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Trial · NCT04124965

A Study to Investigate the Long-term Safety, Tolerability, and Efficacy of Rozanolixizumab in Adult Patients With Generalized Myasthenia Gravis

NCT04124965, Phase 3, Completed, UCB Biopharma SRL; results first posted 2023-08-21

3 sourcestrials-2026-11-12-0.4.0

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ConductScience Library. A Study to Investigate the Long-term Safety, Tolerability, and Efficacy of Rozanolixizumab in Adult Patients With Generalized Myasthenia Gravis. Trials, record NCT04124965. Release trials-2026-11-12-0.4.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04124965

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Trial

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

Title
A Study to Investigate the Long-term Safety, Tolerability, and Efficacy of Rozanolixizumab in Adult Patients With Generalized Myasthenia Gravis
NCT number
NCT04124965
Status
Completed
Phases
Phase 3
Enrollment
71 participants, actual
Lead sponsor
UCB Biopharma SRL
Conditions
Generalized Myasthenia Gravis
Interventions
Rozanolixizumab
First posted
2019-10-14
Last updated
2026-08-20
Other registries' IDs
eudract:2019-000969-21
Results first posted
2023-08-21

Source ClinicalTrials.gov

Registered outcomes6

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Treatment-emergent Adverse Events (TEAEs)From Baseline until End of Study (up to Week 60)
A TEAE is defined as an AE starting on or after the time of first administration of investigational medicinal product (IMP) or any unresolved event already present before the first administration of IMP that worsened in intensity following exposure to IMP, up to 8 weeks after the last dose of IMP in study participants who discontinued the study or IMP.
PrimaryPercentage of Participants With Treatment-emergent Adverse Events (TEAEs) Leading to Permanent Withdrawal of Study MedicationFrom Baseline until End of Study (up to Week 60)
A TEAE is defined as an AE starting on or after the time of first administration of IMP or any unresolved event already present before the first administration of IMP that worsened in intensity following exposure to IMP, up to 8 weeks after the last dose of IMP in study participants who discontinued the study or IMP.
SecondaryChange From Baseline in Myasthenia Gravis-Activities of Daily Living (MG-ADL) Total Score at Each Scheduled Assessment During Treatment and Observation PeriodsBaseline, Weeks 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, 52 and 60
The Myasthenia Gravis Activities of Daily Living (MG-ADL) is an 8-item patient-reported outcome (PRO) instrument developed on the basis of the Quantitative Myasthenia Gravis (QMG). The MG-ADL targeted symptoms and disability across ocular, bulbar, respiratory, and axial symptoms. The total MG-ADL score was obtained by summing the responses to each individual item (8 items; Grades: 0, 1, 2, 3), where 0 represents no symptoms or impaired performance and 3 represents the most severe symptoms or impaired performance. The total score ranges from 0 to 24, with a higher score indicating more disability. A positive change indicates worsening and a negative change indicates improvement.
SecondaryChange From Baseline in Myasthenia Gravis-Composite (MG-C) Total Score at Each Scheduled Assessment During Treatment and Observation PeriodsBaseline, Weeks 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, 52 and 60
MG-C scale is a validated assessment and scale tests 10 items with individual items being weighted differently. The items included ptosis/upward gaze (range: 0 \[\>45 second\] - 3 \[Immediate\]), double vision on lateral gaze (range: 0 \[\>45 second\] - 4 \[Immediate\]), eye closure (range: 0 \[Normal\] - 2 \[severe weakness\]), talking (range: 0 \[Normal\] - 6 \[difficult to understand speech\]), chewing (range: 0 \[Normal\] - 6 \[gastric tube\]), swallowing (range: 0 \[Normal\] - 6 \[gastric tube\]), breathing (range: 0 \[Normal\] - 9 \[ventilator dependence\]), neck flexion (range: 0 \[Normal\] - 4 \[severe weakness\]), shoulder abduction (range: 0 \[Normal\] - 5 \[severe weakness\]) and hip flexion (range: 0 \[Normal\] - 5 \[severe weakness\]), lower scores= lower disease activity. Total MG-C score was obtained by summing responses to each individual item and score ranges from 0 to 50, with lower scores indicating lower disease activity. A positive change indicates worsening and a negative change indicates improvement.
SecondaryChange From Baseline in Quantitative Myasthenia Gravis (QMG) Total Score at Each Scheduled Assessment During Treatment and Observation PeriodsBaseline, Weeks 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, 52 and 60
The QMG is a validated assessment and the scale tested 13 items, including ocular and facial involvement, swallowing, speech, limb strength, and forced vital capacity. The total QMG score was obtained by summing the responses to each individual item (13 items; Responses: None=0, Mild=1, Moderate=2, Severe=3) and the score ranges from 0 to 39, with lower scores indicating lower disease activity. A positive change indicates worsening and a negative change indicates improvement.
SecondaryPercentage of Participants Using Rescue Medication (Intravenous Infusion of Immunoglobulin G (IVIg) or Plasma Exchange (PEX))From Baseline until End of Study (up to Week 60)
Rescue therapy consisted of IVIg or PEX. Study participants who experienced disease worsening (eg, an increase of 2 points on the MG-ADL or 3 points on the QMG scale between 2 consecutive visits) may be considered for rescue therapy at the discretion of the Investigator.

Outcomes6

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Treatment-emergent Adverse Events (TEAEs)From Baseline until End of Study (up to Week 60)
The Safety Set (SS) consisted of all randomized study participants who received at least 1 dose of IMP in this study. This endpoint was planned to be analyzed using the SS by most recent dose received i.e. the most recent dose received at or before the AE onset. Participants who switched doses were counted in both rozanolixizumab (RLZ) doses.
percentage of participantsNUMBER
PRIMARYPercentage of Participants With Treatment-emergent Adverse Events (TEAEs) Leading to Permanent Withdrawal of Study MedicationFrom Baseline until End of Study (up to Week 60)
The Safety Set consisted of all randomized study participants who received at least 1 dose of IMP in this study. This endpoint was planned to be analyzed using the SS by most recent dose received i.e. the most recent dose received at or before the AE onset. Participants who switched doses were counted in both rozanolixizumab doses.
percentage of participantsNUMBER
SECONDARYChange From Baseline in Myasthenia Gravis-Activities of Daily Living (MG-ADL) Total Score at Each Scheduled Assessment During Treatment and Observation PeriodsBaseline, Weeks 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, 52 and 60
The Safety Set consisted of all randomized study participants who received at least 1 dose of IMP in this study. Here, number analyzed signifies those participants who were evaluable at specified time points.
units on a scaleMEAN
SECONDARYChange From Baseline in Myasthenia Gravis-Composite (MG-C) Total Score at Each Scheduled Assessment During Treatment and Observation PeriodsBaseline, Weeks 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, 52 and 60
The Safety Set consisted of all randomized study participants who received at least 1 dose of IMP in this study. Here, number analyzed signifies those participants who were evaluable at specified time points.
units on a scaleMEAN
SECONDARYChange From Baseline in Quantitative Myasthenia Gravis (QMG) Total Score at Each Scheduled Assessment During Treatment and Observation PeriodsBaseline, Weeks 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, 52 and 60
The Safety Set consisted of all randomized study participants who received at least 1 dose of IMP in this study. Here, number analyzed signifies those participants who were evaluable at specified time points.
units on a scaleMEAN
SECONDARYPercentage of Participants Using Rescue Medication (Intravenous Infusion of Immunoglobulin G (IVIg) or Plasma Exchange (PEX))From Baseline until End of Study (up to Week 60)The Safety Set consisted of all randomized study participants who received at least 1 dose of IMP in this study.percentage of participantsNUMBER

Results by group96

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)Rozanolixizumab ~7 mg/kg76.0percentage of participants
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)Rozanolixizumab ~10 mg/kg78.6percentage of participants
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) Leading to Permanent Withdrawal of Study MedicationRozanolixizumab ~7 mg/kg6.0percentage of participants
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) Leading to Permanent Withdrawal of Study MedicationRozanolixizumab ~10 mg/kg0percentage of participants
Change From Baseline in Myasthenia Gravis-Activities of Daily Living (MG-ADL) Total Score at Each Scheduled Assessment During Treatment and Observation PeriodsRozanolixizumab ~7 mg/kgWeek 5-2.7Standard Deviation 3.3units on a scale
Change From Baseline in Myasthenia Gravis-Activities of Daily Living (MG-ADL) Total Score at Each Scheduled Assessment During Treatment and Observation PeriodsRozanolixizumab ~10 mg/kgWeek 5-3.2Standard Deviation 3.8units on a scale
Change From Baseline in Myasthenia Gravis-Activities of Daily Living (MG-ADL) Total Score at Each Scheduled Assessment During Treatment and Observation PeriodsRozanolixizumab ~7 mg/kgWeek 7-2.7Standard Deviation 3.8units on a scale
Change From Baseline in Myasthenia Gravis-Activities of Daily Living (MG-ADL) Total Score at Each Scheduled Assessment During Treatment and Observation PeriodsRozanolixizumab ~10 mg/kgWeek 7-3.7Standard Deviation 3.4units on a scale
Change From Baseline in Myasthenia Gravis-Activities of Daily Living (MG-ADL) Total Score at Each Scheduled Assessment During Treatment and Observation PeriodsRozanolixizumab ~7 mg/kgWeek 9-2.8Standard Deviation 3.4units on a scale
Change From Baseline in Myasthenia Gravis-Activities of Daily Living (MG-ADL) Total Score at Each Scheduled Assessment During Treatment and Observation PeriodsRozanolixizumab ~10 mg/kgWeek 9-3.4Standard Deviation 3.7units on a scale

Participant flow8

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRozanolixizumab ~7 mg/kg35
Overall StudySTARTEDRozanolixizumab ~10 mg/kg36
Overall StudySafety SetRozanolixizumab ~7 mg/kg35
Overall StudySafety SetRozanolixizumab ~10 mg/kg35
Overall StudyCOMPLETEDRozanolixizumab ~7 mg/kg5
Overall StudyCOMPLETEDRozanolixizumab ~10 mg/kg3
Overall StudyNOT COMPLETEDRozanolixizumab ~7 mg/kg30
Overall StudyNOT COMPLETEDRozanolixizumab ~10 mg/kg33

Adverse events38

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersRozanolixizumab ~7 mg/kg65011
otherDiarrhoeaGastrointestinal disordersRozanolixizumab ~10 mg/kg74210
otherAbdominal painGastrointestinal disordersRozanolixizumab ~7 mg/kg2502
otherAbdominal painGastrointestinal disordersRozanolixizumab ~10 mg/kg2422
otherNauseaGastrointestinal disordersRozanolixizumab ~7 mg/kg4504
otherNauseaGastrointestinal disordersRozanolixizumab ~10 mg/kg5428
otherVomitingGastrointestinal disordersRozanolixizumab ~7 mg/kg0500
otherVomitingGastrointestinal disordersRozanolixizumab ~10 mg/kg4424
otherPyrexiaGeneral disordersRozanolixizumab ~7 mg/kg4505
otherPyrexiaGeneral disordersRozanolixizumab ~10 mg/kg3424

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRozanolixizumab ~7 mg/kg050
Total, all-cause mortalityRozanolixizumab ~10 mg/kg042
Total, other adverse eventsRozanolixizumab ~7 mg/kg2750
Total, other adverse eventsRozanolixizumab ~10 mg/kg2542
Total, serious adverse eventsRozanolixizumab ~7 mg/kg750
Total, serious adverse eventsRozanolixizumab ~10 mg/kg242

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
37059507DERIVEDPubMed
40105996DERIVEDPubMed
42388397RESULTPubMed

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 comparisons2

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

ComparisonSource
Rozanolixizumab ~7 mg/kg vs Rozanolixizumab ~10 mg/kg: deaths from any causeTrial comparisons
Rozanolixizumab ~7 mg/kg vs Rozanolixizumab ~10 mg/kg: serious adverse eventsTrial comparisons

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.

Source

Release
trials-2026-11-12-0.4.0
Release manifest SHA-256
0f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4
Registry capture
2026-11-12
Results copy, AACT
2026-03-23
NIH clinical studies file
2026-11-13

Source ClinicalTrials.gov

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNone 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/NCT04124965

GET https://conductscience.org/api/trials/v1/NCT04124965/results?page=2