Actively Recruiting

Phase 2
Phase 3
Age: 2Years - 17Years
All Genders
ID05265273

An Open-Label Study of Nipocalimab in Children Aged 2 to Less Than 18 Years With Generalized Myasthenia Gravis to Evaluate Pharmacokinetics, Safety, and Activity

Led by Janssen Research & Development, LLC · Updated on 2026-03-13

12

Participants Needed

19

Research Sites

157 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying the effects of nipocalimab, a drug given by IV infusion, on children and adolescents aged 2 to less than 18 years who have generalized myasthenia gravis (gMG) and have not responded sufficiently to standard treatments. The study aims to assess the safety, tolerability, and how nipocalimab behaves in the body, including its impact on total serum immunoglobulin G (IgG) levels. The study is open-label and uncontrolled, focusing on pediatric patients with this condition globally, and specifically for ages 8 to less than 18 years at US sites. Participants are divided into two groups based on age: children aged 2 to less than 12 years and adolescents aged 12 to less than 18 years. They will receive nipocalimab once every two weeks for 24 weeks. After completing the 24-week treatment, participants have the option to join a long-term extension (LTE) to continue receiving the drug. The study tracks various outcomes including IgG levels, safety events, and drug pharmacokinetics over a period of up to three years. During the study, participants will undergo regular blood tests and clinical evaluations to monitor IgG levels, adverse events, and other health markers. Researchers will also assess changes in muscle strength, quality of life, fatigue, and overall disease severity using various scores and questionnaires. Safety will be closely monitored through laboratory tests, vital signs, physical exams, and recording of any adverse events. The study duration includes up to three years of follow-up to evaluate long-term effects and immune responses to the medication.

CONDITIONS

Brief Title

A Study of Nipocalimab in Children Aged 2 to Less Than 18 Years With Generalized Myasthenia Gravis

Who Can Participate

Age: 2Years - 17Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • For US sites only: age 8 to less than 18 years
  • Diagnosis of generalized myasthenia gravis (MGFA Class IIa/b, IIIa/b, or IVa/b)
  • Positive test for acetylcholine receptor (anti-AChR) or muscle-specific tyrosine kinase (anti-MuSK) antibodies
  • Use of stable doses of herbal, naturopathic, traditional remedies, supplements, or prescribed medical marijuana allowed
  • Sufficient venous access for infusion and blood sampling
  • Body weight and BMI between 5th and 95th percentile for age and sex; others allowed with medical clearance
  • Negative pregnancy tests for females of childbearing potential at screening and before first dose
Not Eligible

You will not qualify if you...

  • History of severe or uncontrolled liver, gastrointestinal, kidney, lung, heart, psychiatric, neurological, musculoskeletal, or other major medical disorders
  • Risk factors for thrombosis events or significant coagulation disorders
  • Clinical immunodeficiency syndrome not related to MG treatment or family history of hereditary immunodeficiency without confirmation of absence
  • Thymectomy within 12 months prior to screening or planned during active treatment phase
  • Previous severe immediate hypersensitivity reaction to therapeutic proteins
  • Myocardial infarction, unstable ischemic heart disease, or stroke within 12 weeks of screening

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.

screening and enrollment visit

Treatment

Duration - 24 weeks

Participants receive Nipocalimab as an IV infusion once every two weeks for 24 weeks.

Biweekly visits for infusions during 24 weeks

Follow-up

Duration - Up to 3 years

Participants have the option to enroll in a long-term extension study after Week 24 for continued monitoring.

Visits as scheduled during long-term extension

Trial Site Locations

Total: 19 locations

1

Phoenix Children's Hospital

Phoenix, Arizona, United States, 85016

Actively Recruiting

2

Childrens Hospital Los Angeles

Los Angeles, California, United States, 90027

Actively Recruiting

3

Lucile Packard Children's Hospital Stanford

Palo Alto, California, United States, 94304

Actively Recruiting

4

UCSF Benioff Children's Hospital

San Francisco, California, United States, 94158

Actively Recruiting

5

Children's Hospital Colorado

Aurora, Colorado, United States, 80045

Actively Recruiting

6

University of South Florida Morsani Center for Advanced Healthcare

Tampa, Florida, United States, 33613

Actively Recruiting

7

University of Kansas Medical Center

Lawrence, Kansas, United States, 66045

Completed

8

C.S. Mott Children's Hospital

Ann Arbor, Michigan, United States, 48109

Actively Recruiting

9

Penn State Milton S Hershey Medical Ctr

Hershey, Pennsylvania, United States, 17033

Actively Recruiting

10

Childrens Hospital Of Philadelphia

Philadelphia, Pennsylvania, United States, 19106

Actively Recruiting

11

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States, 15224

Terminated

12

Nagano Children's Hospital

Azumino-shi, Japan, 399-8288

Actively Recruiting

13

Chiba University Hospital

Chiba, Japan, 260 8677

Completed

14

University of Miyazaki Hospital

Miyazaki, Japan, 889-1692

Actively Recruiting

15

Hyogo College of Medicine Hospital

Nishinomiya-Shi, Japan, 663-8501

Actively Recruiting

16

Saitama Prefecture Children's Medical Center

Saitama Shi, Japan, 330-8777

Actively Recruiting

17

Tokyo Women's Medical University Hospital

Shinjuku-ku, Japan, 162-8666

Actively Recruiting

18

Leiden University Medical Center

Leiden, Netherlands, 2333 ZA

Actively Recruiting

19

Uniwersyteckie Centrum Kliniczne

Gdansk, Poland, 80 211

Actively Recruiting

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Research Team

S

Study Contact

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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