Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics of Nipocalimab Administered to Adults With Generalized Myasthenia Gravis
Led by Janssen Research & Development, LLC · Updated on 2026-03-03
199
Participants Needed
112
Research Sites
280 weeks
Total Duration
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AI-Summary
Brief Title
Who Can Participate
AI-Screening
Your Study Journey
Trial Site Locations
Research Team
How is the study designed?
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Frequently Asked Questions
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AI-Summary
What this Trial Is About
Researchers are evaluating the effectiveness and safety of nipocalimab compared to a placebo in adults with generalized myasthenia gravis (gMG), a condition causing muscle weakness. The study also includes a sub-study to compare how nipocalimab works when given as a subcutaneous injection versus an intravenous infusion. This is a Phase 3, randomized, double-blind, placebo-controlled trial sponsored by Janssen Research & Development, LLC.
Participants receive nipocalimab through intravenous infusions every two weeks for up to 24 weeks during the double-blind phase. Those who complete this phase may enter an open-label extension (OLE) to continue receiving nipocalimab either by intravenous infusion every two weeks or by subcutaneous injection once weekly for up to 8 weeks, with an option to continue the subcutaneous treatment in a long-term extension period.
During the study, participants will be monitored through various assessments including the Myasthenia Gravis - Activities of Daily Living (MG-ADL) score, Quantitative Myasthenia Gravis (QMG) score, and patient-reported quality of life scales. Researchers will also track safety measures such as adverse events, vital signs, and laboratory values over the entire study period, which may last up to nearly five years. The study will measure changes from baseline in these scores at multiple points to evaluate the drug's impact and safety.
CONDITIONS
Brief Title
A Study of Nipocalimab Administered to Adults With Generalized Myasthenia Gravis
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
Diagnosis of generalized myasthenia gravis (gMG) with muscle weakness classified as MGFA Class II a/b, III a/b, or IVa/b at screening
Myasthenia Gravis - Activities of Daily Living (MG-ADL) score of 6 or higher at screening and baseline
Sufficient venous access to allow drug infusion and blood sampling
Women of childbearing potential must have a negative serum pregnancy test at screening and urine pregnancy test on Day 1 before treatment
Male participants must agree not to donate sperm during the study and for 90 days after the last dose
For subcutaneous substudy participants: have reasonable abdominal skin area for injection
For subcutaneous substudy participants: willing to maintain stable corticosteroid or immunosuppressant doses for 8 weeks
You will not qualify if you...
Confirmed or suspected clinical immunodeficiency unrelated to gMG treatment, or family history of congenital immunodeficiency unless ruled out in participant
MGFA Class I disease, MG crisis at screening or within 1 month prior, or fixed/burnt out MG
Thymectomy within 12 months before screening or planned during study
Known allergies or intolerance to nipocalimab or its ingredients
Recent myocardial infarction, unstable heart disease, or stroke within 12 weeks before screening
For subcutaneous substudy Cohort 1: recent tapering of MG medication in open-label extension or clinical deterioration before dosing
For subcutaneous substudy Cohort 2: history of unprovoked pulmonary embolism within 1 year or recurrent deep vein thrombosis
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Up to 24 weeks
Participants receive nipocalimab or placebo intravenous (IV) infusions once every 2 weeks up to 24 weeks during the double-blind placebo-controlled phase.
Infusions every 2 weeks during treatment
Treatment
Duration - Up to 8 weeks for subcutaneous substudy; longer for open-label extension
Participants in the open-label extension phase may continue receiving nipocalimab IV infusions every 2 weeks or receive nipocalimab subcutaneous liquid (SC-LIV) once weekly for 8 weeks in the subcutaneous substudy.
Weekly visits for up to 8 weeks for subcutaneous substudy; biweekly visits for IV infusions in open-label extension
Long-term Monitoring
Duration - Until study end (up to approximately 4 years 9 months)
Participants who complete the subcutaneous substudy may continue receiving nipocalimab SC-LIV weekly in a long-term extension period for ongoing monitoring and treatment.
Weekly visits continuing in long-term extension
Trial Site Locations
Total: 112 locations
1
Neuromuscular Research Center and Clinic
Paradise Valley, Arizona, United States, 85028
Actively Recruiting
2
HonorHealth Neurology
Scottsdale, Arizona, United States, 85251
Completed
3
University of Southern California
Los Angeles, California, United States, 90033
Completed
4
Stanford University
Palo Alto, California, United States, 94304
Completed
5
Care Access Research
Pasadena, California, United States, 91101
Actively Recruiting
6
University of Colorado Anschutz Medical Campus
Aurora, Colorado, United States, 80045
Actively Recruiting
7
Yale New Haven Hospital
New Haven, Connecticut, United States, 06519
Actively Recruiting
8
FM Clinical Research, LLC South Florida Neurology Associates, P. A.
Boca Raton, Florida, United States, 33487
Actively Recruiting
9
University of Florida Health Jacksonville
Jacksonville, Florida, United States, 32209
Completed
10
Medsol Clinical Research Center Inc
Port Charlotte, Florida, United States, 33952
Actively Recruiting
11
University of South Florida
Tampa, Florida, United States, 33612
Actively Recruiting
12
Augusta University
Augusta, Georgia, United States, 30912-3125
Completed
13
University of Kansas Medical Center
Kansas City, Kansas, United States, 66160
Actively Recruiting
14
St. Elizabeth Medical Center
Boston, Massachusetts, United States, 02135
Completed
15
Lahey Hospital & Medical Center
Burlington, Massachusetts, United States, 01805
Completed
16
Washington University School Of Medicine
St Louis, Missouri, United States, 63110
Completed
17
Duke University School of Medicine
Durham, North Carolina, United States, 27710
Actively Recruiting
18
University of Cincinnati
Cincinnati, Ohio, United States, 45219
Completed
19
Cleveland Clinic
Cleveland, Ohio, United States, 44145
Actively Recruiting
20
The Ohio State University
Columbus, Ohio, United States, 43210
Completed
21
Medical University of South Carolina
Charleston, South Carolina, United States, 29425
Actively Recruiting
22
Wesley Neurology
Cordova, Tennessee, United States, 38018
Completed
23
UT Southwestern Medical Center
Dallas, Texas, United States, 75390
Completed
24
University of Vermont
Burlington, Vermont, United States, 05401
Completed
25
Melbourne Neurology Group
North Melbourne, Australia, 3051
Completed
26
Gold Coast University Hospital
Southport, Australia, 4215
Actively Recruiting
27
ULB Hôpital Erasme
Anderlecht, Belgium, 1070
Actively Recruiting
28
AZ Sint Jan Brugge Oostende AV
Bruges, Belgium, 8000
Actively Recruiting
29
Cliniques Universitaires Saint Luc
Brussels, Belgium, 1200
Actively Recruiting
30
AZ Sint-Lucas
Ghent, Belgium, 9000
Actively Recruiting
31
University Hospitals Leuven
Leuven, Belgium, 3000
Actively Recruiting
32
The Ottawa Hospital Research Institute
Ottawa, Ontario, Canada, K1Y 4E9
Actively Recruiting
33
Toronto General Hospital
Toronto, Ontario, Canada, M5G 2C4
Actively Recruiting
34
McGill University
Montreal, Quebec, Canada, H3A 2B4
Completed
35
Beijing Tiantan Hospital, Capital Medical University
Beijing, China, 100050
Actively Recruiting
36
Xuanwu Hospital ,Capital Medical University
Beijing, China, 100053
Completed
37
Beijing Hospital
Beijing, China, 100730
Actively Recruiting
38
The First Bethune Hospital of Jilin University
Changchun, China, 130021
Actively Recruiting
39
Xiangya Hospital Central South University
Changsha, China, 410008
Actively Recruiting
40
West China Hospital of Sichuan University
Chengdu, China, 610041
Completed
41
Fujian Medical University Union Hospital
Fuzhou, China, 350001
Completed
42
The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine
Guangzhou, China, 510405
Actively Recruiting
43
Sir Run Run Shaw Hospital Zhejiang University School of Medicine
Hangzhou, China, 310020
Completed
44
Qianfoshan hospital of Shandong Province
Jinan, China, 250014
Actively Recruiting
45
Qilu Hospital of Shandong University
Jinan, China, 250014
Completed
46
Huashan Hospital Fudan University
Shanghai, China, 200040
Actively Recruiting
47
Tianjin Medical University General Hospital
Tianjin, China, 300052
Actively Recruiting
48
The Second Affiliated Hospital of Air Force Medical University - Tangdu Hospital
Effect of nipocalimab on IgG responses to vaccinations and viral infections in patients with IgG autoantibody-mediated diseases: Post hoc analyses of three randomized, placebo-controlled trials.
Safety and efficacy of nipocalimab in adults with generalised myasthenia gravis (Vivacity-MG3): a phase 3, randomised, double-blind, placebo-controlled study.