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A Study of Telitacicept for the Treatment of Generalized Myasthenia Gravis (Upstream MG)

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study with an Open-label Extension Period to Evaluate the Efficacy and Safety of Telitacicept in Patients with Generalized Myasthenia Gravis

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2031250493
Enrollment
180
Registered
2025-11-10
Start date
2025-12-15
Completion date
Unknown
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Generalized Myasthenia Gravis

Interventions

Telitacicept (RC18, RC18-L)

Sponsors

Clinical development
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Male or female patient aged >=18 years at screening. Patients have prior confirmed diagnosis of gMG with generalized muscle weakness (typical pattern of weakness meeting the clinical criteria for diagnosis of MG as defined by the Myasthenia Gravis Foundation of America (MGFA) clinical classification II-IV. Patients have positive antibodies against AChR or MuSK at screening. MG-ADL score >=6 points at screening and baseline with ocular-related score =8 points, and >=4 items score at least 2 points at screening and baseline.

Exclusion criteria

Exclusion criteria: Patients have been diagnosed with any other autoimmune disease which can potentially pose a safety or efficacy confounding risk. Patients having acute or chronic infection. Patients have thymoma within 5 years or have received thymectomy <=6 months prior to screening. Patients with thymoma diagnosed 3-5 years prior to screening may be eligible if thymoma was at a localized stage and definitively treated with complete surgical resection. Patients have a current or history of primary immunodeficiency. Patients have a history of malignancy within the last 5 years. Patients have prior or continuing diagnosis of serious cardiovascular disease, liver, kidney, respiratory system, endocrine or hematologic disease.

Design outcomes

Primary

MeasureTime frame
Change from baseline in Myasthenia Gravis Activities of Daily Living (MG-ADL) score at Week 24

Secondary

MeasureTime frame
Change from baseline in Quantitative Myasthenia Gravis (QMG) score at Week 24 Change from baseline in MG Quality of Life scale (MG-QOL15r) at Week 24 Proportion of patients with a decrease of >=2 points from baseline in MG-ADL score at Week 24 Proportion of patients with a decrease of >=3 points from baseline in QMG score at Week 24 Proportion of patients who achieved minimal symptomatic expression (MSE, defined as having MG-ADL score of 0 or 1) at Week 24

Countries

Argentina, Australia, Belgium, Brazil, Canada, China, Czech Republic, France, Georgia, Italy, Japan, Poland, Spain, United States

Contacts

Public Contactcontact Clinical trial

ICON Clinical Research GK

Japan-Chiken@iconplc.com+81-6-4560-2001

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Sep 19, 2026