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Safety and Efficacy of 3 Dose Levels of NMD670 in Adult Patients With Myasthenia Gravis

Phase 2
Recruiting
Conditions
Myasthenia Gravis
Myasthenia Gravis, MuSK
Interventions
Drug: Placebo
Registration Number
NCT06414954
Lead Sponsor
NMD Pharma A/S
Brief Summary

This Phase 2 proof-of-concept, dose range finding study aims to evaluate the safety and efficacy of 3 dose levels of NMD670 vs placebo in adult patients with MG with antibodies against AChR or MuSK, administered twice a day (BID) for 21 days.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
84
Inclusion Criteria
  • Participant must be a male or female being 18 or more, at the time of signing the informed consent
  • Diagnosis of MG, MGFA class II, III or IV
  • Documented positive AChR or MuSK antibody test.
  • Participant must be able to swallow tablets
  • Body mass index between 18 and 35 kg/m2, inclusive, at screening, and with a minimum weight of 40 kg
  • Contraceptive use by men and women must be consistent with local regulations regarding the methods of contraception for those participating in clinical studies
  • Participant is capable of and has given signed informed consent
Exclusion Criteria
  • Known medical or psychological condition(s) or risk factor that, in the opinion of the Investigator, might interfere with the patient's full participation in the study, pose any additional risk for the patient, or confound the assessment of the patient or outcome of the study
  • Participants with other significant clinical and/or laboratory safety findings that may interfere with the conduction or interpretation of the study
  • Participants that received treatment with an investigational medical product within 30 days or 5 half-lives of the medication, whichever is longer prior to Day 1
  • Participants with history of poor compliance with relevant MG therapy
  • Female patients who plan to become pregnant during the study or are currently pregnant or breastfeeding

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
NMD670 high doseNMD670-
NMD670 mid doseNMD670-
PlaceboPlacebo-
NMD670 low doseNMD670-
Primary Outcome Measures
NameTimeMethod
Change from baseline to day 21 in QMG total score for NMD670 vs placeboBaseline to day 21

Scale goes from 0-39 and higher score indicates worse symptomatology

Secondary Outcome Measures
NameTimeMethod
Change from baseline to day 21 in MGC total score for NMD670 vs placeboBaseline to day 21

Scale goes from 0-50 and higher score indicate worse symptomatology

Change from baseline to day 21 in MG-QOL15r for NMD670 vs placeboBaseline to day 21

Scale goes from 0-30 and higher score indicate worse quality of life

Incidence of treatment emergent adverse eventOver 21 days of dosing

Summarised per treatment

Incidence of serious treatment emergent adverse eventsOver 21 days of dosing

Summarised per treatment

Incidence of clinically significant abnormalities on physical examinationsOver 21 days of dosing

Summarised per treatment

Change from baseline to day 21 in MG-ADL total score for NMD670 vs placeboBaseline to day 21

Scale goes from 0-24 and higher score indicates worse symptomatology

Change from baseline to day 21 in Neuro-QoL Fatigue Short FormBaseline to day 21

Scale goes from 8-40 and higher score indicate worse symptomalogy

Incidence of clinically significant abnormalities on safety laboratory parametersOver 21 days of dosing

Summarised per treatment

Incidence of clinically significant ECG abnormalitiesOver 21 days of dosing

Summarised per treatment

Incidence of Suicidal Ideation or Suicidal BehaviorOver 21 days of dosing

Summarised per treatment

Incidence of clinically significant abnormalities on opthalmological examinationsFrom screening (day -28 to day -1) until follow up (day 28)

Summarised per treatment

Incidence of clinically significant vital signs abnormalitiesOver 21 days of dosing

Summarised per treatment

Trial Locations

Locations (37)

Galen Clinic

🇵🇱

Lublin, Poland

Centrum Medyczne Neuro Protect

🇵🇱

Warsaw, Poland

Profound Research LLC

🇺🇸

Carlsbad, California, United States

University of Colorado Neuromuscular Division

🇺🇸

Aurora, Colorado, United States

University of California Irvine Medical Center

🇺🇸

Irvine, California, United States

SFM Clinical Research, LLC

🇺🇸

Boca Raton, Florida, United States

NextGen Precision Health

🇺🇸

Columbia, Missouri, United States

University of Oregon

🇺🇸

Portland, Oregon, United States

Neuromuscular Research Division | University of South Florida

🇺🇸

Tampa, Florida, United States

Augusta University, Neuroscience Center

🇺🇸

Augusta, Georgia, United States

The University of North Carolina at Chapel Hill

🇺🇸

Chapel Hill, North Carolina, United States

Semmes Murphey Clinic

🇺🇸

Memphis, Tennessee, United States

UZ Leuven

🇧🇪

Leuven, Belgium

Centre de Référence des Maladies Neuromusculaires et de la SLA

🇫🇷

Marseille, France

LTD David Tatishvili Health Center

🇬🇪

Tbilisi, Georgia

Ltd New Hospitals

🇬🇪

Tbilisi, Georgia

Aarhus University Hospital

🇩🇰

Aarhus, Denmark

Rigshospitalet University of Copenhagen

🇩🇰

Copenhagen, Denmark

Centre de référence des maladies neuromusculaires AOC-CHU de Bordeaux - Hôpital Pellegrin

🇫🇷

Bordeaux, France

ASST Papa Giovanni XXIII (Azienda Ospedaliera Papa Giovanni XXIII)

🇮🇹

Bergamo, Italy

Centre Hospitalier Universitaire de Nantes - Hôtel Dieu Centre de Référence des Maladies Neuromusculaires Rares -

🇫🇷

Nantes, France

Unité de Recherche Clinique NeuroSciences

🇫🇷

Nice, France

JSC Curatio

🇬🇪

Tbilisi, Georgia

IRCCS Istituo delle Scienze neurologiche di Bologna, UOC Clinica neurologica Ospedale

🇮🇹

Bologna, Italy

IRCCS Ospedale Policlinico San Martino

🇮🇹

Genova, Italy

IRCCS Fondazione Istituto Neurologico Carlo Besta, Dipartimento di Ricerca e Sviluppo clinico

🇮🇹

Milano, Italy

DIMER, IRCCS, Ospedale San Raffaele

🇮🇹

Milano, Italy

Azienda Ospedaliera Sant'Andrea - Universita di Roma La Sapienza

🇮🇹

Roma, Italy

Leiden Universitair Medisch Centrum (LUMC)

🇳🇱

Leiden, Netherlands

Neurologia Śląska Centrum Medyczne

🇵🇱

Katowice, Poland

Centro Sclerosi Multipla Napoli - AOU Vanvitelli

🇮🇹

Napoli, Italy

AOU Pisana

🇮🇹

Pisa, Italy

Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie sp.z o.o

🇵🇱

Kraków, Poland

Centrum Medyczne Hope Clinic

🇵🇱

Lublin, Poland

University Clinical Center of Serbia, Neurology Clinic

🇷🇸

Belgrad, Serbia

University Clinical Center Nis, Neurology Clinic

🇷🇸

Niš, Serbia

Hospìtal Universitari Vall d'Hebrón

🇪🇸

Barcelona, Spain

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