Long-term treatment with tocilizumab for generalized myasthenia gravis

A Phase III, Open-label Extension Trial of tMG to Evaluate the Safety and Efficacy of Tocilizumab in Subjects With Generalized Myasthenia Gravis (gMG)

Phase2; Phase3 Interventional Tang-Du Hospital · NCT05716035

This study is testing if long-term treatment with tocilizumab can safely help people with generalized myasthenia gravis who have already tried it before.

Quick facts

PhasePhase2; Phase3
Study typeInterventional
Enrollment64 (estimated)
Ages18 Years to 80 Years
SexAll
SponsorTang-Du Hospital Academic / other
Drugs / interventionstocilizumab
Locations6 sites (Beijing, Beijing and 5 other locations)
Trial IDNCT05716035 on ClinicalTrials.gov

What this trial studies

This study evaluates the long-term safety and efficacy of tocilizumab in patients with generalized myasthenia gravis who previously participated in a related study. Participants who completed the initial study will receive open-label tocilizumab injections for up to 16 weeks. The goal is to gather clinical data that will inform the ongoing assessment of tocilizumab's effects on this condition. The study aims to provide insights into the treatment's long-term benefits and risks.

Who should consider this trial

Good fit: Ideal candidates are individuals who have completed the initial study and have a specific score indicating the severity of their myasthenia gravis.

Not a fit: Patients with recent severe infections or those who have undergone certain treatments like IVIG or plasma exchange may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could significantly improve the management of generalized myasthenia gravis, enhancing patients' quality of life.

How similar studies have performed: Previous studies involving tocilizumab have shown promise, suggesting that this approach may be effective for treating generalized myasthenia gravis.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Participant has completed Study tMG.
2. Participant has given written informed consent.
3. MG-ADL score ≥ 5 points, or a decrease of ≤ 3 points relative to the baseline MG-ADL of the tMG study

Exclusion Criteria:

1. Participants had clinically relevant active infections (such as sepsis, pneumonia, or abscess) or severe infections (resulting in hospitalization or requiring antibiotic treatment) in the past 4 weeks;
2. Those with high-risk tuberculosis infection, acquired tuberculosis infection, and chronic hepatitis after the tMG study;
3. planned thymectomy during RCP;
4. Received IVIG or plasma exchange in the past 4 weeks;
5. Any medical condition or circumstances that, in the opinion of the investigator, might have interfered with the participant's participation in the study, posed any added risk for the participant, or confounded the assessment of the participants.

Where this trial is running

Beijing, Beijing and 5 other locations

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Myasthenia Gravis, GeneralizedGeneralized Myasthenia GravisTocilizumabOpen-label
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.