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SUMMARY
- Please refer to the local labeling for relevant information regarding hypersensitivity reactions with IMAAVY.
- In a 24-week, phase 3, randomized, double-blind, placebo (PBO)-controlled trial in adult patients with generalized myasthenia gravis (gMG), hypersensitivity reactions were reported as a treatment-emergent adverse event (TEAE) in 8.2% (8/98) and in 7.1% (7/98) of patients in the IMAAVY and PBO groups, respectively.1,2
CLINICAL DATA
VIVACITY-MG3
Antozzi et al (2025)2 evaluated the efficacy and safety of IMAAVY in adults with gMG in a phase 3, randomized, multicenter, double-blind, PBO-controlled study.
Study Design/Methods
- Patients (≥18 years of age) with anti- acetylcholine receptor (AChR), muscle-specific tyrosine kinase (MuSK) or low-density lipoprotein receptor 4 (LRP4) antibody positive or seronegative (in all countries except France) gMG (Myasthenia Gravis Foundation of America [MGFA] Class IIa–IVb) were included in the study.2,3
- The safety analysis population included all randomized patients who received ≥1 dose (partial or complete) of any study treatment in the double-blind phase.
- The study consisted of a ≤4-week screening phase, followed by a 24-week, double-blind, PBO-controlled treatment phase, a variable-duration, open-label extension phase, and a safety follow-up at 8 weeks after the last infusion.2,4
- Patients who withdrew or discontinued after receiving any amount of the study intervention were required to complete a safety follow-up assessment at 8 weeks after the last dose.3
- Eligible patients were randomized (1:1) to receive a loading dose of intravenous IMAAVY 30 mg/kg at week 0, followed by 15 mg/kg every 2 weeks (Q2W), or matching PBO through week 24 in addition to standard of care (SOC) therapy.2
Results
- A total of 196 patients (IMAAVY, n=98; PBO, n=98) were included in the safety analysis set.2
- Hypersensitivity reaction was reported as a TEAE in 8.2% (8/98) of patients in the IMAAVY group and in 7.1% (7/98) of patients in the PBO group (see Table: Incidence of Hypersensitivity Reactions).1
Incidence of Hypersensitivity Reactions1
|
|
|
---|
Hypersensitivity reaction
| 7 (7.1)
| 8 (8.2)
|
Urticaria
| 0
| 2 (2.0)
|
Angioedema
| 0
| 1 (1.0)
|
Dermatitis atopic
| 0
| 1 (1.0)
|
Eczema
| 0
| 1 (1.0)
|
Gingival swelling
| 0
| 1 (1.0)
|
Rash
| 3 (3.1)
| 1 (1.0)
|
Rash vesicular
| 1 (1.0)
| 1 (1.0)
|
Anaphylactic shock
| 1 (1.0)
| 0
|
Dermatitis acneiform
| 1 (1.0)
| 0
|
Swelling face
| 1 (1.0)
| 0
|
Note: Patients are counted only once for any given event, regardless of the number of times they actually experienced the event.Abbreviations: AE, adverse event; LD, loading dose; PBO, placebo; Q2W, every two weeks.
|
Literature Search
A literature search of MEDLINE®, EMBASE®, BIOSIS Previews®, and DERWENT® (and/or other resources, including internal/external databases) was conducted on 14 February 2025.
1 | Data on File. Nipocalimab. Clinical Study Report MOM-M281-011. Janssen Research & Development, LLC. EDMS-RIM-1112540; 2024. |
2 | 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. |
3 | Vu T, Antozzi C, Ramchandren S, et al. Efficacy and safety of nipocalimab in patients with generalized myasthenia gravis - top line results from the double-blind, placebo-controlled, randomized phase 3 Vivacity-MG3 study. Poster presented at: American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) Annual Meeting; October 15-18, 2024; Savannah, GA. |
4 | 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. |