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HIPAA Compliant
ISO 27001 Certified

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

Research Team

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Study Contact

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