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临床试验/NCT03896295
NCT03896295终止2 期

An Open-label Extension Study of MOM-M281-004 to Evaluate the Safety, Tolerability, and Efficacy of M281 Administered to Patients With Generalized Myasthenia Gravis

Momenta Pharmaceuticals, Inc.1 个研究点 分布在 1 个国家目标入组 37 人开始时间: 2019年8月6日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
终止
入组人数
37
试验地点
1
主要终点
Number of Participants With Treatment-emergent Adverse Events (TEAEs)

研究概览

简要总结

The purpose of this study is to evaluate the long-term safety and tolerability of M281 in participants with generalized myasthenia gravis (gMG)

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 未提供

排除标准

  • 未提供

研究组 & 干预措施

M281

Experimental

干预措施: M281 (Drug)

结局指标

主要结局

Number of Participants With Treatment-emergent Adverse Events (TEAEs)

时间窗: Up to 257 days post-baseline (Baseline is Day 1)

Number of participants with TEAEs were reported. An adverse event (AE) is any untoward medical event that occurs in a participant administered an investigational product and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAEs are defined as any AE occurring during or after the initiation of the first infusion of study drug in this study.

Number of Participants With Serious Adverse Events (SAEs)

时间窗: Up to 257 days post-baseline

An adverse event (AE) is any untoward medical event that occurs in a participant administered an investigational product and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. SAE is defined as any AE occurring at any dose that results in any of the following outcomes: death, life-threatening AE, hospitalization or prolongation of existing hospitalization, a persistent or significant disability/incapacity, or a congenital anomaly/birth defect.

Number of Participants With Treatment-emergent Abnormal Vital Signs

时间窗: Up to 257 days post-baseline

Number of participants with treatment-emergent abnormal vital signs including pulse rate (less than or equal to \[\<=\] 50 beats per minutes \[bpm\] with greater than or equal to \[\>=\] 15 bpm decrease from baseline, \>= 120 bpm with \>=15 bpm increase from baseline), systolic blood pressure (SBP) (\<= 90 millimeters of mercury \[mmHg\] with \>= 20 mmHg decrease from baseline, \>= 160 mmHg with \>= 20 mmHg increase from baseline) and diastolic blood pressure (DBP) (\<= 50 mmHg with \>=15 mmHg decrease from baseline, \>=100 mmHg with \>=15 mmHg decrease from baseline) were reported.

Number of Participants With Abnormalities in Physical Examinations

时间窗: Week 12

Number of participants with abnormalities in physical examinations (abdomen, head, ears, eyes, nose, throat, and sinuses, lungs, neurological, skin, blood and lymphatic system, cardiovascular, chest, gastrointestinal, general appearance and musculoskeletal) were reported.

Number of Participants With Treatment-emergent Adverse Events of Special Interest (AESIs)

时间窗: Up to 257 days post-baseline

Number of participants with treatment-emergent AESIs were reported. Severe infections and hypoalbuminemia (Grade 3 or higher according to the Common Terminology Criteria for Adverse Events \[CTCAE\] v5.0) were considered as AESIs.

Change From Baseline in Chemistry Laboratory Parameters: Albumin and Protein

时间窗: Baseline up to Week 12

Change from baseline in chemistry laboratory parameters: albumin and protein were reported.

Change From Baseline in Chemistry Laboratory Parameters: Bicarbonate, Calcium, Chloride, Cholesterol, Glucose, Phosphate, Potassium, Sodium, Triglycerides, Urate and Urea Nitrogen

时间窗: Baseline up to Week 12

Change from baseline in chemistry laboratory parameters: bicarbonate, calcium, chloride, cholesterol, glucose, phosphate, potassium, sodium, triglycerides, urate and urea nitrogen were reported.

Change From Baseline in Chemistry Laboratory Parameters: Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase, Creatine Kinase, Gamma Glutamyl Transferase, Lactate Dehydrogenase

时间窗: Baseline up to Week 12

Change from baseline in chemistry laboratory parameters alanine aminotransferase (ALT), alkaline phosphatase, aspartate aminotransferase (AST), creatine kinase, gamma glutamyl transferase, lactate dehydrogenase were reported.

Change From Baseline in Chemistry Laboratory Parameters: Bilirubin, Creatinine and Direct Bilirubin

时间窗: Baseline up to Week 12

Change from baseline in chemistry laboratory parameters: bilirubin, creatinine and direct bilirubin were reported.

Change From Baseline in Hematology Laboratory Parameter: Hematocrit

时间窗: Baseline up to Week 12

Change from baseline in hematocrit (hematology laboratory parameter) was reported.

Change From Baseline in Hematology Laboratory Parameter: Erythrocytes (Red Blood Cell)

时间窗: Baseline up to Week 12

Change from baseline in erythrocytes (red blood cells) (hematology laboratory parameter) was reported.

Change From Baseline in Hematology Laboratory Parameters: Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, Platelets and Leukocytes

时间窗: Baseline up to Week 12

Change from baseline in hematology laboratory parameters: basophils, eosinophils, lymphocytes, monocytes, neutrophils, platelets and leukocytes were reported.

Change From Baseline in Urinalysis Laboratory Parameter: pH

时间窗: Baseline up to Week 12

Change from baseline in pH (urinalysis laboratory parameter) was reported.

Change From Baseline in Urinalysis Laboratory Parameter: Specific Gravity

时间窗: Baseline up to Week 12

Change from baseline in specific gravity (urinalysis laboratory parameter) was reported.

Number of Participants With Treatment-emergent Abnormal Electrocardiograms (ECG) Values

时间窗: Up to 257 days post-baseline

Number of participants with treatment-emergent abnormal ECG values for variables including mean heart rate (abnormally low refers to less than or equal to \[\<=\] 50 beats per minute \[bpm\], abnormally high refers greater than or equal to \[\>=\] 120 bpm), PR interval (abnormally low refers to \< 120 and abnormally high refers to \>200 milliseconds \[msec\]), RR interval (abnormally low refers to \<600 msec and abnormally high refers to \>1200 msec) and QRS duration (abnormally \> 120) were reported.

Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Hemoglobin (HGB) Concentration

时间窗: Baseline up to Week 12

Change from baseline in erythrocytes mean corpuscular hemoglobin (HGB) concentration (hematology laboratory parameter) were reported.

Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Hemoglobin (HGB)

时间窗: Baseline up to Week 12

Change from baseline in erythrocytes mean corpuscular HGB (hematology laboratory parameter) was reported.

Change From Baseline in Hematology Laboratory Parameter: Hemoglobin

时间窗: Baseline up to Week 12

Change from baseline in hemoglobin (hematology laboratory parameter) was reported.

Change From Baseline in Hematology Laboratory Parameter: Erythrocytes Mean Corpuscular Volume

时间窗: Baseline up to Week 12

Change from baseline in erythrocytes mean corpuscular volume (hematology laboratory parameter) was reported.

Number of Participants With Columbia Suicide Severity Rating Scale (C-SSRS) Scores

时间窗: Up to 257 days post-baseline

Number of participants with C-SSRS scores were reported. C-SSRS is a clinician-administered questionnaire designed to solicit occurrence, severity, and frequency of suicide-related ideation and behaviors. Total score ranges from 1 to 10, score of 0 was assigned (0="no event that can be assessed based on C-SSRS"). Higher total scores indicate greater severity. Maximum score assigned for each participant was summarized into one of 3 categories: no suicidal ideation or behavior (0), suicidal ideation (1 to 5): higher score indicates more suicidal ideation, suicidal behavior (6 to 10): higher score indicates more suicidal behavior. Suicidal ideation includes participants who did not have suicidal ideation or behavior at baseline and had suicidal ideation without behavior at some time point post-baseline. Suicidal behavior includes participants who did not have suicidal ideation or behavior at baseline and had suicidal behavior at some time point post-baseline (baseline=Day 1).

Number of Participants With Below/Above Normal Values of Coagulation Laboratory Parameter

时间窗: Up to 257 days post-baseline

Number of participants with at least one value above upper limit of normal (\>ULN) or below the lower limit of normal (\< LLN) value of coagulation parameters (activated partial thromboplastin time \[APTT\] and prothrombin time \[PT\]) were reported. The lab reference range for APTT is 25.1 to 36.5 seconds. The lab reference range for PT is 9.4 to 12.5 seconds.

次要结局

  • Change From Baseline in Total Myasthenia Gravis - Activities of Daily Living (MG-ADL) Score Over Time(Baseline up to Weeks 4, 8, 12, 24, End of treatment (EoT) (up to 253 days post-baseline), Follow-up (up to 257 days post-baseline))
  • Change From Baseline in Total Quantitative Myasthenia Gravis (QMG) Score Over Time(Baseline up to Weeks 4, 8, 12, 24, End of Treatment (EoT) (up to 253 days post-baseline), Follow-up (up to 257 days post-baseline))
  • Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score Over Time(Weeks 4, 8, 12, 24, End of treatment (EoT) (up to 253 days post-baseline), Follow-up (up to 257 days post-baseline))
  • Change From Baseline in Total Revised Myasthenia Gravis Quality of Life - 15 Scale (MG-QoL15r) Score Over Time(Baseline up to Weeks 4, 8, 12, 24, End of Treatment (EoT) (up to 253 days post-baseline), Follow-up (up to 257 days post-baseline))
  • Number of Participants With Anti-drug Antibodies (ADA) to Nipocalimab(Up to 257 days post-baseline)
  • Number of Participants With Neutralizing Antibodies (NAbs) to Nipocalimab(Up to 257 days post-baseline)
  • Change From Baseline in Serum Immunoglobulin (Ig)G Concentration Over Time(Baseline to Weeks 2, 4, 8, 12, 24, up to 253 days post-baseline, up to 257 days post-baseline)
  • Change From Baseline in Clinical Global Impression of Severity (CGI-S) Rating Score Over Time(Baseline up to Weeks 4, 8, 12, 24, End of Treatment (EoT) (up to 253 days post-baseline), Follow-up (up to 257 days post-baseline))
  • Number of Participants With Change From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification Score Over Time(Weeks 8, 24 and End of Treatment (EoT) (up to 253 days post-baseline))
  • Number of Participants With Improvement of Illness Over Time Based on Clinical Global Impression of Improvement (CGI-I) Scale Score(Weeks 4, 8, 12, 24, End of Treatment (EoT) (up to 253 days post-baseline), Follow-up (up to 257 days post-baseline))

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (1)

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