A Study of Nipocalimab in Children Aged 2 to Less Than 18 Years With Generalized Myasthenia Gravis

Study Purpose

The purpose of this study is to determine the effect of nipocalimab on total serum immunoglobulin G (IgG) in pediatric participants 2 to less than (<) 18 years of age (globally) and 8 to <18 years of age (for Unites Stated (US) sites only), the safety and tolerability of treatment with nipocalimab in children and adolescents and to evaluate the pharmacokinetics (PK) of nipocalimab in children and adolescents with generalized myasthenia gravis (gMG) who have an insufficient clinical response to ongoing, stable standard-of-care therapy.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 2 Years - 17 Years
Gender All
More Inclusion & Exclusion Criteria

Key

Inclusion Criteria:

  • - Age: For US sites only: 8 to < 18 years.
  • - Diagnosis of myasthenia gravis (MG) with generalized muscle weakness meeting the clinical criteria for generalized myasthenia gravis (gMG) as defined by the Myasthenia Gravis Foundation of America (MGFA) Clinical Classification Class IIa/b, IIIa/b, or IVa/b at screening.
  • - Has a positive serologic test for acetylcholine receptor (anti-AChR) antibodies or muscle-specific tyrosine kinase (anti-MuSK) antibodies at screening.
  • - A participant using herbal, naturopathic, traditional Chinese remedies, ayurvedic or nutritional supplements, or medical marijuana (with a doctor's prescription) is eligible if the use of these medications is acceptable to the Investigator.
These remedies must remain at a stable dose and regimen throughout the study.
  • - Has sufficient venous access to allow drug administration by infusion and blood sampling as per the protocol.
  • - Participants should have a body weight and body mass index between 5th and 95th percentile for age and sex.
Obese participants greater than 95th percentile and underweight participants below 5th percentile may participate following medical clearance.
  • - A female of childbearing potential must have a negative highly sensitive serum (beta-human chorionic gonadotropin [beta-hCG]) at Screening and a negative urine pregnancy test at Day 1 prior to administration of study intervention.
Key

Exclusion Criteria:

  • - Has a history of severe and/or uncontrolled hepatic (example, viral/alcoholic/ autoimmune hepatitis/ cirrhosis/ and/or metabolic liver disease), gastrointestinal, renal, pulmonary, cardiovascular (including congenital heart diseases), psychiatric, neurological musculoskeletal disorder, any other medical disorder(s) (example, diabetes mellitus), risk factors for thrombosis events (example, a history of venous thromboembolism [VTE] or antiphospholipid syndrome, or a personal or family history of heritable coagulation disorder such as factor V leiden, protein S or protein C deficiency, atrial fibrillation/flutter, major orthopedic surgery or significant trauma that may increase the risk of VTE, is expected to be immobilized for prolonged periods of time), or has clinically significant abnormalities in screening laboratory, that might interfere with participant's full participation in the study, and/ or might jeopardize the safety of the participant or the validity of the study results.
  • - Has any confirmed or suspected clinical immunodeficiency syndrome not related to treatment of his/her generalized myasthenia gravis (gMG), or has a family history of congenital or hereditary immunodeficiency unless confirmed absent in the participant.
  • - Has had a thymectomy within 12 months prior to screening, or thymectomy is planned during the Active treatment Phase of the study.
- Has shown a previous severe immediate hypersensitivity reaction, such as anaphylaxis to therapeutic proteins (example, monoclonal antibodies) - Has experienced myocardial infarction, unstable ischemic heart disease, or stroke within 12 weeks of screening

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT05265273
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 2/Phase 3
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Janssen Research & Development, LLC
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Janssen Research & Development, LLC Clinical Trial
Principal Investigator Affiliation Janssen Research & Development, LLC
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Recruiting
Countries Japan, Netherlands, Poland, United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Myasthenia Gravis
Arms & Interventions

Arms

Experimental: Nipocalimab

Participants age 2 to less than (<) 18 years of age (globally) and 8 to <18 years of age (for US sites only) will be divided into 2 cohorts as per their age-adolescents 12 to <18 years and children 2 to <12 years and will receive nipocalimab once every two weeks for 24 weeks. After Week 24, all participants will have the option to enroll in long term extension (LTE).

Interventions

Drug: - Nipocalimab

Nipocalimab will be administered as an IV infusion.

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Phoenix Children's Hospital, Phoenix, Arizona

Status

Recruiting

Address

Phoenix Children's Hospital

Phoenix, Arizona, 85016

Childrens Hospital Los Angeles, Los Angeles, California

Status

Recruiting

Address

Childrens Hospital Los Angeles

Los Angeles, California, 90027

Palo Alto, California

Status

Recruiting

Address

Lucile Packard Children's Hospital Stanford

Palo Alto, California, 94304

UCSF Benioff Children's Hospital, San Francisco, California

Status

Recruiting

Address

UCSF Benioff Children's Hospital

San Francisco, California, 94158

Children's Hospital Colorado, Aurora, Colorado

Status

Recruiting

Address

Children's Hospital Colorado

Aurora, Colorado, 80045

Tampa, Florida

Status

Recruiting

Address

University of South Florida Morsani Center for Advanced Healthcare

Tampa, Florida, 33613

University of Kansas Medical Center, Lawrence, Kansas

Status

Recruiting

Address

University of Kansas Medical Center

Lawrence, Kansas, 66045

C.S. Mott Children's Hospital, Ann Arbor, Michigan

Status

Recruiting

Address

C.S. Mott Children's Hospital

Ann Arbor, Michigan, 48109

Penn State Milton S Hershey Medical Ctr, Hershey, Pennsylvania

Status

Recruiting

Address

Penn State Milton S Hershey Medical Ctr

Hershey, Pennsylvania, 17033

Childrens Hospital Of Philadelphia, Philadelphia, Pennsylvania

Status

Recruiting

Address

Childrens Hospital Of Philadelphia

Philadelphia, Pennsylvania, 19106

University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

Status

Terminated

Address

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, 15224

International Sites

Nagano Children's Hospital, Azumino-shi, Japan

Status

Recruiting

Address

Nagano Children's Hospital

Azumino-shi, , 399-8288

Chiba University Hospital, Chiba, Japan

Status

Recruiting

Address

Chiba University Hospital

Chiba, , 260 8677

University of Miyazaki Hospital, Miyazaki, Japan

Status

Recruiting

Address

University of Miyazaki Hospital

Miyazaki, , 889-1692

Hyogo College of Medicine Hospital, Nishinomiya-Shi, Japan

Status

Recruiting

Address

Hyogo College of Medicine Hospital

Nishinomiya-Shi, , 663-8501

Saitama shi, Japan

Status

Recruiting

Address

Saitama Prefecture Children's Medical Center

Saitama shi, , 330-8777

Shinjuku-ku, Japan

Status

Recruiting

Address

Tokyo Women's Medical University Hospital

Shinjuku-ku, , 162-8666

Leiden University Medical Center, Leiden, Netherlands

Status

Recruiting

Address

Leiden University Medical Center

Leiden, , 2333 ZA

Uniwersyteckie Centrum Kliniczne, Gdansk, Poland

Status

Recruiting

Address

Uniwersyteckie Centrum Kliniczne

Gdansk, , 80 211

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