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IMAAVY - Use in Patients with Hepatic Impairment with Generalized Myasthenia Gravis

Last Updated: 11/10/2025

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 IMAAVY and use in patients with hepatic impairment.

RELEVANT INCLUSION/EXCLUSION CRITERIA FROM CLINICAL TRIALS

VIVACITY-MG3 Study

Antozzi et al (2025)1 conducted a phase 3, randomized, multicenter, double-blind, placebo-controlled study to evaluate the efficacy, safety, pharmacokinetics (PK), and pharmacodynamics (PD) of IMAAVY in adults with generalized myasthenia gravis (gMG).

  • Patients with a history of severe and/or uncontrolled hepatic disorder (i.e., viral/alcoholic/autoimmune hepatitis/ cirrhosis and/or metabolic liver disease) or with clinically significant abnormalities in screening laboratory results that could interfere with study participation and/or jeopardize patient safety or the validity of study results were excluded from the trial.2 

Vibrance-mg Study

Ramchandren et al (2022)3,4  is evaluating the safety, efficacy, PK, and PD of IMAAVY in children and adolescents ages 2 to <18 years with gMG who have an insufficient response to ongoing, stable SOC therapy in an ongoing, open-label, uncontrolled multicenter clinical trial.

  • Patients with a history of severe and/or uncontrolled hepatic disorder (i.e., viral/alcoholic/autoimmune hepatitis/ cirrhosis and/or metabolic liver disease) or with clinically significant abnormalities in screening laboratory results that could interfere with study participation and/or might jeopardize patient safety or the validity of study results will be excluded from the trial.3

Literature Search

A literature search of MEDLINE®, EMBASE®, BIOSIS Previews®, and DERWENT® (and/or other resources, including internal/external databases) was conducted on 16 October 2025.

References

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 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.  
3 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 October 10]. Available from: https://clinicaltrials.gov/study/NCT05265273 NLM Identifier: NCT05265273.  
4 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.