Status:

COMPLETED

Subcutaneous Immunoglobulin for Myasthenia Gravis

Lead Sponsor:

University Health Network, Toronto

Conditions:

Myasthenia Gravis

Eligibility:

All Genders

18-100 years

Phase:

PHASE2

Brief Summary

This is a prospective open-label, randomized, parallel arm clinical trial. The primary objective of the study is to evaluate the safety and efficacy of Cuvitru 20% subcutaneous immunoglobulin in pati...

Detailed Description

Myasthenia gravis (MG) is an autoimmune neuromuscular condition which can cause fatigable weakness of skeletal muscles including bulbar, ocular, limb, axial and respiratory muscles. Symptoms range fro...

Eligibility Criteria

Inclusion

  • Patients over age 18
  • Patients with a confirmed diagnosis of myasthenia gravis based on clinical criteria including fatiguable weakness and supported by either serological (acetylcholine receptor, muscle specific kinase or anti-low-density lipoprotein receptor- related protein 4 antibodies or electrophysiological testing (repetitive nerve stimulation of single fiber electromyography)
  • Myasthenia Gravis Federation of America class II-IV
  • Moderate to severe myasthenia gravis as defined by a quantitative myasthenia gravis score \>10 or generalized myasthenia gravis impairment index score \> 11
  • Patient able to give consent and is able and willing to complete all study procedures and activities

Exclusion

  • Patients who are pregnant or breastfeeding
  • Patients not able to complete the study procedures or with an alternate diagnosis
  • Patients with recent thymectomy in the past 6 months
  • Patients receiving another biologic agent such as rituximab, belimubab, cyclophosphamide and eculizumab in the past 6 months prior to study entry
  • No IVIG or subcutaneous immunoglobulin within the past month
  • Patients on prednisone who have had alterations in prednisone dose over the past month prior to study entry
  • Patients will previous known allergy or severe adverse reaction to intravenous or subcutaneous immunoglobulin
  • Evidence of renal insufficiency (Cr\>1.5 x elevated) or liver disease (transaminases \> 2.5 x elevation) at screening.

Key Trial Info

Start Date :

August 28 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 30 2023

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT04728425

Start Date

August 28 2020

End Date

December 30 2023

Last Update

April 27 2025

Active Locations (1)

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1

University Health Network

Toronto, Ontario, Canada, M5G 2C4