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Not yet recruitingNCT07079020Updated Jul 22, 2025

Efgartigimod for Consolidation Therapy in gMG

An observational study in Myasthenia Gravis, sponsored by Da, Yuwei, M.D.. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-22.

Sponsored by Da, Yuwei, M.D. · Observational

From the registry’s dates

  • Primary completion was expected by Jun 2026, 3 months ago, but the record still lists the study as not yet recruiting.
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
130
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this observational study is to evaluate the efficacy and safety of consolidation therapy with corticosteroids and/or immunosuppressants combined with efgartigimod in patients with generalized myasthenia gravis after the acute exacerbation.

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Conditions studied

  • Myasthenia Gravis

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03

In context

Myasthenia Gravis

324 studies on the registry are indexed under Myasthenia Gravis; 146 are open to participants now.

This study's planned enrollment of 130 is close to the median of 140 across 104 observational studies indexed under Myasthenia Gravis.

Browse Myasthenia Gravis studies →

Lead sponsor

Da, Yuwei, M.D. is the lead sponsor of 4 studies on the registry; 2 are open to participants now.

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

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Who can participate

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

Study population

AChR antibody-positive adults with generalized myasthenia gravis who responded to acute exacerbation treatment and underwent consolidation therapy

Inclusion criteria

  1. Age ≥18 years, male or female.
  2. Diagnosis of myasthenia gravis (MG) based on the following:

    1. Typical clinical features of MG.
    2. At least one of the following:

    Seropositive for anti-AChR antibodies (confirmed by reliable assay). Abnormal neuromuscular transmission on electrophysiological testing (e.g., RNS or SFEMG).

    Positive neostigmine test or documented response to cholinesterase inhibitors.

  3. MGFA classification II-IV at consolidation baseline.
  4. Seropositive for anti-AChR antibodies (required for enrollment).
  5. Hospitalized for myasthenic crisis (MC) in the acute exacerbation and completed one treatment cycle of efgartigimod: acute exacerbation definition: Presence of MC warning signs (new or worsening within 2 weeks): Bulbar symptoms: Dysphagia, choking, weak cough, dysarthria. Respiratory symptoms: Dyspnea, respiratory muscle weakness. Generalized weakness: Head drop, jaw weakness, facial weakness. One treatment cycle of efgartigimod: 10 mg/kg IV, once weekly for 4 doses.
  6. ≥2-point improvement in MG-ADL score from acute exacerbation baseline by Day 4 of efgartigimod treatment.
  7. Willing and able to provide written informed consent before study participation.

Exclusion criteria

Exclusion Criteria:

  1. Treatment with IVIg, plasma exchange (PE), IV methylprednisolone (IVMP), or immunoadsorption (IA) within 1 month before consolidation baseline.
  2. Thymectomy within 6 months before exacerbation baseline.
  3. Use of immunomodulatory monoclonal antibodies or investigational drugs (not listed above) within 3 months before baseline or 5 half-lives (whichever is longer).
  4. Pregnancy or lactation (women of childbearing potential must have negative pregnancy test and use contraception).
  5. Known hypersensitivity to efgartigimod or any FcRn-targeting therapy.
  6. Clinically significant comorbidities, including severe cardiovascular, hepatic, renal, pulmonary, or hematologic disorders, active malignancy and uncontrolled systemic infections.
  7. Other autoimmune diseases that may interfere with efficacy assessment (e.g., uncontrolled thyroid disease, severe rheumatoid arthritis).
  8. Any other condition deemed unsuitable by the investigator.
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Study design

Observational model
Cohort
Time perspective
Other
Enrollment
130 participants (estimated)
Patient registry
No

Groups and cohorts

  • Efgartigimod+SOC

    Initiate efgartigimod combined with standard of care (SOC) therapy according to the protocol within one month after consolidation baseline.

  • SOC

    No additional treatments are to be administered other than the standard of care (SOC) therapy.

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What researchers measure

Primary outcomes

  1. Proportion of patients achieving and maintaining minimal symptom expression (MSE) for at least 4 months after first attaining MSE status at any time during the consolidation therapy period within 2 months.

    The MG-ADL is an 8-item patient-reported scale to assess MG symptoms and their effects on daily activities. The scale comprises 2 items on daily life activities and 6 items on symptoms. The MG-ADL total score range is 0-24, with higher scores indicative of greater disease severity. A patient was considered achieving MSE if there was a 1 or 0 on the MG-ADL total score ≥4 consecutive months after first attaining MSE status at any time during the consolidation therapy period within 2 months.

    Time frame: Consolidation baseline up to Month 6

Secondary outcomes

  1. Proportion of patients achieving both minimal symptom expression (MSE) and a daily corticosteroid dose ≤5 mg at Month 12.

    The MG-ADL is an 8-item patient-reported scale to assess MG symptoms and their effects on daily activities. The scale comprises 2 items on daily life activities and 6 items on symptoms. The MG-ADL total score range is 0-24, with higher scores indicative of greater disease severity. A patient was considered achieving MSE if there was a 1 or 0 on the MG-ADL total score.

    Time frame: Consolidation baseline up to Month 12

  2. Proportion of patients with MGFA Post-Intervention Status (MGFA-PIS) at Month 6 and Month 12

    Time frame: Consolidation baseline up to Month 6 AND Month 12

  3. Change from baseline in MG-ADL scores at Month 6 and Month 12

    The Myasthenia Gravis Activities of Daily Living (MG-ADL) is an 8-item patient-reported scale to assess MG symptoms and their effects on daily activities. The scale comprises 2 items on daily life activities and 6 items on symptoms. The MG-ADL total score range is 0-24, with higher scores indicative of greater disease severity.

    Time frame: Consolidation baseline up to Month 6 AND Month 12

  4. Change from baseline in QMG scores at Month 6 and Month 12

    The Quantitative Myasthenia Gravis (QMG) scale quantifies disease severity based on impairments of body functions and structures as defined by the International Classification of Disability and Health. The QMG scale consists of 13 items that measure endurance or fatigability, and accounts for fluctuations in disease state. The QMG total score range is 0-39, with higher scores indicative of greater disease severity.

    Time frame: Consolidation baseline up to Month 6 AND Month 12

  5. Proportion of patients achieving minimal symptom expression (MSE) at Month 6

    Time frame: Consolidation baseline up to Month 6

  6. Proportion of patients achieving minimal symptom expression (MSE) with daily corticosteroid dose ≤5 mg at Month 6

    Time frame: Consolidation baseline up to Month 6

  7. Incidence of acute exacerbations, impending myasthenic crisis, or myasthenic crisis events during the study period

    Time frame: Consolidation baseline up to Month 12

  8. Types and frequencies of adverse events (AEs) and serious adverse events (SAEs) during the study period

    Time frame: Consolidation baseline up to Month 12

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Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07079020
Lead sponsor
Da, Yuwei, M.D.
Responsible party
Sponsor
First posted
Jul 22, 2025
Start date
Jul 30, 2025 (estimated)
Primary completion
Jun 30, 2026 (estimated)
Completion
Sep 30, 2026 (estimated)
Last update
Jul 22, 2025

Study contacts

Yu wei Da, M.D.
Contact
dayuwei100@hotmail.com
00-86-010-83198493

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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