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IMAAVY – Overview of the VIVACITY-MG3 Open-Label Subcutaneous Substudy

Last Updated: 11/24/2025

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.

 

References

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.