum Alternative Pathway (AP) Activity At Week 8 As Measured By Wieslab Assay
Plasma Factor D Concentration Over Time
Serum Complement Component 3 Concentration Over Time
Serum Classical Pathway Activity Over Time As Measured By CH50

Full Information

First Posted
December 16, 2021
Last Updated
August 14, 2023
Sponsor
Alexion
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1. Study Identification

Unique Protocol Identification Number
NCT05218096
Brief Title
Study of ALXN2050 in Adult Participants With Generalized Myasthenia Gravis
Official Title
A Phase 2, Randomized, Double-Blind, Placebo-Controlled Multicenter Study to Evaluate the Efficacy and Safety of ALXN2050 in Adult Participants With Generalized Myasthenia Gravis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 30, 2021 (Actual)
Primary Completion Date
November 30, 2023 (Anticipated)
Study Completion Date
December 30, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alexion

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
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
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Generalized Myasthenia Gravis, Myasthenia Gravis
Keywords
ALXN2050, gMG

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Masking Description
Masking of treatment allocation will be observed until at least Week 34.
Allocation
Randomized
Enrollment
70 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
ALXN2050: 180 mg
Arm Type
Experimental
Arm Description
Participants will receive ALXN2050.
Arm Title
ALXN2050: 120 mg
Arm Type
Experimental
Arm Description
Participants will receive ALXN2050.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive placebo followed by ALXN2050.
Intervention Type
Drug
Intervention Name(s)
ALXN2050
Other Intervention Name(s)
ACH-0145228 (formerly)
Intervention Description
Oral tablet.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Oral tablet.
Primary Outcome Measure Information:
Title
Proportion Of Participants With A Myasthenia Gravis Activities of Daily Living (MG-ADL) Total Score Reduction Of ≥ 2 Points In Any 4 Consecutive Weeks During The First 8 Weeks And Who Did Not Receive Rescue Therapy
Time Frame
Baseline through Week 8
Secondary Outcome Measure Information:
Title
Change From Baseline In Quantitative Myasthenia Gravis (QMG) Total Score At Week 8
Time Frame
Baseline, Week 8
Title
Proportion Of Participants Meeting Prespecified Threshold In The QMG Total Score At Week 8
Time Frame
Week 8
Title
Proportion Of Participants Meeting Prespecified Threshold In The QMG Total Score In Any 4 Consecutive Weeks During The First 8 Weeks And Who Did Not Receive Rescue Therapy
Time Frame
Baseline through Week 8
Title
Change From Baseline In MG-ADL Total Score At Week 8
Time Frame
Baseline, Week 8
Title
Proportion Of Participants Meeting Prespecified Threshold In The MG-ADL Total Score In Any 4 Consecutive Weeks During The First 8 Weeks And Who Did Not Receive Rescue Therapy
Time Frame
Baseline through Week 8
Title
Proportion Of Participants Meeting Prespecified Threshold In The MG-ADL Total Score At Week 8
Time Frame
Week 8
Title
Change From Baseline In Quality Of Life In Neurological Disorders Fatigue Questionnaire (Neuro-QoL) Fatigue Score At Week 8
Time Frame
Baseline, Week 8
Title
Maximum Peak Plasma Concentration (Cmax) Of ALXN2050 Over Time
Time Frame
Baseline through Week 8
Title
Pre-dose Concentration (Ctrough) Of ALXN2050 Over Time
Time Frame
Baseline through Week 8
Title
Absolute Values And Change From Baseline In Plasma Concentration Of Bb Fragment Of Complement Factor B At Week 8
Time Frame
Baseline, Week 8
Title
Absolute Values And Change From Baseline In Serum Alternative Pathway (AP) Activity At Week 8 As Measured By Wieslab Assay
Time Frame
Baseline, Week 8
Title
Plasma Factor D Concentration Over Time
Time Frame
Baseline through Week 8
Title
Serum Complement Component 3 Concentration Over Time
Time Frame
Baseline through Week 8
Title
Serum Classical Pathway Activity Over Time As Measured By CH50
Time Frame
Baseline through Week 8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key 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: Positive serologic test for anti AChR antibodies at the Screening Visit, and Abnormal neuromuscular transmission demonstrated by single fiber electromyography or repetitive nerve stimulation, or Positive response to an AChEI test (eg, edrophonium chloride test), or 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. Key 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: Intravenous immunoglobulin G or subcutaneous immunoglobulin within the 4 weeks (28 days) prior to the Screening Visit. Use of tacrolimus or cyclosporine within the 4 weeks (28 days) prior to the Screening Visit.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Alexion Pharmaceuticals, Inc.
Phone
1-855-752-2356
Email
clinicaltrials@alexion.com
Facility Information:
Facility Name
Clinical Trial Site
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85028
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Palo Alto
State/Province
California
ZIP/Postal Code
94304
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
San Diego
State/Province
California
ZIP/Postal Code
92037
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
San Francisco
State/Province
California
ZIP/Postal Code
94109-6920
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045-2545
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33487-5712
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Maitland
State/Province
Florida
ZIP/Postal Code
32751-4749
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Port Charlotte
State/Province
Florida
ZIP/Postal Code
33952-9204
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40536-7001
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110-1010
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87106
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
New Hyde Park
State/Province
New York
ZIP/Postal Code
11042-2062
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
New York
State/Province
New York
ZIP/Postal Code
10075-1850
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27514
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28207-1885
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Springfield
State/Province
Oregon
ZIP/Postal Code
97477-1347
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Allentown
State/Province
Pennsylvania
ZIP/Postal Code
18103
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030-2340
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229-3931
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Greenfield
State/Province
Wisconsin
ZIP/Postal Code
53228-1321
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 1Z1
Country
Canada
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 5A5
Country
Canada
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2C4
Country
Canada
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Hamburg
State/Province
Niedersachsen
ZIP/Postal Code
20246
Country
Germany
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Bochum
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
44791
Country
Germany
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Düsseldorf
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
40225
Country
Germany
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Münster
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
48149
Country
Germany
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Leipzig
State/Province
Saxony
ZIP/Postal Code
04103
Country
Germany
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Milan
State/Province
Milano
ZIP/Postal Code
20133
Country
Italy
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Naples
State/Province
Napoli
ZIP/Postal Code
80131
Country
Italy
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Rome
State/Province
Roma
ZIP/Postal Code
00168
Country
Italy
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Rome
State/Province
Roma
ZIP/Postal Code
00189
Country
Italy
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Bergamo
ZIP/Postal Code
24127
Country
Italy
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Pisa
ZIP/Postal Code
56126
Country
Italy
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Udine
ZIP/Postal Code
33100
Country
Italy
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Daegu
State/Province
Gyeongsangbuk-do
ZIP/Postal Code
41404
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Yangsan
State/Province
Gyeongsangnam-do
ZIP/Postal Code
50612
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Seoul
ZIP/Postal Code
03080
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Seoul
ZIP/Postal Code
06351
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Nis
State/Province
Nišava District
ZIP/Postal Code
18000
Country
Serbia
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Belgrade
ZIP/Postal Code
11000
Country
Serbia
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Barakaldo
State/Province
Biscay
ZIP/Postal Code
48903
Country
Spain
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Madrid
ZIP/Postal Code
28046
Country
Spain
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Malaga
ZIP/Postal Code
29010
Country
Spain
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Murcia
ZIP/Postal Code
30120
Country
Spain
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Sevilla
ZIP/Postal Code
41009
Country
Spain
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Hualien City
ZIP/Postal Code
970
Country
Taiwan
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Taipei City
ZIP/Postal Code
111
Country
Taiwan
Individual Site Status
Recruiting
Facility Name
Clinical Trial Site
City
Taoyuan City
ZIP/Postal Code
333
Country
Taiwan
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Alexion has a public commitment to allow requests for access to study data and will be supplying a protocol, CSR, and plain language summaries.

Learn more about this trial

Study of ALXN2050 in Adult Participants With Generalized Myasthenia Gravis

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