ClinicalTrials.gg
CompletedNCT04176211Updated Jun 3, 2024

The Impact of Myasthenia Gravis in the Real World

An observational study in Myasthenia Gravis, sponsored by Vitaccess Ltd. Completed at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-06-03.

Sponsored by Vitaccess Ltd · Observational

Study type
Observational
Model
Ecologic or community
Time perspective
Prospective
Enrollment
2,847
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 40 studies in Myasthenia Gravis with a site in United Kingdom — 10 open to participants now, 21 under way, 15 of them phase 3. Myasthenia Gravis · United Kingdom.

Started
2019
with 5 others
Observational
4 of 40
2 open now
Registered
13th of 40
by date
Lead sponsor
2 of 40
Vitaccess Ltd

Among the 40 studies in Myasthenia Gravis with a site in United Kingdom, this one is one of 6 that started in 2019, is one of 4 observational ones, and was the 13th registered.

Myasthenia Gravis

330 studies on the registry are indexed under Myasthenia Gravis; 144 are open to participants now.

Browse Myasthenia Gravis studies →

Open to participants now

10 of the 40 studies in Myasthenia Gravis with a site in United Kingdom are open now. Recruiting first, the newest first:

5 more — sign in →

All 10 open studies →

A study can be open while its sites in United Kingdom have not opened yet or have stopped. Only those recruiting at a site in United Kingdom →

Who these studies take

Of the 104 Myasthenia Gravis studies recruiting now, 64 (62%) set no upper age limit and 23 (22%) stop at 75 or younger; 16 take children under 18; 13 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

An international, non-interventional, prospective, community recruited, longitudinal, lifestyle study which aims to collect Real-World Evidence (RWE) from people living with myasthenia gravis (MG) in order to map the disease's natural history, its burden on patients and their families, its treatment, as well as its medical, social and pharmacoeconomic impact.

Read the detailed description

Data was collected from people with MG using the MyRealWorld™ RWE platform , developed by the healthcare digital research company, Vitaccess. Participants downloaded a 'bring your own device' (BYOD) study app, MyRealWorld™ MG, onto their smartphones, which they used to enter data and complete surveys about their MG.

03

Conditions studied

  • Myasthenia Gravis

Keywords

  • Myasthenia Gravis Disease
  • Neuromuscular Diseases
  • Neuromuscular Junction Diseases
  • Nervous System Diseases
  • Autoimmune Diseases
  • Autoimmune Diseases of the Nervous System
  • Ocular Myasthenia Gravis
  • Generalized Myasthenia Gravis
  • Myasthenia Gravis, Generalized
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adults (age >18 years) with any stage and any subtype of myasthenia gravis disease

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults (aged 18 years and over) with any stage and any subtype of myasthenia gravis disease
  • Resident in Belgium, Canada, France, Germany, Italy, Japan, Spain, the UK, the USA, or Denmark

Exclusion criteria

Exclusion Criteria:

  • No specific exclusion criteria
05

Study design

Observational model
Ecologic or community
Time perspective
Prospective
Enrollment
2,847 participants (actual)
Target follow-up
2 Years
Patient registry
Yes
06

What researchers measure

Primary outcomes

  1. Change in EuroQol 5-dimension 5-level (EQ-5D-5L) score

    The EQ-5D-5L comprises two parts - the EQ-5D-5L descriptive system and the EQ Visual Analogue Scale (EQ VAS). The descriptive system comprises 5 dimensions (mobility, self care, usual activities, pain/discomfort, and anxiety/depression), each with 5 levels (no problems, slight problems, moderate problems, severe problems, and extreme problems - i.e., higher scores represent worse health). The digits for 5 dimensions can be combined in a 5-digit number describing the respondent's health state. The EQ VAS records the respondent's self-rated health on vertical, visual analogue scale with endpoints labelled 'the best health you can imagine' and 'the worst health you can imagine'. Higher scores represent better self-perceived health.

    Time frame: Monthly throughout 2 year study duration

  2. Change in Myasthenia Gravis Activities of Daily Living (MG-ADL) score

    The MG-ADL is a myasthenia gravis-specific 8-item scale, which assesses the severity of the following symptoms: talking, chewing, swallowing, breathing, impairment of ability to brush teeth/comb hair, impairment of ability to rise from a chair, double vision, and eyelid droop. Each of the 8 items has 4 response options; 0 (Mild), 1 (Moderate), 2 (Mild) and 3 (Severe). The MG-ADL total score can be calculated by totalling all 8 items out of a maximum score of 24. A higher score indicates severe impairment.

    Time frame: Four times per six months throughout 2 year study duration

  3. Change in Myasthenia Gravis Quality of Life 15-item revised scale (MG-QoL15r) score

    The MG-QOL15r is a myasthenia gravis-specific health-related quality of life survey, which assesses the impact of myasthenia gravis over the past few weeks on the following domains: emotions, physical health, self-care, social life, and impact on role. Each of the 15 items has three response options: 0 (Not at all), 1 (Somewhat), and 2 (Very much). The MG-QoL15r total score can be calculated by totalling all 15 items out a maximum score of 30. A higher score indicates severe impairment.

    Time frame: Once per six months throughout 2 year study duration

  4. Change in Hospital Anxiety and Depression Scale (HADS) score

    The HADS is a frequently used self-rating scale developed to assess psychological distress in non-psychiatric patients. It consists of two subscales, Anxiety and Depression. The instrument comprises 14 items, 7 for the anxiety subscale and 7 for the depression subscale. Each item is scored on a 4-point response scale, scale wording changes for each item with each coding response corresponding with greater impairment or severity. Domain scores can be calculated by totalling all 7 items out of a maximum score of 21. High scores indicate greater severity of that impairment

    Time frame: Once per six months throughout 2 year study duration

  5. Change in Health Utilities Index III (HUI3) score

    The HUI3 is a generic 8-item survey, which provides descriptive evidence on multiple dimensions of health status, a score for each dimension of health, and a health-related quality of life score for overall health.Health dimensions include vision, hearing, speech, ambulation/mobility, pain, dexterity, emotion and cognition. Each dimension has five or six response options. It has recall periods of either 'usual health', the past week, two weeks, or four weeks. Scores on individual items are combined to given a combined health state which can then be converted to health utilities. Lower health utilities represent worse health.

    Time frame: Once per 12 months throughout 2 year study duration

  6. COVID-19 survey results

    This is a bespoke survey designed to understand the impact of COVID-19 on study participants. It includes questions about whether participants have had COVID, and the consequences if so, whether they have been vaccinated, and how the wider pandemic has affected their MG treatment and quality of life.

    Time frame: Monthly throughout 2 year study duration

  7. Change in Single Simple Question (SSQ) and Patient Acceptable Symptom States (PASS) scores

    The SSQ is a single question that asks respondents what percentage of normal they feel with respect to their MG. The PASS is a single question that asks respondents whether they would consider their current disease state to be satisfactory if they had to stay in it for the next few months. The SSQ and PASS will be presented to participants at the same time, as a question pair.

    Time frame: Four times per six months throughout 2 year study duration

  8. Change in EuroQol 5-dimension 3-level (EQ-5D-3L) score

    The EQ-5D-3L is a three-level version of the EQ-5D-5L. It includes the same dimensions as the EQ-5D-5L, but each has only three levels: no problems, some problems, and extreme problems. The EQ VAS is unchanged from the EQ-5D-5L version.

    Time frame: Monthly for three months for participants from the US and Italy only

Secondary outcomes

  1. Change in Patient-Reported Outcomes Measurement Information System (PROMIS) Dyspnea Characteristics score

    The PROMIS sleep disturbance measure assesses self-reported frequency, severity, and duration of dyspnea (shortness of breath) over the last 7 days using either a 0-10 numeric rating scale or 0-4 rating scale to assess dyspnea characteristics.Each item is evaluated individually according to the numeric rating scale. No total score is calculated for this instrument. Higher scores on items indicate more severe symptoms.

    Time frame: Once per six months throughout 2 year study duration

  2. Change in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue score

    The FACIT-Fatigue measure is a generic 13-item survey which assesses fatigue levels and impact over the past 7 days. The level of fatigue is measured on a 4-point Likert scale (4 = not at all fatigue to 0 = very much fatigued). Scores range from 0-52. The higher the score, the better the quality of life.

    Time frame: Once per six months throughout 2 year study duration

  3. Change in Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance short form 6a change

    The PROMIS sleep disturbance measure assesses self-reported perceptions of sleep quality, sleep depth, and restoration associated with sleep over the last 7 days using a 5-point scale. Scores range from 6-30. Higher scores represent worse sleep disturbance.

    Time frame: Once per six months throughout 2 year study duration

07

Study locations

1 site
  • Vitaccess Ltd
    Oxford, OX4 4GA, United Kingdom
08

References and documents

Publications

  • Berrih-Aknin S, Claeys KG, Law N, Mantegazza R, Murai H, Sacca F, Dewilde S, Janssen MF, Bagshaw E, Kousoulakou H, Larkin M, Beauchamp J, Leighton T, Paci S. Patient-reportedimpact of myasthenia gravis in the real world: protocol for a digital observational study (MyRealWorld MG). BMJ Open. 2021 Jul 20;11(7):e048198. doi: 10.1136/bmjopen-2020-048198. PubMed 34285010 ↗
  • Dewilde S, Philips G, Paci S, Beauchamp J, Chiroli S, Quinn C, Day L, Larkin M, Palace J, Berrih-Aknin S, Claeys KG, Muppidi S, Mantegazza R, Sacca F, Meisel A, Bassez G, Murai H, Janssen MF. Patient-reported burden of myasthenia gravis: baseline results of the international prospective, observational, longitudinal real-world digital study MyRealWorld-MG. BMJ Open. 2023 Jan 31;13(1):e066445. doi: 10.1136/bmjopen-2022-066445. PubMed 36720569 ↗
  • Berrih-Aknin S, Palace J, Meisel A, Claeys KG, Muppidi S, Sacca F, Amini F, Larkin M, Quinn C, Beauchamp J, Philips G, De Ruyck F, Ramirez J, Paci S. Patient-reported impact of myasthenia gravis in the real world: findings from a digital observational survey-based study (MyRealWorld MG). BMJ Open. 2023 May 11;13(5):e068104. doi: 10.1136/bmjopen-2022-068104. PubMed 37169499 ↗

Individual participant data

Plan to share: No — Aggregated data may be available via application.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2019 to primary completion in May 2024, 53 months.

Of 62 observational studies under Myasthenia Gravis, half reached primary completion within 52 months of starting (the median), counting those still running; a quarter within 24. This study's 53 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 20, 2019
First posted
Nov 25, 2019
StartActual
Dec 12, 2019
Primary completionActual
May 31, 2024
CompletionActual
May 31, 2024
Last update
Jun 3, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04176211
Lead sponsor
Vitaccess Ltd
Responsible party
Sponsor
First posted
Nov 25, 2019
Start date
Dec 12, 2019
Primary completion
May 31, 2024
Completion
May 31, 2024
Last update
Jun 3, 2024

Study contacts

Mark JW Larkin, PhD
principal investigator · Vitaccess Ltd

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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