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RecruitingNCT05564936Updated Apr 11, 2025

The ME&MG Digital Solution for Autonomous Assessment of Myasthenia Gravis

An interventional study of ME&MG mobile application in Myasthenia Gravis, sponsored by Ad scientiam. Recruiting at 19 sites in 2 countries. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-04-11.

Sponsored by Ad scientiam · Not applicable, Interventional, and Other

From the registry’s dates

  • Primary completion was expected by Sep 2025, 1 year 1 month ago, but the record still lists the study as recruiting.
  • Started Jan 2024; still recruiting 2 years 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
144
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

ME\&MG is a standalone software (digital solution) running on patients smartphones, connected to a web portal for physicians. It is intended to be used as an unsupervised digital self-assessment tool for the monitoring of disabilities in patients living with MG.

ME\&MG contains digital active tests for the assessment of ptosis, breathing, dysarthria, upper- and lower-limb (arms and legs) weakness, treatment follow-up, and validated e-questionnaires related to daily activities, pain, fatigue, sleep, and depression disorders.

The objectives of this study are to validate the accuracy, reliability and reproducibility of the unsupervised at-home self-assessment of symptoms on the patient's smartphone with ME\&MG versus the standard in-clinic testing, as well as to evaluate the safety of the solution, its usability and satisfaction.

Read the detailed description

Myasthenia gravis (MG) is an autoimmune neuromuscular disease characterised by fatigable muscle weakness due to autoantibodies targeting components of the neuromuscular junction.

Deficits are measured using validated clinical scales such as the Quantitative Myasthenia Gravis score (QMG) QMG, Myasthenia Gravis Composite Score (MCS), Myasthenia Gravis Activities of Daily Living score (MG-ADL), etc., Unfortunately, this type of assessment might require expensive material, time, and personnel training, which make MG assessment difficult for clinicians in routine care.

Research on the matter has highlighted the importance of Patient-Reported Outcomes (PROs), composite measures of disease severity and quality-of-life measurements. This has led to the development of a number of tools for the self-assessment of PROs with validated questionnaires. However, there is no tool that overcomes the constraints of standard tests such as the QMG while allowing for the collection of objective data and PROs between visits.

ME\&MG is a standalone software (digital solution) running on patients smartphones, connected to a web portal for physicians. It is intended to be used as an unsupervised digital self-assessment tool for the monitoring of disabilities in patients living with MG.

ME\&MG contains digital active tests for the assessment of ptosis, breathing, dysarthria, upper- and lower-limb (arms and legs) weakness, treatment follow-up, and validated e-questionnaires related to daily activities, pain, fatigue, sleep, and depression disorders.

The objectives of this study are to validate the accuracy, reliability and reproducibility of the unsupervised at-home self-assessment of symptoms on the patient's smartphone with ME\&MG versus the standard in-clinic testing, as well as to evaluate the safety of the solution, its usability and satisfaction.

02

Conditions studied

  • Myasthenia Gravis

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03

In context

Myasthenia Gravis

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

This study's planned enrollment of 144 is above the median of 44 across 217 interventional studies indexed under Myasthenia Gravis.

Browse Myasthenia Gravis studies →

Lead sponsor

Ad scientiam is the lead sponsor of 14 studies on the registry; 5 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Aged over 18 Years
  • Diagnosed with gMG at screening with generalized muscle weakness meeting the clinical criteria for diagnosis of MG, as defined by the MGFA Clinical Classification Class II, III, or IV, and likely not in need of a respirator for the duration of the study, as judged by the investigator
  • With positive serologic testing for anti-AChR autoantibody at screening
  • Have read the information sheet and signed the form
  • Own a personal smartphone which software version is above 13 for IOS and 8 for Android included
  • Able to use a smartphone
  • Able to read language in which the mobile application is available (French, English, Spanish) and able to understand pictograms

Exclusion criteria

Exclusion Criteria:

  • Subjects having undergone thymectomy Plasma Exchange Therapy or Intravenous Immunoglobulin Therapy within four weeks of screening
  • Subjects having initiated FcRn inhibitor therapy within the four weeks preceding screening
  • Known medical or psychological condition(s) or risk factor(s) that, as judged by the investigator, might interfere with the subject's full participation in the study, pose any additional risk for the subject, or confound the assessment of the subject or outcome of the study.
  • Pregnant and nursing women
  • Person under guardianship or curatorship
  • Current drugs or/and alcohol abuse that could influence performance on the tests, as judged by the investigator
  • Participant included in another ME\&MG clinical study
  • Participant has participated in another clinical study within the previous 30 days of screening or is currently participating in another study that, in the opinion of the Investigator, might interfere with the subject's full participation in the study or confound the assessment of the subject or outcome of the study.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
144 participants (estimated)

Study arms

  • Experimental
    MG patients

    MG patients will perform 3 in-clinic visits and use the ME\&MG app at-home during 12 months

    Device: ME&MG mobile application

  • Other
    Healthy volunteers

    Healthy volunteers will perform one in-clinic visit and will use the app at-home once

    Device: ME&MG mobile application

Interventions

  • DeviceME&MG mobile application

    ME\&MG is a standalone software (digital solution) running on patients smartphones, connected to a web portal for physicians. It is intended to be used as an unsupervised digital self-assessment tool for the monitoring of disabilities in patients living with MG.

06

What researchers measure

Primary outcomes

  1. To demonstrate that ME&MG tests results performed at-home, under unsupervised condition, are correlated to standard tests results performed in-clinic, under supervised conditions

    Pearson correlation coefficient will be used to assess the relationship between digital tests versus standard tests

    Time frame: baseline

Secondary outcomes

  1. To compare results between in-clinic digital tests and in-clinic standard tests, test to test

    pearson correlation coefficient between digital tests and standard tests

    Time frame: baseline

  2. To assess reproducibility between in-clinic digital tests and at-home digital tests

    intraclass correlation coefficient

    Time frame: baseline, day 1, day 89, day 90

  3. To assess test-retest reliability of at-home digital tests

    intraclass correlation coefficient mean k raters (ICCk; k=day)

    Time frame: Day1, Day 2, Day 3, Day 87, Day 88, Day 89

  4. To compare results obtained with the at-home ME&MG composite score and the in-clinic standard QMG composite score

    Pearson correlation coefficient between digital composite score and QMG score

    Time frame: baseline, day 1

  5. To assess adverse events related to the use of the mobile application

    Descriptive analysis of adverse events (AEs) related to the use of the application

    Time frame: through study completion, an average of 1 year

  6. To assess satisfaction and user experience with the smartphone application

    descriptive analysis of questionnaires resulsts

    Time frame: through study completion, an average of 1 year

  7. To assess correlation of the at-home ME&MG composite score with the Myasthenia Gravis Activities of Daily Living (MG-ADL) score

    Pearson's correlation coefficient between ME\&MG composite score and MG-ADL scores

    Time frame: baseline, day 90, day 365

  8. to assess daily activites

    Myasthenia Gravis Activities of Daily Living (MG-ADL)

    Time frame: 12 months

  9. to assess depression

    Patient Health Questionnaire-8 (PHQ8)

    Time frame: 12 months

  10. to assess pain

    pain likert scale

    Time frame: 12 months

  11. to assess insomnia

    Insomnia Severity Index

    Time frame: 12 months

  12. To assess at-home compliance to the ME&MG smartphone application

    descriptive analysis of adherence data

    Time frame: through study completion, an average of 1 year

  13. To assess quality of life

    36-Item Short Form Survey (SF-36)

    Time frame: Baseline, day 90, Day 365

07

Study locations

15 of 19 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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

Started Jan 2024 (actual). Primary completion is estimated for Sep 2025, 20 months after the start.

Of 35 interventional studies with no phase under Myasthenia Gravis, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 49. This study's planned 20 months is below that.

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

Registered
Sep 27, 2022
First posted
Oct 4, 2022
StartActual
Jan 24, 2024
Primary completionEst.
Sep 24, 2025
CompletionEst.
Sep 24, 2026
Last update
Apr 11, 2025
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 Apr 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05564936
Lead sponsor
Ad scientiam
Responsible party
Sponsor
First posted
Oct 4, 2022
Start date
Jan 24, 2024
Primary completion
Sep 24, 2025 (estimated)
Completion
Sep 24, 2026 (estimated)
Last update
Apr 11, 2025

Study contacts

Pr Laforet
Contact
pascal.laforet@aphp.fr
+33147107752

Oversight

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

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