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Nat Rev Dis Primers. 2017 May 18;3:17028 Choosing to participate in a study is an important personal decision. a Safety and efficacy study of ravulizumab in adults with generalized myasthenia gravis (NCT03920293) Safety and Efficacy Study of Ravulizumab in Adults With Generalized Myasthenia Gravis A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Safety and Efficacy of Ravulizumab in Complement-Inhibitor-Naïve Adult Patients With Generalized Myasthenia Gravis Monoclonal Antibodies Capable of Inhibiting Complement Downstream of C5 in Multiple Species. Information provided by (Responsible Party): The primary purpose of this study is to evaluate the safety and efficacy of ravulizumab for the treatment of participants with generalized myasthenia gravis (gMG). History of thymectomy within the 12 months prior to screening. Like the first-generation C5 inhibitor, eculizumab, ravulizumab binds specifically and with high affinity to the complement protein C5, thereby preventing formation of the terminal complement complex C5b-9, which mediates cell lysis. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. Ravulizumab, which is administered every 8 weeks versus every 2 weeks for eculizumab, has already gained approval for the treatment of paroxysmal nocturnal hemoglobinuria (PNH), and Alexion is studying the drug in patient … Participants will receive placebo during the 26-week randomized-controlled period of the study, after which they will enter the open-label extension period of the study and receive ravulizumab. Ravulizumab-cwvz is currently not FDA approved for use in myasthenia gravis. Use of the following within the time period specified below: To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Safety and Efficacy of Ravulizumab in Complement-Inhibitor-Naïve Adult Patients With Generalized Myasthenia … Epub 2020 Oct 9.  (Clinical Trial), Triple (Participant, Care Provider, Investigator). Sarkar C, Mondal M, Torequl Islam M, Martorell M, Docea AO, Maroyi A, Sharifi-Rad J, Calina D. Front Pharmacol. Documentation of diagnosis of myasthenia gravis with a Myasthenia Gravis Foundation of America (MGFA) Clinical Classification of class II, III, or IV AND 2. Matching, sterile, preservative-free aqueous solution in single-use, 30-mL vial for IV infusion. 2020 Nov 12;15(11):e0241989. Broad-based immunotherapies, such as corticosteroids, azathioprine, mycophenolate, tacrolimus, and cyclosporine, have been effective in controlling symptoms of myasthenia… Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03920293. Myasthenia gravis (MG) is the prototypical autoimmune disorder caused by specific autoantibodies at the neuromuscular junction. Ther Adv Hematol. Documentation of Myasthenia Gravis Foundation of America (MGFA) Clinical Classification Class II to IV generalized myasthenia gravis AND 4. Online ahead of print. Characteristics of and meningococcal disease prevention strategies for commercially insured persons receiving eculizumab in the United States. The autoantibodies cause morphological and functional changes in the postsynaptic membrane, resulting in symptoms of fatigable weakness of skeletal muscles. Myasthenia Gravis Foundation of America Clinical Classification Class II to IV at screening. Alexion is also evaluating the coadministration of subcutaneous ravulizumab with Halozyme's ENHANZE® drug-delivery technology (rHuPH20), which may have the potential to further extend the dosing interval. a Safety and efficacy study of ravulizumab in adults with generalized myasthenia gravis (NCT03920293) b. Clinical development of a subcutaneous formulation for PNH and aHUS is also underway. Myasthenia gravis (MG) is a common autoimmune disorder of the neuromuscular junctions. Participants will receive ravulizumab for the duration of the study. (ravulizumab-cwvz) – A diagnosis of generalized Myasthenia Gravis (gMG) Positive serologic test for anti-acetylcholine antibodies Patient must be 18 years of age or older Myasthenia Gravis Foundation … C. GENERALIZED MYASTHENIA GRAVIS (SOLIRIS ONLY): 1. eCollection 2020. Note: REQUIRES PRECERTIFICATION Precertification of ravulizumab-cwvz (Ultomiris) is required of all Aetna participating providers and members in applicable plan designs. IV immunoglobulin within 4 weeks of randomization, Use of plasma exchange within 4 weeks of randomization, Use of rituximab within 6 months of screening. Röth A, Rottinghaus ST, Hill A, Bachman ES, Kim JS, Schrezenmeier H, Terriou L, Urbano-Ispizua Á, Wells RA, Jang JH, Kulasekararaj AG, Szer J, Aguzzi R, Damokosh AI, Shafner L, Lee JW. Would you like email updates of new search results? Epub 2020 Feb 14. 2020. History of thymic carcinoma or thymic malignancy unless deemed cured by adequate treatment with no evidence of recurrence for ≥ 5 years before screening. 2020 Dec 10;11:612402. doi: 10.3389/fimmu.2020.612402. 2019 Feb 7;133(6):540-549. doi: 10.1182/blood-2018-09-876805. [New Complement Therapeutics in Complement-Related Diseases]. It's caused by a breakdown in the normal communication between nerves and muscles.There's no cure for myasthenia gravis, but treatment can help relieve signs and symptoms, such as weakness of arm or leg muscles, double vision, drooping eyelids, and difficulties with sp… Myasthenia Gravis (MG) ID: NCT03920293 Alexion is conducting a clinical study which will evaluate the safety and effectiveness of ravulizumab-cwvz in treating patients with myasthenia gravis (MG) Note: Site of Care Utilization Management Policy applies. National Library of Medicine All investigative site personnel, sponsor staff, sponsor designees, staff directly associated with the conduct of the study, and all participants will be blinded to treatment assignments. You have reached the maximum number of saved studies (100). Ravulizumab (ravulizumab-cwvz; ULTOMIRIS™), a humanized monoclonal antibody, is a complement C5 inhibitor developed by Alexion Pharmaceuticals for the treatment of paroxysmal nocturnal haemoglobinuria (PNH) and atypical haemolytic uraemic syndrome (aHUS). doi: 10.1371/journal.pone.0241989. Read our, ClinicalTrials.gov Identifier: NCT03920293, Interventional 2020 Nov;63(11):1396-1402. doi: 10.1007/s00103-020-03229-1. This site needs JavaScript to work properly. -, Blood. 2020 Mar;20(3):227-237. doi: 10.1080/14712598.2020.1725468. Participants who have received previous treatment with complement inhibitors (for example, eculizumab). Vaccinated against meningococcal infections within 3 years prior to, or at the time of, initiating study drug to reduce the risk of meningococcal infection (N meningitidis). Potential Therapeutic Options for COVID-19: Current Status, Challenges, and Future Perspectives. Bethesda, MD 20894, Copyright Ultomiris™ (ravulizumab-cwvz) – New orphan drug approval • On December 21, 2018, the FDA announced the approval of Alexion Pharmaceuticals’ Ultomiris ... and generalized myasthenia gravis… -. Phase 3 development of intravenous ravulizumab for the treatment of aHUS is underway worldwide. Change From Baseline In The Quantitative Myasthenia Gravis (QMG) Total Score At Week 26 [ Time Frame: Baseline, Week 26 ] To assess the efficacy of ravulizumab compared with placebo in … 2018 Apr 12;13(4):e0195909 2019 Feb 7;133(6):530-539 Genetic and Rare Diseases Information Center, U.S. Department of Health and Human Services, The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. Aalborg University Hospital, Aalborg, North Jutland Region, Denmark, 9000, Marseille, Provence-Alpes-Cote d'Azur, France, 13385, Nice, Provence-Alpes-Cote d'Azur, France, 6000, Klinikum Würzburg Mitte gGmbH Standort Juliusspital, Klinik fur Neurologie, Universitatsklinikum Essen, Essen, Nordrhein-Westfalen, Germany, 45147, Universitatsklinikum Munster, Klinik fur Neurologie, Münster, Nordrhein-Westfalen, Germany, 48149, Charite Universitatsmedizin Berlin- NeuroCure Clinical Research Center (NCRC), University Medical Center Hamburg Eppendorf, The Tel Aviv Sourasky Medical Center (TASMC) (Ichilov Hospital), IRCCS Istituto delle Scienze Neurologiche, Azienda USL di Bologna, Ospedale Bel, Fondazione IRCCS Istituto Neurologico Carlo Besta, ASST Papa Giovanni XXIII (Azienda Ospedaliera Papa Giovanni XXIII), Universita Cattolica del Sacro Cuore - Fondazione Policlinico Universitario Agos, Azienda Ospedaliera Sant'Andrea - Universita di Roma La Sapienza, Azienda Ospedaliera Universitaria Policlinico G. Martino, Niigata University Medical and Dental Hospital, National Hospital Organization Osaka Toneyama Medical Center, Tokyo Medical And Dental University, Medical Hospital, Pusan National University Yangsan Hospital, Yangsan, Gyeongsangnam-do, Korea, Republic of, 50612, Kyungpook National University Chilgok Hospital, Yonsei University College of Medicine, Severance Hospital, Amsterdam, Noord-Holland, Netherlands, 1105 AZ, Leiden, Noord-Holland, Netherlands, 2333 ZA, Hospital Clinico Universitario Virgen de la Arrixaca, Hospital Universitario y Politecnico la Fe. 2018 Sep 11;2(17):2176-2185. doi: 10.1182/bloodadvances.2018020644. Diagnosed with Myasthenia Gravis at least 6 months (180 days) prior to the date of the Screening Visit as confirmed by specific criteria. [Monoclonal antibodies for anti-infective therapy]. Unable to load your collection due to an error, Unable to load your delegates due to an error. 2019 Sep 10;10:2040620719874728. doi: 10.1177/2040620719874728. Please enable it to take advantage of the complete set of features! Overview This is a phase 3, randomized, double-blind, placebo-controlled, multicenter study that evaluates using ravulizumab infusions as treatment for patients with generalized Myasthenia Gravis. Single loading dose on Day 1, followed by regular maintenance dosing beginning on Day 15, based on weight. -, PLoS One. Eculizumab (Soliris) may be considered medically necessary for an initial 26 week trial for the treatment of individuals 18 years of age or older with a diagnosis of myasthenia gravis … Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. The use of ravulizumab in myasthenia gravis and IgA nephropathy is also being evaluated in the USA in early-phase and preclinical studies, respectively. Your doctor will review your symptoms and your medical history and conduct a physical examination. For precertification of ravulizumab-cwvz, call (866) 752-7021, or fax (866) 267-3277. Concentrated sterile, preservative-free aqueous solution (10 milligrams [mg]/milliliter [mL]) in single-use, 30-mL vial for intravenous (IV) infusion. Ravulizumab for the treatment of paroxysmal nocturnal hemoglobinuria. Myasthenia gravis (MG) is an autoantibody and complement mediated autoimmune disease. Please remove one or more studies before adding more. What are some of the study details? Ravulizumab-cwvz (Ultomiris) Reauthorization Criteria. eCollection 2019. Documentation of a Myasthenia Gravis … Clinical development of a subcutaneous formulation for PNH and aHUS is also underway. ... Ravulizumab … Ravulizumab has been developed using Xencor's antibody half-life prolongation technology (Xtend™), which utilises antibody Fc variants to prolong half-life. Myasthenia Gravis … 2018 Sep 11;2(17):2176-2185 Eculizumab is the first drug approved for refractory- myasthenia gravis, that constitutes 10–15% of myasthenia gravis patients, based on encouraging results in a phase-2 study that led to phase-III … Expert Opin Biol Ther. Prevention and treatment information (HHS). Any active or untreated thymoma. Single loading dose on Day 1, followed by regular maintenance dosing beginning on Day 15, based on weight. Front Immunol. One of Alexion’s medications is Soliris (eculizumab), which is approved in the U.S. and the EU for the treatment of generalized myasthenia gravis (gMG), atypical haemolytic uremic … of Neurology. eCollection 2020. Careers. eCollection 2020. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Ravulizumab (ALXN 1210) is a humanised anti-C5 antibody, being developed by Alexion Pharmaceuticals utilising the Xencor's Xtend™ technology, as intravenous and 2019 Jun;71(6):555-564. doi: 10.11477/mf.1416201316. PLoS One. Ravulizumab: a novel C5 inhibitor for the treatment of paroxysmal nocturnal hemoglobinuria. Why Should I Register and Submit Results? Talk with your doctor and family members or friends about deciding to join a study. Aetna considers ravulizumab-cwvz (Ultomiris) medically neces… The use of ravulizumab in myasthenia gravis and IgA nephropathy is also being evaluated in the USA in early-phase and preclinical studies, respectively. -, Blood Adv. The humanized monoclonal antibody eculizumab (Soliris®) is a complement inhibitor indicated for use in anti-acetylcholine receptor (AChR) antibody-positive adults with generalized myasthenia gravis … The primary purpose of this study is to evaluate the safety and efficacy of ravulizumab for the treatment of participants with generalized myasthenia gravis (gMG). Studies a U.S. FDA-regulated Drug Product: Studies a U.S. FDA-regulated Device Product: Change From Baseline In Myasthenia Gravis-Activities Of Daily Living (MG-ADL) Total Score At Week 26 [ Time Frame: Baseline, Week 26 ], Change From Baseline In The Quantitative Myasthenia Gravis (QMG) Total Score At Week 26 [ Time Frame: Baseline, Week 26 ], Change From Baseline In the Revised 15 Component Myasthenia Gravis Quality of Life (MG-QOL15r) At Week 26 [ Time Frame: Baseline, Week 26 ], Change From Baseline In The Myasthenia Gravis Activities of Daily Living (MG-ADL) Total Score of at least 3 points At Week 26 [ Time Frame: Baseline, Week 26 ], Change From Baseline In the The Quantitative Myasthenia Gravis (QMG) total score by at least 5 points At Week 26 [ Time Frame: Baseline, Week 26 ]. COVID-19 is an emerging, rapidly evolving situation. Myasthenia gravis (my-us-THEE-nee-uh GRAY-vis) is characterized by weakness and rapid fatigue of any of the muscles under your voluntary control. Accessibility To assess the efficacy of ravulizumab compared with placebo in the treatment of gMG based on the improvement in the MG-ADL profile. Brain Nerve. Inflammation, immunity and potential target therapy of SARS-COV-2: a total scale analysis review. 2019 Feb 7;133(6):540-549 The use of ravulizumab in myasthenia gravis and IgA nephropathy is also being evaluated in the USA in early-phase and preclinical studies, respectively. Clinical development of a subcutaneous formulation for PNH and aHUS is also underway. Epub 2018 Dec 3. There is a 4 week screening period to determine if the CHAMPION MG study is … To assess the efficacy of ravulizumab compared with placebo in the treatment of gMG based on the improvement in the QMG total score. FOIA This article summarizes the milestones in the development of ravulizumab leading to this first approval for PNH. Ravulizumab (ALXN1210) vs eculizumab in C5-inhibitor-experienced adult patients with PNH: the 302 study. Privacy, Help Smail SW, Saeed M, Twana Alkasalias, Khudhur ZO, Younus DA, Rajab MF, Abdulahad WH, Hussain HI, Niaz K, Safdar M. Food Chem Toxicol. For general information, Learn About Clinical Studies. -, Blood. To assess the efficacy of ravulizumab compared with placebo in the treatment of gMG based on the improvement in the MG-QOL15r score, To assess the efficacy of ravulizumab compared with placebo in the treatment of gMG based on the improvement in the MG-ADL total score, To assess the efficacy of ravulizumab compared with placebo in the treatment of gMG based on the improvement in the QMG total score. Blood Adv. MG-ADL profile must be ≥ 6 at screening and randomization (Day 1). Ravulizumab (ALXN1210) in patients with paroxysmal nocturnal hemoglobinuria: results of 2 phase 1b/2 studies. 8600 Rockville Pike Myasthenia gravis is a chronic autoimmune, neuromuscular disease that causes weakness in the skeletal muscles that worsens after periods of activity and improves after periods of … ... Myasthenia Gravis. Study record managers: refer to the Data Element Definitions if submitting registration or results information. 2020 Sep 15;11:572870. doi: 10.3389/fphar.2020.572870. Generalized myasthenia gravis (MG), a disorder that leads to muscle weakness If You Take a Complement Inhibitor, You Are at High Risk for Meningococcal Disease Even if Vaccinated … Kulasekararaj AG, Hill A, Rottinghaus ST, Langemeijer S, Wells R, Gonzalez-Fernandez FA, Gaya A, Lee JW, Gutierrez EO, Piatek CI, Szer J, Risitano A, Nakao S, Bachman E, Shafner L, Damokosh AI, Ortiz S, Röth A, Peffault de Latour R. Blood.
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