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SUMMARY
- The company cannot recommend any practices, procedures, or usage that deviate from the approved labeling.
- Please refer to the local labeling for relevant information regarding infusion-related reactions with IMAAVY.
PHASE 2/3 CLINICAL PROTOCOLS
VIVACITY-MG3 and Vibrance-mg Clinical Trials
Antozzi et al (2025)1 evaluated the efficacy, safety, pharmacokinetics (PK) and pharmacodynamics (PD) of IMAAVY in adults with generalized myasthenia gravis (gMG) in a phase 3, randomized, multicenter, double-blind, placebo (PBO)-controlled study (VIVACITY-MG3).
Ramchandren et al (2022)2,3 is evaluating the safety, efficacy, PK, and PD of IMAAVY in children and adolescents aged 2 to <18 years with gMG who have an insufficient response to ongoing, stable standard of care therapy in an ongoing, open-label, uncontrolled multicenter clinical trial (Vibrance-mg).
Management of Infusion-Related Reactions
Per study protocols, an infusion reaction is defined as any adverse event (AE) that is reported by investigators to represent an infusion reaction. Minor infusion-related AEs may be managed by slowing the rate of the intravenous (IV) infusion and/or treating with antihistamines and/or acetaminophen as clinically indicated. If an IV infusion of the study intervention is interrupted because of an AE that, in the opinion of the investigator, is not severe or does not result in a serious AE, the infusion may be restarted with caution.4,5
Literature Search
A literature search of MEDLINE®, EMBASE®, BIOSIS Previews®, and DERWENT® (and/or other resources, including internal/external databases) was conducted on 06 December 2024.
1 | Antozzi C, Vu T, Ramchandren S, et al. Safety and efficacy of nipocalimab in adults with generalised myasthenia gravis (Vivacity-MG3): a phase 3, randomised, double-blind, placebo-controlled study. Lancet Neurol. 2025;24(2):105-116. |
2 | Janssen Research & Development, LLC. A study of nipocalimab in children aged 2 to less than 18 years with generalized myasthenia gravis. In: ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 2000- [cited 2025 January 09]. Available from: https://clinicaltrials.gov/study/NCT05265273 NLM Identifier: NCT05265273. |
3 | Ramchandren S, Black S, Sun H, et al. Vibrance-mg: clinical trial of nipocalimab in pediatric myasthenia gravis. Poster presented at: 8th European Academy of Neurology Congress; June 25-28, 2022; Vienna, Austria. |
4 | Data on File. Nipocalimab. Protocol 80202135MYG2001. Janssen Research & Development, LLC. EDMS-RIM-1262470; 2024. |
5 | Antozzi C, Vu T, Ramchandren S, et al. Supplement to: Safety and efficacy of nipocalimab in adults with generalised myasthenia gravis (Vivacity-MG3): a phase 3, randomised, double-blind, placebo-controlled study. Lancet Neurol. 2025;24(2):105-116. |