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Clinical trial

A Study to Examine the Efficacy and Safety of Pozelimab and Cemdisiran Combination Therapy in Adult Patients With Symptomatic Generalized Myasthenia Gravis (NIMBLE)

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Last updated:6th Aug 2023
Status: RECRUITING
Identifier: NCT05070858
A Study to Examine the Efficacy and Safety of Pozelimab and Cemdisiran Combination Therapy in Adult Patients With Symptomatic Generalized Myasthenia Gravis (NIMBLE)


ClinicalTrials.gov ID: NCT05070858

Sponsor: Regeneron Pharmaceuticals
Information provided by: Regeneron Pharmaceuticals (Responsible Party)
Last Update Posted: 2023-08-07

Brief Summary:

The primary objective is:
To evaluate the effect of pozelimab + cemdisiran on daily functioning that is impacted by signs and symptoms in patients with symptomatic generalized myasthenia gravis (gMG).

The secondary objectives of the study are:

  • To evaluate the effect of pozelimab + cemdisiran (ie, combination) and cemdisiran monotherapy on:

    • Clinician-assessed signs of myasthenia gravis (MG) and muscle strength
    • Daily functioning that is impacted by signs and symptoms in patients with symptomatic gMG (cemdisiran monotherapy only).
    • Proportion of patients with improvements in daily function that is impacted by signs and symptoms of MG
    • Proportion of patients that have improvements in clinician-assessed signs of MG and muscle strength
    • Health related quality of life
    • Proportion of patients with minimal MG symptoms
    • Patient- and clinician-reported signs and symptoms of MG
  • To evaluate the safety and tolerability of pozelimab + cemdisiran and cemdisiran monotherapy
  • To assess the concentration of total pozelimab in serum
  • To assess the concentrations of cemdisiran and its metabolites in plasma
  • To assess the immunogenicity of pozelimab
  • To assess the concentration of total C5 in plasma
  • To assess the immunogenicity of cemdisiran
  • To study the effect of pozelimab + cemdisiran and cemdisiran monotherapy on complement activation

Detailed Description:
DBTP- Double blind treatment plan (24 weeks) ETP - Extension treatment plan (28 weeks) OLTP- Open label treatment plan (68 weeks) Off-treatment follow up period (52 weeks)

OFFICIAL TITLE
Efficacy and Safety of Pozelimab and Cemdisiran Combination Therapy in Patients With Symptomatic Generalized Myasthenia Gravis

INTERVENTION / TREATMENT
Drug: Pozelimab + Cemdisiran
Drug: Cemdisiran
Other: Placebo
Drug: Pozelimab

Category Value
Study Start (Actual) 2021-12-14
Primary Completion (Estimated) 2024-08-14
Study Completion (Estimated) 2027-05-01
Enrollment (Estimated) 235
Study Type Interventional
Phase Phase 3
Other Study ID Numbers R3918-MG-2018
2020-003272-41 (EudraCT Number)


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