Phase 3 Myasthenia Gravis Trial, Recruiting
Who may be able to join
AI generated eligibility summary. Written by an AI model from the official source data and checked on a sample basis. It can contain mistakes, so confirm anything important against the original source. How we use AI
Who might be able to join this trial:
- You must be willing and able to sign a consent form, follow the study's requirements, complete all assessments, and attend follow-up visits.
- You must be 18 years of age or older (male or female).
- You must have been diagnosed with a specific type of myasthenia gravis (MG) called "seronegative MG," meaning your MG symptoms cannot be explained by another condition, nerve-muscle transmission tests showed abnormal results, blood tests were negative for the two most common MG antibodies (AChR and MuSK), and standard treatments have had limited or no effect.
- Your MG must fall into a moderate-to-severe category (Class II, III, or IV) based on a standard medical classification system, confirmed at the time of screening.
- Your MG symptoms must be moderate to severe, as measured by specific scoring tools, and you must report that your condition is not at a satisfactory level, with at least 6 months of recorded history to confirm this.
- Your MG must have stayed the same or gotten worse during a 4-week check-in period before the trial starts.
- You must have been on a stable dose of your current MG medication(s) — such as steroids, azathioprine, methotrexate, or similar drugs — for at least one month before screening.
- If you previously left another trial of the study drug (efgartigimod) early, you may still be eligible, as long as you did not leave due to pregnancy, needing emergency treatment, or a serious safety event.
- If you are a woman who could become pregnant and are sexually active with a male partner who has not been sterilized, you must be willing to use at least one highly effective form of contraception from screening until 3 months after your last dose.
- If you are a man who has not been sterilized and are sexually active with a female partner who could become pregnant, you must be willing to use a condom throughout the study and for 3 months after your last dose.
- Your vital signs, heart test (ECG), and blood/lab results must be within normal ranges at screening, or any abnormalities must be considered not medically significant by the study doctor.
- A blood test within one month of screening must show your IgG (a type of immune protein) level is above 6 g/L (confirm with trial site).
- You must have received a COVID-19 vaccine at least 2 weeks before the screening visit.
Who may not be able to join:
- You previously left a trial of efgartigimod early because of pregnancy, needing emergency rescue treatment, or a serious safety event that was life-threatening or posed a significant risk.
- You are currently pregnant, breastfeeding, or planning to become pregnant during the trial or within 3 months after the last dose.
- You are a male patient who is sexually active and does not plan to use effective contraception during the trial or within 3 months after the last dose, or who plans to donate sperm during this time.
- You have a known infection with hepatitis B, hepatitis C, or HIV.
- You have another autoimmune disease (such as rheumatoid arthritis) that, in the study doctor's opinion, would make it hard to accurately assess your MG symptoms.
- You have another significant medical condition or have recently had major surgery that could affect the trial results or put you at unnecessary risk.
- Your kidneys or liver are not functioning well enough, based on specific blood test thresholds at screening (confirm with trial site).
- You have a known allergy or sensitivity to any ingredient in the study drug, efgartigimod.
- You have received the medications rituximab or eculizumab within the 6 months before screening.
- You have had your thymus gland removed (thymectomy) within 3 months before screening.
- You have received intravenous immunoglobulin (IVIG) or plasma exchange within 4 weeks before screening.
- You have a significant active or ongoing bacterial, viral, or fungal infection at the time of screening.
- You have received a live or live-attenuated vaccine (such as certain flu or shingles vaccines) within one month before screening.
Important: Always verify eligibility with the trial site directly before applying.
Based on publicly available eligibility criteria from ClinicalTrials.gov. Verify directly with the trial site before acting. This is not medical advice.
Contact this trial
Principal Investigator: Vera Bril, MD, Toronto General Hospital
Phone: 4163403898
Contact details sourced from ClinicalTrials.gov. Verify directly with the trial site before attending.
GP referral letter
Print a one-page summary to share with your doctor.
Trial details
Where this trial is recruiting
Primary endpoints
Total Myasthenia Gravis Impairment Index (MGII) score
Can't join this trial?
Data last synced from ClinicalTrials.gov: 28 July 2026. Trial status can change. Always verify current status directly with the trial site before making any decision.