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A Study to Evaluate the Safety, Tolerability, Efficacy, Pharmacokinetics and Pharmacodynamics of M281 Administered to Adults With Generalized Myasthenia Gravis

A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability, Efficacy, Pharmacokinetics and Pharmacodynamics of M281 Administered to Adults With Generalized Myasthenia Gravis

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03772587
Enrollment
68
Registered
2018-12-11
Start date
2019-04-10
Completion date
2020-06-25
Last updated
2023-06-27

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

Conditions

Generalized Myasthenia Gravis

Keywords

M281, Generalized Myasthenia Gravis

Brief summary

The purpose of this study is to evaluate the safety, tolerability, and efficacy of M281 administered to participants with generalized myasthenia gravis (gMG) who have an insufficient clinical response to ongoing standard of care therapy.

Interventions

DRUGM281

M281 administered as IV infusion

OTHERPlacebo

Placebo administered as intravenous (IV) infusion

Sponsors

Momenta Pharmaceuticals, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Participants must be ≥18 years of age with a documented history of Generalized Myasthenia Gravis (gMG) and clinical signs/symptoms of gMG, not pregnant or breastfeeding, and no history of any neurologic disorder other than MG that might interfere with the accuracy of study assessments. Additional, more specific criteria are defined in the protocol.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment-emergent Adverse Events (TEAEs) as a Measure of Safety and TolerabilityUp to Day 113An adverse event (AE) is any untoward medical event that occurs in a participant administered an investigational product and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAE are defined as any AE occurring during or after the initiation of the first infusion of study drug.
Number of Participants With Treatment-emergent Serious Adverse Events (SAEs)Up to Day 113An AE is any untoward medical event that occurs in a participant administered an investigational product and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAEs are defined as any AE occurring during or after the initiation of the first infusion of study drug. An SAE is defined as any AE occurring at any dose that results in any of the following outcomes: death, life-threatening AE, hospitalization or prolongation of existing hospitalization, a persistent or significant disability/incapacity, or a congenital anomaly/birth defect.
Number of Participants With Treatment-emergent Adverse Events of Special Interest (AESI)Up to Day 113An AE is any untoward medical event that occurs in a participant administered an investigational product and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAEs are defined as any AE occurring during or after the initiation of the first infusion of study drug. For this study, any common terminology criteria for adverse events (CTCAE) Grade 3 or higher event of severe infection or hypoalbuminemia was considered as AESI.
Change From Baseline to Day 57 in the Myasthenia Gravis - Activities of Daily Living (MG-ADL) Total ScoreBaseline to Day 57The MG-ADL was used to assess the participant's MG symptom severity. It assesses eight functions (talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to arise from a chair, double vision, and eyelid droop) which were rated on a 4-point scale: 0 (no impairment) to 3 (severe impairment). The total score is the sum of the eight function scores and ranges from 0 to 24. Higher scores indicated greater symptom severity/difficulty in performing daily living activities.

Secondary

MeasureTime frameDescription
Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 57Day 57The MG-ADL was used to assess the participant's MG symptom severity. It assesses eight functions (talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to arise from a chair, double vision, and eyelid droop) which were rated on a 4-point scale: 0 (no impairment) to 3 (severe impairment). The total score is the sum of the eight function scores and ranges from 0 to 24. Higher scores indicated greater symptom severity/difficulty in performing daily living activities.
Change From Baseline in Total QMG Score at Day 57Baseline and Day 57The QMG test was used to assess the participant's strength. The quantitative results of each of the 13 strength components were mapped to a 4-point scale where 0 equals to (=) none, 1= mild, 2= moderate and 3= severe. The total score is the sum of the 13 scale scores and ranges from 0 to 39. Higher scores indicated more severe impairment.
Number of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 57Day 57The QMG test was used to assess the participant's strength. The quantitative results of each of the 13 strength components were mapped to a 4-point scale where 0 equals to (=) none, 1= mild, 2= moderate and 3= severe. The total score is the sum of the 13 scale scores and ranges from 0 to 39. Higher scores indicated more severe impairment.
Change From Baseline in Total Revised Myasthenia Gravis Quality of Life - 15 (MG-QoL-15r) Scale Score at Day 57Baseline and Day 57The MG-QoL15r was used to assess the participant's limitations related to living with MG. Each of the 15 questions were rated by the participant on a 3-point scale (0= Not at all, 1= somewhat, 2=very much) based on a recall period of over the past few weeks. The total score is the sum of the 15 question scores and ranges from 0 to 30. Higher scores indicated more limitation.
Change From Baseline in Total Serum IgG at Day 57Baseline and Day 57Change from baseline in total serum IgG was reported. Blood samples were collected for analysis of total serum IgG.
Change From Baseline in Total MG-ADL Score at Day 85 and Day 113Baseline, Day 85 and Day 113The MG-ADL was used to assess the participant's MG symptom severity. It assesses eight functions (talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to arise from a chair, double vision, and eyelid droop) which were rated on a 4-point scale: 0 (no impairment) to 3 (severe impairment). The total score is the sum of the eight function scores and ranges from 0 to 24. Higher scores indicated greater symptom severity/difficulty in performing daily living activities.
Change From Baseline in Total MG-ADL Score as a Function of Total Serum Immunoglobulin G (IgG) at Day 57Baseline and Day 57Estimate of additional change from baseline in MG-ADL total score for every 10 percent (%) additional reduction in IgG based on a linear regression of change from baseline in MG-ADL total score on percent reduction in IgG at Day 57. The MG-ADL was used to assess the participant's MG symptom severity. It assesses eight functions (talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to arise from a chair, double vision, and eyelid droop) which were rated on a 4-point scale: 0 (no impairment) to 3 (severe impairment). The total score is the sum of the eight function scores and ranges from 0 to 24. Higher scores indicated greater symptom severity/difficulty in performing daily living activities.
Change From Baseline in Total MG-QoL15r Score at Day 85 and Day 113Baseline, Day 85 and Day 113The MG-QoL15r was used to assess the participant's limitations related to living with MG. Each of the 15 questions were rated by the participant on a 3-point scale (0= Not at all, 1= somewhat, 2=very much) based on a recall period of over the past few weeks. The total score is the sum of the 15 question scores and ranges from 0 to 30. Higher scores indicated more limitation.
Number of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Baseline and Day 57The MGFA was used to assess the participant's MG severity. MGFA classification identifies the subgroup participants with MG who share distinct clinical features or severity of disease: Class I (ocular MG), classes II, III and IV generalized MG with mild, moderate and severe disease, respectively; Class V MG crisis. Separate subclasses under classes II, III and IV are designed: a if the predominant weakness is affecting limb/axial weakness or both; subclass b if the predominant weakness is affecting oropharyngeal or respiratory muscles or both. In the MGFA classification, lower roman numerals mean less severity. Changes in MGFA classification (regardless of subclass) are categorized as Improved (example, III to II), Same (example, II to II), or Worsened (example, II to III).
Number of Participants With Shift From Baseline in MGFA Classification to Day 113Baseline to Day 113The MGFA was used to assess the participant's MG severity. MGFA classification identifies the subgroup participants with MG who share distinct clinical features or severity of disease: Class I (ocular MG), classes II, III and IV generalized MG with mild, moderate and severe disease, respectively; Class V MG crisis. Separate subclasses under classes II, III and IV are designed: a if the predominant weakness is affecting limb/axial weakness or both; subclass b if the predominant weakness is affecting oropharyngeal or respiratory muscles or both. In the MGFA classification, lower roman numerals mean less severity. Changes in MGFA classification (regardless of subclass) are categorized as Improved (example, III to II), Same (example, II to II), or Worsened (example, II to III).
Change From Baseline in Total Serum IgG at Day 85 and Day 113Baseline, Day 85 and Day 113Change from baseline in total serum IgG at Day 85 and Day 113 was analyzed. Blood samples were collected for analysis of total serum IgG.
Serum Concentrations of NipocalimabBaseline (Pre Infusion and Post Infusion), Day 15 (Pre Infusion), Day 29 (Pre Infusion), Day 43 (Pre Infusion), Day 57 (Pre Infusion and Post Infusion) and Day 85Serum concentrations of nipocalimab were reported. Concentrations below the lowest quantifiable concentration (\< LLOQ) that is \<0.15 microgram/milliliter (mcg/mL) was treated as zero in calculating the summary statistics.
Change From Baseline in Total QMG Score at Day 85 and Day 113Baseline, Day 85 and Day 113The QMG test was used to assess the participant's strength. The quantitative results of each of the 13 strength components were mapped to a 4-point scale where 0 equals to (=) none, 1= mild, 2= moderate and 3= severe. The total score is the sum of the 13 scale scores and ranges from 0 to 39. Higher scores indicated more severe impairment.
Change From Baseline in Total MG-ADL Score as a Response to Percent Change in Total Serum IgG, for Participants Positive for Anti-acetylcholine Receptor (Anti-AChR) Antibodies, at Day 57Baseline and Day 57Estimate of additional change from baseline in MG-ADL total score for every 10% additional reduction in IgG based on a linear regression of change from baseline in MG-ADL total score on percent reduction in IgG at Day 57 in anti-AChR positive participants. The MG-ADL was used to assess participant's MG symptom severity. It assesses eight functions (talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to arise from a chair, double vision, and eyelid droop) which were rated on a 4-point scale: 0 (no impairment) to 3 (severe impairment). Total score is sum of eight function scores and ranges from 0 to 24. Higher scores indicated greater symptom severity/difficulty in performing daily living activities.
Change From Baseline in Total Quantitative Myasthenia Gravis (QMG) Score as a Function of Total Serum IgG at Day 57Baseline and Day 57Estimate of additional change from baseline in QMG total score for every 10% additional reduction in IgG based on a linear regression of change from baseline in QMG total score on percent reduction in IgG at Day 57. The QMG test was used to assess the participant's strength. The quantitative results of each of the 13 strength components were mapped to a 4-point scale where 0 equals to (=) none, 1= mild, 2= moderate and 3= severe. The total score is the sum of the 13 scale scores and ranges from 0 to 39. Higher scores indicated more severe impairment.
Change From Baseline in Total QMG Score as a Response to Percent Change in Total Serum IgG, for Participants Positive for Anti-acetylcholine Receptor (Anti-AChR) Antibodies, at Day 57Baseline and Day 57Estimate of additional change from baseline in QMG total score for every 10% additional reduction in IgG based on a linear regression of change from baseline in QMG total score on percent reduction in IgG at Day 57 in anti-AChR positive participants. The QMG test was used to assess the participant's strength. The quantitative results of each of the 13 strength components were mapped to a 4-point scale where 0 equals to (=) none, 1= mild, 2= moderate and 3= severe. The total score is the sum of the 13 scale scores and ranges from 0 to 39. Higher scores indicated more severe impairment.

Countries

Belgium, Canada, Germany, Italy, Poland, Spain, United Kingdom, United States

Participant flow

Participants by arm

ArmCount
Placebo
Participants received intravenous (IV) infusion of placebo matching to nipocalimab once every 2 weeks (Q2W) starting Day 1 up to Day 57.
14
Nipocalimab 5 Milligrams/Kilogram (mg/kg)
Participants received IV infusion of 5 mg/kg nipocalimab once every 4 weeks (Q4W) starting Day 1 up to Day 57. To maintain blinding, participants received matching placebo on Days 15 and 43.
14
Nipocalimab 30 mg/kg
Participants received IV infusion of 30 mg/kg nipocalimab once Q4W starting Day 1 up to Day 57. To maintain blinding, participants received matching placebo on Days 15 and 43.
13
Nipocalimab 60 mg/kg
Participants received IV infusion of 60 mg/kg nipocalimab single dose on Day 1. To maintain blinding, participants received matching placebo on Days 15, 29, 43 and 57.
13
Nipocalimab 60 mg/kg (Q2W)
Participants received IV infusion of 60 mg/kg nipocalimab once Q2W starting Day 1 up to Day 57.
14
Total68

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyCOVID-1900110
Overall StudyWithdrawal by Subject10000

Baseline characteristics

CharacteristicPlaceboNipocalimab 5 Milligrams/Kilogram (mg/kg)Nipocalimab 30 mg/kgNipocalimab 60 mg/kgNipocalimab 60 mg/kg (Q2W)Total
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
6 Participants5 Participants4 Participants4 Participants6 Participants25 Participants
Age, Categorical
Between 18 and 65 years
8 Participants9 Participants9 Participants9 Participants8 Participants43 Participants
Age, Continuous57.7 years
STANDARD_DEVIATION 17.85
54.8 years
STANDARD_DEVIATION 17.64
49 years
STANDARD_DEVIATION 19.54
53.1 years
STANDARD_DEVIATION 15.4
59.9 years
STANDARD_DEVIATION 15.03
55 years
STANDARD_DEVIATION 17.07
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants2 Participants0 Participants0 Participants0 Participants2 Participants
Race/Ethnicity, Customized
Hispanic or Latino
4 Participants1 Participants3 Participants1 Participants0 Participants9 Participants
Race/Ethnicity, Customized
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
10 Participants13 Participants10 Participants11 Participants14 Participants58 Participants
Race/Ethnicity, Customized
Other
2 Participants0 Participants0 Participants0 Participants0 Participants2 Participants
Race/Ethnicity, Customized
Unknown or Not Reported
0 Participants0 Participants0 Participants1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
White
12 Participants12 Participants12 Participants13 Participants14 Participants63 Participants
Region of Enrollment
BELGIUM
1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Region of Enrollment
CANADA
2 Participants2 Participants0 Participants0 Participants1 Participants5 Participants
Region of Enrollment
GERMANY
1 Participants3 Participants1 Participants0 Participants0 Participants5 Participants
Region of Enrollment
ITALY
2 Participants2 Participants1 Participants0 Participants0 Participants5 Participants
Region of Enrollment
POLAND
1 Participants2 Participants1 Participants3 Participants1 Participants8 Participants
Region of Enrollment
SPAIN
4 Participants0 Participants6 Participants2 Participants3 Participants15 Participants
Region of Enrollment
UNITED KINGDOM
0 Participants0 Participants0 Participants3 Participants1 Participants4 Participants
Region of Enrollment
UNITED STATES
3 Participants5 Participants4 Participants5 Participants8 Participants25 Participants
Sex: Female, Male
Female
8 Participants6 Participants9 Participants9 Participants5 Participants37 Participants
Sex: Female, Male
Male
6 Participants8 Participants4 Participants4 Participants9 Participants31 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 140 / 140 / 130 / 130 / 14
other
Total, other adverse events
10 / 1412 / 148 / 1312 / 1312 / 14
serious
Total, serious adverse events
2 / 140 / 141 / 130 / 130 / 14

Outcome results

Primary

Change From Baseline to Day 57 in the Myasthenia Gravis - Activities of Daily Living (MG-ADL) Total Score

The MG-ADL was used to assess the participant's MG symptom severity. It assesses eight functions (talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to arise from a chair, double vision, and eyelid droop) which were rated on a 4-point scale: 0 (no impairment) to 3 (severe impairment). The total score is the sum of the eight function scores and ranges from 0 to 24. Higher scores indicated greater symptom severity/difficulty in performing daily living activities.

Time frame: Baseline to Day 57

Population: Intent-to-Treat (ITT) population included all randomized participants. Here 'N' (number of participants analyzed) included all participants who were evaluated for this outcome measure (OM).

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline to Day 57 in the Myasthenia Gravis - Activities of Daily Living (MG-ADL) Total Score-1.8 score on a scaleStandard Deviation 3.22
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Change From Baseline to Day 57 in the Myasthenia Gravis - Activities of Daily Living (MG-ADL) Total Score-2.5 score on a scaleStandard Deviation 2.41
Nipocalimab 30 mg/kgChange From Baseline to Day 57 in the Myasthenia Gravis - Activities of Daily Living (MG-ADL) Total Score-3.9 score on a scaleStandard Deviation 3
Nipocalimab 60 mg/kgChange From Baseline to Day 57 in the Myasthenia Gravis - Activities of Daily Living (MG-ADL) Total Score-1.5 score on a scaleStandard Deviation 2.82
Nipocalimab 60 mg/kg (Q2W)Change From Baseline to Day 57 in the Myasthenia Gravis - Activities of Daily Living (MG-ADL) Total Score-3.9 score on a scaleStandard Deviation 3.66
Primary

Number of Participants With Treatment-emergent Adverse Events of Special Interest (AESI)

An AE is any untoward medical event that occurs in a participant administered an investigational product and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAEs are defined as any AE occurring during or after the initiation of the first infusion of study drug. For this study, any common terminology criteria for adverse events (CTCAE) Grade 3 or higher event of severe infection or hypoalbuminemia was considered as AESI.

Time frame: Up to Day 113

Population: The safety population included all participants who received any amount of nipocalimab or placebo.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Treatment-emergent Adverse Events of Special Interest (AESI)0 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With Treatment-emergent Adverse Events of Special Interest (AESI)0 Participants
Nipocalimab 30 mg/kgNumber of Participants With Treatment-emergent Adverse Events of Special Interest (AESI)0 Participants
Nipocalimab 60 mg/kgNumber of Participants With Treatment-emergent Adverse Events of Special Interest (AESI)0 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With Treatment-emergent Adverse Events of Special Interest (AESI)0 Participants
Primary

Number of Participants With Treatment-emergent Adverse Events (TEAEs) as a Measure of Safety and Tolerability

An adverse event (AE) is any untoward medical event that occurs in a participant administered an investigational product and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAE are defined as any AE occurring during or after the initiation of the first infusion of study drug.

Time frame: Up to Day 113

Population: The safety population included all participants who received any amount of nipocalimab or placebo.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Treatment-emergent Adverse Events (TEAEs) as a Measure of Safety and Tolerability11 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With Treatment-emergent Adverse Events (TEAEs) as a Measure of Safety and Tolerability12 Participants
Nipocalimab 30 mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) as a Measure of Safety and Tolerability9 Participants
Nipocalimab 60 mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) as a Measure of Safety and Tolerability12 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With Treatment-emergent Adverse Events (TEAEs) as a Measure of Safety and Tolerability12 Participants
Primary

Number of Participants With Treatment-emergent Serious Adverse Events (SAEs)

An AE is any untoward medical event that occurs in a participant administered an investigational product and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAEs are defined as any AE occurring during or after the initiation of the first infusion of study drug. An SAE is defined as any AE occurring at any dose that results in any of the following outcomes: death, life-threatening AE, hospitalization or prolongation of existing hospitalization, a persistent or significant disability/incapacity, or a congenital anomaly/birth defect.

Time frame: Up to Day 113

Population: The safety population included all participants who received any amount of nipocalimab or placebo.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Treatment-emergent Serious Adverse Events (SAEs)2 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With Treatment-emergent Serious Adverse Events (SAEs)0 Participants
Nipocalimab 30 mg/kgNumber of Participants With Treatment-emergent Serious Adverse Events (SAEs)1 Participants
Nipocalimab 60 mg/kgNumber of Participants With Treatment-emergent Serious Adverse Events (SAEs)0 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With Treatment-emergent Serious Adverse Events (SAEs)0 Participants
Secondary

Change From Baseline in Total MG-ADL Score as a Function of Total Serum Immunoglobulin G (IgG) at Day 57

Estimate of additional change from baseline in MG-ADL total score for every 10 percent (%) additional reduction in IgG based on a linear regression of change from baseline in MG-ADL total score on percent reduction in IgG at Day 57. The MG-ADL was used to assess the participant's MG symptom severity. It assesses eight functions (talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to arise from a chair, double vision, and eyelid droop) which were rated on a 4-point scale: 0 (no impairment) to 3 (severe impairment). The total score is the sum of the eight function scores and ranges from 0 to 24. Higher scores indicated greater symptom severity/difficulty in performing daily living activities.

Time frame: Baseline and Day 57

Population: All participants over all arms with both an MG-ADL score and an IgG result at both baseline and Day 57 are included in the analysis. Participants are combined over all groups because the analysis correlates MG-ADL change with IgG change and arm was not included as a factor in the pre-specified analysis. Therefore, results by arm are not available.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Total MG-ADL Score as a Function of Total Serum Immunoglobulin G (IgG) at Day 57-0.30 score on a scale per 10% IgG reductionStandard Error 0.136
Secondary

Change From Baseline in Total MG-ADL Score as a Response to Percent Change in Total Serum IgG, for Participants Positive for Anti-acetylcholine Receptor (Anti-AChR) Antibodies, at Day 57

Estimate of additional change from baseline in MG-ADL total score for every 10% additional reduction in IgG based on a linear regression of change from baseline in MG-ADL total score on percent reduction in IgG at Day 57 in anti-AChR positive participants. The MG-ADL was used to assess participant's MG symptom severity. It assesses eight functions (talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to arise from a chair, double vision, and eyelid droop) which were rated on a 4-point scale: 0 (no impairment) to 3 (severe impairment). Total score is sum of eight function scores and ranges from 0 to 24. Higher scores indicated greater symptom severity/difficulty in performing daily living activities.

Time frame: Baseline and Day 57

Population: All anti-AChR positive participants over all arms with both an MG-ADL score and an IgG result at both baseline and Day 57 are included in the analysis. Participants are combined over all groups because the analysis correlates MG-ADL change with IgG change and arm was not included as a factor in the pre-specified analysis. Therefore, results by arm are not available.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Total MG-ADL Score as a Response to Percent Change in Total Serum IgG, for Participants Positive for Anti-acetylcholine Receptor (Anti-AChR) Antibodies, at Day 57-0.33 score on a scale per 10% IgG reductionStandard Error 0.144
Secondary

Change From Baseline in Total MG-ADL Score at Day 85 and Day 113

The MG-ADL was used to assess the participant's MG symptom severity. It assesses eight functions (talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to arise from a chair, double vision, and eyelid droop) which were rated on a 4-point scale: 0 (no impairment) to 3 (severe impairment). The total score is the sum of the eight function scores and ranges from 0 to 24. Higher scores indicated greater symptom severity/difficulty in performing daily living activities.

Time frame: Baseline, Day 85 and Day 113

Population: ITT population included all randomized participants. Here 'N' (number of participants analyzed) included all participants who were evaluated for this OM and 'n' (number analyzed) included the number of participants evaluated for specific timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Total MG-ADL Score at Day 85 and Day 113Day 85-2.2 score on a scaleStandard Deviation 2.64
PlaceboChange From Baseline in Total MG-ADL Score at Day 85 and Day 113Day 113-2.6 score on a scaleStandard Deviation 3.09
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Change From Baseline in Total MG-ADL Score at Day 85 and Day 113Day 85-2.1 score on a scaleStandard Deviation 2.4
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Change From Baseline in Total MG-ADL Score at Day 85 and Day 113Day 113-1.0 score on a scaleStandard Deviation 2.25
Nipocalimab 30 mg/kgChange From Baseline in Total MG-ADL Score at Day 85 and Day 113Day 85-3.7 score on a scaleStandard Deviation 2.69
Nipocalimab 30 mg/kgChange From Baseline in Total MG-ADL Score at Day 85 and Day 113Day 113-2.8 score on a scaleStandard Deviation 2.33
Nipocalimab 60 mg/kgChange From Baseline in Total MG-ADL Score at Day 85 and Day 113Day 113-2.4 score on a scaleStandard Deviation 2.78
Nipocalimab 60 mg/kgChange From Baseline in Total MG-ADL Score at Day 85 and Day 113Day 85-1.9 score on a scaleStandard Deviation 2.29
Nipocalimab 60 mg/kg (Q2W)Change From Baseline in Total MG-ADL Score at Day 85 and Day 113Day 85-3.6 score on a scaleStandard Deviation 2.79
Nipocalimab 60 mg/kg (Q2W)Change From Baseline in Total MG-ADL Score at Day 85 and Day 113Day 113-2.6 score on a scaleStandard Deviation 3.3
Secondary

Change From Baseline in Total MG-QoL15r Score at Day 85 and Day 113

The MG-QoL15r was used to assess the participant's limitations related to living with MG. Each of the 15 questions were rated by the participant on a 3-point scale (0= Not at all, 1= somewhat, 2=very much) based on a recall period of over the past few weeks. The total score is the sum of the 15 question scores and ranges from 0 to 30. Higher scores indicated more limitation.

Time frame: Baseline, Day 85 and Day 113

Population: ITT population included all randomized participants. Here 'N' (number of participants analyzed) included all participants who were evaluated for this OM and 'n' (number analyzed) included the number of participants evaluated for specific timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Total MG-QoL15r Score at Day 85 and Day 113Day 85-2.5 score on a scaleStandard Deviation 2.84
PlaceboChange From Baseline in Total MG-QoL15r Score at Day 85 and Day 113Day 113-3.2 score on a scaleStandard Deviation 3.9
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Change From Baseline in Total MG-QoL15r Score at Day 85 and Day 113Day 85-2.9 score on a scaleStandard Deviation 3.74
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Change From Baseline in Total MG-QoL15r Score at Day 85 and Day 113Day 113-1.6 score on a scaleStandard Deviation 4.2
Nipocalimab 30 mg/kgChange From Baseline in Total MG-QoL15r Score at Day 85 and Day 113Day 85-6.5 score on a scaleStandard Deviation 5.66
Nipocalimab 30 mg/kgChange From Baseline in Total MG-QoL15r Score at Day 85 and Day 113Day 113-4.2 score on a scaleStandard Deviation 4.32
Nipocalimab 60 mg/kgChange From Baseline in Total MG-QoL15r Score at Day 85 and Day 113Day 113-1.0 score on a scaleStandard Deviation 2.92
Nipocalimab 60 mg/kgChange From Baseline in Total MG-QoL15r Score at Day 85 and Day 113Day 85-0.7 score on a scaleStandard Deviation 4.25
Nipocalimab 60 mg/kg (Q2W)Change From Baseline in Total MG-QoL15r Score at Day 85 and Day 113Day 85-3.5 score on a scaleStandard Deviation 5.61
Nipocalimab 60 mg/kg (Q2W)Change From Baseline in Total MG-QoL15r Score at Day 85 and Day 113Day 113-2.5 score on a scaleStandard Deviation 6.09
Secondary

Change From Baseline in Total QMG Score as a Response to Percent Change in Total Serum IgG, for Participants Positive for Anti-acetylcholine Receptor (Anti-AChR) Antibodies, at Day 57

Estimate of additional change from baseline in QMG total score for every 10% additional reduction in IgG based on a linear regression of change from baseline in QMG total score on percent reduction in IgG at Day 57 in anti-AChR positive participants. The QMG test was used to assess the participant's strength. The quantitative results of each of the 13 strength components were mapped to a 4-point scale where 0 equals to (=) none, 1= mild, 2= moderate and 3= severe. The total score is the sum of the 13 scale scores and ranges from 0 to 39. Higher scores indicated more severe impairment.

Time frame: Baseline and Day 57

Population: All anti-AChR positive participants over all arms with both an QMG score and an IgG result at both baseline and Day 57 are included in the analysis. Participants are combined over all groups because the analysis correlates QMG change with IgG change and arm was not included as a factor in the pre-specified analysis. Therefore, results by arm are not available.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Total QMG Score as a Response to Percent Change in Total Serum IgG, for Participants Positive for Anti-acetylcholine Receptor (Anti-AChR) Antibodies, at Day 57-0.45 score on a scale per 10% IgG reductionStandard Error 0.181
Secondary

Change From Baseline in Total QMG Score at Day 57

The QMG test was used to assess the participant's strength. The quantitative results of each of the 13 strength components were mapped to a 4-point scale where 0 equals to (=) none, 1= mild, 2= moderate and 3= severe. The total score is the sum of the 13 scale scores and ranges from 0 to 39. Higher scores indicated more severe impairment.

Time frame: Baseline and Day 57

Population: ITT population included all randomized participants. Here 'N' (number of participants analyzed) included all participants who were evaluated for this OM.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Total QMG Score at Day 57-3.7 score on a scaleStandard Deviation 2.94
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Change From Baseline in Total QMG Score at Day 57-3.5 score on a scaleStandard Deviation 4.1
Nipocalimab 30 mg/kgChange From Baseline in Total QMG Score at Day 57-4.1 score on a scaleStandard Deviation 3.45
Nipocalimab 60 mg/kgChange From Baseline in Total QMG Score at Day 57-1.5 score on a scaleStandard Deviation 2.54
Nipocalimab 60 mg/kg (Q2W)Change From Baseline in Total QMG Score at Day 57-5.9 score on a scaleStandard Deviation 5.3
Secondary

Change From Baseline in Total QMG Score at Day 85 and Day 113

The QMG test was used to assess the participant's strength. The quantitative results of each of the 13 strength components were mapped to a 4-point scale where 0 equals to (=) none, 1= mild, 2= moderate and 3= severe. The total score is the sum of the 13 scale scores and ranges from 0 to 39. Higher scores indicated more severe impairment.

Time frame: Baseline, Day 85 and Day 113

Population: ITT population included all randomized participants. Here 'N' (number of participants analyzed) included all participants who were evaluated for this OM and 'n' (number analyzed) included the number of participants evaluated for specific timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Total QMG Score at Day 85 and Day 113Day 85-4.0 score on a scaleStandard Deviation 2.62
PlaceboChange From Baseline in Total QMG Score at Day 85 and Day 113Day 113-4.7 score on a scaleStandard Deviation 3.04
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Change From Baseline in Total QMG Score at Day 85 and Day 113Day 85-3.6 score on a scaleStandard Deviation 3.23
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Change From Baseline in Total QMG Score at Day 85 and Day 113Day 113-2.1 score on a scaleStandard Deviation 2.4
Nipocalimab 30 mg/kgChange From Baseline in Total QMG Score at Day 85 and Day 113Day 85-4.8 score on a scaleStandard Deviation 2.49
Nipocalimab 30 mg/kgChange From Baseline in Total QMG Score at Day 85 and Day 113Day 113-4.2 score on a scaleStandard Deviation 3.08
Nipocalimab 60 mg/kgChange From Baseline in Total QMG Score at Day 85 and Day 113Day 113-3.2 score on a scaleStandard Deviation 2.28
Nipocalimab 60 mg/kgChange From Baseline in Total QMG Score at Day 85 and Day 113Day 85-2.0 score on a scaleStandard Deviation 2.6
Nipocalimab 60 mg/kg (Q2W)Change From Baseline in Total QMG Score at Day 85 and Day 113Day 85-5.1 score on a scaleStandard Deviation 3.52
Nipocalimab 60 mg/kg (Q2W)Change From Baseline in Total QMG Score at Day 85 and Day 113Day 113-3.3 score on a scaleStandard Deviation 5.69
Secondary

Change From Baseline in Total Quantitative Myasthenia Gravis (QMG) Score as a Function of Total Serum IgG at Day 57

Estimate of additional change from baseline in QMG total score for every 10% additional reduction in IgG based on a linear regression of change from baseline in QMG total score on percent reduction in IgG at Day 57. The QMG test was used to assess the participant's strength. The quantitative results of each of the 13 strength components were mapped to a 4-point scale where 0 equals to (=) none, 1= mild, 2= moderate and 3= severe. The total score is the sum of the 13 scale scores and ranges from 0 to 39. Higher scores indicated more severe impairment.

Time frame: Baseline and Day 57

Population: All participants over all arms with both an QMG score and an IgG result at both baseline and Day 57 are included in the analysis. Participants are combined over all groups because the analysis correlates QMG change with IgG change and arm was not included as a factor in the pre-specified analysis. Therefore, results by arm are not available.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Total Quantitative Myasthenia Gravis (QMG) Score as a Function of Total Serum IgG at Day 57-0.38 score on a scale per 10% IgG reductionStandard Error 0.174
Secondary

Change From Baseline in Total Revised Myasthenia Gravis Quality of Life - 15 (MG-QoL-15r) Scale Score at Day 57

The MG-QoL15r was used to assess the participant's limitations related to living with MG. Each of the 15 questions were rated by the participant on a 3-point scale (0= Not at all, 1= somewhat, 2=very much) based on a recall period of over the past few weeks. The total score is the sum of the 15 question scores and ranges from 0 to 30. Higher scores indicated more limitation.

Time frame: Baseline and Day 57

Population: ITT population included all randomized participants. Here 'N' (number of participants analyzed) included all participants who were evaluated for this OM.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Total Revised Myasthenia Gravis Quality of Life - 15 (MG-QoL-15r) Scale Score at Day 57-2.0 score on a scaleStandard Deviation 4.58
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Change From Baseline in Total Revised Myasthenia Gravis Quality of Life - 15 (MG-QoL-15r) Scale Score at Day 57-1.7 score on a scaleStandard Deviation 4.16
Nipocalimab 30 mg/kgChange From Baseline in Total Revised Myasthenia Gravis Quality of Life - 15 (MG-QoL-15r) Scale Score at Day 57-6.8 score on a scaleStandard Deviation 5.73
Nipocalimab 60 mg/kgChange From Baseline in Total Revised Myasthenia Gravis Quality of Life - 15 (MG-QoL-15r) Scale Score at Day 57-1.2 score on a scaleStandard Deviation 1.91
Nipocalimab 60 mg/kg (Q2W)Change From Baseline in Total Revised Myasthenia Gravis Quality of Life - 15 (MG-QoL-15r) Scale Score at Day 57-3.7 score on a scaleStandard Deviation 5.37
Secondary

Change From Baseline in Total Serum IgG at Day 57

Change from baseline in total serum IgG was reported. Blood samples were collected for analysis of total serum IgG.

Time frame: Baseline and Day 57

Population: ITT population included all randomized participants. Here 'N' (number of participants analyzed) included all participants who were evaluated for this OM.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Total Serum IgG at Day 57-0.3 gram/liter (g/L)Standard Deviation 1.82
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Change From Baseline in Total Serum IgG at Day 57-1.5 gram/liter (g/L)Standard Deviation 1.01
Nipocalimab 30 mg/kgChange From Baseline in Total Serum IgG at Day 57-3.4 gram/liter (g/L)Standard Deviation 1.01
Nipocalimab 60 mg/kgChange From Baseline in Total Serum IgG at Day 57-1.7 gram/liter (g/L)Standard Deviation 1.23
Nipocalimab 60 mg/kg (Q2W)Change From Baseline in Total Serum IgG at Day 57-7.6 gram/liter (g/L)Standard Deviation 2.27
Secondary

Change From Baseline in Total Serum IgG at Day 85 and Day 113

Change from baseline in total serum IgG at Day 85 and Day 113 was analyzed. Blood samples were collected for analysis of total serum IgG.

Time frame: Baseline, Day 85 and Day 113

Population: ITT population included all randomized participants. Here 'N' (number of participants analyzed) included all participants who were evaluated for this OM and 'n' (number analyzed) included the number of participants evaluated for specific timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Total Serum IgG at Day 85 and Day 113Day 85-0.5 g/LStandard Deviation 1.02
PlaceboChange From Baseline in Total Serum IgG at Day 85 and Day 113Day 113-0.6 g/LStandard Deviation 1.19
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Change From Baseline in Total Serum IgG at Day 85 and Day 113Day 85-1.4 g/LStandard Deviation 1.93
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Change From Baseline in Total Serum IgG at Day 85 and Day 113Day 113-0.7 g/LStandard Deviation 1.48
Nipocalimab 30 mg/kgChange From Baseline in Total Serum IgG at Day 85 and Day 113Day 85-3.8 g/LStandard Deviation 1.28
Nipocalimab 30 mg/kgChange From Baseline in Total Serum IgG at Day 85 and Day 113Day 113-1.2 g/LStandard Deviation 0.78
Nipocalimab 60 mg/kgChange From Baseline in Total Serum IgG at Day 85 and Day 113Day 113-0.7 g/LStandard Deviation 1.09
Nipocalimab 60 mg/kgChange From Baseline in Total Serum IgG at Day 85 and Day 113Day 85-1.2 g/LStandard Deviation 1.02
Nipocalimab 60 mg/kg (Q2W)Change From Baseline in Total Serum IgG at Day 85 and Day 113Day 85-5.7 g/LStandard Deviation 2.3
Nipocalimab 60 mg/kg (Q2W)Change From Baseline in Total Serum IgG at Day 85 and Day 113Day 113-2.2 g/LStandard Deviation 1.73
Secondary

Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 57

The MG-ADL was used to assess the participant's MG symptom severity. It assesses eight functions (talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to arise from a chair, double vision, and eyelid droop) which were rated on a 4-point scale: 0 (no impairment) to 3 (severe impairment). The total score is the sum of the eight function scores and ranges from 0 to 24. Higher scores indicated greater symptom severity/difficulty in performing daily living activities.

Time frame: Day 57

Population: Population analyzed included ITT participants for whom data was available at Day 57.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 572-point Improved7 Participants
PlaceboNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 57>=8-point Improved1 Participants
PlaceboNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 577-point Improved1 Participants
PlaceboNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 574-point Improved1 Participants
PlaceboNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 573-point Improved5 Participants
PlaceboNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 575-point Improved1 Participants
PlaceboNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 576-point Improved1 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 576-point Improved1 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 575-point Improved2 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 573-point Improved9 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 572-point Improved9 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 577-point Improved1 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 574-point Improved5 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 57>=8-point Improved0 Participants
Nipocalimab 30 mg/kgNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 575-point Improved5 Participants
Nipocalimab 30 mg/kgNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 572-point Improved10 Participants
Nipocalimab 30 mg/kgNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 573-point Improved8 Participants
Nipocalimab 30 mg/kgNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 574-point Improved5 Participants
Nipocalimab 30 mg/kgNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 576-point Improved3 Participants
Nipocalimab 30 mg/kgNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 577-point Improved3 Participants
Nipocalimab 30 mg/kgNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 57>=8-point Improved1 Participants
Nipocalimab 60 mg/kgNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 574-point Improved3 Participants
Nipocalimab 60 mg/kgNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 576-point Improved1 Participants
Nipocalimab 60 mg/kgNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 573-point Improved5 Participants
Nipocalimab 60 mg/kgNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 57>=8-point Improved0 Participants
Nipocalimab 60 mg/kgNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 577-point Improved0 Participants
Nipocalimab 60 mg/kgNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 572-point Improved7 Participants
Nipocalimab 60 mg/kgNumber of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 575-point Improved2 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 574-point Improved7 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 57>=8-point Improved2 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 577-point Improved2 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 576-point Improved3 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 573-point Improved11 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 572-point Improved12 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With a 2-, 3-, 4-, 5-, 6-, 7-, or Greater Than or Equal to (>=) 8-point Improvement in Total MG-ADL Score at Day 575-point Improved6 Participants
Secondary

Number of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 57

The QMG test was used to assess the participant's strength. The quantitative results of each of the 13 strength components were mapped to a 4-point scale where 0 equals to (=) none, 1= mild, 2= moderate and 3= severe. The total score is the sum of the 13 scale scores and ranges from 0 to 39. Higher scores indicated more severe impairment.

Time frame: Day 57

Population: Population analyzed included ITT participants for whom data was available at Day 57.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 573-point Improved8 Participants
PlaceboNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 574-point Improved5 Participants
PlaceboNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 575-point Improved5 Participants
PlaceboNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 576-point Improved2 Participants
PlaceboNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 577-point Improved2 Participants
PlaceboNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 57>= 8-point Improved2 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 577-point Improved5 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 57>= 8-point Improved3 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 573-point Improved6 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 575-point Improved5 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 576-point Improved5 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 574-point Improved5 Participants
Nipocalimab 30 mg/kgNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 576-point Improved4 Participants
Nipocalimab 30 mg/kgNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 577-point Improved1 Participants
Nipocalimab 30 mg/kgNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 573-point Improved6 Participants
Nipocalimab 30 mg/kgNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 575-point Improved5 Participants
Nipocalimab 30 mg/kgNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 574-point Improved6 Participants
Nipocalimab 30 mg/kgNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 57>= 8-point Improved1 Participants
Nipocalimab 60 mg/kgNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 576-point Improved1 Participants
Nipocalimab 60 mg/kgNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 574-point Improved3 Participants
Nipocalimab 60 mg/kgNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 575-point Improved1 Participants
Nipocalimab 60 mg/kgNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 57>= 8-point Improved0 Participants
Nipocalimab 60 mg/kgNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 577-point Improved0 Participants
Nipocalimab 60 mg/kgNumber of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 573-point Improved4 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 577-point Improved3 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 575-point Improved8 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 574-point Improved10 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 57>= 8-point Improved3 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 576-point Improved5 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With a 3-, 4-, 5-, 6-, 7-, or >= 8-point Improvement in Total QMG Score at Day 573-point Improved10 Participants
Secondary

Number of Participants With Shift From Baseline in MGFA Classification to Day 113

The MGFA was used to assess the participant's MG severity. MGFA classification identifies the subgroup participants with MG who share distinct clinical features or severity of disease: Class I (ocular MG), classes II, III and IV generalized MG with mild, moderate and severe disease, respectively; Class V MG crisis. Separate subclasses under classes II, III and IV are designed: a if the predominant weakness is affecting limb/axial weakness or both; subclass b if the predominant weakness is affecting oropharyngeal or respiratory muscles or both. In the MGFA classification, lower roman numerals mean less severity. Changes in MGFA classification (regardless of subclass) are categorized as Improved (example, III to II), Same (example, II to II), or Worsened (example, II to III).

Time frame: Baseline to Day 113

Population: ITT population included all randomized participants. Here 'N' (number of participants analyzed) included all participants who were evaluated for this OM.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Shift From Baseline in MGFA Classification to Day 113Improved3 Participants
PlaceboNumber of Participants With Shift From Baseline in MGFA Classification to Day 113Worsened0 Participants
PlaceboNumber of Participants With Shift From Baseline in MGFA Classification to Day 113Same6 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With Shift From Baseline in MGFA Classification to Day 113Same5 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With Shift From Baseline in MGFA Classification to Day 113Improved2 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With Shift From Baseline in MGFA Classification to Day 113Worsened2 Participants
Nipocalimab 30 mg/kgNumber of Participants With Shift From Baseline in MGFA Classification to Day 113Same4 Participants
Nipocalimab 30 mg/kgNumber of Participants With Shift From Baseline in MGFA Classification to Day 113Improved3 Participants
Nipocalimab 30 mg/kgNumber of Participants With Shift From Baseline in MGFA Classification to Day 113Worsened1 Participants
Nipocalimab 60 mg/kgNumber of Participants With Shift From Baseline in MGFA Classification to Day 113Improved2 Participants
Nipocalimab 60 mg/kgNumber of Participants With Shift From Baseline in MGFA Classification to Day 113Worsened0 Participants
Nipocalimab 60 mg/kgNumber of Participants With Shift From Baseline in MGFA Classification to Day 113Same5 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With Shift From Baseline in MGFA Classification to Day 113Same5 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With Shift From Baseline in MGFA Classification to Day 113Improved3 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With Shift From Baseline in MGFA Classification to Day 113Worsened3 Participants
Secondary

Number of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57

The MGFA was used to assess the participant's MG severity. MGFA classification identifies the subgroup participants with MG who share distinct clinical features or severity of disease: Class I (ocular MG), classes II, III and IV generalized MG with mild, moderate and severe disease, respectively; Class V MG crisis. Separate subclasses under classes II, III and IV are designed: a if the predominant weakness is affecting limb/axial weakness or both; subclass b if the predominant weakness is affecting oropharyngeal or respiratory muscles or both. In the MGFA classification, lower roman numerals mean less severity. Changes in MGFA classification (regardless of subclass) are categorized as Improved (example, III to II), Same (example, II to II), or Worsened (example, II to III).

Time frame: Baseline and Day 57

Population: ITT population included all randomized participants. Here 'N' (number of participants analyzed) included all participants who were evaluated for this OM.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Improved6 Participants
PlaceboNumber of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Worsened0 Participants
PlaceboNumber of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Same6 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Same9 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Improved3 Participants
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Number of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Worsened0 Participants
Nipocalimab 30 mg/kgNumber of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Same3 Participants
Nipocalimab 30 mg/kgNumber of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Improved7 Participants
Nipocalimab 30 mg/kgNumber of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Worsened1 Participants
Nipocalimab 60 mg/kgNumber of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Improved4 Participants
Nipocalimab 60 mg/kgNumber of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Worsened0 Participants
Nipocalimab 60 mg/kgNumber of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Same8 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Same4 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Improved7 Participants
Nipocalimab 60 mg/kg (Q2W)Number of Participants With Shift From Baseline in Myasthenia Gravis Foundation of America (MGFA) Classification at Day 57Worsened1 Participants
Secondary

Serum Concentrations of Nipocalimab

Serum concentrations of nipocalimab were reported. Concentrations below the lowest quantifiable concentration (\< LLOQ) that is \<0.15 microgram/milliliter (mcg/mL) was treated as zero in calculating the summary statistics.

Time frame: Baseline (Pre Infusion and Post Infusion), Day 15 (Pre Infusion), Day 29 (Pre Infusion), Day 43 (Pre Infusion), Day 57 (Pre Infusion and Post Infusion) and Day 85

Population: The safety population included all participants who received any amount of nipocalimab or placebo. Here 'n' (number analyzed) included the number of participants evaluated for specific timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboSerum Concentrations of NipocalimabBaseline (Pre Infusion)0.0 micrograms/milliliter (mcg/mL)Standard Deviation 0.005
PlaceboSerum Concentrations of NipocalimabBaseline (Post Infusion)117.75 micrograms/milliliter (mcg/mL)Standard Deviation 84.835
PlaceboSerum Concentrations of NipocalimabDay 15 (Pre Infusion)0.0 micrograms/milliliter (mcg/mL)Standard Deviation 0.006
PlaceboSerum Concentrations of NipocalimabDay 29 (Pre Infusion)0.0 micrograms/milliliter (mcg/mL)Standard Deviation 0.004
PlaceboSerum Concentrations of NipocalimabDay 43 (Pre Infusion)0.0 micrograms/milliliter (mcg/mL)Standard Deviation 0.004
PlaceboSerum Concentrations of NipocalimabDay 57 (Pre Infusion)0.0 micrograms/milliliter (mcg/mL)Standard Deviation 0.006
PlaceboSerum Concentrations of NipocalimabDay 57 (Post Infusion)49.15 micrograms/milliliter (mcg/mL)Standard Deviation 41.507
PlaceboSerum Concentrations of NipocalimabDay 850.0 micrograms/milliliter (mcg/mL)Standard Deviation 0.007
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Serum Concentrations of NipocalimabDay 57 (Pre Infusion)95.40 micrograms/milliliter (mcg/mL)Standard Deviation 301.681
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Serum Concentrations of NipocalimabDay 43 (Pre Infusion)0.01 micrograms/milliliter (mcg/mL)Standard Deviation 0.013
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Serum Concentrations of NipocalimabBaseline (Post Infusion)746.80 micrograms/milliliter (mcg/mL)Standard Deviation 47.214
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Serum Concentrations of NipocalimabDay 850.0 micrograms/milliliter (mcg/mL)Standard Deviation 0
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Serum Concentrations of NipocalimabDay 57 (Post Infusion)746.50 micrograms/milliliter (mcg/mL)Standard Deviation 96.874
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Serum Concentrations of NipocalimabDay 29 (Pre Infusion)0.0 micrograms/milliliter (mcg/mL)Standard Deviation 0
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Serum Concentrations of NipocalimabDay 15 (Pre Infusion)0.01 micrograms/milliliter (mcg/mL)Standard Deviation 0.01
Nipocalimab 5 Milligrams/Kilogram (mg/kg)Serum Concentrations of NipocalimabBaseline (Pre Infusion)0.00 micrograms/milliliter (mcg/mL)Standard Deviation 0
Nipocalimab 30 mg/kgSerum Concentrations of NipocalimabDay 57 (Post Infusion)0.0 micrograms/milliliter (mcg/mL)Standard Deviation 0
Nipocalimab 30 mg/kgSerum Concentrations of NipocalimabDay 15 (Pre Infusion)27.61 micrograms/milliliter (mcg/mL)Standard Deviation 42.167
Nipocalimab 30 mg/kgSerum Concentrations of NipocalimabDay 29 (Pre Infusion)0.0 micrograms/milliliter (mcg/mL)Standard Deviation 0
Nipocalimab 30 mg/kgSerum Concentrations of NipocalimabDay 43 (Pre Infusion)0.0 micrograms/milliliter (mcg/mL)Standard Deviation 0
Nipocalimab 30 mg/kgSerum Concentrations of NipocalimabDay 57 (Pre Infusion)0.0 micrograms/milliliter (mcg/mL)Standard Deviation 0
Nipocalimab 30 mg/kgSerum Concentrations of NipocalimabDay 850.0 micrograms/milliliter (mcg/mL)Standard Deviation 0
Nipocalimab 30 mg/kgSerum Concentrations of NipocalimabBaseline (Pre Infusion)0.0 micrograms/milliliter (mcg/mL)Standard Deviation 0
Nipocalimab 30 mg/kgSerum Concentrations of NipocalimabBaseline (Post Infusion)1847.50 micrograms/milliliter (mcg/mL)Standard Deviation 153.27
Nipocalimab 60 mg/kgSerum Concentrations of NipocalimabDay 15 (Pre Infusion)29.30 micrograms/milliliter (mcg/mL)Standard Deviation 36.631
Nipocalimab 60 mg/kgSerum Concentrations of NipocalimabDay 29 (Pre Infusion)72.69 micrograms/milliliter (mcg/mL)Standard Deviation 152.058
Nipocalimab 60 mg/kgSerum Concentrations of NipocalimabBaseline (Post Infusion)1325.00 micrograms/milliliter (mcg/mL)Standard Deviation 616.443
Nipocalimab 60 mg/kgSerum Concentrations of NipocalimabBaseline (Pre Infusion)0.0 micrograms/milliliter (mcg/mL)Standard Deviation 0
Nipocalimab 60 mg/kgSerum Concentrations of NipocalimabDay 43 (Pre Infusion)66.72 micrograms/milliliter (mcg/mL)Standard Deviation 85.919
Nipocalimab 60 mg/kgSerum Concentrations of NipocalimabDay 850.0 micrograms/milliliter (mcg/mL)Standard Deviation 0.004
Nipocalimab 60 mg/kgSerum Concentrations of NipocalimabDay 57 (Post Infusion)1827.50 micrograms/milliliter (mcg/mL)Standard Deviation 741.052
Nipocalimab 60 mg/kgSerum Concentrations of NipocalimabDay 57 (Pre Infusion)44.80 micrograms/milliliter (mcg/mL)Standard Deviation 68.56

Source: ClinicalTrials.gov · Data processed: Feb 11, 2026