G70.0 G70.2 G73.1
Conditions
Interventions
Group 1: patients with myasthenic syndromes (MG, LEMS, CMS)
Sponsors
Deutsche Myasthenie Gesellschaft e.V.
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: - ability to give consent - diagnosis of MG, LEMS, CMS
Exclusion criteria
Exclusion criteria: Revocation of participation in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary goal is to improve the quality of care in terms of quality assurance. Relevant data for the treatment of myasthenia patients should be recorded and evaluated on the web. These data are to be used to research the care of patients with myasthenic syndromes and in particular to identify modifiable, previously unknown influencing factors on the long-term course in order to improve the treatment of the patients and thus also the long-term outcome of patients with myasthenia gravis (MG) To improve Lambert-Eaton Myasthenic Syndrome (LEMS) and Congenital Myasthenic Syndrome (CMS). | — |
Secondary
| Measure | Time frame |
|---|---|
| • Better understanding of the course of the disease (ocular, bulbar, generalized) • Better understanding of the sensitivity of diagnostic procedures: - Neurological examination [including MGFA (Myasthenia Gravis Foundation of America) - and QMG (Quantitative Myasthenia Gravis) score as well as examination of the extraocular muscles] - Electrophysiological examinations (positive results in electrophysiology - evidence of a decrement or increment of a clinically affected muscle) - Laboratory diagnostics (detection of MG or LEMS-specific auto-antibodies against nACh-R, MuSK, titin, LRG4, VGCC, SOX-1) - Pharmacological testing (pyridostigmine / edrophonium test) - Thymus diagnostics by means of imaging procedures [computed tomography (CT) with contrast agent (KM), magnetic resonance tomography (MRT), positron emission tomography (PET)] • Identification of the incidence and prevalence of comorbidities, in particular other autoimmune diseases and emotional comorbidities such as fatigue symptoms (questionnaires on quality of life, fatigue, depression, etc.) • Identification of risk factors for developing MG or LEMS • Better understanding of the long-term prognosis of the disease and the effectiveness and safety profile of therapeutic procedures: • Survey of the use of therapeutic procedures with regard to duration, occurrence of side effects and necessary monitoring examinations (eg differential blood count, liver and kidney values) both with regard to symptomatic therapies with pyridostigmine or 3,4-diaminopyridine, as well as for basic immunotherapies (cortisone, azathioprine , Mycophenolate mofetil, methotrexate / folic acid or ciclosporin) or the use of escalation therapies (eculizumab, rituximab or cyclophosphamide) • Survey of the implementation of exacerbation therapy using plasmapheresis / immunoadsorption or intravenous immunoglobulins • Survey of the performance of a thymectomy and related histology with, if necessary, subsequent radiation / chemotherapy • Influe | — |
Countries
Germany
Contacts
Public ContactFrauke Stascheit
Charité- Universitätsmedizin BerlinKlinik für Neurologie mit experimenteller Neurologieintegriertes zertifiziertes Myasthenie-Zentrum
Outcome results
None listed