Status:

RECRUITING

Early Ravulizumab Treatment Of Anti- AChR Antibody-Positive Generalized Myasthenia Gravis

Lead Sponsor:

Alexion Pharmaceuticals, Inc.

Conditions:

Generalized Myasthenia Gravis

Anti-AChR Antibody Positive

Eligibility:

All Genders

18+ years

Brief Summary

The primary objective of the study is to evaluate the effectiveness of Ravulizumab in improving MG-ADL in an early-stage AChR+ gMG population.

Eligibility Criteria

Inclusion

  • Diagnosis of MG confirmed by:
  • History of a positive serologic test for anti-AChR antibodies, and
  • One of the following:
  • History of abnormal neuromuscular transmission test demonstrated by singlefibre electromyography or repetitive nerve stimulation
  • History of positive anticholinesterase test (e.g., edrophonium chloride test); or
  • Patient demonstrated improvement in MG signs on oral cholinesterase inhibitors, as assessed by the treating physician
  • Disease duration from MG onset ≤ 3 years before T-4 (Enrolment);
  • MGFA class IIb to IV;
  • Patient eligible for Ravulizumab treatment based on AIFA reimbursement criteria
  • Vaccination cycle for Neisseria meningitidis completed at least two weeks before Ravulizumab initiation or antibiotics chemoprophylaxis according to the SmPC.

Exclusion

  • Patient unable to understand and sign the informed consent
  • Hypersensitivity to the active substance or to any of the excipients of the study product
  • Patient for whom the study product is contraindicated according to SmPC
  • Previous treatment with C5 inhibitors
  • Last rituximab infusion performed \< 6 months before T-4 (Enrolment)
  • Last infusion with FcRn blockers performed \< 3 months before T-4 (Enrollment)
  • Pregnant or lactating or planning a pregnancy during the study
  • Patient who plan to relocate during the study
  • Patient who are unsure of following the visit schedule
  • Patient unable to complete questionnaires
  • Previous or current participation to other interventional studies

Key Trial Info

Start Date :

July 31 2025

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

June 30 2027

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT06967480

Start Date

July 31 2025

End Date

June 30 2027

Last Update

September 19 2025

Active Locations (20)

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Page 1 of 5 (20 locations)

1

Clinical Trial Site

Bergamo, Italy

2

Clinical Trial Site

Bologna, Italy

3

Clinical Trial Site

Brescia, Italy

4

Clinical Trial Site

Florence, Italy