A Phase 3, Randomized, Double-Blind, Placebo-Controlled, 3-Arm, 3-Period Study to Assess the Efficacy and Safety of a New Formulation of Oral Cladribine Compared With Placebo in Participants With Generalized Myasthenia Gravis (MyClad)
Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
Summary
The purpose of this clinical study is to determine the efficacy and safety of a new oral cladribine formulation in participants with Generalized Myasthenia Gravis (gMG) in comparison to placebo. It will also investigate the sustained efficacy, the need for retreatment, and the long-term safety of oral cladribine in gMG. An additional component is included to characterize the Pharmacokinetics (PK) of the new cladribine formulation in gMG participants. This study is divided into 3 periods: the double-blind placebo control (DBPC) pivotal period, and 2 extensions, the blinded extension (BE) and the retreatment (RT) period.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Adults of ≥ 18 years of age at the time of signing the informed consent. * Diagnosis of Myasthenia Gravis with generalized muscle weakness, meeting clinical criteria for Myasthenia Gravis Foundation of America Class II to IVa classification. * In participants positive for Acetylcholine receptor antibody (anti-AChR) or muscle-specific kinase antibody(anti-MuSK) * In participants that are autoantibody seronegative and participants who are positive for anti-low-density lipoprotein receptor-related protein 4 antibodies (anti-LRP4) * Has a Screening and Baseline MG-ADL s…
Interventions
- OtherPlacebo
Participants will receive placebo matched to cladribine in two courses separated by 4 weeks.
- DrugCladribine Low Dose
Participants will receive cladribine low dose in two courses separated by 4 weeks.
- DrugCladribine High Dose
Participants will receive cladribine high dose in two courses separated by 4 weeks.
Locations (133)
- Arizona Neuroscience Research, LLCPhoenix, Arizona
- Advanced Neurosciences Research LLCLongmont, Colorado
- The George Washington University Medical Faculty Associates Foggy Bottom South PavilionWashington D.C., District of Columbia
- Neurology of Central Florida Research Center, LLCAltamonte Springs, Florida
- SFM Clinical Research, LLCBoca Raton, Florida
- University of Florida Health Science Center - 300120311Jacksonville, Florida