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A Study of Telitacicept for the Treatment of Generalized Myasthenia Gravis (UPSTREAM MG)

RecruitingPhase 3

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study With an Open-label Extension Period to Evaluate the Efficacy and Safety of Telitacicept in Patients With Generalized Myasthenia Gravis

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Key Inclusion Criteria:

1. Male or female patient aged ≥18 years at screening.
2. Patients have prior confirmed diagnosis of gMG with generalized muscle weakness (typical pattern of weakness meeting the clinical criteria for diagnosis of MG as defined by the Myasthenia Gravis Foundation of America (MGFA) clinical classification II-IV.
3. Patients have positive antibodies against AChR or MuSK at screening.
4. MG-ADL score ≥6 points at screening and baseline with ocular-related score \<50% of the total score.
5. QMG score ≥8 points, and ≥ 4 items score at least 2 points at screening and baseline.

Key Exclusion Criteria:

1. Patients have been diagnosed with any other autoimmune disease which can potentially pose a safety or efficacy confounding risk.
2. Patients having acute or chronic infection.
3. Patients having thymoma within 5 years or received thymectomy ≤6 months prior to screening. Patients with thymoma diagnosed 3-5 years prior to screening may be eligible if thymoma was at a localized stage and definitively treated with complete surgical resection.
4. Patients having current or history of primary immunodeficiency.
5. Patients having history of malignancy within the last 5 years.
6. Patient having prior or continuing diagnosis of serious cardiovascular, liver, kidney, respiratory system, endocrine or hematologic disease.

About the study

The purpose of this study is to evaluate the efficacy and safety of telitacicept in the treatment of generalized myasthenia gravis.

What is being tested

Sponsor: Vor Biopharma · Participants: 180 · Started: Jul 17, 2024

Contact the study team

Official record on ClinicalTrials.gov — NCT06456580

Locations in the U.S.

ArizonaHonorHealth Neurology - Bob Bové Neuroscience Institute, Scottsdale
CaliforniaUniversity of Southern California, Los Angeles
University of California Irvine, Orange
University of California San Francisco (UCSF), San Francisco
FloridaSFM Clinical Research, Boca Raton
Allied Biomedical Research Institute (ABRI), Miami
Medsol Clinical Research Center, Port Charlotte
University of South Florida Health (USF Health), Tampa
GeorgiaWellstar MCG Health Medical Center, Augusta
IllinoisHospital Sisters Health System Medical, O'Fallon
KansasUniversity of Kansas Medical Center, Kansas City
KentuckyUniversity of Kentucky, Lexington
University of Louisville Physicians, Louisville
MassachusettsNeurology Center of New England, Foxborough
MichiganMichigan State University Clinical Center, East Lansing
Trinity Health - Grand Rapids Hospital, Grand Rapids
MissouriUM Health Care - Neurology and Sleep Disorders Clinic, Columbia
New YorkHospital for Special Surgery, New York
Mount Sinai Health System, New York
Montefiore Medical Center, The Bronx
North CarolinaUniversity of North Carolina Hospitals - Neurology Clinic, Chapel Hill
OhioUniversity of Cincinnati Health Physicians - Clifton, Cincinnati
OregonEmpower Clinical Research, Tigard
TexasUniversity of Texas Southwestern Medical Center, Dallas
Houston Methodist Neurological Institute, Houston
WisconsinCenter for Neurological Disorders, S.C. - Greenfield - Gamma Therapeutic Center, Greenfield

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.