NCT05737160

Brief Summary

The purpose of this study is to evaluate the efficacy and safety of Telitacicept in the treatment of patients with generalized myasthenia gravis.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
114

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Mar 2023

Geographic Reach
1 country

51 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 12, 2023

Completed
9 days until next milestone

First Posted

Study publicly available on registry

February 21, 2023

Completed
1 month until next milestone

Study Start

First participant enrolled

March 28, 2023

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 26, 2024

Completed
16 days until next milestone

Study Completion

Last participant's last visit for all outcomes

December 12, 2024

Completed
Last Updated

May 23, 2025

Status Verified

October 1, 2024

Enrollment Period

1.7 years

First QC Date

February 12, 2023

Last Update Submit

May 19, 2025

Conditions

Keywords

Myasthenia GravisAutoimmune DiseasesMuscle Weakness

Outcome Measures

Primary Outcomes (1)

  • Change from baseline in MG-ADL

    The MG-ADL is an 8-item patient-reported scale that measures MG symptoms and functional status. Each item ranges from 0 to 3 for a total score range of 0 to 24.

    Week 24

Secondary Outcomes (4)

  • Change from baseline in MG-ADL

    Weeks12, 36, 48

  • Change from baseline in QMG

    Weeks 12, 24, 36, 48

  • Proportion of subjects with ≥ 3 points reduction from baseline in MG-ADL

    Weeks 24, 48

  • Proportion of subjects with a decrease of ≥ 5 points from baseline in QMG

    Weeks 24, 48

Study Arms (2)

Telitacicept

EXPERIMENTAL

Participants will receive subcutaneous Telitacicept 240 mg once a week for a total of 48 doses in addition to MG SoC.

Biological: Telitacicept

Placebo

PLACEBO COMPARATOR

Participants will receive subcutaneous placebo once a week for a total of 24 doses (part A) and then weekly subcutaneous Telitacicept 240 mg for 24 doses (part B) in addition to MG SoC.

Drug: Placebo

Interventions

TelitaciceptBIOLOGICAL

Administered as an SC infusion

Also known as: RC18
Telitacicept

Administered as an SC infusion

Placebo

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Written informed consent provided;
  • Male or female patients aged 18-80 years;
  • Diagnosis with generalized myasthenia gravis;
  • MGFA Class II, III, or IVa;
  • AChR-Ab or MuSK-Ab positive;
  • A total MG-ADL score of ≥ 6 with less than 50% of the total score due to ocular symptoms;
  • QMG ≥ 8, with ≥ 4 items score at least 2;
  • Have been on a stable MG SoC regimen.

You may not qualify if:

  • Patients with autoimmune diseases other than MG;
  • Abnormal laboratory results;
  • Use of immunosuppressants other than standard therapy within 1 month before randomization;
  • Use of biologic agents targeting therapy, such as Rituximab or complement C5 inhibitors, within 6 months before randomization;
  • Use of neonatal Fc receptor (FcRn) antagonists, intravenous immunoglobulin (IVIg), or plasmapheresis within 2 months before randomization;
  • Significant cardiovascular disease, liver, kidney, respiratory, endocrine or hematologic disease, or other medical conditions that, in the opinion of the investigator, would preclude the subject's participation in the study or require hospitalization during the study;
  • Acute or chronic infection requiring treatment;
  • Current active hepatitis;
  • HIV antibody positive;
  • Patients currently suffering from thymoma-associated immunodeficiency syndrome (Good's syndrome) or who underwent thymectomy within 6 months before screening;
  • Received or plan to receive any live vaccine within 3 months prior to randomization;
  • Patients with malignant tumors;
  • Allergy to biological products of human origin;
  • Participation in any clinical trial 28 days prior to randomization or within 5 times the half-life of an investigational drug (whichever is longer);
  • Pregnant or lactating women, and those intending to become pregnant during the trial;
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (51)

The First Affiliated Hospital of Bengbu Medical College

Bengbu, Anhui, China

Location

Anhui Provincial Hospital

Hefei, Anhui, China

Location

Beijing Hospital

Beijing, Beijing Municipality, China

Location

Xuanwu Hospital of Capital Medical University

Beijing, Beijing Municipality, China

Location

Fujian Medical University Union Hospital

Fuzhou, Fujian, China

Location

Lanzhou University Second Hospital

Lanzhou, Gansu, China

Location

The First Affiliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, China

Location

Affiliated Hospital of Zunyi Medical University

Zunyi, Guizhou, China

Location

The Second Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Location

The Second Affiliated Hospital of Harbin Medical University

Harbin, Heilongjiang, China

Location

Nanyang First People's Hospital

Nanyang, Henan, China

Location

Henan Provincial People's Hospital

Zhengzhou, Henan, China

Location

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Location

Renmin Hospital of Wuhan University

Wuhan, Hubei, China

Location

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Location

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Location

Wuhan Hospital of Traditional Chinese and Western Medicine (Wuhan No.1 Hospital)

Wuhan, Hubei, China

Location

Zhongnan Hospital of Wuhan University

Wuhan, Hubei, China

Location

Third Xiangya Hospital of Central South University

Changsha, Hunan, China

Location

Xiangya Hospital of Central South University

Changsha, Hunan, China

Location

Inner Mongolia Autonomous Region People's Hospital

Hohhot, Inner Mongolia, China

Location

Nanjing First Hospital

Nanjing, Jiangsu, China

Location

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Location

Jiangxi Provincial People's Hospital

Nanchang, Jiangxi, China

Location

China-Japan Union Hospital of Jilin University

Changchun, Jilin, China

Location

The First Hospital of Jilin University

Changchun, Jilin, China

Location

Dalian Municipal Central Hospital

Dalian, Liaoning, China

Location

The First Affiliated Hospital of Dalian Medical University

Dalian, Liaoning, China

Location

The Second Affiliated Hospital of Dalian Medical University

Dalian, Liaoning, China

Location

The First Affiliated Hospital of Jinzhou Medical University

Jinzhou, Liaoning, China

Location

Shengjing Hospital Affiliated to China Medical University

Shenyang, Liaoning, China

Location

The First Hospital of China Medical University

Shenyang, Liaoning, China

Location

The People's Hospital of Liaoning Province

Shenyang, Liaoning, China

Location

The Second Affiliated Hospital of PLA Air Force Military Medical University

Xi'an, Shaanxi, China

Location

Xi'an Hi-tech Hospital

Xi'an, Shaanxi, China

Location

Xianyang Hospital of Yan'an University

Xianyang, Shaanxi, China

Location

Qilu Hospital of Shandong University

Jinan, Shandong, China

Location

Jining No.1 People's Hospital

Jining, Shandong, China

Location

Huashan Hospital Affiliated to Fudan University

Shanghai, Shanghai Municipality, China

Location

Shanxi Bethune Hospital

Taiyuan, Shanxi, China

Location

Shanxi Provincial People's Hospital

Taiyuan, Shanxi, China

Location

The First Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Location

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Location

Affiliated Hospital of North Sichuan Medical College

Nanchong, Sichuan, China

Location

First Affiliated Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, China

Location

The First Affiliated Hospital of Kunming Medical University

Kunming, Yunnan, China

Location

The First People's Hospital of Yunnan Province

Kunming, Yunnan, China

Location

The Second Affiliated Hospital of Kunming Medical University

Kunming, Yunnan, China

Location

Sir Run Run Shaw Hospital, affiliated with to Zhejiang University College of Medicine

Hangzhou, Zhejiang, China

Location

Zhejiang Provincial People's Hospital

Hangzhou, Zhejiang, China

Location

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Location

MeSH Terms

Conditions

Myasthenia GravisAutoimmune DiseasesMuscle Weakness

Interventions

telitacicept

Condition Hierarchy (Ancestors)

Paraneoplastic Syndromes, Nervous SystemNervous System NeoplasmsNeoplasms by SiteNeoplasmsParaneoplastic SyndromesAutoimmune Diseases of the Nervous SystemNervous System DiseasesNeurodegenerative DiseasesNeuromuscular Junction DiseasesNeuromuscular DiseasesImmune System DiseasesMuscular DiseasesMusculoskeletal DiseasesNeuromuscular ManifestationsNeurologic ManifestationsPathologic ProcessesPathological Conditions, Signs and SymptomsSigns and Symptoms

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 12, 2023

First Posted

February 21, 2023

Study Start

March 28, 2023

Primary Completion

November 26, 2024

Study Completion

December 12, 2024

Last Updated

May 23, 2025

Record last verified: 2024-10

Locations