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SUMMARY
- Nipocalimab is an investigational, fully human, high-affinity, aglycosylated, effectorless immunoglobulin G1 (IgG1) anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody that is being studied for the treatment of generalized myasthenia gravis (gMG) in adult and pediatric patients.1,2
RELEVANT INCLUSION/EXCLUSION CRITERIA FROM CLINICAL TRIALS
VIVACITY-MG3 Study
Vu et al (2024)1 conducted a phase 3, randomized, multicenter, double-blind, placebo-controlled study to evaluate the efficacy, safety, pharmacokinetics (PK), and pharmacodynamics (PD) of nipocalimab in adults with gMG.
- Patients with a history of severe and/or uncontrolled renal disorder or with clinically significant abnormalities in screening laboratory results that could interfere with study participation and/or jeopardize patient safety or the validity of study results were excluded from the trial.3
Vibrance-mg
Ramchandren et al (2022)4,5 is evaluating the safety, efficacy, PK, and PD of nipocalimab in children and adolescents aged 2 to <18 years with gMG who have an insufficient response to ongoing, stable SOC therapy in an ongoing, open-label, uncontrolled multicenter clinical trial.
- Patients with a history of severe and/or uncontrolled renal disorder or with clinically significant abnormalities in screening laboratory results that could interfere with study participation and/or jeopardize patient safety or the validity of study results will be excluded from the trial.4
Literature Search
A literature search of MEDLINE®, EMBASE®, BIOSIS Previews®, and DERWENT® (and/or other resources, including internal/external databases) was conducted on 08 November 2024.
1 | Vu T, Antozzi C, Ramchandren S, et al. Efficacy and safety of nipocalimab in patients with generalized myasthenia gravis - top line results from the double-blind, placebo-controlled, randomized phase 3 Vivacity-MG3 study. Poster presented at: American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) Annual Meeting; October 15-18, 2024; Savannah, GA. |
2 | Strober J, Black S, Ramchandren S, et al. Safety and effectiveness of nipocalimab in adolescent participants in the open label phase 2/3 Vibrance-mg clinical study. Poster presented at: American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) Annual Meeting; October 15-18, 2024; Savannah, GA. |
3 | Data on File. Nipocalimab. Protocol MOM-M281-011. Janssen Research & Development, LLC. EDMS-RIM-324706; 2024. |
4 | Janssen Research & Development, LLC. A study of nipocalimab in children aged 2 to less than 18 years with generalized myasthenia gravis. In: ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 2000- [cited 2024 December 10]. Available from: https://clinicaltrials.gov/study/NCT05265273 NLM Identifier: NCT05265273. |
5 | Ramchandren S, Black S, Sun H, et al. Vibrance-mg: clinical trial of nipocalimab in pediatric myasthenia gravis. Poster presented at: 8th European Academy of Neurology Congress; June 25-28, 2022; Vienna, Austria. |