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Trial · NCT03304054

Study to Evaluate Amifampridine Phosphate in Patients With MuSK-MG

NCT03304054, Phase 3, Completed, Catalyst Pharmaceuticals, Inc.; results first posted 2021-08-13

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study to Evaluate Amifampridine Phosphate in Patients With MuSK-MG. Trials, record NCT03304054. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03304054

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study to Evaluate Amifampridine Phosphate in Patients With MuSK-MG
NCT number
NCT03304054
Status
Completed
Phases
Phase 3
Enrollment
93 participants, actual
Lead sponsor
Catalyst Pharmaceuticals, Inc.
Conditions
Myasthenia Gravis, Generalized
Interventions
Amifampridine Phosphate, Placebo Oral Tablet
First posted
2017-10-06
Last updated
2024-03-12
Results first posted
2021-08-13

Source ClinicalTrials.gov

Registered outcomes2

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryMyasthenia Gravis-Activities of Daily Living (MG-ADL) Summary by Time Point and Myasthenia Gravis Type: Wilcoxon-Mann-Whitney Rank Sum Test ResultsLast day (Day 0) of the Run-in period and at the post-treatment visit (i.e., day 10 or the time point at which a patient discontinued treatment early).
Myasthenia Gravis-Activities of Daily Living (MG-ADL) is a self-report scale to assess the patient's MG symptoms and functional performance of activities of daily living. The eight items are scored on a scale of 0-3 with 3 representing the most severe symptoms or impaired performance and 0 representing no symptoms or impaired performance. Each item was assessed by the patient at the last day (Day 0) of the Run-in period and at the post-treatment visit. The post-treatment result will be the result obtained on Day 10. If the patient discontinued treatment early, the post-treatment result may be obtained at an earlier time point. The total MG-ADL score was calculated as the sum of each item score, with a maximum score of 24 (most severe symptoms/impairment) and minimum score of 0 (least severe symptoms/impairment). The change from baseline (CFB) at Day 10 was assessed. A Wilcoxon-Mann-Whitney Rank Sum Test of equality of change from baseline distributions between subjects diagnos
SecondaryQuantitative Myasthenia Gravis (QMG) Total Score Summary Statistics by Time Point and MG Type: Wilcoxon-Mann-Whitney Rank Sum Test ResultsLast day (Day 0) of the Run-in period and at the post-treatment visit (i.e., day 10 or the time at which a patient discontinued treatment early).
Quantitative Myasthenia Gravis (QMG) assesses the patient's general body strength and fatigability. Each test item is scored on a scale of 0-3 with 3 representing the most severe symptom results and 0 representing no symptom results. Each item was assessed by the patient at Screening, the first (Day 1) and last day (Day 0) of the Run-in period and at the post-treatment visit. The post-treatment result will be the result obtained on Day 10. If the patient discontinued treatment early, the post-treatment result may be obtained at an earlier time point. The total QMG score was calculated as the sum of each item score, with a maximum score of 39 (most severe symptoms) and minimum score of 0 (least severe symptoms). The change from baseline (CFB) at Day 10 was assessed. A Wilcoxon-Mann-Whitney Rank Sum Test of equality of change from baseline distributions between subjects diagnosed with MuSK-MG treated with amifampridine and placebo was conducted.

Outcomes2

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMyasthenia Gravis-Activities of Daily Living (MG-ADL) Summary by Time Point and Myasthenia Gravis Type: Wilcoxon-Mann-Whitney Rank Sum Test ResultsLast day (Day 0) of the Run-in period and at the post-treatment visit (i.e., day 10 or the time point at which a patient discontinued treatment early).
The analysis of primary outcome data was based on the Full Analysis Set population, which included all randomized patients who received at least one dose of study medication (amifampridine or placebo post randomization) and had at least one post-treatment efficacy assessment. Patients who discontinued with no post-randomization data (no Day 0 and no Day 10 data) were excluded from all efficacy analyses but were included in the safety analyses.
Score on a ScaleMEAN
SECONDARYQuantitative Myasthenia Gravis (QMG) Total Score Summary Statistics by Time Point and MG Type: Wilcoxon-Mann-Whitney Rank Sum Test ResultsLast day (Day 0) of the Run-in period and at the post-treatment visit (i.e., day 10 or the time at which a patient discontinued treatment early).
The analysis of secondary outcome data was based on the Full Analysis Set population, which included all randomized patients who received at least one dose of study medication (amifampridine or placebo post randomization) and had at least one post-treatment efficacy assessment. Patients who discontinued with no post-randomization data (no Day 0 and no Day 10 data) were excluded from all efficacy analyses but were included in the safety analyses.
Score on a ScaleMEAN

Results by group24

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Myasthenia Gravis-Activities of Daily Living (MG-ADL) Summary by Time Point and Myasthenia Gravis Type: Wilcoxon-Mann-Whitney Rank Sum Test ResultsAmifampridine Phosphate - MuSKBaseline (Day 0) MG-ADL Total Raw Score4.96Standard Deviation 2.915Score on a Scale
Myasthenia Gravis-Activities of Daily Living (MG-ADL) Summary by Time Point and Myasthenia Gravis Type: Wilcoxon-Mann-Whitney Rank Sum Test ResultsPlacebo - MuSKBaseline (Day 0) MG-ADL Total Raw Score3.86Standard Deviation 2.103Score on a Scale
Myasthenia Gravis-Activities of Daily Living (MG-ADL) Summary by Time Point and Myasthenia Gravis Type: Wilcoxon-Mann-Whitney Rank Sum Test ResultsAmifampridine Phosphate - AChRBaseline (Day 0) MG-ADL Total Raw Score6.14Standard Deviation 3.388Score on a Scale
Myasthenia Gravis-Activities of Daily Living (MG-ADL) Summary by Time Point and Myasthenia Gravis Type: Wilcoxon-Mann-Whitney Rank Sum Test ResultsPlacebo - AChRBaseline (Day 0) MG-ADL Total Raw Score7.00Standard Deviation 4.175Score on a Scale
Myasthenia Gravis-Activities of Daily Living (MG-ADL) Summary by Time Point and Myasthenia Gravis Type: Wilcoxon-Mann-Whitney Rank Sum Test ResultsAmifampridine Phosphate - MuSKPost-Baseline(Day 10 or time at which a patient discontinued treatment) MG-ADL Total Raw Score6.00Standard Deviation 3.658Score on a Scale
Myasthenia Gravis-Activities of Daily Living (MG-ADL) Summary by Time Point and Myasthenia Gravis Type: Wilcoxon-Mann-Whitney Rank Sum Test ResultsPlacebo - MuSKPost-Baseline(Day 10 or time at which a patient discontinued treatment) MG-ADL Total Raw Score6.11Standard Deviation 3.19Score on a Scale
Myasthenia Gravis-Activities of Daily Living (MG-ADL) Summary by Time Point and Myasthenia Gravis Type: Wilcoxon-Mann-Whitney Rank Sum Test ResultsAmifampridine Phosphate - AChRPost-Baseline(Day 10 or time at which a patient discontinued treatment) MG-ADL Total Raw Score4.71Standard Deviation 3.147Score on a Scale
Myasthenia Gravis-Activities of Daily Living (MG-ADL) Summary by Time Point and Myasthenia Gravis Type: Wilcoxon-Mann-Whitney Rank Sum Test ResultsPlacebo - AChRPost-Baseline(Day 10 or time at which a patient discontinued treatment) MG-ADL Total Raw Score10.38Standard Deviation 3.583Score on a Scale
Myasthenia Gravis-Activities of Daily Living (MG-ADL) Summary by Time Point and Myasthenia Gravis Type: Wilcoxon-Mann-Whitney Rank Sum Test ResultsAmifampridine Phosphate - MuSKCFB MG-ADL Total Score1.04Standard Deviation 2.980Score on a Scale
Myasthenia Gravis-Activities of Daily Living (MG-ADL) Summary by Time Point and Myasthenia Gravis Type: Wilcoxon-Mann-Whitney Rank Sum Test ResultsPlacebo - MuSKCFB MG-ADL Total Score2.25Standard Deviation 3.658Score on a Scale

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAmifampridine Phosphate - MuSK27
Overall StudySTARTEDAmifampridine Phosphate - AChR-MG7
Overall StudySTARTEDPlacebo - MuSk28
Overall StudySTARTEDPlacebo - AChR-MG8
Overall StudySTARTEDAmifampridine Phosphate Only - MuSK17
Overall StudySTARTEDAmifampridine Phosphate Only- AChR-MG6
Overall StudyCOMPLETEDAmifampridine Phosphate - MuSK27
Overall StudyCOMPLETEDAmifampridine Phosphate - AChR-MG7
Overall StudyCOMPLETEDPlacebo - MuSk27
Overall StudyCOMPLETEDPlacebo - AChR-MG8

Adverse events135

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal discomfortGastrointestinal disordersAmifampridine Phosphate586
otherAbdominal discomfortGastrointestinal disordersPlacebo036
otherAbdominal discomfortGastrointestinal disordersOverall586
otherAbdominal pain upperGastrointestinal disordersAmifampridine Phosphate786
otherAbdominal pain upperGastrointestinal disordersPlacebo036
otherAbdominal pain upperGastrointestinal disordersOverall786
otherDiarrhoeaGastrointestinal disordersAmifampridine Phosphate1286
otherDiarrhoeaGastrointestinal disordersPlacebo036
otherDiarrhoeaGastrointestinal disordersOverall1286
otherDyspepsiaGastrointestinal disordersAmifampridine Phosphate786

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAmifampridine Phosphate086
Total, all-cause mortalityPlacebo036
Total, all-cause mortalityOverall086
Total, other adverse eventsAmifampridine Phosphate8086
Total, other adverse eventsPlacebo736
Total, other adverse eventsOverall8086
Total, serious adverse eventsAmifampridine Phosphate286
Total, serious adverse eventsPlacebo036
Total, serious adverse eventsOverall286

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03304054

GET https://conductscience.org/api/trials/v1/NCT03304054/results?page=2