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Trial · NCT04524273

Myasthenia Gravis Inebilizumab Trial

NCT04524273, Phase 3, Active not recruiting, Amgen; results first posted 2026-03-10

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Myasthenia Gravis Inebilizumab Trial. Trials, record NCT04524273. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04524273

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Trial

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

Title
Myasthenia Gravis Inebilizumab Trial
NCT number
NCT04524273
Status
Active not recruiting
Phases
Phase 3
Enrollment
238 participants, actual
Lead sponsor
Amgen
Conditions
Myasthenia Gravis
Interventions
inebilizumab, IV Placebo
First posted
2020-08-24
Last updated
2026-05-15
Results first posted
2026-03-10

Source ClinicalTrials.gov

Registered outcomes36

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

ListOutcomeTime frameDescription
PrimaryChange From Baseline at Week 26 in Myasthenia Gravis Activities of Daily Living (MG-ADL) Score in the Overall Study PopulationBaseline and Week 26
MG-ADL score is an 8-item questionnaire that focuses on relevant symptoms and functional performance of activities of daily living over the previous 7 days. The MG-ADL score assesses 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 response is graded 0 (normal) to 3 (most severe). The range of total MG-ADL scores is 0-24. A higher score represents more severe disease Outcome measure is reported for the overall population.
SecondaryChange From Baseline in Quantitative Myasthenia Gravis (QMG) Score at Week 26 in the Overall Study PopulationBaseline and Week 26
The QMG score is a validated outcome comprised of 13 items: ocular (2 items), facial (1 item), bulbar (2 items), gross motor (6 items), axial (1 item), and respiratory (1 item). Each item has a possible score of between 0 and 3 points. The total score range is 0-39 points, with higher score indicating more severe disease. Outcome measure is reported for the overall population.
SecondaryChange From Baseline at Week 26 in MG-ADL Score in Anti-AChR-Ab+ and Anti-MuSK-Ab+ PopulationsBaseline and Week 26
MG-ADL score is an 8-item questionnaire that focuses on relevant symptoms and functional performance of activities of daily living over the previous 7 days. The MG-ADL score assesses 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 response is graded 0 (normal) to 3 (most severe). The range of total MG-ADL scores is 0-24. A higher score represents more severe disease. Outcome measure is reported for the Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.
SecondaryChange From Baseline in QMG Score at Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ PopulationsBaseline and Week 26
The QMG score is a validated outcome comprised of 13 items: ocular (2 items), facial (1 item), bulbar (2 items), gross motor (6 items), axial (1 item), and respiratory (1 item). Each item has a possible score of between 0 and 3 points. The total score range is 0-39 points, with higher score indicating more severe disease. Outcome measure is reported for the Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.
SecondaryPercentage of Participants With Both ≥ 3-point Improvement in MG-ADL Score at Week 26 and no Use of Rescue Therapy Between Day 28 and Week 26 in the Overall Study PopulationUp to Week 26
MG-ADL score is an 8-item questionnaire that focuses on relevant symptoms and functional performance of activities of daily living over the previous 7 days. The MG-ADL score assesses 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 response is graded 0 (normal) to 3 (most severe). The range of total MG-ADL scores is 0-24. A higher score represents more severe disease. The protocol-allowed rescue therapy options included intravenous immunoglobulin (IVIg) and therapeutic plasma exchange (PLEX). Outcome measure is reported for the overall population.
SecondaryPercentage of Participants With Both ≥ 3-point Improvement in MG-ADL Score at Week 26 and no Use of Rescue Therapy Between Day 28 and Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ PopulationsUp to Week 26
MG-ADL score is an 8-item questionnaire that focuses on relevant symptoms and functional performance of activities of daily living over the previous 7 days. The MG-ADL score assesses 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 response is graded 0 (normal) to 3 (most severe). The range of total MG-ADL scores is 0-24. A higher score represents more severe disease. The protocol-allowed rescue therapy options included IVIg and PLEX. Outcome measure is reported in Anti-AChR-Ab+ and Anti-MuSK-Ab+ populations.
SecondaryPercentage of Participants With Both ≥ 3-point Improvement in MG-ADL Score at Week 52 and no Use of Rescue Therapy Between Day 28 and Week 52 in Anti-AChR-Ab+ PopulationUp to Week 52
MG-ADL score is an 8-item questionnaire that focuses on relevant symptoms and functional performance of activities of daily living over the previous 7 days. The MG-ADL score assesses 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 response is graded 0 (normal) to 3 (most severe). The range of total MG-ADL scores is 0-24. A higher score represents more severe disease. The protocol-allowed rescue therapy options included IVIg and PLEX. Outcome measure is reported for the Anti-AChR-Ab+ population.
SecondaryPercentage of Participants With no Use of Rescue Therapy Between Day 28 and Week 52 in Anti-AChR-Ab+ PopulationUp to Week 52The protocol-allowed rescue therapy options included corticosteroids, IVIg and PLEX. Outcome measure is reported for the Anti-AChR-Ab+ population.
SecondaryChange From Baseline in MG-ADL Score at Week 52 in the Anti-AChR-Ab+ PopulationBaseline and Week 52
MG-ADL score is an 8-item questionnaire that focuses on relevant symptoms and functional performance of activities of daily living over the previous 7 days. The MG-ADL score assesses 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 response is graded 0 (normal) to 3 (most severe). The range of total MG-ADL scores is 0-24. A higher score represents more severe disease. Outcome measure is reported for the Anti-AChR-Ab+ population.
SecondaryChange From Baseline in QMG Score at Week 52 in the Anti-AChR-Ab+ PopulationBaseline and Week 52
The QMG score is a validated outcome comprised of 13 items: ocular (2 items), facial (1 item), bulbar (2 items), gross motor (6 items), axial (1 item), and respiratory (1 item). Each item has a possible score of between 0 and 3 points. The total score range is 0-39 points, with higher score indicating more severe disease. Outcome measure is reported for the Anti-AChR-Ab+ population.

Outcomes36

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

TypeOutcomeTime framePopulationUnitsMeasured as
SECONDARYChange From Baseline in Quantitative Myasthenia Gravis (QMG) Score at Week 26 in the Overall Study PopulationBaseline and Week 26FAS: all participants randomized who received at least one dose of IP in the study and had baseline and at least one post-baseline observations.Score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline at Week 26 in MG-ADL Score in Anti-AChR-Ab+ and Anti-MuSK-Ab+ PopulationsBaseline and Week 26FAS: all participants randomized who received at least one dose of IP in the study and had baseline and at least one post-baseline observations.Score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in QMG Score at Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ PopulationsBaseline and Week 26FAS: all participants randomized who received at least one dose of IP in the study and had baseline and at least one post-baseline observations.Score on a scaleLEAST_SQUARES_MEAN
SECONDARYPercentage of Participants With Both ≥ 3-point Improvement in MG-ADL Score at Week 26 and no Use of Rescue Therapy Between Day 28 and Week 26 in the Overall Study PopulationUp to Week 26FAS: all participants randomized who received at least one dose of IP in the study and had baseline and at least one post-baseline observations.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Participants With Both ≥ 3-point Improvement in MG-ADL Score at Week 26 and no Use of Rescue Therapy Between Day 28 and Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ PopulationsUp to Week 26FAS: all participants randomized who received at least one dose of IP in the study and had baseline and at least one post-baseline observations.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Participants With Both ≥ 3-point Improvement in MG-ADL Score at Week 52 and no Use of Rescue Therapy Between Day 28 and Week 52 in Anti-AChR-Ab+ PopulationUp to Week 52
SECONDARYPercentage of Participants With no Use of Rescue Therapy Between Day 28 and Week 52 in Anti-AChR-Ab+ PopulationUp to Week 52
SECONDARYChange From Baseline in MG-ADL Score at Week 52 in the Anti-AChR-Ab+ PopulationBaseline and Week 52
SECONDARYChange From Baseline in QMG Score at Week 52 in the Anti-AChR-Ab+ PopulationBaseline and Week 52
SECONDARYChange From Baseline in Myasthenia Gravis Composite (MGC) Score at Week 26 in the Overall Study PopulationBaseline and Week 26FAS: all participants randomized who received at least one dose of IP in the study and had baseline and at least one post-baseline observations.Score on a scaleLEAST_SQUARES_MEAN

Results by group127

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

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in Quantitative Myasthenia Gravis (QMG) Score at Week 26 in the Overall Study PopulationOverall: Placebo-2.395% Confidence Interval -3.4 to -1.3Score on a scale
Change From Baseline in Quantitative Myasthenia Gravis (QMG) Score at Week 26 in the Overall Study PopulationOverall: Inebilizumab 300 mg-4.895% Confidence Interval -5.8 to -3.8Score on a scale
Change From Baseline at Week 26 in MG-ADL Score in Anti-AChR-Ab+ and Anti-MuSK-Ab+ PopulationsAnti-AChR-Ab+: Placebo-2.495% Confidence Interval -3.2 to -1.6Score on a scale
Change From Baseline at Week 26 in MG-ADL Score in Anti-AChR-Ab+ and Anti-MuSK-Ab+ PopulationsAnti-AChR-Ab+: Inebilizumab 300 mg-4.295% Confidence Interval -5.0 to -3.4Score on a scale
Change From Baseline at Week 26 in MG-ADL Score in Anti-AChR-Ab+ and Anti-MuSK-Ab+ PopulationsAnti-MuSK-Ab+: Placebo-1.795% Confidence Interval -3.1 to -0.2Score on a scale
Change From Baseline at Week 26 in MG-ADL Score in Anti-AChR-Ab+ and Anti-MuSK-Ab+ PopulationsAnti-MuSK-Ab+: Inebilizumab 300 mg-3.995% Confidence Interval -5.3 to -2.4Score on a scale
Change From Baseline in QMG Score at Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ PopulationsAnti-AChR-Ab+: Placebo-2.095% Confidence Interval -3.1 to -0.9Score on a scale
Change From Baseline in QMG Score at Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ PopulationsAnti-AChR-Ab+: Inebilizumab 300 mg-4.495% Confidence Interval -5.5 to -3.3Score on a scale
Change From Baseline in QMG Score at Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ PopulationsAnti-MuSK-Ab+: Placebo-3.095% Confidence Interval -5.2 to -0.7Score on a scale
Change From Baseline in QMG Score at Week 26 in Anti-AChR-Ab+ and Anti-MuSK-Ab+ PopulationsAnti-MuSK-Ab+: Inebilizumab 300 mg-5.295% Confidence Interval -7.4 to -3.0Score on a scale

Participant flow24

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

PeriodMilestoneGroupParticipantsUnits counted
RCPSTARTEDAnti-AChR-Ab+: Placebo95
RCPSTARTEDAnti-AChR-Ab+: Inebilizumab 300 mg95
RCPSTARTEDAnti-MuSK-Ab+: Placebo24
RCPSTARTEDAnti-MuSK-Ab+: Inebilizumab 300 mg24
RCPCOMPLETEDAnti-AChR-Ab+: Placebo68
RCPCOMPLETEDAnti-AChR-Ab+: Inebilizumab 300 mg75
RCPCOMPLETEDAnti-MuSK-Ab+: Placebo23
RCPCOMPLETEDAnti-MuSK-Ab+: Inebilizumab 300 mg24
RCPNOT COMPLETEDAnti-AChR-Ab+: Placebo27
RCPNOT COMPLETEDAnti-AChR-Ab+: Inebilizumab 300 mg20

Adverse events168

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersRCP: Placebo8119
otherDiarrhoeaGastrointestinal disordersRCP: Inebilizumab 300 mg4119
otherDiarrhoeaGastrointestinal disordersOptional OLP: Inebilizumab 300 mg1178
otherCOVID-19Infections and infestationsRCP: Placebo9119
otherCOVID-19Infections and infestationsRCP: Inebilizumab 300 mg12119
otherCOVID-19Infections and infestationsOptional OLP: Inebilizumab 300 mg10178
otherNasopharyngitisInfections and infestationsRCP: Placebo3119
otherNasopharyngitisInfections and infestationsRCP: Inebilizumab 300 mg8119
otherNasopharyngitisInfections and infestationsOptional OLP: Inebilizumab 300 mg8178
otherUpper respiratory tract infectionInfections and infestationsRCP: Placebo7119

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRCP: Placebo2119
Total, all-cause mortalityRCP: Inebilizumab 300 mg1119
Total, all-cause mortalityOptional OLP: Inebilizumab 300 mg1178
Total, other adverse eventsRCP: Placebo47119
Total, other adverse eventsRCP: Inebilizumab 300 mg53119
Total, other adverse eventsOptional OLP: Inebilizumab 300 mg40178
Total, serious adverse eventsRCP: Placebo16119
Total, serious adverse eventsRCP: Inebilizumab 300 mg10119
Total, serious adverse eventsOptional OLP: Inebilizumab 300 mg14178

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
40202593DERIVEDPubMed
42573995DERIVEDPubMed

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 comparisons5

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

ComparisonSource
Overall: Inebilizumab 300 mg vs Overall: Placebo: Percentage of Participants Experiencing Exacerbation by Week 26 in the Overall Study PopulationTrial comparisons
Overall: Inebilizumab 300 mg vs Overall: Placebo: Percentage of Participants With Anti-drug Antibodies (ADA) by Week 26 in the Overall Study PopulationTrial comparisons
Overall: Inebilizumab 300 mg vs Overall: Placebo: Percentage of Participants With Steroid Tapered to ≤ 5 mg/Day Steroid at Week 26 in the Overall Study PopulationTrial comparisons
Overall: Inebilizumab 300 mg vs Overall: Placebo: Percentage of Participants Who Achieved ≥ 50% Steroid Reduction at Week 26 in the Overall Study PopulationTrial comparisons
Overall: Inebilizumab 300 mg vs Overall: Placebo: Percentage of Participants With Both ≥ 3-point Improvement in MG-ADL Score at Week 26 and no Use of Rescue Therapy Between Day 28 and Week 26 in the Overall Study Population
Trial 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.

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/NCT04524273

GET https://conductscience.org/api/trials/v1/NCT04524273/registered?page=2