E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Generalized Myasthenia Gravis |
Miastenia Gravis Generalizada |
|
E.1.1.1 | Medical condition in easily understood language |
Generalized Myasthenia Gravis |
Miastenia Gravis Generalizada |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10028417 |
E.1.2 | Term | Myasthenia gravis |
E.1.2 | System Organ Class | 10029205 - Nervous system disorders |
|
E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess the efficacy of ALXN1720 compared with placebo in the treatment of gMG based on change in MG-ADL total score |
Evaluar la eficacia de ALXN1720 en comparación con placebo en el tratamiento de la gMG a partir del cambio en la puntuación total de MG-ADL |
|
E.2.2 | Secondary objectives of the trial |
To assess the efficacy of ALXN1720 compared with placebo in the treatment of gMG based on change in QMG total score |
Evaluar la eficacia de ALXN1720 en comparación con placebo en el tratamiento de la gMG a partir del cambio en la puntuación total de QMG |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Must be ≥ 18 years of age at the time of signing the informed consent - Diagnosis of MG with generalized muscle weakness meeting the clinical criteria defined by Myasthenia Gravis Foundation of America (MGFA) Class II, III or IV - Positive serological test for autoantibodies against AChR. |
- Debe ser ≥18 años en el momento de firmar el consentimiento informado - Diagnóstico de MG con debilidad muscular generalizada que cumple con los criterios clínicos definidos por la Fundación de Miastenia Gravis de los EE. UU. (Myasthenia Gravis Foundation of America, MGFA) Clase II, III o IV - Prueba serológica positiva para autoanticuerpos contra AChR. |
|
E.4 | Principal exclusion criteria |
- History of thymectomy or any other thymic surgery within 12 months prior to Screening - Untreated thymic malignancy, carcinoma, or thymoma - History of Neisseria meningitidis infection - Pregnancy, breastfeeding, or intention to conceive during the course of the study. |
- Antecedentes de timectomía o cualquier otra cirugía tímica en los 12 meses anteriores a la selección - Neoplasia tímica maligna, carcinoma o timoma no tratados - Antecedentes de infección por Neisseria meningitidis - Embarazo, lactancia o intención de concebir durante el transcurso del estudio |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Change From Baseline in Myasthenia Gravis-Activities of Daily Living (MG-ADL) Total Score at Week 26 |
Cambio desde el inicio en la miastenia gravis-Actividades de la vida diaria (MG-ADL) Puntuación total en la semana 26 |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
At Week 26 |
En la semana 26 |
|
E.5.2 | Secondary end point(s) |
- Change From Baseline in Quantitative Myasthenia Gravis (QMG) Total Score at Week 26
-Percentage of Responders Based on Reduction of the MG-ADL Total Score at Week 26
-Percentage of Responders based on Reduction of the QMG Total Score at Week 26
- Change From Baseline in Myasthenia Gravis Composite (MGC) Total Score at Week 26 |
- Cambio con respecto al inicio en la puntuación total de la miastenia gravis cuantitativa (Quantitative Myasthenia Gravis, QMG) en la semana 26
- Porcentaje de pacientes que responden al tratamiento a partir de la reducción de la puntuación total de MG-ADL en la semana 26
- Porcentaje de pacientes que responden al tratamiento a partir de la reducción de la puntuación total de QMG en la semana 26
- Cambio con respecto al inicio en la puntuación total de la miastenia gravis mixta (Myasthenia Gravis Composite, MGC) en la semana 26 |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
At week 26 |
En la semana 26 |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 10 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 65 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Argentina |
Australia |
Brazil |
Canada |
China |
Israel |
Japan |
Korea, Republic of |
Taiwan |
United States |
Austria |
France |
Poland |
Netherlands |
Spain |
Switzerland |
Czechia |
Germany |
Italy |
Belgium |
Denmark |
Hungary |
Portugal |
Serbia |
Turkey |
United Kingdom |
|
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
The end of the study is defined as the date of the last visit of the last participant in the study, or the last scheduled procedure shown in the SoAs for the last participant in the study. |
El final del estudio se define como la fecha de la última visita del último participante en el estudio, o el último procedimiento programado que se muestra en los CdA para el último participante en el estudio. |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 4 |
E.8.9.1 | In the Member State concerned months | 8 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 4 |
E.8.9.2 | In all countries concerned by the trial months | 8 |
E.8.9.2 | In all countries concerned by the trial days | 0 |