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An Open-label Extension Study to Evaluate Subcutaneous Zilucoplan in Pediatric Participants With Generalized Myasthenia Gravis

Phase 3
Conditions
Generalized Myasthenia Gravis
Interventions
Registration Number
NCT06435312
Lead Sponsor
UCB Biopharma SRL
Brief Summary

The purpose of this study is to assess the long-term safety and tolerability of an additional 52 weeks of Zilucoplan treatment administered by subcutaneous injection once daily in pediatric study participants

Detailed Description

Not available

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
8
Inclusion Criteria

United States of America (USA) specific inclusion criterion:

  • Participant must be ≥ 12 years of age at the time of signing the Informed Consent/Assent according to local regulation.

Rest of World (ROW) specific inclusion criterion:

  • Participant must be ≥ 2 years of age at the time of signing the Informed Consent/Assent according to local regulation.

Global specific inclusion criteria:

  • Participant has completed the MG0014 according to the protocol, and further treatment with zilucoplan is in the interest of the participant in the investigator´s opinion
  • Participant agrees to receive booster vaccinations against meningococcal infections during the study, if clinically indicated according to the local standard of care
Exclusion Criteria
  • Study participant met any mandatory investigational medicinal product (IMP) withdrawal or mandatory permanent discontinuation criteria in MG0014 or permanently discontinued IMP
  • Participant has known positive serology for muscle-specific kinase
  • Participant has known hypersensitivity to any components of the IMP
  • Participant has a prior history of meningococcal disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Zilucoplan ArmZilucoplanStudy participants will receive Zilucoplan at a pre-defined dose based on their weight.
Primary Outcome Measures
NameTimeMethod
Occurence of treatment-emergent infectionsBaseline (Day 1) to Safety Follow-up (up to Week 60)

Percentage of participants who experienced treatment-emergent infections as adverse events.

An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment.

Occurence of treatment emergent adverse events during the course of the studyBaseline (Day 1) to Safety Follow-up (up to Week 60)

An adverse event (AE) is any untoward medical occurence in a patient or clinical investigation where the study participant administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.

Occurence of treatment-emergent serious adverse events (TESAEs)Baseline (Day 1) to Safety Follow-up (up to Week 60)

A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose:

Results in death Is life-threatening Requires inpatient hospitalization Results in persistent disability/incapacity Is a congenital anomaly/birth defect Important medical event.

Occurence of treatment-emergent advserse events leading to permanent withdrawal of investigational medicinal productBaseline (Day 1) to Safety Follow-up (up to Week 60)

An adverse event (AE) is any untoward medical occurence in a participant or clinical investigation administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. AEs leading to permanent withdrawal of study medication.

Secondary Outcome Measures
NameTimeMethod
Sheep red blood cell (sRBC) lysis activity at Week 52Week 52

Blood samples for measurement of sRBC lysis will be collected at Week 52.

Plasma concentration of Zilucoplan at Week 52Week 52

Blood samples for the measurement of plasma concentrations of Zilucoplan will be collected at Week 52.

Blood complement component 5 (C5) levels at Week 52Week 52

Blood samples for measurement of C5 will be collected at Week 52.

Myasthenia Gravis Activity of Daily Living (MG-ADL) score at Week 52Week 52

The MG-ADL score is an 8-item patient-reported outcome (PRO) instrument. The MG-ADL targets symptoms and disability across ocular, bulbar, respiratory, and axial symptoms. The item responses are scored from 0 to 3, and the total score of MG-ADL is the sum of the 8 items and ranges from 0 to 24, with a higher score indicating more disability.

Quantitative Myasthenia Gravis (QMG) score at Week 52Week 52

QMG score is a standardized and validated quantitative strength scoring system that was developed specifically for MG. The QMG total score is obtained by summing the responses to each individual item (13 items; Responses: None=0, Mild=1, Moderate=2, Severe=3). The score ranges from 0 to 39, with lower scores indicating lower disease activity.

Trial Locations

Locations (9)

Mg0015 40736

🇬🇧

London, United Kingdom

Mg0015 50168

🇺🇸

Chicago, Illinois, United States

Mg0015 50574

🇺🇸

Denton, Texas, United States

Mg0015 40144

🇮🇹

Milano, Italy

Mg0015 20104

🇰🇷

Seoul, Korea, Republic of

Mg0015 20220

🇰🇷

Seoul, Korea, Republic of

Mg0015 40774

🇵🇱

Katowice, Poland

Mg0015 40218

🇵🇱

Warszawa, Poland

Mg0015 40735

🇬🇧

Glasgow, United Kingdom

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