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SUMMARY
- The company cannot recommend any practices, procedures, or usage of IMAAVY that deviate from the approved labeling.
- An 8-week subcutaneous (SC) substudy of the VIVACITY-MG3 clinical trial is being conducted to evaluate the use of SC IMAAVY for the treatment of adult patients with generalized myasthenia gravis (gMG).1
CLINICAL DATA
VIVACITY-MG3 SC Substudy
VIVACITY-MG3 is a 24-week, phase 3, randomized, multicenter, double-blind (DB), PBO-controlled clinical trial (NCT04951622) that evaluated the efficacy and safety of IMAAVY in adult patients with gMG.2 Patients who completed the DB phase were eligible to enter an open-label extension (OLE), where all patients received IMAAVY 15 mg/kg intravenous (IV) every 2 weeks (Q2W) in addition to standard of care (SOC) therapy.3
In an ongoing 8-week substudy of the VIVACITY-MG3 OLE phase, SC IMAAVY is being evaluated for use in adult patients with gMG.1
Study Design/Methods
- The SC substudy consists of 2 cohorts where patients will receive SC IMAAVY weekly until week 8:
- SC Cohort 1: Will include patients from the OLE phase of the VIVACITY-MG3 trial who meet entry criteria listed below.
- Inclusion Criteria:
- Reasonable abdominal skin area for SC administration
- Willing to maintain stable dose of corticosteroids and/or immunosuppressants during the initial 8 weeks of the substudy
- Exclusion Criteria:
- Recently tapered concomitant gMG medication in the OLE phase
- Actively deteriorating at SC day 1 visit such that they meet the criteria for clinical deterioration
- SC Cohort 2: Will include patients with gMG who have not previously received treatment with IMAAVY.
- Patients who complete the 8-week treatment period will be eligible to continue receiving SC IMAAVY in the long-term extension (LTE) phase.
Literature Search
- A literature search of MEDLINE®, EMBASE®, BIOSIS Previews®, and DERWENT®
- (and/or other resources, including internal/external databases) was conducted on
- 10 November 2025.
| 1 | Janssen Research & Development, LLC. A study of nipocalimab administered to adults with generalized myasthenia gravis. In: ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 2000- [cited 2025 October 17]. Available from: https://clinicaltrials.gov/study/NCT04951622 NLM Identifier: NCT04951622. Accessed 11 November 2025. |
| 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 | Antozzi C, Vu T, Ramchandren S, et al. Long-term safety and efficacy of nipocalimab in generalized myasthenia gravis: VIVACITY-MG3 open-label extension phase results. Poster presented at: 77th Annual Meeting of the American Academy of Neurology (AAN); April 5-9, 2025; San Diego, CA. |