Generalized Myasthenia GravisNCT04202341
Registry of Participants With Generalized Myasthenia Gravis Treated With Alexion C5 Inhibition Therapies (C5ITs)
An observational study of Generalized Myasthenia Gravis, run by Alexion Pharmaceuticals, Inc. at 51 sites in 7 countries.
Trial summary
Long-term, multicenter, multinational, observational, registry of patients with gMG that is designed to collect data on clinical outcomes and safety in patients prescribed Alexion C5 inhibitor therapies (C5IT) such as eculizumab (Soliris®) and ravulizumab (Ultomiris®). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Generalized Myasthenia Gravis
- How many people
- 500 participants
- Where
- 51 sitesin 7 countries
- Study dates
- 2 Dec 2019to 1 Oct 2029
- How long will I take part?
- 5 Years
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Participants with a diagnosis of gMG who are treated with Alexion C5IT at the time of enrollment, or have ever been treated with Alexion C5IT prior to enrollment, and meet the inclusion criteria and exclusion criteria are eligible for registry participation.
Who may be able to join
- Participants with a diagnosis of gMG who are treated with Alexion C5IT at the time of enrollment, including patients previously treated with Soliris or Ultomiris and withdrawn from treatment.
- Capable of giving signed informed consent, which includes compliance with the protocol requirements and restrictions.
- Participants must have myasthenia gravis historical data, such as MG-ADL and MGFA class, available to be enrolled in the Registry.
Who cannot join
- 1. Participants currently enrolled in an Alexion-sponsored interventional clinical study for treatment of gMG cannot be enrolled in the Alexion gMG Registry while enrolled/participating in the clinical study for gMG therapy.
Trial locations and contacts
51 sites in 7 countries. Contact the study team or a site near you to ask about taking part.
51 sites in 7 countries
United States32 sites, 32 recruiting
- Recruiting
Clinical Trial Site
Augusta, Georgia, 30912
- Recruiting
Clinical Trial Site
Birmingham, Alabama, 35294
- Recruiting
Clinical Trial Site
Boston, Massachusetts, 02215
- Recruiting
Clinical Trial Site
Burlington, Vermont, 05401
- Recruiting
Clinical Trial Site
Chapel Hill, North Carolina, 27599
- Recruiting
Clinical Trial Site
Charlotte, North Carolina, 28207
- Recruiting
Clinical Trial Site
Chattanooga, Tennessee, 37403
- Recruiting
Clinical Trial Site
Clearwater, Florida, 33761
- Recruiting
Clinical Trial Site
Colorado Springs, Colorado, 80907
- Recruiting
Clinical Trial Site
Columbia, Missouri, 65212
- Recruiting
Clinical Trial Site
Dallas, Texas, 75206
- Recruiting
Clinical Trial Site
Dayton, Ohio, 45459
- Recruiting
Clinical Trial Site
Durham, North Carolina, 27705
- Recruiting
Clinical Trial Site
Fort Collins, Colorado, 80528
- Recruiting
Clinical Trial Site
Fresno, California, 93710
- Recruiting
Clincal Trial Site
Gainesville, Florida, 32608
- Recruiting
Clinical Trial Site
Houston, Texas, 77030
- Recruiting
Clinical Trial Site
Iowa City, Iowa, 52242
- Recruiting
Clinical Trial Site
Jacksonville, Florida, 32209
- Recruiting
Clinical Trial Site
Knoxville, Tennessee, 37920
- Recruiting
Clinical Trial Site
Lansing, Michigan, 48824
- Recruiting
Clinical Trial Site
Lexington, Kentucky, 40503
- Recruiting
Clinical Trial Site
Milwaukee, Wisconsin, 53215
- Recruiting
Clinical Trial Site
New Haven, Connecticut, 06520
- Recruiting
Clinical Trial Site
New Hyde Park, New York, 11042
- Recruiting
Clinical Trial Site
Orange, California, 92868
- Recruiting
Clinical Trial Site
Philadelphia, Pennsylvania, 19104
- Recruiting
Clinical Trial Site
Rancho Mirage, California, 92270
- Recruiting
Clinical Trial Site
Scottsdale, Arizona, 85251
- Recruiting
Clinical Trial Site
Sylmar, California, 91342
- Recruiting
Clinical Trial Site
Tampa, Florida, 33612
- Recruiting
Clinical Trial Site
Washington D.C., District of Columbia, 10010
China9 sites, 9 recruiting
- Recruiting
Clinical Trial Site
Beijing, 100730
- Recruiting
Clinical Trial Site
Changchun, 130021
- Recruiting
Clinical Trial Site
Chengdu, Sichuan, 610041
- Recruiting
Clinical Trial Site
Chengdu, 610072
- Recruiting
Clinical Trial Site
Guangzhou, 510080
- Recruiting
Clinical Trial Site
Jinan, 250021
- Recruiting
Clinical Trial Site
Nanchang, 330006
- Recruiting
Clinical Trial Site
Qingdao, 266003
- Recruiting
Clinical Trial Site
Shijiazhuang, 050000
Canada3 sites, 3 recruiting
- Recruiting
Clinical Trial Site
Brampton, Ontario, L6R 3J7
- Recruiting
Clinical Trial Site
London, Ontario, N6A 5A5
- Recruiting
Clinical Trial Site
Montreal, Quebec, H2X 3E4
Saudi Arabia3 sites, 3 recruiting
- Recruiting
Clinical Trial Site
Abhā, 62523
- Recruiting
Clinical Trial Site
Jeddah, 22384
- Recruiting
Clinical Trial Site
Riyadh, 14611
Italy2 sites, 2 recruiting
- Recruiting
Clinical Trial Site
Milan, 20133
- Recruiting
Clinical Trial Site
Naples, 80138
Germany1 site, 1 recruiting
- Recruiting
Clinical Trial Site
Hanover, Hannover, 30625
About this study
Official title: Long-Term, Observational, Global Registry of Patients With Generalized Myasthenia Gravis Who Have Received Treatment With Complement C5 Inhibition Therapies (C5ITs)
Long-term, multicenter, multinational, observational, registry of patients with gMG that is designed to collect data on clinical outcomes and safety in patients prescribed Alexion C5 inhibitor therapies (C5IT) such as eculizumab (Soliris®) and ravulizumab (Ultomiris®).
Read the detailed description
At the time of enrollment in the Registry, participant records will be queried for retrospective information about the participants' medical history and gMG disease treatment history. Following enrollment, prospective data collection will be performed using data obtained as part of the routine clinical care and through patient-reported outcome methods in use. Data will be collected using an electronic data capture system. The duration of data collection for the Registry will be up to 5 years from the day of enrollment.
- Conditions
- Generalized Myasthenia Gravis
- Keywords
- gMG, Soliris, Ultomiris, Alexion C5 Inhibition Therapy, Alexion C5IT, Patient Registry, Generalized Myasthenia Gravis, Alexion Registry
- Medical subject headings
- Myasthenia Gravis
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Myasthenia Gravis Activities of Daily Living (MG-ADL) Score
The MG-ADL is an eight-item patient-reported outcome measure assessing MG symptoms and functional activities related to activities of daily living.48 Each of the items is scored from 0 (normal) to 3 (most severe), providing a total MG-ADL score ranging from 0 to 24, where higher scores indicate greater severity of symptoms.
Measured: Approximately 5 years from enrollment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Dec 2019
- Study start2 Dec 2019
- Primary completion1 Oct 2029 (estimated)
- Study completion1 Oct 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Generalized Myasthenia GravisStudies of the same condition, open and under way.
- More trials run by Alexion Pharmaceuticals, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 500 participants (estimated)
- Target duration
- 5 Years
Sponsor and investigators
- Lead sponsor
- Alexion Pharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04202341
- Sponsor's protocol ID
- ALXN-MG-501
- Status last verified
- Feb 2026
- First submitted
- 16 Dec 2019
- Last updated
- 18 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Howard JF Jr, Dodig D, Zeinali L, Macwan SP, Yegin A, Pulley MT, Rodrigues E, Narayanaswami P. First analysis of the Myasthenia Gravis SPOTLIGHT Registry: outcomes with eculizumab and ravulizumab. J Neurol Sci. 2025 Sep 15;476:123628. doi: 10.1016/j.jns.2025.123628. Epub 2025 Jul 16.
PubMed 40812271
Study at a glance
From the registry record, last updated by the sponsor on 18 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Long-Term, Observational, Global Registry of Patients With Generalized Myasthenia Gravis Who Have Received Treatment With Complement C5 Inhibition Therapies (C5ITs)
- ClinicalTrials.gov ID
- NCT04202341
- Acronym / sponsor ID
- ALXN-MG-501
- Conditions
- Generalized Myasthenia Gravis
- Keywords
- gMG, Soliris, Ultomiris, Alexion C5 Inhibition Therapy, Alexion C5IT, Patient Registry, Generalized Myasthenia Gravis, Alexion Registry
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 500 participants (estimated)
- Lead sponsor
- Alexion Pharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Study start
- 2 Dec 2019 (actual)
- Primary completion
- 1 Oct 2029 (estimated)
- Study completion
- 1 Oct 2029 (estimated)
- First posted
- 17 Dec 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Long-term, multicenter, multinational, observational, registry of patients with gMG that is designed to collect data on clinical outcomes and safety in patients prescribed Alexion C5 inhibitor therapies (C5IT) such as eculizumab (Soliris®) and ravulizumab (Ultomiris®).
Detailed description
At the time of enrollment in the Registry, participant records will be queried for retrospective information about the participants' medical history and gMG disease treatment history. Following enrollment, prospective data collection will be performed using data obtained as part of the routine clinical care and through patient-reported outcome methods in use. Data will be collected using an electronic data capture system. The duration of data collection for the Registry will be up to 5 years from the day of enrollment.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 5 Years
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Participants with a diagnosis of gMG who are treated with Alexion C5IT at the time of enrollment, or have ever been treated with Alexion C5IT prior to enrollment, and meet the inclusion criteria and exclusion criteria are eligible for registry participation.
Key inclusion criteria (3 listed)
- Participants with a diagnosis of gMG who are treated with Alexion C5IT at the time of enrollment, including patients previously treated with Soliris or Ultomiris and withdrawn from treatment.
- Capable of giving signed informed consent, which includes compliance with the protocol requirements and restrictions.
- Participants must have myasthenia gravis historical data, such as MG-ADL and MGFA class, available to be enrolled in the Registry.
Key exclusion criteria (1 listed)
- 1. Participants currently enrolled in an Alexion-sponsored interventional clinical study for treatment of gMG cannot be enrolled in the Alexion gMG Registry while enrolled/participating in the clinical study for gMG therapy.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Change in Myasthenia Gravis Activities of Daily Living (MG-ADL) Score
Time frame: Approximately 5 years from enrollment
The MG-ADL is an eight-item patient-reported outcome measure assessing MG symptoms and functional activities related to activities of daily living.48 Each of the items is scored from 0 (normal) to 3 (most severe), providing a total MG-ADL score ranging from 0 to 24, where higher scores indicate greater severity of symptoms.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Feb 2026.
- Derived from this study: PubMed 40812271Howard JF Jr, Dodig D, Zeinali L, Macwan SP, Yegin A, Pulley MT, Rodrigues E, Narayanaswami P. First analysis of the Myasthenia Gravis SPOTLIGHT Registry: outcomes with eculizumab and ravulizumab. J Neurol Sci. 2025 Sep 15;476:123628. doi: 10.1016/j.jns.2025.123628. Epub 2025 Jul 16.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
51 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Generalized Myasthenia Gravis, run by Alexion Pharmaceuticals, Inc. at 51 sites in 7 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 18 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 51 sites in United States, China, Canada, Saudi Arabia, Italy and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Alexion Pharmaceuticals, Inc. (Sponsor) (1-855-752-2356, clinicaltrials@alexion.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Myasthenia Gravis Activities of Daily Living (MG-ADL) Score (time frame: Approximately 5 years from enrollment). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04202341, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Feb 2026.