A Phase 2 Study to Evaluate Povetacicept in Adults With Generalized Myasthenia Gravis

2025-523950-15-01 Protocol VX25-AIS-301 Therapeutic exploratory (Phase II) Authorised, recruiting

Start 29 May 2026 · Status Authorised, recruiting · 1 EU/EEA countries · 7 sites · Protocol VX25-AIS-301

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruiting
Participants planned 30
Countries 1
Sites 7

Generalized Myasthenia Gravis

Phase 2: To evaluate the PD effect of povetacicept in subjects with gMG, Phase 2 and LTE: To evaluate the safety and tolerability of povetacicept in subjects with gMG

Key facts

Sponsor
Vertex Pharmaceuticals Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
29 May 2026 → ongoing
Decision date (initial)
2026-05-29
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacodynamic, Safety

Phase 2: To evaluate the PD effect of povetacicept in subjects with gMG,
Phase 2 and LTE: To evaluate the safety and tolerability of povetacicept in subjects with gMG

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 3

  1. Age 18-80 years
  2. Diagnosis of generalized myasthenia gravis with generalized muscle weakness and fitting MGFA clinical classification II-IV
  3. Additional inclusion criteria are defined in the protocol

Exclusion criteria 3

  1. History of thymic surgery within 6 months of screening
  2. History of malignancy within the last 5 years
  3. Additional exclusion criteria are defined in the protocol

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Phase 2: Percent change in total immunoglobulin G (IgG) [Time Frame: Baseline and At Week 12]
  2. Phase 2 and LTE: Safety and tolerability as Assessed by Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)

Investigational products

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

Test 1

ALPN-303 solution for injection in pre-filled syringe

PRD12198433 · Product

Active substance
Povetacicept
Other product name
Povetacicept
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
00 mg milligram(s)
Max total dose
00 mg milligram(s)
Max treatment duration
108 Week(s)
Authorisation status
Not Authorised
MA holder
VERTEX PHARMACEUTICALS, INCORPORATED
Paediatric formulation
No
Orphan designation
No

Placebo 1

Test IMP without active substance

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Vertex Pharmaceuticals Inc.

Sponsor organisation
Vertex Pharmaceuticals Inc.
Address
50 Northern Avenue
City
Boston
Postcode
02210-1862
Country
United States

Scientific contact point

Organisation
Vertex Pharmaceuticals Inc.
Contact name
Clinical Trials and Medical Info

Public contact point

Organisation
Vertex Pharmaceuticals Inc.
Contact name
Clinical Trials and Medical Info

Third parties 1

OrganisationCity, countryDuties
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland On site monitoring, Code 10, Code 11, Code 12, Code 13, Code 2, Code 5, Data management, Code 8, Code 9

Locations

1 EU/EEA country · 7 investigational sites

By country

CountryMS statusPlanned subjectsSites
Poland Authorised, recruiting 5 7
Rest of world
United States, Australia, United Kingdom, Turkey
25

Investigational sites

Poland

7 sites · Authorised, recruiting
Ilkowski I Partnerzy sp.p. Lekarzy
301-118: NZOZ NEURO-KARD Ilkowski i Partnerzy Spółka Partnerska Lekarzy, Ul. Wierzbowa 2/2, 61-853, Poznan
Neurologia Slaska Centrum Medyczne
301-104: Neurology, Malachowskiego 51, 40-689, Katowice
Twoja Przychodnia Poznanskie Centrum Medyczne Sp. z o.o.
301-139: Twoja Przychodnia PCM, Ul. Marcelinska 92, 60-324, Poznan
Clinical Research Center Sp. z o.o. Medic-R sp.k.
301-107: Neurology, Ul. Feliksa Nowowiejskiego 5, 61-731, Poznan
Medicover Integrated Clinical Services Sp. z o.o.
301-151: MICS Centrum Medyczne Bydgoszcz, Ul. Jana Karola Chodkiewicza 19c, 85-065, Bydgoszcz
Etg Neuroscience Sp. z o.o.
301-122: ETG Neuroscience, Ul. Wynalazek 4, 02-677, Warsaw
Centrum Medyczne Neuroprotect
301-103: Centrum Medyczne Neuroprotect, Ul. Klaudyny 16c, 1 Piętro, Warsaw

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Poland 2026-05-29

Results and documents

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

Documents 11 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol Main English VX25-AIS-301 Public 2.2
Protocol (for publication) D4_Rating Scale Placeholder English VX25-AIS-301 Public 2.0
Recruitment arrangements (for publication) K1_POL Recruitment Procedure Description VX25-AIS-301 Public 2.1
Recruitment arrangements (for publication) K2_POL Recruitment Brochure Polish VX25-AIS-301 Public 2.0
Recruitment arrangements (for publication) K2_POL Recruitment Dear Patient Letter Polish VX25-AIS-301 Public 2.0
Recruitment arrangements (for publication) K2_POL Recruitment Other Consent Navigator English VX25-AIS-301 Public 2.0
Recruitment arrangements (for publication) K2_POL Recruitment Telephone Script Polish VX25-AIS-301 Public 1.0
Subject information and informed consent form (for publication) L1_POL Country ICF Main Adult LTE Polish VX25-AIS-301 Public 2.1
Subject information and informed consent form (for publication) L1_POL Country ICF Main Adult Phase 2 Polish VX25-AIS-301 Public 2.1
Subject information and informed consent form (for publication) L1_POL Country ICF Pregnant Form Adult Polish VX25-AIS-301 Public 2.1
Synopsis of the protocol (for publication) D1_POL Lay Protocol Synopsis Main Polish VX25-AIS-301 Public 2.2

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2026-02-13 Poland Acceptable
2026-05-25
2026-05-29