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Trial · NCT04963270

A Study To Evaluate Efficacy, Safety, Pharmacokinetics, And Pharmacodynamics Of Satralizumab In Patients With Generalized Myasthenia Gravis

NCT04963270, Phase 3, Terminated, Hoffmann-La Roche; results first posted 2025-02-28

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study To Evaluate Efficacy, Safety, Pharmacokinetics, And Pharmacodynamics Of Satralizumab In Patients With Generalized Myasthenia Gravis. Trials, record NCT04963270. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04963270

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Trial

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

Title
A Study To Evaluate Efficacy, Safety, Pharmacokinetics, And Pharmacodynamics Of Satralizumab In Patients With Generalized Myasthenia Gravis
NCT number
NCT04963270
Status
Terminated
Phases
Phase 3
Enrollment
188 participants, actual
Lead sponsor
Hoffmann-La Roche
Conditions
Generalized Myasthenia Gravis
Interventions
Satralizumab, Placebo
First posted
2021-07-15
Last updated
2025-02-28
Results first posted
2025-02-28

Source ClinicalTrials.gov

Registered outcomes29

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

ListOutcomeTime frameDescription
PrimaryDB Period: Mean Change From Baseline in Total Myasthenia Gravis Activities of Daily Living (MG-ADL) Score in the AChR+ PopulationAt Week 24
The MG-ADL scale was used to assess the degree of gMG symptoms (six items: diplopia, ptosis, difficulties with chewing, swallowing, talking, and respiratory problems) and functional limitations in carrying out activities of daily living (two items: ability to brush teeth or comb hair and impairment in the ability to arise from a chair) that are present and clinically relevant in gMG participants. Each of the eight items was ranked on a 0-3 scale, with 3 representing the most severe symptoms or impaired performance and 0 representing no symptoms or impaired performance. The total MG-ADL score was calculated as the sum of each item score, with a maximum score ranging from 0 (least severe symptoms/impairment) to 24 (most severe symptoms/impairment). Higher scores indicate greater disease severity.
SecondaryDB Period: Mean Change From Baseline in Total MG-ADL Score in the Overall Population (OP) at Week 24At Week 24
The MG-ADL scale was used to assess the degree of gMG symptoms (six items: diplopia, ptosis, difficulties with chewing, swallowing, talking, and respiratory problems) and functional limitations in carrying out activities of daily living (two items: ability to brush teeth or comb hair and impairment in the ability to arise from a chair) that are present and clinically relevant in gMG participants. Each of the eight items was ranked on a 0-3 scale, with 3 representing the most severe symptoms or impaired performance and 0 representing no symptoms or impaired performance. The total MG-ADL score was calculated as the sum of each item score, with a maximum score ranging from 0 (least severe symptoms/impairment) to 24 (most severe symptoms/impairment). Higher scores indicate greater disease severity.
SecondaryDB Period: Percentage of Participants With a ≥ 2-point Reduction From Baseline in Total MG-ADL Score in AChR+ Population at Week 24At Week 24
The MG-ADL scale was used to assess the degree of gMG symptoms (six items: diplopia, ptosis, difficulties with chewing, swallowing, talking, and respiratory problems) and functional limitations in carrying out activities of daily living (two items: ability to brush teeth or comb hair and impairment in the ability to arise from a chair) that are present and clinically relevant in gMG participants. Each of the eight items was ranked on a 0-3 scale, with 3 representing the most severe symptoms or impaired performance and 0 representing no symptoms or impaired performance. The total MG-ADL score was calculated as the sum of each item score, with a maximum score ranging from 0 (least severe symptoms/impairment) to 24 (most severe symptoms/impairment). Higher scores indicate greater disease severity. Participants who received rescue therapy were considered non-responders.
SecondaryDB Period: Percentage of Participants With a ≥ 2-point Reduction From Baseline in Total MG-ADL Score in OP at Week 24At Week 24
The MG-ADL scale was used to assess the degree of gMG symptoms (six items: diplopia, ptosis, difficulties with chewing, swallowing, talking, and respiratory problems) and functional limitations in carrying out activities of daily living (two items: ability to brush teeth or comb hair and impairment in the ability to arise from a chair) that are present and clinically relevant in gMG participants. Each of the eight items was ranked on a 0-3 scale, with 3 representing the most severe symptoms or impaired performance and 0 representing no symptoms or impaired performance. The total MG-ADL score was calculated as the sum of each item score, with a maximum score ranging from 0 (least severe symptoms/impairment) to 24 (most severe symptoms/impairment). Higher scores indicate greater disease severity. Participants who received rescue therapy were considered non-responders.
SecondaryDB Period: Mean Change From Baseline in Quantitative Myasthenia Gravis (QMG) Score in AChR+ Population at Week 24At Week 24
The QMG is a 13-item direct physician assessment scoring system that quantifies disease severity based on impairments of body functions and structures. The 13-items are: ptosis, diplopia, orbicularis oculi weakness, swallowing, speech disruption, percent forced vital capacity, arm and leg endurance (four items), grip strength (two items), and neck flexion strength. Each of the 13 item was quantitatively assessed and scored on a scale from 0=None to 3=Severe, providing a total QMG score (sum of each item score) ranging from 0 to 39 where higher scores indicate greater disease severity.
SecondaryDB Period: Mean Change From Baseline in QMG Score in OP at Week 24At Week 24
The QMG is a 13-item direct physician assessment scoring system that quantifies disease severity based on impairments of body functions and structures. The 13-items are: ptosis, diplopia, orbicularis oculi weakness, swallowing, speech disruption, percent forced vital capacity, arm and leg endurance (four items), grip strength (two items), and neck flexion strength. Each of the 13 item was quantitatively assessed and scored on a scale from 0=None to 3=Severe, providing a total QMG score (sum of each item score) ranging from 0 to 39 where higher scores indicate greater disease severity.
SecondaryDB Period: Mean Change From Baseline in Myasthenia Gravis Quality of Life 15 Scale (Revised) (MG-QOL 15r) Total Score in AChR+ Population at Week 24At Week 24
The MG-QOL-15r is a disease-specific health-related QoL measure that consists of 15 items: mobility (9 items), symptoms (3 items), and contentment and emotional well-being (3 items). Items were scored on a scale from 0=Not at all to 2=Very much with the total score ranging from 0 to 30 and higher scores indicate worse health-related quality of life (HRQoL).
SecondaryDB Period: Mean Change From Baseline in MG-QOL 15r Total Score in OP at Week 24At Week 24
The MG-QOL-15r is a disease-specific health-related QoL measure that consists of 15 items: mobility (9 items), symptoms (3 items), and contentment and emotional well-being (3 items). Items are scored on a scale from 0=Not at all to 2=Very much, with the total score ranging from 0 to 30 and higher scores indicate worse HRQoL.
SecondaryDB Period: Mean Change From Baseline in Quality of Life in Neurological Disorders (Neuro-QoL) Fatigue Subscale Total Score in AChR+ Population at Week 24At Week 24
The Neuro-QoL is a validated tool designed to evaluate the HRQoL in participants with chronic neurological disease. The Fatigue Subscale is implemented as an eight-item, stand-alone short form that assesses the multi-dimensional aspects of fatigue ranging from general tiredness to debilitating exhaustion that Impacts activities of daily living. Each item was assessed using a 5-level Likert scale ranging between 1=never to 5=always. Raw scores range from 8 to 40, higher values indicate greater fatigue.
SecondaryDB Period: Mean Change From Baseline in Neuro-QoL Fatigue Subscale Total Score in OP at Week 24At Week 24
The Neuro-QoL is a validated tool designed to evaluate the HRQoL in participants with chronic neurological disease. The Fatigue Subscale is implemented as an eight-item, stand-alone short form that assesses the multi-dimensional aspects of fatigue ranging from general tiredness to debilitating exhaustion that Impacts activities of daily living. Each item was assessed using a 5-level Likert scale ranging between 1=never to 5=always. Raw scores range from 8 to 40, higher values indicate greater fatigue.

Outcomes29

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYDB Period: Mean Change From Baseline in Total Myasthenia Gravis Activities of Daily Living (MG-ADL) Score in the AChR+ PopulationAt Week 24AChR+ population included all participants in the study who were AChR+.score on a scaleMEAN
SECONDARYDB Period: Mean Change From Baseline in Total MG-ADL Score in the Overall Population (OP) at Week 24At Week 24
Modified intent-to-treat (mIIT) population included all participants that were part of the ITT and had a baseline and at least one post-baseline MG-ADL assessment during the DB period. This excludes adolescents who joined the study after the last adult participant was randomized.
score on a scaleMEAN
SECONDARYDB Period: Percentage of Participants With a ≥ 2-point Reduction From Baseline in Total MG-ADL Score in AChR+ Population at Week 24At Week 24AChR+ population included all participants in the study who were AChR+.percentage of participantsNUMBER
SECONDARYDB Period: Percentage of Participants With a ≥ 2-point Reduction From Baseline in Total MG-ADL Score in OP at Week 24At Week 24
mIIT population included all participants that were part of the ITT and had a baseline and at least one post-baseline MG-ADL assessment during the DB period. This excludes adolescents who joined the study after the last adult participant was randomized.
percentage of participantsNUMBER
SECONDARYDB Period: Mean Change From Baseline in Quantitative Myasthenia Gravis (QMG) Score in AChR+ Population at Week 24At Week 24AChR+ population included all participants in the study who were AChR+.score on a scaleMEAN
SECONDARYDB Period: Mean Change From Baseline in QMG Score in OP at Week 24At Week 24
mIIT population included all participants that were part of the ITT and had a baseline and at least one post-baseline MG-ADL assessment during the DB period. This excludes adolescents who joined the study after the last adult participant was randomized.
score on a scaleMEAN
SECONDARYDB Period: Mean Change From Baseline in Myasthenia Gravis Quality of Life 15 Scale (Revised) (MG-QOL 15r) Total Score in AChR+ Population at Week 24At Week 24AChR+ population included all participants in the study who were AChR+.score on a scaleMEAN
SECONDARYDB Period: Mean Change From Baseline in MG-QOL 15r Total Score in OP at Week 24At Week 24
mIIT population included all participants that were part of the ITT and had a baseline and at least one post-baseline MG-ADL assessment during the DB period. This excludes adolescents who joined the study after the last adult participant was randomized.
score on a scaleMEAN
SECONDARYDB Period: Mean Change From Baseline in Quality of Life in Neurological Disorders (Neuro-QoL) Fatigue Subscale Total Score in AChR+ Population at Week 24At Week 24AChR+ population included all participants in the study who were AChR+.score on a scaleMEAN
SECONDARYDB Period: Mean Change From Baseline in Neuro-QoL Fatigue Subscale Total Score in OP at Week 24At Week 24
mIIT population included all participants that were part of the ITT and had a baseline and at least one post-baseline MG-ADL assessment during the DB period. This excludes adolescents who joined the study after the last adult participant was randomized.
score on a scaleMEAN

Results by group133

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

OutcomeGroupCategoryValueSpreadUnits
DB Period: Mean Change From Baseline in Total Myasthenia Gravis Activities of Daily Living (MG-ADL) Score in the AChR+ PopulationPlacebo-2.57Standard Error 0.35score on a scale
DB Period: Mean Change From Baseline in Total Myasthenia Gravis Activities of Daily Living (MG-ADL) Score in the AChR+ PopulationSatralizumab-3.59Standard Error 0.29score on a scale
DB Period: Mean Change From Baseline in Total MG-ADL Score in the Overall Population (OP) at Week 24Placebo-2.52Standard Error 0.32score on a scale
DB Period: Mean Change From Baseline in Total MG-ADL Score in the Overall Population (OP) at Week 24Satralizumab-3.54Standard Error 0.28score on a scale
DB Period: Percentage of Participants With a ≥ 2-point Reduction From Baseline in Total MG-ADL Score in AChR+ Population at Week 24Placebo58.895% Confidence Interval 47.9 to 69.6percentage of participants
DB Period: Percentage of Participants With a ≥ 2-point Reduction From Baseline in Total MG-ADL Score in AChR+ Population at Week 24Satralizumab70.995% Confidence Interval 61.2 to 80.6percentage of participants
DB Period: Percentage of Participants With a ≥ 2-point Reduction From Baseline in Total MG-ADL Score in OP at Week 24Placebo60.795% Confidence Interval 50.4 to 70.9percentage of participants
DB Period: Percentage of Participants With a ≥ 2-point Reduction From Baseline in Total MG-ADL Score in OP at Week 24Satralizumab69.895% Confidence Interval 60.5 to 79percentage of participants
DB Period: Mean Change From Baseline in Quantitative Myasthenia Gravis (QMG) Score in AChR+ Population at Week 24Placebo-1.78Standard Error 0.46score on a scale
DB Period: Mean Change From Baseline in Quantitative Myasthenia Gravis (QMG) Score in AChR+ Population at Week 24Satralizumab-3.41Standard Error 0.41score on a scale

Participant flow24

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

PeriodMilestoneGroupParticipantsUnits counted
Double-Blind Period (24 Weeks)STARTEDPlacebo92
Double-Blind Period (24 Weeks)STARTEDSatralizumab96
Double-Blind Period (24 Weeks)STARTEDPlacebo (DB) to Satralizumab (OLE)0
Double-Blind Period (24 Weeks)STARTEDSatralizumab (DB) to Satralizumab (OLE)0
Double-Blind Period (24 Weeks)COMPLETEDPlacebo88
Double-Blind Period (24 Weeks)COMPLETEDSatralizumab92
Double-Blind Period (24 Weeks)COMPLETEDPlacebo (DB) to Satralizumab (OLE)0
Double-Blind Period (24 Weeks)COMPLETEDSatralizumab (DB) to Satralizumab (OLE)0
Double-Blind Period (24 Weeks)NOT COMPLETEDPlacebo4
Double-Blind Period (24 Weeks)NOT COMPLETEDSatralizumab4

Adverse events275

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherVertigoEar and labyrinth disordersDB Period: Placebo1921
otherVertigoEar and labyrinth disordersDB Period: Satralizumab 120mg2872
otherVertigoEar and labyrinth disordersDB Period: Satralizumab 180mg090
otherVertigoEar and labyrinth disordersOverall Satralizumab 120mg21592
otherVertigoEar and labyrinth disordersOverall Satralizumab 180mg2252
otherDiplopiaEye disordersDB Period: Placebo0920
otherDiplopiaEye disordersDB Period: Satralizumab 120mg0870
otherDiplopiaEye disordersDB Period: Satralizumab 180mg191
otherDiplopiaEye disordersOverall Satralizumab 120mg01590
otherDiplopiaEye disordersOverall Satralizumab 180mg1251

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityDB Period: Placebo092
Total, all-cause mortalityDB Period: Satralizumab 120mg087
Total, all-cause mortalityDB Period: Satralizumab 180mg09
Total, all-cause mortalityOverall Satralizumab 120mg1159
Total, all-cause mortalityOverall Satralizumab 180mg025
Total, other adverse eventsDB Period: Placebo4092
Total, other adverse eventsDB Period: Satralizumab 120mg4887
Total, other adverse eventsDB Period: Satralizumab 180mg89
Total, other adverse eventsOverall Satralizumab 120mg95159
Total, other adverse eventsOverall Satralizumab 180mg1625

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
39862880DERIVED

Source PubMed

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/NCT04963270

GET https://conductscience.org/api/trials/v1/NCT04963270/registered?page=2