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IMAAVY™ (nipocalimab-aahu)

Medical Information

IMAAVY – Occurrence of Hypersensitivity Reactions in Patients with Generalized Myasthenia Gravis

Last Updated: 04/30/2025

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 
n (%)
PBO
n=98

IMAAVY
30 mg/kg LD + 15 mg/kg Q2W
n=98

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.

 

References

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.