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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.
| 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. |