IM-101 for adults with generalized and ocular myasthenia gravis
A Phase 1b/2, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Investigate A) the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Multiple Ascending Doses of IM-101 in Adult Participants With Generalized Myasthenia Gravis, and B) the Efficacy and Safety of Treatment of IM-101 in Adult Participants With Generalized Myasthenia Gravis and Ocular Myasthenia Gravis
This trial will try IM-101, a C5 inhibitor, in adults with AChR antibody–positive generalized myasthenia gravis and later include AChR antibody–negative generalized and ocular myasthenia gravis to see if it is safe and helps symptoms.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Enrollment | 96 (estimated) |
| Ages | 18 Years to 74 Years |
| Sex | All |
| Sponsor | ImmunAbs Inc. Industry-sponsored |
| Locations | 25 sites (Altamonte Springs, Florida and 24 other locations) |
| Trial ID | NCT07250750 on ClinicalTrials.gov |
What this trial studies
This Phase 1b/2 randomized, placebo-controlled study tests IM-101, an investigational C5 complement inhibitor, first in AChR antibody–positive generalized myasthenia gravis to characterize safety, tolerability, pharmacokinetics, and pharmacodynamics and to select a dose. After dose selection, the trial expands to evaluate the chosen regimen in AChR antibody–negative generalized MG and in participants with ocular MG compared with placebo. Participants are adults aged 18–74 on stable background MG therapy, must meet weight and vaccination requirements, and cannot be anti‑MuSK positive or previously intolerant to complement inhibitors. Dosing and follow-up occur at three clinical research centers in Florida using IM-101 and matching placebo arms.
Who should consider this trial
Good fit: Adults 18–74 with diagnosed myasthenia gravis who are on a stable background regimen, meet weight and vaccination requirements, and (for initial enrollment) are AChR antibody–positive are the ideal candidates.
Not a fit: Patients who are anti‑MuSK antibody–positive, have a history of meningococcal infection, recent cancer, or who previously failed or were intolerant to complement inhibitors are unlikely to benefit or be eligible.
Why it matters
Potential benefit: If successful, IM-101 could offer a new complement-targeted treatment that reduces muscle weakness and the need for other immunosuppressive medications in people with myasthenia gravis.
How similar studies have performed: Other C5 inhibitors such as eculizumab and ravulizumab have demonstrated clear benefits in AChR‑positive generalized myasthenia gravis, so the complement‑inhibition approach is supported by prior successes though IM-101 itself is novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Able and willing to provide signed informed consent 2. Willingness to consent to screening for genetic muscular diseases 3. Male or female aged ≥ 18 years and \< 75 years 4. Diagnosed with MG 5. On a stable dose of background therapy for the treatment of MG 6. Body weight ≥ 40 kg at screening 7. Vaccinated against meningococcal infection (Neisseria meningitidis), streptococcus pneumoniae, and haemophilus influenzae type B Exclusion Criteria: 1. Previous exposure to IM-101 2. Anti-MuSK antibody Positive 3. History of malignant thymoma, or history of cancer within the past 5 years of screening 4. History of N. meningitidis infection 5. Has been treated with any complement inhibitor, but failed due to intolerability or lack of efficacy Full eligibility criteria is available in the study protocol.
Where this trial is running
Altamonte Springs, Florida and 24 other locations
- Neurology of Central Florida Research Center, LLC — Altamonte Springs, Florida, United States (Recruiting)
- SFM Clinical Research, LLC — Boca Raton, Florida, United States (Recruiting)
- Aqualane Clinical Research — Naples, Florida, United States (Recruiting)
- Medsol Clinical Research Center — Port Charlotte, Florida, United States (Not_yet_recruiting)
- University of South Florida — Tampa, Florida, United States (Not_yet_recruiting)
- University of Kansas Medical Center Research Institute, Inc. — Kansas City, Missouri, United States (Not_yet_recruiting)
- Nerve & Muscle Center of Texas — Houston, Texas, United States (Recruiting)
- Houston Methodist Neurological Institute — Houston, Texas, United States (Not_yet_recruiting)
- Medical Center Hera - branch Montana — Montana, Bulgaria (Not_yet_recruiting)
- "MHAT Avis - Medica" OOD — Pleven, Bulgaria (Not_yet_recruiting)
- UMHAT 'Dr. Georgi Stranski', EAD — Pleven, Bulgaria (Not_yet_recruiting)
- UMHAT 'Tsaritsa Yoanna - ISUL', EAD — Sofia, Bulgaria (Not_yet_recruiting)
- Haelan Care 4 Medical Center EOOD — Varna, Bulgaria (Not_yet_recruiting)
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili) — Brescia, Brescia, Italy (Not_yet_recruiting)
- Ospedale San Raffaele — Milan, Milano, Italy (Not_yet_recruiting)
- Fondazione IRCCS Istituto Neurologico Carlo Besta — Milan, Milano, Italy (Not_yet_recruiting)
- Neurologia Slaska Centrum Medyczne — Katowice, Poland (Not_yet_recruiting)
- Twoja Przychodnia NCM — Nowa Sól, Poland (Not_yet_recruiting)
- Twoja Przychodnia PCM — Poznan, Poland (Not_yet_recruiting)
- NZOZ Neuro-Kard Ilkowski i Partnerzy Spółka Partnerska Lekarzy — Poznan, Poland (Not_yet_recruiting)
- Samodzielny Publiczny Szpital Kliniczny nr 1 im. Prof. Stanislawa Szyszko, SUM — Zabrze, Poland (Not_yet_recruiting)
- General Hospital MSB Medical System Belgrade — Belgrade, Serbia (Not_yet_recruiting)
- Hospital Universitario Clinico San Carlos — Madrid, Madrid, Spain (Not_yet_recruiting)
- Hospital Universitario La Paz — Madrid, Madrid, Spain (Not_yet_recruiting)
- Clinica Universidad de Navarra — Pamplona, Navarre, Spain (Not_yet_recruiting)
Study contacts
- Study coordinator: ImmunAbs Clinical Team
- Email: info@immunabs.com
- Phone: 82-2-6951-0584
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.