A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability, and Preliminary Efficacy of RA101495 in Subjects With Generalized Myasthenia Gravis
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 45
- 试验地点
- 30
- 主要终点
- Main Portion: Change From Baseline to Week 12 in Quantitative Myasthenia Gravis (QMG) Score
研究概览
简要总结
The purpose of the study is to evaluate the safety and efficacy of RA101495 in patients with generalized Myasthenia Gravis (gMG). Subjects will be randomized in a 1:1:1 ratio to receive daily SC doses of 0.1 mg/kg RA101495, 0.3 mg/kg RA101495, or matching placebo for 12 weeks.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 85 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of gMG [Myasthenia Gravis Foundation of America (MGFA) Class II-IVa] at Screening
- •Positive serology for acetylcholine receptor (AChR) autoantibodies
- •QMG score ≥ 12 at Screening and Randomization
- •No change in corticosteroid dose for at least 30 days prior to Randomization or anticipated to occur during the 12-week Treatment Period
- •No change in immunosuppressive therapy, including dose, for at least 30 days prior to Randomization or anticipated to occur during the 12-week Treatment Period
排除标准
- •Thymectomy within 6 months prior to Randomization or scheduled to occur during the 12 week Treatment Period
- •History of meningococcal disease
- •Current or recent systemic infection within 2 weeks prior to Randomization or infection requiring intravenous (IV) antibiotics within 4 weeks prior to Randomization
研究组 & 干预措施
0.1 mg/kg zilucoplan (RA101495)
干预措施: zilucoplan (RA101495) (Drug)
0.3 mg/kg zilucoplan (RA101495)
干预措施: zilucoplan (RA101495) (Drug)
Placebo
干预措施: Placebo (Drug)
结局指标
主要结局
Main Portion: Change From Baseline to Week 12 in Quantitative Myasthenia Gravis (QMG) Score
时间窗: From Baseline to Week 12
The QMG is a standardized and validated quantitative strength scoring system that was developed specifically for myasthenia gravis (MG). The scale consists of 13 individual assessments, each scored on a 0-3 point scale (i.e., 0=none, 1=mild, 2=moderate, and 3=severe). The total score is the sum of the individual scores with a range of 0-39. Higher scores are representative of more severe impairment.
次要结局
- Main Portion: Change From Baseline to Week 12 in the Myasthenia Gravis - Activities of Daily Living (MG-ADL) Scale(From Baseline to Week 12)
- Main Portion: Change From Baseline to Week 12 in the Myasthenia Gravis - Quality of Life 15r (MG-QOL15r) Survey(From Baseline to Week 12)
- Main Portion: Change From Baseline to Week 12 in the MG Composite Scale Total Score(From Baseline to Week 12)
- Main Portion: Percentage of Participants With >= 3-point Reduction in QMG Total Score at Week 12(Week 12)
- Main Portion: Percentage of Participants Who Required Rescue Therapy Over the 12-week Treatment Period(Up to Week 12)
- Main Portion: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)(From Baseline to Week 12)
- Main Portion: Change From Baseline in Sheep Red Blood Cell (sRBC) Lysis Assay at Week 12 (Pre-dose)(Baseline and Week 12 (Pre-dose))
- Main Portion: Change From Baseline in C5 Levels at Week 12 (Pre-dose)(Baseline and Week 12 (Pre-dose))
- Main Portion: Plasma Concentration of RA101495 and Its Major Metabolites(1, 3 and 6 hours postdose on Day 1; Pre-dose on Week 1, 2, 4, 8 and 12)
- Main Portion: Maximum Plasma Concentration (Cmax) on Day 1(Pre-dose, 1, 3 and 6 hours postdose on Day 1)
- Main Portion: Time Corresponding to Cmax (Tmax) on Day 1(Pre-dose, 1, 3 and 6 hours postdose on Day 1)
- Main Portion: Metabolites (RA102758 and RA103488) to Parent Ratio(Pre-dose, 1, 3 and 6 hours postdose on Day 1; Pre-dose on Week 1, 2, 4, 8 and 12)
