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Not yet recruitingNCT07853378Updated Oct 1, 2026

Incidence and Predictors of Early Clinical Relapse Within Six Months After Thymectomy in Patients With Myasthenia Gravis

An observational study in Myasthenia Gravis and Thymoma, sponsored by Assiut University. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-01.

Sponsored by Assiut University · Observational

Updated Oct 1, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
30
Ages
18 Years and older
Sex
All
01

Study summary

Myasthenia gravis is an autoimmune disorder affecting neuromuscular transmission, characterized by fluctuating muscle weakness and fatigue. Surgical removal of the thymus gland (thymectomy) is an established treatment to help achieve disease control in eligible patients. However, surgery does not guarantee permanent remission, and some individuals experience disease recurrence or clinical worsening.

The main objective of this observational study is to determine the incidence and clinical predictors of early relapse occurring within the first six months following thymectomy. The study evaluates adult patients with confirmed autoimmune myasthenia gravis who underwent thymectomy at Assiut University Hospitals. Patient characteristics, antibody profiles, pre-surgical disease severity, and postoperative follow-up assessments at 1, 3, and 6 months will be analyzed to identify factors associated with early clinical relapse.

02

Conditions studied

  • Myasthenia Gravis
  • Thymoma

Keywords

  • Thymectomy
  • Relapse
  • Recurrence
  • Myasthenic Crisis
  • Quantitative Myasthenia Gravis Score
  • Neuromuscular Junction Diseases
  • Autoimmune Diseases
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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 30 is below the median of 140 across 104 observational studies indexed under Myasthenia Gravis.

Browse Myasthenia Gravis studies →

Lead sponsor

Assiut University is the lead sponsor of 4,901 studies on the registry; 2,098 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Adult patients diagnosed with definite autoimmune myasthenia gravis who underwent thymectomy at Assiut University Hospitals and have documented clinical follow-up for at least six months post-surgery.

Inclusion criteria

  • Age 18 years or older at the time of thymectomy
  • Definite autoimmune myasthenia gravis based on compatible clinical findings with supporting electrophysiological and/or serological evidence
  • History of thymectomy
  • Adequate preoperative medical records
  • Documented postoperative assessment sufficient to determine six-month outcome, unless a qualifying relapse or death occurs earlier

Exclusion criteria

Exclusion Criteria:

  • Congenital myasthenic syndromes
  • Insufficient or unreliable medical records
  • Absence of reliable postoperative clinical assessment
  • Thymectomy performed for an unrelated indication without documented myasthenia gravis
  • Major comorbid neurological disease making myasthenia gravis activity assessment unreliable
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
30 participants (estimated)
Patient registry
No

Groups and cohorts

  • Post-Thymectomy Myasthenia Gravis Patients

    Adult patients aged 18 years or older with definite autoimmune myasthenia gravis who underwent thymectomy at Assiut University Hospitals. This cohort is evaluated for the incidence, clinical phenotype, and predictors of early clinical relapse occurring within six months post-thymectomy.

06

What researchers measure

Primary outcomes

  1. Number of Participants With Clinically Significant Myasthenia Gravis Relapse

    Clinically significant relapse is defined as an objective worsening of myasthenia gravis muscle weakness that requires treatment escalation (including increased corticosteroid dosing, addition of non-steroidal immunosuppressive agents, or initiation of rescue therapy with plasma exchange or intravenous immunoglobulin).

    Time frame: 6 months post-thymectomy

07

Study locations

No study locations are listed for this record.

08

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 1, 2026
Show all 1 update
  1. Oct 1, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07853378
Lead sponsor
Assiut University
Responsible party
Anas Ahmed Abd Elgaber Ahmed (Resident, Assiut University) — Principal investigator
First posted
Oct 1, 2026
Start date
Oct 2026 (estimated)
Primary completion
Oct 2027 (estimated)
Completion
Nov 2027 (estimated)
Last update
Oct 1, 2026
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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