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Myasthenia GravisPhase 3MINTNCT04524273

Myasthenia Gravis Inebilizumab Trial

A Phase 3 study testing inebilizumab in people with Myasthenia Gravis, run by Amgen at 104 sites in 19 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Randomized, double-blind, placebo-controlled, Phase 3, parallel-group study with optional open-label extension. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Myasthenia Gravis
What is being tested?
inebilizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
238 participants
Where
104 sitesin 19 countries
Study dates
15 Oct 2020to 7 Jun 2029
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

Who may be able to join

  • Diagnosis of MG with anti-AChR or anti-MuSK antibody.
  • MGFA Clinical Classification Class II, III, or IV.
  • MG-ADL score of 6 or greater at screening and at randomization with > 50% of this score attributed to non-ocular items.
  • QMG score of 11 or greater.
  • Participants must be on:
  • Corticosteroids only, with no dose increase within 4 weeks prior to randomization, or
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  • One allowed non-steroidal immunosuppressive therapy (IST), with continuous use for at least 6 months prior to randomization and no dose increase within 4 months prior to randomization, or
  • Combination of (1) corticosteroids with no dose increase within 4 weeks prior to randomization and (2) one allowed non-steroidal IST with continuous use for at least 6 months prior to randomization and no dose increase within 4 months prior to randomization.
  • Allowed ISTs, alone or in combination with corticosteroids, are azathioprine, mycophenolate mofetil, and mycophenolic acid.

Who cannot join

  • Receipt of the following medications within the 4 weeks prior to Day 1:
  • Cyclosporine (except eye drops)
  • Tacrolimus (except topical)
  • Methotrexate
  • Current use of:
  • Corticosteroids (Prednisone > 40 milligram (mg)/day or > 80 mg over a 2-day period (or equivalent dose of other corticosteroids).
Show all 10Show fewer
  • Acetylcholinesterase inhibitors (pyridostigmine) > 480 mg/day) or unstable dose in the 2 weeks prior to Day 1.
  • Azathioprine > 3 mg/kilogram (kg)/day
  • Mycophenolate mofetil > 3 grams/day or mycophenolic acid > 1440 mg/day
  • Any IST, alone or in combination with corticosteroids, except for azathioprine, mycophenolate mofetil, and mycophenolic acid.

Trial locations and contacts

104 sites in 19 countries.

104 sites in 19 countries

United States16 sites
  • Viela Bio Investigative Site - 1019

    Austin, Texas, 78759

  • Viela Bio Investigative Site - 1004

    Burlington, Vermont, 05401

  • Viela Bio Investigative Site - 1025

    Canton, Ohio, 44718

  • Viela Bio Investigative Site - 1018

    Charlotte, North Carolina, 28203

  • Viela Bio Investigative Site - 1001

    Cincinnati, Ohio, 45219

  • Viela Bio Investigative Site - 1009

    Columbus, Ohio, 43210

  • Viela Bio Investigative Site - 1003

    Houston, Texas, 77030

  • Viela Bio Investigative Site - 1012

    Kansas City, Kansas, 66160

  • Viela Bio Investigative Site - 1002

    New Haven, Connecticut, 06519

  • Viela Bio Investigative Site - 1015

    Orange, California, 92868

  • Viela Bio Investigative Site - 1008

    Pittsburgh, Pennsylvania, 15212

  • Viela Bio Investigative Site - 1006

    Richmond, Virginia, 23298

  • Viela Bio Investigative Site - 1017

    Salt Lake City, Utah, 84132

  • Viela Bio Investigative Site - 1014

    San Antonio, Texas, 78229

  • Viela Bio Investigative Site - 1005

    Tampa, Florida, 33612

  • Viela Bio Investigative Center - 1024

    Washington D.C., District of Columbia, 20010

Other trials in United States

China10 sites
  • Viela Bio Investigative Site 4009

    Beijing, 100029

  • Viela Bio Investigative Site - 4007

    Beijing, 100053

  • Viela Bio Investigative Site 4003

    Beijing, 100070

  • Viela Bio Investigative Site - 4005

    Guiyang, 550004

  • Viela Bio Investigative site 4010

    Hunan, 410008

  • Viela Bio Investigative Site - 4011

    Jinan, 250012

  • Viela Bio Investigative Site - 4006

    Shanghai, 201107

  • Viela Bio Investigative Site - 4008

    Suzhou, 215006

  • Viela Bio Investigative Site - 4004

    Tianjin, 300052

  • Viela Bio Investigative Site 4012

    Xi'an, 710038

Other trials in China

Japan10 sites
  • Viela Bio Investigative Site - 4402

    Chiba, 260-8677

  • Viela Bio Investigative Site - 4410

    Chiba, 286-8520

  • Viela Bio Investigative Site - 4401

    Fukuoka, 025-0082

  • Viela Bio Investigative Site 4409

    Fukuoka, 812-8582

  • VielaBio Investigative Site - 4408

    Hokkaido, 041-8680

  • Viela Bio Investigative Site - 4406

    Hyōgo, 663-8501

  • Viela Bio Investigative Site 4405

    Miyagi, 983-8520

  • Viela Bio Investigative Site - 4413

    Moriguchi, 570-8507

  • VielaBio Investigative Site - 4407

    Morioka, 020-8505

  • Viela Bio Investigative Site - 4404

    Saitama, 350-8550

Other trials in Japan

India9 sites
  • Viela Bio Investigative Site - 4104

    Bangalore, 560002

  • Viela Bio Investigative Site - 4112

    Hyderabad, Telangana, 500082

  • Viela Bio investigative Site - 4105

    Lucknow, 226014

  • Viela Bio Investigative Site - 4103

    Manipal, 576104

  • Viela Bio Investigative Site - 4107

    Nagpur, Maharashtra, 440003

  • Viela Bio Investigative Site - 4113

    Nagpur, Maharashtra, 440012

  • Viela Bio Investigative Site - 4102

    Nashik, 422002

  • Viela Bio Investigative Site - 4109

    Pune, 411004

  • Viela Bio Investigative Site - 4101

    Surat, 395002

Other trials in India

Russia9 sites
  • Viela Bio Investigative Site - 5313

    Barnaul, Altayskiy Kray, 656043

  • Viela Bio Investigative Site - 5303

    Barnaul, 656045

  • Viela Bio Investigative Site - 5302

    Nizhny Novgorod, 603126

  • Viela Bio Investigative Site - 5304

    Novosibirsk, 630087

  • Viela Bio Investigative Site - 5311

    Rostov-on-Don, 344015

  • Viela Bio Investigative Site - 5309

    Rostov-on-Don, 344022

  • Viela Bio Investigative Site - 5308

    Saint Petersburg, 197110

  • Viela Bio Investigative Site - 5305

    Samara, 443095

  • Viela Bio Investigative Site - 5312

    Ufa, 450083

Other trials in Russia

Taiwan7 sites
  • Viela Bio investigative Site - 4605

    Kaohsiung City, 83301

  • Viela Bio Investigative Site 4608

    New Taipei City, 235

  • Viela Bio Investigative Site - 4606

    Tainan, 704

  • Viela Bio Investigative Site - 4604

    Taipei, 10002

  • Viela Bio Investigative Site - 4603

    Taipei, 111

  • Viela Bio Investigative Site -4607

    Taipei, 11217

  • Viela Bio Investigative Site - 4602

    Taoyuan City, 333

Other trials in Taiwan

Brazil5 sites
  • VielaBio Investigative Site - 2201

    Porto Alegre, 90035-001

  • VielaBio Investigative Site - 2203

    Porto Alegre, 90840-440

  • VielaBio Investigative Site - 2207

    Ribeirão Preto, 14051-140

  • VielaBio Investigative Site - 2206

    São Paulo, 01228-000

  • Viela Bio Investigative Site - 2205

    São Paulo, 08270-120

Other trials in Brazil

Poland5 sites
  • Viela Bio Investigative Site - 3302

    Katowice, 40-635

  • Viela Bio Investigative Site - 3303

    Katowice, 40-752

  • Viela Bio Investigative Site - 3301

    Krakow, 31-505

  • Med Polonia Sp. z o.o - 3311

    Poznan, 60-693

  • Viela Bio Investigative Site - 3310

    Warsaw, 01-868

Other trials in Poland

Ukraine5 sites
  • Viela Bio Investigative Site - 5103

    Dnipro, 49005

  • Viela Bio Investigative Site - 5108

    Dnipro, 49089

  • Viela Bio Investigative Site - 5105

    Ivano-Frankivsk, 76493

  • Viela Bio Investigative Site - 5104

    Lutsk, 43005

  • Viela Bio Investigative Site - 5106

    Vinnytsia, 21050

Other trials in Ukraine

Italy4 sites
  • Viela Bio Investigative Site - 3204

    Milan, 20122

  • Viela Bio Investigative Site - 3203

    Milan, 20133

  • Viela Bio Investigative Site - 3201

    Pavia, 27100

  • Viela Bio Investigative Site - 3202

    Rome, 168

Other trials in Italy

Turkey (Türkiye)4 sites
  • Viela Bio Investigative Site - 3903

    Ankara, 6230

  • Viela Bio Investigative Site - 3901

    Izmir, 35100

  • Viela Bio Investigative Site - 3902

    Izmir, 35330

  • Viela Bio Investigative Site - 3905

    Kocaeli, 41380

Other trials in Turkey (Türkiye)

Argentina3 sites
  • Viela Bio Investigative Site - 2001

    Buenos Aires, C1023AAB

  • VielaBio Investigative Site - 2002

    Buenos Aires, C1199ABB

  • Viela Bio Investigative Site - 2003

    Buenos Aires, C1221ADC

Other trials in Argentina

Belarus3 sites
  • Viela Bio Investigative Site - 5203

    Grodno, 230030

  • Viela Bio Investigative Site - 5204

    Minsk, 220114

  • Viela Bio Investigative Site - 5201

    Vitebsk, 210009

Other trials in Belarus

Canada3 sites
  • Viela Bio Investigative Site - 1101

    Montreal, Quebec, H2X 3J4

  • Viela Bio Investigative Site - 1103

    Montreal, Quebec, H3A 2B4

  • Viela Bio Investigative Site - 1102

    Toronto, Ontario, M5G 2C4

Other trials in Canada

France3 sites
  • Viela Bio Investigative Site - 3003

    Lille, 59037

  • Viela Bio Investigative Site - 3001

    Nice, 06001

  • Viela Bio Investigative Site - 3002

    Strasbourg, 67098

Other trials in France

South Korea3 sites
  • Viela Bio Investigative Site - 4202

    Seoul, 3722

  • Viela Bio Investigative Site - 4203

    Seoul, 5030

  • Viela Bio Investigative Site - 4201

    Seoul, 6351

Other trials in South Korea

Spain3 sites
  • Viela Bio Investigative Site - 3403

    Badalona, 8916

  • Viela Bio Investigative Site - 3402

    Barcelona, 8003

  • Viela Bio Investigative Site - 3404

    Córdoba, 14004

Other trials in Spain

Denmark1 site
  • Viela Bio Investigative Site - 5601

    Copenhagen, 2100

Other trials in Denmark

Germany1 site
  • VielaBio Investigative Site - 3101

    Essen, 45122

Other trials in Germany

About this study

Official title: A Randomized, Double-blind, Multicenter, Placebo-controlled Phase 3 Study With Open-label Period to Evaluate the Efficacy and Safety of Inebilizumab in Adults With Myasthenia Gravis

Randomized, double-blind, placebo-controlled, Phase 3, parallel-group study with optional open-label extension.

Read the detailed description

This study is a phase 3, randomized, double-blind, placebo-controlled study, to be conducted at approximately 120 study sites. Approximately 230 participants (188 acetylcholine receptor antibody positive [AChR-Ab+] and 42 muscle-specific tyrosine kinase antibody positive [MuSK-Ab+]) will be enrolled. Participants with Myasthenia Gravis (MG) who are positive for anti-AChR or anti-MuSK antibodies will be enrolled and analyzed. Patients who do not have anti-AChR or anti-MuSK antibodies will not be enrolled. Patients with Myasthenia Gravis Foundation of America (MGFA) classification II, III, or IV disease, Myasthenia Gravis Activities of Daily Living (MG-ADL) score at screening and randomization between 6 and 10 with > 50% of this score attributed to non-ocular items, or an MG-ADL score >=11, Quantitative Myasthenia Gravis (QMG) score >= 11 at the time of screening and randomization, and use of a corticosteroid and/or non-steroidal immunosuppressant will be included in the study.

All subjects who complete the randomized controlled period (RCP) will have the option to enroll in a 3-year (156 weeks) open-label period.

Study acquired from Horizon in 2023.

Being tested
inebilizumab, IV Placebo
Keywords
Myasthenia Gravis
Medical subject headings
Myasthenia Gravis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • inebilizumabDrug

    Also called MEDI-551, VIB0551

    Participants will receive IV inebilizumab

  • IV PlaceboDrug

    Participants will receive IV placebo matched to inebilizumab

Study groups in NCT04524273
Study groupRoleWhat they receive
Inebilizumab, (AChR-Ab+) MGExperimentalParticipants will receive inebilizumab administered intravenously (IV) on Days 1, 15, and 183 of the RCP. Participants who elect to enter the open label phase (OLP) will receive inebilizumab administered IV on OLP Days 1, IV placebo on OLP Day 15 (to avoid potential unblinding), and inebilizumab IV on OLP Days 183, 365, 547, 729, and 911.
Receives: Drug: inebilizumab
Placebo, (AChR-Ab+) MGPlacebo comparatorParticipants will receive placebo administered IV on Days 1, 15, and 183 of the RCP. Participants who elect to enter the OLP will receive inebilizumab administered IV on OLP Days 1,15, 183, 365, 547, 729, and 911.
Receives: Drug: IV Placebo
Inebilizumab, (MuSK-Ab+) MGExperimentalParticipants will receive inebilizumab administered IV on Days 1 and 15 of the RCP. Participants who elect to enter the OLP will receive inebilizumab administered IV on OLP Day 1, IV placebo on OLP Day 15 (to avoid potential unblinding), and inebilizumab IV on OLP Days 183, 365, 547, 729, and 911.
Receives: Drug: inebilizumab
Placebo, (MuSK-Ab+) MGPlacebo comparatorParticipants will receive placebo administered IV on Days 1 and 15 of the RCP. Participants who elect to enter the OLP will receive inebilizumab administered IV on OLP Days 1,15, 183, 365, 547, 729, and 911.
Receives: Drug: IV Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline at Week 26 in Myasthenia Gravis Activities of Daily Living (MG-ADL) Score in the Overall Study Population

    MG-ADL score is an 8-item questionnaire that focuses on relevant symptoms and functional performance of activities of daily living over the previous 7 days. The MG-ADL score assesses disability secondary to ocular (2 items), bulbar (3 items), respiratory (1 item) and gross motor or limb (2 items) impairment related to effects from MG. Each response is graded 0 (normal) to 3 (most severe). The range of total MG-ADL scores is 0-24. A higher score represents more severe disease

    Outcome measure is reported for the overall population.

    Measured: Baseline and Week 26

Secondary outcomes (35)
  1. Change From Baseline in Quantitative Myasthenia Gravis (QMG) Score at Week 26 in the Overall Study Population

    The QMG score is a validated outcome comprised of 13 items: ocular (2 items), facial (1 item), bulbar (2 items), gross motor (6 items), axial (1 item), and respiratory (1 item). Each item has a possible score of between 0 and 3 points. The total score range is 0-39 points, with higher score indicating more severe disease.

    Outcome measure is reported for the overall population.

    Measured: Baseline and Week 26

  2. Change From Baseline at Week 26 in MG-ADL Score in Anti-AChR-Ab+ and Anti-MuSK-Ab+ Populations

    MG-ADL score is an 8-item questionnaire that focuses on relevant symptoms and functional performance of activities of daily living over the previous 7 days. The MG-ADL score assesses disability secondary to ocular (2 items), bulbar (3 items), respiratory (1 item) and gross motor or limb (2 items) impairment related to effects from MG. Each response is graded 0 (normal) to 3 (most severe). The range of total MG-ADL scores is 0-24. A higher score represents more severe disease.

    Outcome measure is reported for the Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.

    Measured: Baseline and Week 26

  3. Change From Baseline in QMG Score at Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ Populations

    The QMG score is a validated outcome comprised of 13 items: ocular (2 items), facial (1 item), bulbar (2 items), gross motor (6 items), axial (1 item), and respiratory (1 item). Each item has a possible score of between 0 and 3 points. The total score range is 0-39 points, with higher score indicating more severe disease.

    Outcome measure is reported for the Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.

    Measured: Baseline and Week 26

  4. Percentage of Participants With Both ≥ 3-point Improvement in MG-ADL Score at Week 26 and no Use of Rescue Therapy Between Day 28 and Week 26 in the Overall Study Population

    MG-ADL score is an 8-item questionnaire that focuses on relevant symptoms and functional performance of activities of daily living over the previous 7 days. The MG-ADL score assesses disability secondary to ocular (2 items), bulbar (3 items), respiratory (1 item) and gross motor or limb (2 items) impairment related to effects from MG. Each response is graded 0 (normal) to 3 (most severe). The range of total MG-ADL scores is 0-24. A higher score represents more severe disease.

    The protocol-allowed rescue therapy options included intravenous immunoglobulin (IVIg) and therapeutic plasma exchange (PLEX).

    Outcome measure is reported for the overall population.

    Measured: Up to Week 26

  5. Percentage of Participants With Both ≥ 3-point Improvement in MG-ADL Score at Week 26 and no Use of Rescue Therapy Between Day 28 and Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ Populations

    MG-ADL score is an 8-item questionnaire that focuses on relevant symptoms and functional performance of activities of daily living over the previous 7 days. The MG-ADL score assesses disability secondary to ocular (2 items), bulbar (3 items), respiratory (1 item) and gross motor or limb (2 items) impairment related to effects from MG. Each response is graded 0 (normal) to 3 (most severe). The range of total MG-ADL scores is 0-24. A higher score represents more severe disease.

    The protocol-allowed rescue therapy options included IVIg and PLEX.

    Outcome measure is reported in Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.

    Measured: Up to Week 26

  6. Percentage of Participants With Both ≥ 3-point Improvement in MG-ADL Score at Week 52 and no Use of Rescue Therapy Between Day 28 and Week 52 in Anti-AChR-Ab+ Population

    MG-ADL score is an 8-item questionnaire that focuses on relevant symptoms and functional performance of activities of daily living over the previous 7 days. The MG-ADL score assesses disability secondary to ocular (2 items), bulbar (3 items), respiratory (1 item) and gross motor or limb (2 items) impairment related to effects from MG. Each response is graded 0 (normal) to 3 (most severe). The range of total MG-ADL scores is 0-24. A higher score represents more severe disease.

    The protocol-allowed rescue therapy options included IVIg and PLEX.

    Outcome measure is reported for the Anti-AChR-Ab+ population.

    Measured: Up to Week 52

  7. Percentage of Participants With no Use of Rescue Therapy Between Day 28 and Week 52 in Anti-AChR-Ab+ Population

    The protocol-allowed rescue therapy options included corticosteroids, IVIg and PLEX.

    Outcome measure is reported for the Anti-AChR-Ab+ population.

    Measured: Up to Week 52

  8. Change From Baseline in MG-ADL Score at Week 52 in the Anti-AChR-Ab+ Population

    MG-ADL score is an 8-item questionnaire that focuses on relevant symptoms and functional performance of activities of daily living over the previous 7 days. The MG-ADL score assesses disability secondary to ocular (2 items), bulbar (3 items), respiratory (1 item) and gross motor or limb (2 items) impairment related to effects from MG. Each response is graded 0 (normal) to 3 (most severe). The range of total MG-ADL scores is 0-24. A higher score represents more severe disease.

    Outcome measure is reported for the Anti-AChR-Ab+ population.

    Measured: Baseline and Week 52

  9. Change From Baseline in QMG Score at Week 52 in the Anti-AChR-Ab+ Population

    The QMG score is a validated outcome comprised of 13 items: ocular (2 items), facial (1 item), bulbar (2 items), gross motor (6 items), axial (1 item), and respiratory (1 item). Each item has a possible score of between 0 and 3 points. The total score range is 0-39 points, with higher score indicating more severe disease.

    Outcome measure is reported for the Anti-AChR-Ab+ population.

    Measured: Baseline and Week 52

  10. Change From Baseline in Myasthenia Gravis Composite (MGC) Score at Week 26 in the Overall Study Population

    The MGC score consists of test items from MG-ADL score and the QMG score, with weighted response options. Scores range from 0-50, with higher scores indicating worse disease manifestations.

    Outcome measure is reported for the overall population.

    Measured: Baseline and Week 26

  11. Change From Baseline in MGC Score at Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ Populations

    The MGC score consists of test items from MG-ADL score and the QMG score, with weighted response options. Scores range from 0-50, with higher scores indicating worse disease manifestations.

    Outcome measure is reported for the Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.

    Measured: Baseline and Week 26

  12. Change From Baseline in MGC Score at Week 52 in Anti-AChR-Ab+ Population

    The MGC score consists of test items from MG-ADL score and the QMG score, with weighted response options. Scores range from 0-50, with higher scores indicating worse disease manifestations.

    Outcome measure is reported for the Anti-AChR-Ab+ population.

    Measured: Baseline and Week 52

  13. Change From Baseline in Myasthenia Gravis Quality of Life-15, Revised (MGQOL-15r) Score at Week 26 in the Overall Study Population

    MGQOL-15r score is a validated, patient-scored instrument, which measures the impact of MG on health-related quality of life (HRQoL). The 15 items in the questionnaire evaluate mobility (9 items), symptoms (3 items), general contentment (1 item), and emotional well-being (2 items) domains. Each item is rated on a 3-point scale ranging from 0 ("not at all") to 2 ("very much") based on their experience "over the past few weeks." Items scores are summed to generate a total score ranging from 0-45, with higher score indicating worse HRQoL.

    Outcome measure is reported for the overall population.

    Measured: Baseline and Week 26

  14. Change From Baseline in MGQOL-15r Score at Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ Populations

    MGQOL-15r score is a validated, patient-scored instrument, which measures the impact of MG on health-related quality of life (HRQoL). The 15 items in the questionnaire evaluate mobility (9 items), symptoms (3 items), general contentment (1 item), and emotional well-being (2 items) domains. Each item is rated on a 3-point scale ranging from 0 ("not at all") to 2 ("very much") based on their experience "over the past few weeks." Items scores are summed to generate a total score ranging from 0-45, with higher score indicating worse HRQoL.

    Outcome measure is reported in Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.

    Measured: Baseline and Week 26

  15. Change From Baseline in MGQOL-15r Score at Week 52 in Anti-AChR-Ab+ Population

    MGQOL-15r score is a validated, patient-scored instrument, which measures the impact of MG on health-related quality of life (HRQoL). The 15 items in the questionnaire evaluate mobility (9 items), symptoms (3 items), general contentment (1 item), and emotional well-being (2 items) domains. Each item is rated on a 3-point scale ranging from 0 ("not at all") to 2 ("very much") based on their experience "over the past few weeks." Items scores are summed to generate a total score ranging from 0-45, with higher score indicating worse HRQoL.

    Outcome Measure is reported for the Anti-AChR-Ab+ population.

    Measured: Baseline and Week 52

  16. Percentage of Participants With Patient Global Impression of Change (PGIC) Scores at Week 26 in the Overall Study Population

    The self-report measure PGIC reflects a participant's belief about the efficacy of treatment. PGIC is a 7 point scale depicting a participant's rating of overall improvement. Participant rate their change as "very much improved", "much improved", "minimally improved", "no change", "minimally worse", "much worse", or "very much worse",

    Outcome measure is reported for the overall population.

    Measured: Week 26

  17. Percentage of Participants With PGIC Scores at Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ Populations

    The self-report measure PGIC reflects a participant's belief about the efficacy of treatment. PGIC is a 7 point scale depicting a participant's rating of overall improvement. Participants rate their change as "very much improved", "much improved", "minimally improved", "no change", "minimally worse", "much worse", or "very much worse".

    Outcome measure is reported for the Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.

    Measured: Week 26

  18. Percentage of Participants With PGIC Scores at Week 52 in Anti-AChR-Ab+ Population

    The self-report measure PGIC score reflects a participant's belief about the efficacy of treatment. PGIC is a 7 point scale depicting a participant's rating of overall improvement. participants rate their change as "very much improved", "much improved", "minimally improved", "no change", "minimally worse", "much worse", or "very much worse".

    Outcome measure is reported for the Anti-AChR-Ab+ population.

    Measured: Week 52

  19. Percentage of Participants Experiencing Exacerbation by Week 26 in the Overall Study Population

    An exacerbation was defined as one of the following:

    • Use of protocol defined rescue therapy, or
    • Myasthenic crisis, defined as worsening of myasthenic weakness requiring intubation or non-invasive ventilation to avoid intubation, except when these measures are employed during routine postoperative management, or
    • Significant symptomatic worsening to a score of 3 or a 2-point worsening from baseline on any one of the individual MG-ADL items other than double vision or eyelid droop.

    Outcome measure is reported for the overall population.

    Measured: Up to Week 26

  20. Percentage of Participants Experiencing Exacerbation by Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ Populations

    An exacerbation was defined as one of the following:

    • Use of protocol defined rescue therapy, or
    • Myasthenic crisis, defined as worsening of myasthenic weakness requiring intubation or non-invasive ventilation to avoid intubation, except when these measures are employed during routine postoperative management, or
    • Significant symptomatic worsening to a score of 3 or a 2-point worsening from baseline on any one of the individual MG-ADL items other than double vision or eyelid droop.

    Outcome measure is reported for the Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.

    Measured: Up to Week 26

  21. Percentage of Participants Experiencing Exacerbation by Week 52 in Anti-AChR-Ab+ Population

    An exacerbation was defined as one of the following:

    • Use of protocol defined rescue therapy, or
    • Myasthenic crisis, defined as worsening of myasthenic weakness requiring intubation or non-invasive ventilation to avoid intubation, except when these measures are employed during routine postoperative management, or
    • Significant symptomatic worsening to a score of 3 or a 2-point worsening from baseline on any one of the individual MG-ADL items other than double vision or eyelid droop.

    Outcome measure is reported for the Anti-AChR-Ab+ population.

    Measured: Up to Week 52

  22. Percentage of Participants Achieving Minimal Symptom Expression (MSE) at Week 26

    MSE was defined as MG-ADL= 0 or 1.

    Outcome measure is reported for the Anti-AChR-Ab+ and Anti-MuSK+ populations.

    Measured: From Day 28 to Week 26

  23. Percentage of Participants With Steroid Tapered to ≤ 5 mg/Day Steroid at Week 26 in the Overall Study Population

    Outcome measure is reported for the overall population.

    Measured: Week 26

  24. Percentage of Participants With Steroid Tapered to ≤ 5 mg/Day Steroid at Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ Populations

    Outcome measure is reported in Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.

    Measured: Week 26

  25. Percentage of Participants With Steroid Tapered to ≤ 5 mg/Day Steroid at Week 52 in Anti-AChR-Ab+ Population

    Outcome measure is reported for the Anti-AChR-Ab+ population.

    Measured: Week 52

  26. Percentage of Participants Who Achieved ≥ 50% Steroid Reduction at Week 26 in the Overall Study Population

    Outcome measure is reported for the overall population.

    Measured: Week 26

  27. Percentage of Participants Who Achieved ≥ 50% Steroid Reduction at Week 26 in the Anti-AChR-Ab+ and Anti-MuSK-Ab+ Populations

    Outcome measure is reported for the Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.

    Measured: Week 26

  28. Percentage of Participants Who Achieved ≥ 50% Steroid Reduction at Week 52 in the Anti-AChR-Ab+ Population

    Outcome measure is reported for the Anti-AChR-Ab+ population.

    Measured: Week 52

  29. Percentage of Participants Experiencing Treatment Emergent Adverse Events (TEAEs), AE of Special Interest (AESIs) and Serious TEAEs (SAEs).

    An AE is any untoward medical occurrence associated with the use of the IP, whether or not it is considered related. Clinically significant changes from baseline in clinical laboratory results, vital signs and ECGs were also reported as AEs.

    An AESI is an event of medical interest specific to the understanding of the IP and which may require close monitoring and collection of additional information.

    A SAE is considered "serious" if it results in any of the following outcomes:

    • Death;
    • A life-threatening AE. An event is considered "life-threatening" if its occurrence places the patient or subject at immediate risk of death;
    • Inpatient hospitalization or prolongation of existing hospitalization;
    • A persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions;
    • A congenital anomaly/birth defect;
    • May require medical or surgical intervention to prevent one of the outcomes listed in this definition.

    Measured: For RCP AE reporting: from Day 1 to the end of RCP or cutoff date (up to 65.4 weeks)

  30. Percentage of Participants With Anti-drug Antibodies (ADA) by Week 26 in the Overall Study Population

    Treatment emergent ADA were defined as ADA positive post-baseline only or boosted pre-existing ADA titer.

    Outcome measure is reported for the overall population.

    Measured: From Baseline to Week 26

  31. Percentage of Participants With ADA by Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ Populations

    Treatment emergent ADA were defined as ADA positive post-baseline only or boosted pre-existing ADA titer.

    Outcome measure is reported in Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.

    Measured: From Baseline to Week 26

  32. Percentage of Participants With ADA by Week 52 in Anti-AChR-Ab+ Population

    Treatment emergent ADA were defined as ADA positive post-baseline only or boosted pre-existing ADA titer.

    Outcome measure is reported for the Anti-AChR-Ab+ population.

    Measured: From Baseline to Week 52

  33. Time to Maximum Serum Concentration (Tmax) of Inebilizumab in Anti-AChR-Ab+ and Anti-MuSK-Ab+ Populations

    On inebilizumab dosing days, inebilizumab pharmacokinetic (PK) serum samples were collected pre-dose and approximately 15 minutes (± 5 minutes) after completion of the IP infusion.

    Outcome measure is reported for the Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.

    Measured: Days 1 and 15 for Anti-MuSK-Ab+ population; Days 1, 15 and 183 (Week 26) for Anti-AChR-Ab+ population

  34. Maximum Observed Serum Concentration (Cmax) of Inebilizumab in Anti-AChR-Ab+ and Anti-MuSK-Ab+ Populations

    On inebilizumab dosing days, inebilizumab PK serum samples were collected pre-dose and approximately 15 minutes (± 5 minutes) after completion of the IP infusion.

    Outcome measure is reported for the Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.

    Measured: Days 1 and 15 for Anti-MuSK-Ab+ population; Days 1, 15 and 183 (Week 26) for Anti-AChR-Ab+ population

  35. Area Under the Serum Concentration Time Curve of the Dosing Interval (AUC0-14d) of Inebilizumab

    On inebilizumab dosing days, inebilizumab PK serum samples were collected pre-dose and approximately 15 minutes (± 5 minutes) after completion of the IP infusion.

    Outcome measure is reported for the Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.

    Measured: Days 1 and 15 for Anti-MuSK-Ab+ population; Days 1, 15 and 183 (Week 26) for Anti-AChR-Ab+ population

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Aug 2020
  2. Study start15 Oct 2020
  3. Primary completion28 May 2024
  4. Study completion7 Jun 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
A Randomized, Double-blind, Multicenter, Placebo-controlled Phase 3 Study with Open-label Period
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
238 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04524273
Sponsor's protocol ID
VIB0551.P3.S1
Acronym
MINT
Status last verified
May 2026
First submitted
10 Aug 2020
Last updated
15 May 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Expanded access
Available

Publications

  • Nowak RJ, Utsugisawa K, Benatar M, Ciafaloni E, Leite MI, Vissing J, Tang F, Wu Y, Najem C, Cheng S, Howard JF Jr; MINT investigators. Management of Exacerbations and Rescue Therapy: A Prespecified Analysis of the Phase 3 Myasthenia Gravis Inebilizumab Randomized Clinical Trial. JAMA Neurol. 2026 Aug 10. doi: 10.1001/jamaneurol.2026.2558. Online ahead of print.

    PubMed 42573995
  • Nowak RJ, Benatar M, Ciafaloni E, Howard JF Jr, Leite MI, Utsugisawa K, Vissing J, Rojavin M, Li Q, Tang F, Wu Y, Rampal N, Cheng S; MINT Investigators. A Phase 3 Trial of Inebilizumab in Generalized Myasthenia Gravis. N Engl J Med. 2025 Jun 19;392(23):2309-2320. doi: 10.1056/NEJMoa2501561. Epub 2025 Apr 8.

    PubMed 40202593

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing inebilizumab in people with Myasthenia Gravis, run by Amgen at 104 sites in 19 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 9 inclusion and 10 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: under way, not looking for participants, as of the sponsor's last update on 15 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 104 sites in United States, China, Japan, India, Russia and 14 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 10 Mar 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline at Week 26 in Myasthenia Gravis Activities of Daily Living (MG-ADL) Score in the Overall Study Population (time frame: Baseline and Week 26). 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 NCT04524273, which also lists 2 linked publications.

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 15 May 2026.

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