An extension study to find out if multiple treatment cycles of rozanolixizumab are safe and work in children with myasthenia gravis

2022-502075-34-00 Protocol MG0008 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 8 Oct 2024 · Status Ongoing, recruiting · 2 EU/EEA countries · 5 sites · Protocol MG0008

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 12
Countries 2
Sites 5

Generalized Myasthenia Gravis

Assess the long term safety and tolerability of additional 6-week treatment cycles with rozanolixizumab in pediatric participants with generalized Myasthenia Gravis (gMG) aged ≥2 at the time of the Screening Visit of MG0006

Key facts

Sponsor
UCB Biopharma
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
8 Oct 2024 → ongoing
Decision date (initial)
2024-02-09
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
UCB Biopharma SRL

External identifiers

EU CT number
2022-502075-34-00
WHO UTN
U1111-1286-3581
ClinicalTrials.gov
NCT06540144

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others, Safety

Assess the long term safety and tolerability of additional 6-week treatment cycles with rozanolixizumab in pediatric participants with generalized Myasthenia Gravis (gMG) aged ≥2 at the time of the Screening Visit of MG0006

Secondary objectives 1

  1. Evaluate the activity of rozanolixizumab

Conditions and MedDRA coding

Generalized Myasthenia Gravis

VersionLevelCodeTermSystem organ class
21.1 PT 10028417 Myasthenia gravis 100000004852

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. - Study participant must meet one of the following: - −Study participant completed MG0006 according to the protocol - −Study participant completed the MG0006 Treatment Period and has a worsening of gMG symptoms in the Observation Period of MG0006

Exclusion criteria 1

  1. - Study participant met any mandatory withdrawal or mandatory permanent IMP discontinuation criteria in MG0006 or permanently discontinued IMP - Study participant has a known hypersensitivity to any components of the IMP or other FcRn drugs - Study participant has any laboratory abnormality that, in the opinion of the Investigator, is clinically significant, has not resolved at Baseline, and could jeopardize or compromise the study participant’s ability to participate in this study

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. - Occurrence of serious Treatment-Emergent Adverse Events (TEAEs) up to the End of Study (EOS) Visit - Occurrence of TEAEs leading to permanent withdrawal of IMP up to the EOS Visit - Occurrence of Adverse Event(s) of Special Monitoring (AESM) up to the EOS Visit

Secondary endpoints 1

  1. - Percent change in total Immunoglobulin G (IgG) from Baseline to the end of Week 6 of each Treatment Period (TP) - Absolute change in total IgG from Baseline to the end of Week 6 of each TP - Change from Baseline in Myasthenia Gravis-Activities of Daily Living (MG ADL) total score at the end of Week 6 of each TP - Change from Baseline in Quantitative Myasthenia Gravis (QMG) total score at the end of Week 6 of each TP

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Rozanolixizumab

PRD10864533 · Product

Active substance
Rozanolixizumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
18 Week(s)
Authorisation status
Not Authorised
MA holder
UCB BIOPHARMA SRL
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/20/2272

Auxiliary 1

-

J06BA · Product

Active substance
Immunoglobulins, normal human
Pharmaceutical form
-
Route of administration
UNKNOWN USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J06BA — Immunoglobulins, normal human
Marketing authorisation
-
Paediatric formulation
Yes
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

UCB Biopharma

Sponsor organisation
UCB Biopharma
Address
Researchdreef 60
City
Anderlecht
Postcode
1070
Country
Belgium

Scientific contact point

Organisation
UCB Biopharma
Contact name
UCB Cares

Public contact point

Organisation
UCB Biopharma
Contact name
UCB Cares

Third parties 12

OrganisationCity, countryDuties
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland On site monitoring, Code 11, Code 12, Code 13, Code 2, Code 5, Data management, Code 8
Medidata Solutions International Limited
ORG-100048319
London, United Kingdom E-data capture
4G Clinical B.V.
ORG-100044721
Amsterdam, Netherlands Interactive response technologies (IRT)
CluePoints
ORG-100050007
Ottignies-Louvain-La-Neuve, Belgium Other
BioAgilytix Europe GmbH
ORG-100016335
Hamburg, Germany Laboratory analysis
Drug Development Solutions Limited
ORG-100045894
Ely, United Kingdom Laboratory analysis
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Other
Advarra Inc.
ORG-100045827
Columbia, United States Other
Curandus sp. z o.o.
ORL-000016099
Warsaw, Poland Other
Certara USA Inc.
ORG-100042611
Princeton, United States E-data capture
Center For Information And Study On Clinical Research Participation Inc.
ORG-100044581
Boston, United States Code 11
IQVIA Laboratories LLC
ORG-100043195
Durham, United States Laboratory analysis

Locations

2 EU/EEA countries · 5 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ongoing, recruiting 3 3
Poland Ongoing, recruiting 4 2
Rest of world
Taiwan, Turkey, Japan
5

Investigational sites

Italy

3 sites · Ongoing, recruiting
Azienda Unita Sanitaria Locale Di Bologna
#40290: UOC Neuropsichiatria dell'età pediatrica, Via Giuseppe Massarenti 9, 40138, Bologna
IRCCS Foundation Istituto Neurologico Carlo Besta
#40144: Dipartimento Neuroscienze PediatricheSC Neuropsichiatria Infantile, Via Giovanni Celoria 11, 20133, Milan
Azienda Ospedaliera Santobono Pausilipon
#40733: UOC Neuroliga Pediatrica – Dipartimento di Neuroscienze, Presidio Ospedaliero Santobono, Via Mario Fiore 6, Naples

Poland

2 sites · Ongoing, recruiting
Uniwersyteckie Centrum Kliniczne Warszawskiego Uniwersytetu Medycznego
#40155: Klinika Neurologii, Ul. Ulica Stefana Banacha 1a, 02-097, Warsaw
Amicare Sp. z o.o. S.K.
#40734: Neurology, Ul. Zgierska 249, 91-495, Lodz

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2024-10-08 2024-10-08
Poland 2024-12-03 2024-12-03

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 39 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) IT-PL-quest- PedsQL-Acute-Ages13-18-public 4.0
Protocol (for publication) IT-PL-quest-C-SSRS-Since-Last-Visit-public 5.1
Protocol (for publication) IT-PL-questionnaire-C-SSRS-Screening-public 5.1
Protocol (for publication) IT-PL-questionnaire-MG-ADL-public 1.1
Protocol (for publication) IT-PL-questionnaire-MG-PGI-S-public 1.0
Protocol (for publication) IT-PL-questionnaire-Neuro-QoL-Pediatric-public 2.1
Protocol (for publication) IT-PL-questionnaire-PedsQL-Acute-Ages5-7-public 4.0
Protocol (for publication) IT-PL-questionnaire-PedsQL-Acute-Ages8-12-public 4.0
Protocol (for publication) IT-quest-C-SSRS-Screening-it-IT-public 5.1
Protocol (for publication) IT-quest-C-SSRS-Since-Last-Visit-it-IT-public 5.1
Protocol (for publication) IT-quest-Neuro-QoL-Ped-Fatigue-public-it-IT 2.1
Protocol (for publication) IT-quest-PedsQL-Acute-Ages13-18-it-IT-public 4.0
Protocol (for publication) IT-quest-PedsQL-Acute-Ages5-7-it-IT-public 4.0
Protocol (for publication) IT-quest-PedsQL-Acute-Ages8-12-it-IT-public 4.0
Protocol (for publication) IT-questionnaire-MG-ADL-public-it-IT 1.1
Protocol (for publication) IT-questionnaire-MG-PGI-S-public-it-IT 1.0
Protocol (for publication) mg0008-protocol-amendment-public n/a
Recruitment arrangements (for publication) ITA Recruitment Other Italian MG0008 Public 1.0
Recruitment arrangements (for publication) POL-Recr Procedure Desc-Bilingual-MG0008-Public 1.0
Recruitment arrangements (for publication) POL-Recruitment Flyer-Polish-MG0008-Public 1.0
Subject information and informed consent form (for publication) ITA Country ICF Procedure English MG0008 Public 1.0
Subject information and informed consent form (for publication) L1_mg0008-it-icf-adult-it-public 2.0
Subject information and informed consent form (for publication) L1_mg0008-it-icf-assent 12-17-it-public 2.0
Subject information and informed consent form (for publication) L1_mg0008-it-icf-parlar-it-IT-public 2.0
Subject information and informed consent form (for publication) L1_mg0008-it-icf-pd-it-IT-public 2.0
Subject information and informed consent form (for publication) L1_mg0008-it-icf-pp-it-public 2.0
Subject information and informed consent form (for publication) L1_mg0008-pl-icf-13-17 years and 18-pl-public 2.0
Subject information and informed consent form (for publication) L1_mg0008-pl-icf-parental-pl-public 2.0
Subject information and informed consent form (for publication) L1_mg0008-pl-icf-pp-pl-public 2.0
Subject information and informed consent form (for publication) mg0008-it-icf-adult little journey app-it-public 1.1
Subject information and informed consent form (for publication) mg0008-it-icf-assent 6-11-it-public 1.2
Subject information and informed consent form (for publication) mg0008-it-icf-future research-it-public 1.1
Subject information and informed consent form (for publication) mg0008-it-icf-parent little journey app-it-public 1.1
Subject information and informed consent form (for publication) mg0008-pl-icf-LJ app parents-pl-public 1.0
Subject information and informed consent form (for publication) mg0008-pl-icf-LJ app13-17and18y-pl-public 1.0
Subject information and informed consent form (for publication) POL-Country ICF Procedure-Bilingual-MG0008-Public 1.0
Synopsis of the protocol (for publication) MG0008-protocol-summary-public 2
Synopsis of the protocol (for publication) MG0008-protocol-summary-public-it-IT 2
Synopsis of the protocol (for publication) MG0008-protocol-summary-public-pl-PL 2

Application history

8 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-10-03 Italy Acceptable with conditions
2024-02-05
2024-02-09
2 SUBSTANTIAL MODIFICATION SM-1 2024-03-14 Italy Acceptable
2024-04-15
2024-04-17
3 SUBSTANTIAL MODIFICATION SM-4 2024-05-27 Italy Acceptable 2024-08-07
4 NON SUBSTANTIAL MODIFICATION NSM-1 2024-08-27 Italy Acceptable 2024-08-27
5 NON SUBSTANTIAL MODIFICATION NSM-2 2025-09-30 Italy Acceptable 2025-09-30
6 SUBSTANTIAL MODIFICATION SM-5 2025-11-18 Acceptable 2026-01-09
7 SUBSTANTIAL MODIFICATION SM-6 2025-11-20 Italy Acceptable 2026-01-16
8 NON SUBSTANTIAL MODIFICATION NSM-3 2026-02-11 Italy Acceptable 2026-02-11