Generalized Myasthenia GravisPhase 3NCT06517758
A Phase III Study to Investigate Efficacy, Safety and Tolerability of Iptacopan Compared With Placebo in Participants Aged 18 to 85 Years With gMG.
A Phase 3 study testing Iptacopan in people with Generalized Myasthenia Gravis, run by Novartis Pharmaceuticals at 116 sites in 18 countries.
Trial summary
The study is a randomized, double-blind, placebo-controlled, multicenter, Phase III study, to evaluate efficacy, safety and tolerability of iptacopan in patients with AChR+ gMG who are on stable SOC treatment. Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Generalized Myasthenia Gravis
- What is being tested?
- Iptacopan
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 146 participants
- Where
- 116 sitesin 18 countries
- Study dates
- 31 Jul 2024to 27 May 2032
- Phase
- Phase 3
- 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 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult patients with generalized Myasthenia Gravis (age 18-85 years) at screening
- Positive serology testing for AChR+ antibody at screening
- Myasthenia Gravis Foundation of America (MGFA) Class II-IV gMG at screening and likely not in need of a respirator for the duration of the study, as judged by the Investigator.
- The confirmation of the diagnosis of gMG should be documented and supported by ≥1 of the following 3 tests:
- History of abnormal neuromuscular transmission demonstrated by single-fiber electromyography or repetitive nerve stimulation.
- History of positive test with short-acting acetylcholinesterase inhibitors (e.g. neostigmine or edrophonium chloride)
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- Patient has demonstrated improvement in MG signs on oral acetylcholinesterase inhibitors as assessed by the treating physician.
- Baseline MG-ADL score ≥6, with ≥50% of the total score due to non-ocular symptoms
- Participants receiving at least one of the following treatments for gMG for ≥ 6 months prior to baseline;
- One or more NSISTs or
- plasmapheresis, plasma exchange, or intravenous immunoglobulin (at least quarterly) to control symptoms despite treatment with steroids and NSISTs; or
- an approved FcRN antagonist approved for gMG; or
- rituximab or
- other approved gMG disease modifying therapies excluding complement inhibitors.
- Vaccination against Neisseria meningitidis and Streptococcus pneumoniae infection is required prior to the start of study treatment. If the participant has not been previously vaccinated, or if a booster was required, the vaccine should be given according to local guidelines at least 2 weeks prior to first study drug administration. If study treatment has to start earlier than 2 weeks post-vaccination, prophylactic antibiotic treatment should be initiated at the start of study treatment and continued until at least 2 weeks after vaccination or booster was completed.
- Note: For US sites participating in Study CLNP023Q12301, the completion of the meningococcal vaccination or booster is required for patients with gMG prior to initiating study treatment, irrespective of prophylactic antibiotic use.
Who cannot join
- Have been treated with intravenous immunoglobulin (IVIG)/plasma exchange (PLEX) in the past month, with rituximab in the past 6 months, eculizumab in the past 2 months, ravulizumab or other complement inhibitors in the past 3 months, efgartigimod or other anti- FcRn therapies in the past 3 months, or had a thymectomy in the past 6 months or a planned thymectomy during the trial period.
- Participants with clinically significant active or chronic uncontrolled bacterial, viral, or fungal infection at screening, including patients who test positive for an active viral infection at screening with: Active Hepatitis B Virus (HBV); Active Hepatitis C Virus (HCV);
- Human Immunodeficiency Virus (HIV) positive serology associated with an Acquired Immune Deficiency Syndrome (AIDS)-defining condition or with a cluster of differentiation 4 (CD4) count
- 200 cells/mm3
- Female participants who are pregnant or lactating, or are intending to become pregnant.
- Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant from menarche until becoming post-menopausal, unless they are using effective methods of contraception during dosing of study treatment and an additional one week following cessation of study treatment. Women are considered post-menopausal if they have had 12 months of natural (spontaneous) amenorrhea with an appropriate clinical profile (e.g., hormonal profile confirming menopause and/or age-appropriate history of vasomotor symptoms).
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- Active systemic bacterial, viral (including COVID-19) or fungal infection or any major episode of infection that required hospitalization or injectable antimicrobial therapy within 14 days prior to study drug administration.
- History of recurrent invasive infections caused by encapsulated organisms, e.g., N. meningitidis and S. pneumoniae.
- Presence of fever ≥ 38 °C (100.4 °F) within 7 days prior to study drug administration
Trial locations and contacts
116 sites in 18 countries.
116 sites in 18 countries
United States13 sites
Augusta University Georgia
Augusta, Georgia, 30912
Mid Atlantic Epilepsy and Sleep Ctr
Bethesda, Maryland, 20817-1807
Massachusetts General Hospital
Boston, Massachusetts, 02114
University of Chicago Medical Centr
Chicago, Illinois, 60637
Henry Ford Health System
Detroit, Michigan, 48202
Duke University Medical Center
Durham, North Carolina, 27710
Fullerton Neuro and Headache Ctr
Fullerton, California, 92835
Nerve and Muscle Center of Texas
Houston, Texas, 77030
Vanderbilt University Medical CenterX
Nashville, Tennessee, 37221
Penn Presbyterian Medical Center
Philadelphia, Pennsylvania, 19104
California Pacific Medical Center
Sacramento, California, 94115
Honor Health Research Institute
Scottsdale, Arizona, 85258
Prairie Heart Institute
Springfield, Illinois, 62769
China13 sites
Novartis Investigative Site
Beijing, 100034
Novartis Investigative Site
Beijing, 100070
Novartis Investigative Site
Beijing, 100730
Novartis Investigative Site
Changsha, Hunan, 410008
Novartis Investigative Site
Fujian, 350001
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Guangzhou, Guangdong, 510515
Novartis Investigative Site
Hefei, Anhui, 230001
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Jinan, 250012
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Shenzhen, Guangdong, 518053
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Shijiazhuang, Hebei, 50030
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Suzhou, Jiangsu, 215004
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Xi'an, Shaanxi, 710075
Novartis Investigative Site
Xianyang, Shaanxi, 712000
Japan12 sites
Novartis Investigative Site
Chiba, Chiba, 2608677
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Fukuoka, 8128582
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Fukushima, 9601295
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Hanamaki, Iwate, 0250082
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Higashi-Matsuyama, Saitama, 355-0005
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Hiroshima, 7348551
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Narita, Chiba, 286-8520
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Nishinomiya, Hyōgo, 6638501
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Sapporo, Hokkaido, 0630005
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Sendai, Miyagi, 9838520
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Shinjuku Ku, Tokyo, 160-0023
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Suita, Osaka, 5650871
Poland11 sites
Novartis Investigative Site
Bydgoszcz, 85-065
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Katowice, Silesian Voivodeship, 40-650
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Katowice, 40-689
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Krakow, POL, 31-505
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Krakow, 31-870
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Lublin, Lublin Voivodeship, 20-064
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Lublin, 20-410
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Poznan, 61-731
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Rzeszów, 35-055
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Warsaw, Masovian Voivodeship, 02-676
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Warsaw, 01-684
Italy10 sites
Novartis Investigative Site
Bologna, BO, 40139
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Florence, FI, 50134
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Genova, GE, 16132
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Milan, MI, 20133
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Orbassano, TO, 10043
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Palermo, PA, 90127
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Palermo, PA, 90146
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Roma, RM, 00133
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Roma, RM, 00135
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Roma, RM, 00189
Argentina8 sites
Novartis Investigative Site
Buenos Aires, C1012AAR
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Caba, C1055AAF
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Caba, C1182
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CABA, Buenos Aires, C1428AQK
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Capital Federal, C1023AAB
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Córdoba, Córdoba Province, X5004AOA
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Córdoba, X5004CDT
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Rosario, Santa Fe Province, 2000
Spain8 sites
Novartis Investigative Site
Alicante, 03010
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Barcelona, 08036
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L'Hospitalet de Llobregat, Barcelona, 08907
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Lleida, 25198
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Madrid, 28006
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Málaga, 29010
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Santiago Compostela, A Coruna, 15706
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Valencia, 46026
Germany7 sites
Novartis Investigative Site
Bochum, 44789
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Bochum, 44791
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Essen, 45147
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Frankfurt am Main, Hesse, 60590
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Munich, Bavaria, 81675
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Regensburg, Bavaria, 93053
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Würzburg, Bavaria, 97070
United Kingdom6 sites
Novartis Investigative Site
Birmingham, West Midlands, B15 2TH
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Inverness, Invernesshire, IV2 3RE
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London, NW1 2BU
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London, SW17 0QT
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Southampton, SO16 6YD
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Swinton, Manchester, M27 8FF
Brazil5 sites
Novartis Investigative Site
Bahia, 40290-000
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Joinville, Santa Catarina, 89202-165
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Porto Alegre, Rio Grande do Sul, 90035-903
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Porto Alegre, Rio Grande do Sul, 90560-030
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São Paulo, 04038-002
France5 sites
Novartis Investigative Site
Garches, 92380
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Limoges, Haute Vienne, 87000
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Nice, 06000
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Paris, 75013
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Paris, 75940
Greece4 sites
Novartis Investigative Site
Athens, 115 28
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Chaïdári, 124 62
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Larissa, 411 10
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Thessaloniki, 54636
Portugal4 sites
Novartis Investigative Site
Lisbon, 1349-019
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Lisbon, 1649-035
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Porto, 4099-001
Novartis Investigative Site
Vila Nova de Gaia, 4434-502
South Korea4 sites
Novartis Investigative Site
Daegu, 41404
Novartis Investigative Site
Gwangju, 61469
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Seoul, 03722
Novartis Investigative Site
Seoul, 04763
Israel2 sites
Novartis Investigative Site
Haifa, 3109601
Novartis Investigative Site
Jerusalem, 9112001
Serbia2 sites
Novartis Investigative Site
Belgrade, 11000
Novartis Investigative Site
Niš, 18108
About this study
Official title: A Randomized, Double-blind, Placebo-controlled Phase III Study to Evaluate the Efficacy, Safety, and Tolerability of Iptacopan in Patients With Generalized Myasthenia Gravis, Followed by an Open-label Extension Phase
The study is a randomized, double-blind, placebo-controlled, multicenter, Phase III study, to evaluate efficacy, safety and tolerability of iptacopan in patients with AChR+ gMG who are on stable SOC treatment. Participants who meet the eligibility criteria will be randomized in a ratio of 1:1, to receive either iptacopan or matching placebo, for 6 months (180 days) while continuing on a stable SOC treatment. The randomization will be stratified based on region.
Read the detailed description
The study consists of a 6-month double-blind treatment period for the primary efficacy and safety analysis followed by a maximum duration of 60 month open label extension period. A safety follow up assessment will be performed, one 7 days after the last administration of study treatment and one 30 days after the last administration of study treatment for all participants.
- Conditions
- Generalized Myasthenia Gravis
- Being tested
- Iptacopan, Matching Placebo
- Keywords
- Myasthenia Gravis, gMG, randomized, placebo-controlled, double-blind, phase III, AChR+, SOC treatment, iptacopan, LNP023
- Medical subject headings
- Myasthenia Gravis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IptacopanDrug
Hard gelatin capsule
Matching PlaceboOther
Hard gelatin capsule
| Study group | Role | What they receive |
|---|---|---|
| Iptacopan | Experimental | Iptacopan orally for 6 months (double-blind) followed by open-label iptacopan for up to 60 months Receives: Drug: Iptacopan |
| Matching Placebo | Placebo comparator | Placebo orally for 6 months (double-blind) followed by open-label iptacopan for up to 60 months Receives: Other: Matching Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline to Month 6 in Myasthenia Gravis Activity of Daily Living (MG-ADL) total score
The MG-ADL is an 8 item interviewer led patient reporting scale that assesses MG symptoms and their effects on daily activities. MG-ADL is composed of items related to patient's assessment of functional 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 item is assessed on a 4-points scale where a score 0 represents normal function and a score 3 represents loss of ability to perform that function. The scores ranges from 0 to 24, with a higher score indicating more disability.
Measured: Baseline to Month 6
Secondary outcomes (14)
Change from baseline to Month 6 in Quantitative MG (QMG) total score
The Quantitative Myasthenia Gravis (QMG) Score is a 13-item direct physician assessment scoring system that quantifies disease severity, based on impairments of body functions and structures. The total QMG score ranges from 0 to 39, where higher scores indicated greater disease severity.
Measured: Baseline to Month 6
Proportion of participants with ≥ 5 points reduction from baseline to Month 6 of QMG total score without rescue medication and/or strongly confounding prohibited medication
The Quantitative Myasthenia Gravis (QMG) Score is a 13-item direct physician assessment scoring system that quantifies disease severity, based on impairments of body functions and structures. The total QMG score ranges from 0 to 39, where higher scores indicated greater disease severity.
Measured: Baseline to Month 6
Proportion of participants with ≥ 3 points reduction from baseline to Month 6 of MG-ADL total score without rescue medication and/or strongly confounding prohibited medication
The MG-ADL is an 8 item patient reporting scale that assesses MG symptoms and their effects on daily activities. MG-ADL is composed of items related to patient's assessment of functional 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 item is assessed on a 4-points scale where a score 0 represents normal function and a score 3 represents loss of ability to perform that function. The scores ranges from 0 to 24, with a higher score indicating more disability.
Measured: Baseline to Month 6
Proportion of participants achieving MSE at Month 6, defined as MG-ADL score of 0 or 1 at Month 6 without rescue therapy and/or strongly confounding prohibited medication
The MG-ADL is an 8 item interviewer led patient reporting scale that assesses MG symptoms and their effects on daily activities. MG-ADL is composed of items related to patient's assessment of functional 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 item is assessed on a 4-points scale where a score 0 represents normal function and a score 3 represents loss of ability to perform that function. The scores ranges from 0 to 24, with a higher score indicating more disability.
Measured: Baseline to Month 6
Change from baseline to Month 6 in Myasthenia Gravis Composite (MGC) total score
The MGC is a 10-item instrument that measures the symptoms and signs of MG based on physician examination and patient history. Items relate to ptosis, double vision, eye closure, talking, chewing, swallowing, breathing, neck flexion, shoulder abduction, and hip flexion. Each item is scored on an ordinal scale with 4 possible categories and weighted. The total score ranges from 0 to 50, where higher scores indicate more severe impairments.
Measured: Baseline to Month 6
Change from baseline to Month 6 in revised MG Quality of Life Questionnaire (MG-QOL15r) survey score
The revised MG-QoL15 is a 15-item health related quality of life questionnaire completed by participants, designed to measure quality of life in gMG. Items on the MG-QoL15 relate to physical, social, and psychological components and are scored from 0 (not at all) to 2 (very much). The cumulative scores range from 0 to 30, with higher scores representing worse quality of life and dissatisfaction with MG-related dysfunction.
Measured: Baseline to Month 6
Incidence of adverse events
Any significant and notable changes in clinical laboratory values, vital signs, electrocardiograms and Columbia Suicidal Severity Rating Scale.
Measured: Baseline to Month 6
Proportion of time during which participants showed a reduction of ≥ 2 points in MG-ADL total score that was maintained up to Month 6
The MG-ADL is an 8 item patient reporting scale that assesses MG symptoms and their effects on daily activities. MG-ADL is composed of items related to patient's assessment of functional 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 item is assessed on a 4-points scale where a score 0 represents normal function and a score 3 represents loss of ability to perform that function. The scores ranges from 0 to 24, with a higher score indicating more disability.
Measured: Baseline to Month 6
Proportion of early MG-ADL responders during treatment (early responders with first MG-ADL improvement from baseline of ≥ 2 points occurring by week 4)
The MG-ADL is an 8 item patient reporting scale that assesses MG symptoms and their effects on daily activities. MG-ADL is composed of items related to patient's assessment of functional 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 item is assessed on a 4-points scale where a score 0 represents normal function and a score 3 represents loss of ability to perform that function. The scores ranges from 0 to 24, with a higher score indicating more disability.
Measured: Baseline to Month 6
Change from baseline to Month 6 in EuroQol-5 Dimensions-5 Level (EQ-5D-5L)
This questionnaire designed to assess health status in adults. The measure is divided into two distinct sections, the descriptive system and the EQ visual analogue scale (EQ VAS). The first section includes one item addressing each of five dimensions (mobility, self-care, usual activity, pain/discomfort, and anxiety/depression). Participants rate each of these items from 1 of the 5 levels: no problems, slight problems, moderate problems, severe problems, or unable to/extreme. A composite health state is then defined by combining the levels for each dimension into a 5-digit number. The second section includes the EQ visual analogue scale (EQ VAS) that measures self-rated health status utilizing a vertically oriented visual analogue scale where 100 represents the "best imaginable health state" and 0 represents the "worst imaginable health state." Respondents are asked to rate their current health by placing a mark along this continuum.
Measured: Baseline to Month 6
Proportion of participants with a reduction of ≥ 3 points from baseline to Month 6 in MGC total score
The MGC is a 10-item instrument that measures the symptoms and signs of MG based on physician examination and patient history. Items relate to ptosis, double vision, eye closure, talking, chewing, swallowing, breathing, neck flexion, shoulder abduction, and hip flexion. Each item is scored on an ordinal scale with 4 possible categories and weighted. The total score ranges from 0 to 50, where higher scores indicate more severe impairments.
Measured: Baseline to month 6
Change from baseline in MG-ADL total score
The MG-ADL is an 8 item patient reporting scale that assesses MG symptoms and their effects on daily activities. MG-ADL is composed of items related to patient's assessment of functional 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 item is assessed on a 4-points scale where a score 0 represents normal function and a score 3 represents loss of ability to perform that function. The scores ranges from 0 to 24, with a higher score indicating more disability.
Measured: Baseline to Month 66 (end of extension phase)
Proportion of participants achieving a reduction in oral corticosteroids (OCS) dose compared to Core Part that was maintained up to end of Extension Part
Long-term effect of iptacopan in patients with gMG will be assessed by the proportion of patients that had a reduction in dose or discontinuation of oral corticosteroids, higher proportion would indicate greater long-term effect.
Measured: Month 6 (end of core phase) to Month 30 (end of extension phase)
Incidence of adverse events
Any significant and notable changes in clinical laboratory values, vital signs, electrocardiograms and Columbia Suicidal Severity Rating Scale.
Measured: Baseline to Month 30 (end of extension phase)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jul 2024
- Study start31 Jul 2024
- Primary completion30 Apr 2027 (estimated)
- Study completion27 May 2032 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Generalized Myasthenia GravisStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe 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
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- The study is a randomized, double-blind, placebo-controlled, multicenter, Phase III study, to evaluate efficacy, safety and tolerability of iptacopan in patients with AChR+ gMG who are on stable SOC treatment. Participants who meet the eligibility criteria will be randomized in a ratio of 1:1, to receive either iptacopan or matching placebo, for 6 months (180 days) while continuing on a stable SOC treatment. The randomization will be stratified based on region.
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 146 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06517758
- Sponsor's protocol ID
- CLNP023Q12301
- Other IDs
- 2023-507064-39-00, 2023
- Status last verified
- Aug 2026
- First submitted
- 12 Feb 2024
- Last updated
- 12 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Study at a glance
From the registry record, last updated by the sponsor on 12 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled Phase III Study to Evaluate the Efficacy, Safety, and Tolerability of Iptacopan in Patients With Generalized Myasthenia Gravis, Followed by an Open-label Extension Phase
- ClinicalTrials.gov ID
- NCT06517758
- Acronym / sponsor ID
- CLNP023Q12301
- Conditions
- Generalized Myasthenia Gravis
- Keywords
- Myasthenia Gravis, gMG, randomized, placebo-controlled, double-blind, phase III, AChR+, SOC treatment
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 146 participants (estimated)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 31 Jul 2024 (actual)
- Primary completion
- 30 Apr 2027 (estimated)
- Study completion
- 27 May 2032 (estimated)
- First posted
- 24 Jul 2024 (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.
The study is a randomized, double-blind, placebo-controlled, multicenter, Phase III study, to evaluate efficacy, safety and tolerability of iptacopan in patients with AChR+ gMG who are on stable SOC treatment. Participants who meet the eligibility criteria will be randomized in a ratio of 1:1, to receive either iptacopan or matching placebo, for 6 months (180 days) while continuing on a stable SOC treatment. The randomization will be stratified based on region.
Detailed description
The study consists of a 6-month double-blind treatment period for the primary efficacy and safety analysis followed by a maximum duration of 60 month open label extension period. A safety follow up assessment will be performed, one 7 days after the last administration of study treatment and one 30 days after the last administration of study treatment for all participants.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- The study is a randomized, double-blind, placebo-controlled, multicenter, Phase III study, to evaluate efficacy, safety and tolerability of iptacopan in patients with AChR+ gMG who are on stable SOC treatment. Participants who meet the eligibility criteria will be randomized in a ratio of 1:1, to receive either iptacopan or matching placebo, for 6 months (180 days) while continuing on a stable SOC treatment. The randomization will be stratified based on region.
| Arm | Type | Receives |
|---|---|---|
| Iptacopan | Experimental | Drug: IptacopanIptacopan orally for 6 months (double-blind) followed by open-label iptacopan for up to 60 months |
| Matching Placebo | Placebo comparator | Other: Matching PlaceboPlacebo orally for 6 months (double-blind) followed by open-label iptacopan for up to 60 months |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (16 listed)
- Adult patients with generalized Myasthenia Gravis (age 18-85 years) at screening
- Positive serology testing for AChR+ antibody at screening
- Myasthenia Gravis Foundation of America (MGFA) Class II-IV gMG at screening and likely not in need of a respirator for the duration of the study, as judged by the Investigator.
- The confirmation of the diagnosis of gMG should be documented and supported by ≥1 of the following 3 tests:
- History of abnormal neuromuscular transmission demonstrated by single-fiber electromyography or repetitive nerve stimulation.
Key exclusion criteria (9 listed)
- Have been treated with intravenous immunoglobulin (IVIG)/plasma exchange (PLEX) in the past month, with rituximab in the past 6 months, eculizumab in the past 2 months, ravulizumab or other complement inhibitors in the past 3 months, efgartigimod or other anti- FcRn therapies in the past 3 months, or had a thymectomy in the past 6 months or a planned thymectomy during the trial period.
- Participants with clinically significant active or chronic uncontrolled bacterial, viral, or fungal infection at screening, including patients who test positive for an active viral infection at screening with: Active Hepatitis B Virus (HBV); Active Hepatitis C Virus (HCV);
- Female participants who are pregnant or lactating, or are intending to become pregnant.
- Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant from menarche until becoming post-menopausal, unless they are using effective methods of contraception during dosing of study treatment and an additional one week following cessation of study treatment. Women are considered post-menopausal if they have had 12 months of natural (spontaneous) amenorrhea with an appropriate clinical profile (e.g., hormonal profile confirming menopause and/or age-appropriate history of vasomotor symptoms).
- Active systemic bacterial, viral (including COVID-19) or fungal infection or any major episode of infection that required hospitalization or injectable antimicrobial therapy within 14 days prior to study drug administration.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| IptacopanHard gelatin capsule | Drug | Iptacopan |
| Matching PlaceboHard gelatin capsule | Other | Matching Placebo |
Primary outcome
Change from baseline to Month 6 in Myasthenia Gravis Activity of Daily Living (MG-ADL) total score
Time frame: Baseline to Month 6
The MG-ADL is an 8 item interviewer led patient reporting scale that assesses MG symptoms and their effects on daily activities. MG-ADL is composed of items related to patient's assessment of functional 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 item is assessed on a 4-points scale where a score 0 represents normal function and a score 3 represents loss of ability to perform that function. The scores ranges from 0 to 24, with a higher score indicating more disability.
14 secondary outcomes
Change from baseline to Month 6 in Quantitative MG (QMG) total score
Time frame: Baseline to Month 6
Proportion of participants with ≥ 5 points reduction from baseline to Month 6 of QMG total score without rescue medication and/or strongly confounding prohibited medication
Time frame: Baseline to Month 6
Proportion of participants with ≥ 3 points reduction from baseline to Month 6 of MG-ADL total score without rescue medication and/or strongly confounding prohibited medication
Time frame: Baseline to Month 6
Proportion of participants achieving MSE at Month 6, defined as MG-ADL score of 0 or 1 at Month 6 without rescue therapy and/or strongly confounding prohibited medication
Time frame: Baseline to Month 6
Change from baseline to Month 6 in Myasthenia Gravis Composite (MGC) total score
Time frame: Baseline to Month 6
Change from baseline to Month 6 in revised MG Quality of Life Questionnaire (MG-QOL15r) survey score
Time frame: Baseline to Month 6
Incidence of adverse events
Time frame: Baseline to Month 6
Proportion of time during which participants showed a reduction of ≥ 2 points in MG-ADL total score that was maintained up to Month 6
Time frame: Baseline to Month 6
Proportion of early MG-ADL responders during treatment (early responders with first MG-ADL improvement from baseline of ≥ 2 points occurring by week 4)
Time frame: Baseline to Month 6
Change from baseline to Month 6 in EuroQol-5 Dimensions-5 Level (EQ-5D-5L)
Time frame: Baseline to Month 6
Proportion of participants with a reduction of ≥ 3 points from baseline to Month 6 in MGC total score
Time frame: Baseline to month 6
Change from baseline in MG-ADL total score
Time frame: Baseline to Month 66 (end of extension phase)
Proportion of participants achieving a reduction in oral corticosteroids (OCS) dose compared to Core Part that was maintained up to end of Extension Part
Time frame: Month 6 (end of core phase) to Month 30 (end of extension phase)
Incidence of adverse events
Time frame: Baseline to Month 30 (end of extension phase)
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 12 Aug 2026.
- Individual participant dataSharing planned: Yes. Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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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. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
116 sites in 18 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Iptacopan in people with Generalized Myasthenia Gravis, run by Novartis Pharmaceuticals at 116 sites in 18 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 16 inclusion and 9 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 12 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 116 sites in United States, China, Japan, Poland, Italy and 13 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?
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?
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 to Month 6 in Myasthenia Gravis Activity of Daily Living (MG-ADL) total score (time frame: Baseline to Month 6). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 12 Aug 2026.