Promising Myasthenia Gravis Trial Data: J&J
Johnson & Johnson says its Phase 3 Vivacity-MG3 study of nipocalimab in patients with generalized myasthenia gravis (gMG) demonstrated positive results. “Patients treated with nipocalimab plus standard of care (SOC) achieved superiority over placebo plus SOC as measured by the primary endpoint of improvement in the MG-ADL score from baseline over 24 weeks,” a company release says.
Patients receiving nipocalimab plus SOC improved by 4.70 points on the MG-ADL, significantly better than the 3.25 point improvement seen in patients taking the placebo plus SOC, the company says. “For someone living with gMG,” the company explains, “a 1- to 2-point change on MG-ADL may be the difference between normal eating and frequent choking on food, or shortness of breath at rest and being on a ventilator,” it says. Additionally, the study also met critical secondary endpoints.
On the safety side, J&J says the overall incidence of adverse events, serious adverse events and adverse events leading to discontinuation was similar to that in the placebo plus current SOC group.
Myasthenia gravis is an autoantibody disease in which proteins are targeted at the neuromuscular junction, disrupting neuromuscular signaling and impairing muscle contraction, according to the company. The immune system also mistakenly attacks muscle receptors by producing anti-receptor antibodies that can block or destroy the muscle receptors, preventing signals from transferring from nerves to muscles.