Clinical trial • Phase III • Immunology|Neurology

ZILUCOPLAN for Generalized myasthenia gravis

Phase III trial of ZILUCOPLAN for Generalized myasthenia gravis. open-label. 153 participants.

Overview

Trial Therapeutic Area
Immunology|Neurology
Trial Disease
Generalized myasthenia gravis
Trial Stage
Phase III
Drug Modality
Peptide/protein/enzyme

Key dates

Initial CTIS Submission Date
26-06-2024
First CTIS Authorization Date
25-07-2024

Trial design

open-label Phase III trial in Spain, Italy, Norway and others.

Open Label
Yes
Target Sample Size
153

Eligibility

Recruits 153 No vulnerable populations selected. Participants must be able to provide informed consent (inclusion criterion: "Able to provide informed consent, including signing and dating the informed consent form (ICF)"). No assent procedures or paediatric consent are described; subject information and ICFs are provided for adult participants in country-specific languages..

Pregnancy Exclusion
Pregnant, planning to become pregnant, or nursing female subjects
Vulnerable Population
No vulnerable populations selected. Participants must be able to provide informed consent (inclusion criterion: "Able to provide informed consent, including signing and dating the informed consent form (ICF)"). No assent procedures or paediatric consent are described; subject information and ICFs are provided for adult participants in country-specific languages.

Inclusion criteria

  • {"criterion_text":"- Completion of a qualifying zilucoplan study\n- Able to provide informed consent, including signing and dating the informed consent form (ICF)\n- Vaccination with a quadrivalent meningococcal vaccine and, where available, meningococcal serotype B vaccine. A booster vaccination should also be administered as clinically indicated, according to the local SOC, for subjects who have been previously vaccinated against Neisseria meningitidis\n- Female subjects of childbearing potential must have a negative urine pregnancy test within 24 hours prior to the first dose of study drug\n- Sexually active female subjects of childbearing potential (i.e., women who are not postmenopausal or who have not had a hysterectomy, bilateral oophorectomy, or bilateral tubal ligation) and all male subjects (who have not been surgically sterilized by vasectomy) must agree to use effective contraception during the study and during the safety follow-up period of 40 days after the last dose of study drug. Postmenopausal women are, for the purposes of this protocol, defined as women who have not had menses for 12 months without an alternative medical cause. A high follicle stimulating hormone (FSH) level in the postmenopausal range may be used to confirm a postmenopausal state in women not using hormonal contraception or hormonal replacement therapy. However, in the absence of 12 months of amenorrhea, a single FSH measurement is insufficient."}

Exclusion criteria

  • {"criterion_text":"- Pregnant, planning to become pregnant, or nursing female subjects\n- With the exception of a prior zilucoplan trial, participation in another concurrent clinical trial involving an experimental therapeutic intervention (participation in observational studies and/or registry studies is permitted)\n- Unable or unwilling to comply with the requirements of the study\n- Commenced any disallowed medication per the exclusion criteria from the qualifying zilucoplan study or alter the dose of any other concomitant medication, unless medically indicated\n- Any new or worsening medical condition (since entry into the qualifying zilucoplan study) including active malignancy (except curatively resected squamous or basal cell carcinoma of the skin); significant medical disorder; psychiatric disorder; laboratory abnormality or any other reason that, in the opinion of the investigator or Sponsor, would disqualify the subject from participation in this study\n- Hypersensitivity to zilucoplan, placebo or any of its excipients"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- •\tIncidence of TEAEs","definition_or_measurement_approach":"Not specified in the provided record (incidence of treatment-emergent adverse events is listed as the primary endpoint)."}

Secondary endpoints

  • {"endpoint_text":"- •\tCFB to Week E12 in the Myasthenia Gravis-Activities of Daily Living (MG-ADL) Score","definition_or_measurement_approach":"Change from baseline (CFB) to Week E12 in MG-ADL score."}
  • {"endpoint_text":"- •\tCFB to Week E12 in the Quantitative Myasthenia Gravis (QMG) Score","definition_or_measurement_approach":"Change from baseline (CFB) to Week E12 in QMG score."}
  • {"endpoint_text":"- •\tCFB to Week E12 in the Myasthenia Gravis Composite (MGC) Score","definition_or_measurement_approach":"Change from baseline (CFB) to Week E12 in MGC score."}
  • {"endpoint_text":"- •\tCFB to Week E12 in the Myasthenia Gravis – Quality of Life revised (MG-QOL15r) Score","definition_or_measurement_approach":"Change from baseline (CFB) to Week E12 in MG-QOL15r score."}

Recruitment

Registry Or Advocacy Recruitment
True, Center For Information And Study On Clinical Research Participation Inc.
Planned Sample Size
153
Recruitment Window Months
77
Consent Approach
Informed consent must be provided and signed by adult participants (inclusion criterion: "Able to provide informed consent, including signing and dating the informed consent form (ICF)"). Subject information and ICFs exist for adults and pregnancy-related information; country-specific ICF documents are available (e.g. Spanish, Italian, Norwegian, Polish versions listed in the record). No assent procedures for minors are provided.

Geography

Total Number Of Sites
16
Total Number Of Participants
37

Spain

Earliest CTIS Part Ii Submission Date
16-07-2024
Latest Decision Or Authorization Date
11-03-2025
Processing Time Days
238
Number Of Sites
3
Number Of Participants
5

Sites

Site Name
Hospital Universitari Vall D Hebron
Department Name
Neurology
Principal Investigator Name
Raul Juntas Morales
Principal Investigator Email
raul.juntas@vallhebron.cat
Contact Person Name
Raul Juntas Morales
Contact Person Email
raul.juntas@vallhebron.cat
Site Name
Hospital De La Santa Creu I Sant Pau
Department Name
Neurology
Principal Investigator Name
Elena Cortes Vicente
Principal Investigator Email
ecortes@santpau.cat
Contact Person Name
Elena Cortes Vicente
Contact Person Email
ecortes@santpau.cat
Site Name
Hospital Universitario Basurto
Department Name
Neurology
Principal Investigator Name
Solange Kapetanovic Garcia
Principal Investigator Email
solange.kapetanovicgarcia@osakidetza.eus
Contact Person Name
Solange Kapetanovic Garcia

Italy

Earliest CTIS Part Ii Submission Date
16-07-2024
Latest Decision Or Authorization Date
17-03-2025
Processing Time Days
244
Number Of Sites
1
Number Of Participants
4

Sites

Site Name
IRCCS Foundation Istituto Neurologico Carlo Besta
Department Name
Neurology
Principal Investigator Name
Rita Frangiamore
Principal Investigator Email
Rita.Frangiamore@istituto-besta.it
Contact Person Name
Rita Frangiamore

Norway

Earliest CTIS Part Ii Submission Date
16-07-2024
Latest Decision Or Authorization Date
13-03-2025
Processing Time Days
240
Number Of Sites
1
Number Of Participants
6

Sites

Site Name
Oslo University Hospital HF
Department Name
Neurology
Principal Investigator Name
Angelina Maniaol
Principal Investigator Email
angman@ous-hf.no
Contact Person Name
Angelina Maniaol
Contact Person Email
angman@ous-hf.no

Poland

Earliest CTIS Part Ii Submission Date
16-07-2024
Latest Decision Or Authorization Date
02-12-2025
Processing Time Days
504
Number Of Sites
11
Number Of Participants
22

Sites

Site Name
Clinhouse Sp. z o.o.
Department Name
Neurology
Principal Investigator Name
Klaudiusz Kumor
Principal Investigator Email
qmorepl@gmail.com
Contact Person Name
Klaudiusz Kumor
Contact Person Email
qmorepl@gmail.com
Site Name
Krakowska Akademia Neurologii Sp. z o.o.
Department Name
Neurology
Principal Investigator Name
Andrzej Szczudlik
Principal Investigator Email
andrzej.szczudlik@neurologia.org.pl
Contact Person Name
Andrzej Szczudlik
Site Name
Clinirem Sp. z o.o.
Department Name
Neurology
Principal Investigator Name
Urszula Chyrchel-Paszkiewicz
Principal Investigator Email
pgluchyrchel@gmail.com
Contact Person Name
Urszula Chyrchel-Paszkiewicz
Contact Person Email
pgluchyrchel@gmail.com
Site Name
Ilkowski I Partnerzy sp.p. Lekarzy
Department Name
Neurology
Principal Investigator Name
Jan Ilkowski
Principal Investigator Email
jan.ilkowski@neurokard.pl
Contact Person Name
Jan Ilkowski
Contact Person Email
jan.ilkowski@neurokard.pl
Site Name
Specjalistyczne Gabinety Sp. z o.o.
Department Name
Neurology
Principal Investigator Name
Marek Banach
Principal Investigator Email
marekbanach@specjalistycznegabinety.pl
Contact Person Name
Marek Banach
Site Name
Neurologia Śląska Centrum Medyczne
Department Name
Neurology
Principal Investigator Name
Marek Śmilowski
Principal Investigator Email
marek.smilowski@neurologiaslaska.pl
Contact Person Name
Marek Śmilowski
Site Name
Twoja Przychodnia Nowosolskie Centrum Medyczne Sp. z o.o.
Department Name
Neurology
Principal Investigator Name
Agata Kłósek
Principal Investigator Email
klosek@twojaprzychodnia.com
Contact Person Name
Agata Kłósek
Contact Person Email
klosek@twojaprzychodnia.com
Site Name
Novo-Med Zielinski I Wspolnicy Sp. j.
Department Name
Neurology
Principal Investigator Name
Tomasz Zielinski
Principal Investigator Email
tzielinski@op.pl
Contact Person Name
Tomasz Zielinski
Contact Person Email
tzielinski@op.pl
Site Name
Amicare Sp. z o.o. S.K.
Department Name
Neurology
Principal Investigator Name
Mariola Świderek-Matysiak
Principal Investigator Email
mariola.swiderek-matysiak@umed.lodz.pl
Contact Person Name
Mariola Świderek-Matysiak
Site Name
Michalski I Partnerzy Lekarze sp.p.
Department Name
Neurology
Principal Investigator Name
Michal Michalski
Principal Investigator Email
miasma@wp.pl
Contact Person Name
Michal Michalski
Contact Person Email
miasma@wp.pl
Site Name
Mtz Clinical Research Powered By Pratia
Department Name
Neurology
Principal Investigator Name
Malgorzata Zajda
Principal Investigator Email
malgorzata.e.zajda@gmail.com
Contact Person Name
Malgorzata Zajda
Contact Person Email
malgorzata.e.zajda@gmail.com

Sponsor

Primary sponsor

Full Name
UCB Biopharma
Organisation Type
Pharmaceutical company
Country Of Registered Address
Belgium

Contract research organisations

Name
Icon Clinical Research LLC
Responsibilities
Clinical Operations, Medical Monitoring, Regulatory, Clinical Logistics (sponsorDuties codes: 1,15,5,8)
Name
Parexel International (IRL) Limited
Responsibilities
Regulatory (sponsorDuties code: 8)
Name
A2 Healthcare Corp.
Responsibilities
Clinical Operations and other operational support (sponsorDuties codes include 1,12,15,5; 'Clinical Operations' specified)

Third parties

  • {"country":"United States","full_name":"Eclinical Solutions LLC","duties_or_roles":"[{\"code\":\"10\"},{\"code\":\"6\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Exco Intouch Limited","duties_or_roles":"[{\"code\":\"7\"}]","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"[{\"code\":\"4\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Center For Information And Study On Clinical Research Participation Inc.","duties_or_roles":"[{\"code\":\"11\"}]","organisation_type":"Patient organisation/association"}
  • {"country":"United States","full_name":"RWS Life Sciences Inc.","duties_or_roles":"[{\"code\":\"15\",\"value\":\"Scales & Linguistic validation services\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Endpoint Clinical Inc.","duties_or_roles":"[{\"code\":\"3\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"Trilogy Writing & Consulting GmbH","duties_or_roles":"[{\"code\":\"11\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"Denmark","full_name":"Nordic Bioscience A/S","duties_or_roles":"[{\"code\":\"15\",\"value\":\"Biomarker testing\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Blueprint Genetics Inc.","duties_or_roles":"[{\"code\":\"15\",\"value\":\"Auto-antibody testing\"}]","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"Belgium","full_name":"UCB Pharma","duties_or_roles":"[{\"code\":\"4\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"Japan","full_name":"Labcorp Development Japan K.K.","duties_or_roles":"[{\"code\":\"4\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"Japan","full_name":"A2 Healthcare Corp.","duties_or_roles":"[{\"code\":\"1\"},{\"code\":\"12\"},{\"code\":\"15\",\"value\":\"Clinical Operations\"},{\"code\":\"5\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Icon Clinical Research LLC","duties_or_roles":"[{\"code\":\"1\"},{\"code\":\"15\",\"value\":\"Clinical Operations, Medical Monitoring, Regulatory, Clinical Logistics\"},{\"code\":\"5\"},{\"code\":\"8\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Parexel International (IRL) Limited","duties_or_roles":"[{\"code\":\"8\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Drug Development Solutions Limited","duties_or_roles":"[{\"code\":\"15\",\"value\":\"Pharmacokinetic sample analysis and parameter calculations\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"[{\"code\":\"4\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"Japan","full_name":"A2 Healthcare Corp.","duties_or_roles":"[{\"code\":\"1\"},{\"code\":\"12\"},{\"code\":\"15\",\"value\":\"Clinical Operations\"},{\"code\":\"5\"}]","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Zilbrysq 32.4 mg solution for injection in pre-filled syringe
Active Substance
ZILUCOPLAN
Modality
Peptide/protein/enzyme
Routes Of Administration
Subcutaneous
Route
Subcutaneous
Authorisation Status
Marketing authorisation present (marketingAuthNumber: EU/1/23/1764/005, prodAuthStatus:2)
Dose Levels
32.4 mg
Maximum Dose
32.4 mg
Investigational Product Name
Zilbrysq 23 mg solution for injection in pre-filled syringe
Active Substance
ZILUCOPLAN
Modality
Peptide/protein/enzyme
Routes Of Administration
Subcutaneous
Route
Subcutaneous
Authorisation Status
Marketing authorisation present (marketingAuthNumber: EU/1/23/1764/003, prodAuthStatus:2)
Dose Levels
23 mg
Maximum Dose
32.4 mg
Investigational Product Name
Zilbrysq 16.6 mg solution for injection in pre-filled syringe
Active Substance
ZILUCOPLAN
Modality
Peptide/protein/enzyme
Routes Of Administration
Subcutaneous
Route
Subcutaneous
Authorisation Status
Marketing authorisation present (marketingAuthNumber: EU/1/23/1764/001, prodAuthStatus:2)
Dose Levels
16.6 mg
Maximum Dose
32.4 mg

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