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Clinical study evaluating the effect of Amifampridine phosphate in patients with MuSK antibody positive myasthenia gravis, and a sample of AchR antibody positive myasthenia gravis patients

Phase 1
Conditions
MuSK antibody positive myasthenia gravis
MedDRA version: 21.1Level: PTClassification code 10028417Term: Myasthenia gravisSystem Organ Class: 10029205 - Nervous system disorders
Therapeutic area: Diseases [C] - Nervous System Diseases [C10]
Registration Number
EUCTR2017-004018-25-IT
Lead Sponsor
CATALYST PHARMACEUTICALS INC.
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
70
Inclusion Criteria

- Willing and able to provide written informed consent after the nature of the study has been explained and before the start of any research-related procedures
- Male or female =18 years of age
- Positive serologic test for anti-MuSK antibodies or anti-AChR antibodies as confirmed at screening or by previous antibody test, with report available
- Confirmatory electromyography (EMG) or EMG report
- Myasthenia Gravis Foundation of America (MGFA) Class II to IV at screening
- MG-ADL score of =6 at screening, with more than 50% of this score attributed to non-ocular items
- Patients receiving steroids and/or pyridostigmine should not have any modification of drug regimen during the month before screening
- Female patients of childbearing potential must have a negative pregnancy test (serum human chorionic gonadotropin [HCG] at screening); and must practice an effective, reliable contraceptive regimen during the study and for up to 30 days following discontinuation of treatment
- Ability to participate in the study based on overall health of the patient and disease prognosis, as applicable, in the opinion of the Investigator; and able to comply with all requirements of the protocol, including completion of study questionnaires

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 63
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 7

Exclusion Criteria

- Epilepsy and currently on medication
- Concomitant use of medicinal products with a known potential to cause QTc prolongation
- Patients with long QT syndromes
- History of thymectomy within 12 months before screening
- An electrocardiogram (ECG) within 6 months before starting treatment that shows clinically significant abnormalities, in the opinion of the Investigator
- Breastfeeding or pregnant at Screening or planning to become pregnant at any time during the study
- Patients receiving immunomodulatory treatment (e.g. plasma exchange [PE], therapeutic plasma exchange [TPE], intravenous immunoglobulin G [IVIG]) should not have any treatment in the previous 4 weeks prior to Randomization or at any time during the study
- Use of rituximab or other similar biologic medications for immunomodulation within 6 months prior to screening
- Treatment with an investigational drug (other than amifampridine), device, or biological agent within 60 days prior to screening or while participating in this study
- Any medical condition that, in the opinion of the Investigator, might interfere with the patient’s participation in the study, poses an added risk for the patient, or confound the assessment of the patient
- History of drug allergy to any pyridine-containing substances or any amifampridine excipient(s)

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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