Actively Recruiting
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
Eligibility Criteria
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
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
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
screening and enrollment visit
Duration - 24 weeks
Participants receive Nipocalimab as an IV infusion once every two weeks for 24 weeks.
Biweekly visits for infusions during 24 weeks
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
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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