New drug duo aims to ease muscle weakness in myasthenia gravis
NCT ID NCT05070858
First seen Jun 27, 2026 · Last updated Jul 09, 2026 · Updated 2 times
Summary
This study tests two experimental drugs, pozelimab and cemdisiran, alone or together, in 288 adults with generalized myasthenia gravis (gMG), a disease that causes muscle weakness and fatigue. The goal is to see if the drugs improve daily activities and muscle strength. Participants must have a confirmed diagnosis and specific antibodies. The study is active but not recruiting.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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288 people
The number who actually took part.
- Started
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Dec 2021
- Expected to finish
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Nov 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: 1. Male or female participants ≥18 years of age at screening (or ≥ legal age of adulthood based on local regulations, whichever is older) 2. Participant with documented diagnosis of Myasthenia Gravis (MG) based on medical history and supported by previous evaluations as described in the protocol 3. Documented prior history of positive serologic test or a positive result during screening of Anti-acetylcholine Receptor (AChR) antibodies or anti-Lipoprotein Receptor-related Protein 4 (LRP4) antibodies. 4. Myasthenia Gravis Foundation of America (MGFA) Clinical Classification Class II to IVa at screening 5. Myasthenia Gravis-Activities of Daily Living (MG-ADL) score ≥6 at screening. Ocular items should not contribute more than 50% of MG-ADL total score as described in the protocol 6. Currently receiving an acetylcholinesterase inhibitor or documented reason for not using acetylcholinesterase inhibitor therapy per investigator 7. Currently receiving an Immunosuppressive Therapy (IST) for MG, or documented reason why the participant is not taking an IST per investigator 8. If currently receiving an IST, not anticipated to have IST dosage changed before randomization or during Double-Blind Treatment Period (DBTP). 9. Willing and able to comply with clinic visits and study-related procedures, including completion of the primary series of the meningococcal vaccinations required per protocol Key Exclusion Criteria: 1. Patients with antibody profile that is only positive for Muscle-Specific tyrosine Kinase (MuSK) (MuSK positivity is based on a documented prior history of positive serologic test for antibodies to MuSK or a positive result during screening 2. History of thymectomy within 12 months prior to screening or planned during the study 3. History of malignant thymoma (patients with stage 1 may be enrolled), or history of cancer within the past 5 years, except for adequately treated basal cell skin cancer, squamous cell skin cancer, or in situ cervical cancer 4. Myasthenic crisis or MGFA Class V within 1 month of screening 5. Not meeting meningococcal vaccination requirements and, at a minimum, documentation of quadrivalent meningococcal vaccination within 5 years prior to randomization and serotype B vaccine (when available) within 3 years prior to randomization as described in the protocol 6. Known contraindication to meningococcal vaccines (group ACWY conjugate and group B vaccines) as described in the protocol 7. Participants who require antibiotics for meningococcal prophylaxis and have a contraindication, warning, or precaution precluding the use of penicillin class and penicillin-alternative antibiotics planned to be used for prophylaxis, or a history of intolerance leading to the discontinuation of these antibiotics 8. Positive hepatitis B surface antigen or hepatitis C virus Ribonucleic Acid (RNA) during screening. NOTE: Cases with unclear interpretation should be discussed with the medical monitor 9. History of Human Immunodeficiency Virus (HIV) infection or a positive test at screening per local requirements NOTE: Other protocol-defined Inclusion/ Exclusion Criteria apply
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AZ Sint-Lucas
Ghent, Oost-Vlaanderen, 9000, Belgium
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Aalborg Universitetshospital
Aalborg, North Denmark, 09000, Denmark
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Aarhus University Hospital
Aarhus N, 8200, Denmark
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All India Institute of Medical Sciences New Delhi
New Delhi, National Capital Territory of Delhi, 110029, India
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Amrita Institute of Medical Sciences and Research Centre (AIMS)
Kochi, Kerala, 682041, India
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Apex Hospital
Jaipur, Rajasthan, 302017, India
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Aqualane Clinical Research
Naples, Florida, 34105, United States
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Azienda Ospedaliera Papa Giovanni XXIII
Bergamo, 24127, Italy
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Azienda Ospedaliera Sant'andrea
Rome, Lazio, 00189, Italy
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Azienda Ospedaliero Universitaria Pisana
Pisa, Tuscany, 56126, Italy
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Bangalore Medical College and Research Institute (BMCRI) - Victoria Hospital
Bangalore, 560002, India
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CHU Bicetre
Le Kremlin-Bicêtre, 94275, France
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Centre Hospitalier Regional Universitaire (CHRU) de Nancy
Nancy, 54035, France
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Centre Hospitalier Universitaire de Nice
Nice, Alpes Maritimes, 6002, France
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Centrum Neurologii Klinicznej, Krakowska Akademia Neurologii
Krakow, Lesser Poland Voivodeship, 31-505, Poland
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Chang Gung Memorial Foundation Kaohsiung Branch
Kaohsiung City, 833, Taiwan
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Chang Gung Memorial Hospital at Linkou
Taoyuan, 333, Taiwan
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Charite - Universitatsmedizin Berlin
Berlin, 10117, Germany
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Chiba University Hospital
Chiba, 260-8677, Japan
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China Medical University
Taichung, 40447, Taiwan
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Christian Medical College & Hospital
Ludhiana, Punjab, 141008, India
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City Neuro Centre, Hyderabad
Hyderabad, Telangana, 500034, India
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Clinical Research Center Spolka z Ograniczona Odpowiedzialnoscia Medic-R Sp.k
Poznan, Greater Poland Voivodeship, 61-731, Poland
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Colorado Springs Neurological Associates
Colorado Springs, Colorado, 80907-5307, United States
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Dayton Center for Neurological Disorders
Centerville, Ohio, 45459, United States
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Deenanath Mangeshkar Hospital and Research Centre
Pune, Maharashtra, 411004, India
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Diverse Clinical Research
Miami, Florida, 33175, United States
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Dokuz Eylul University Medical Faculty
Izmir, 35340, Turkey (Türkiye)
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Faculdade de Medicina Do ABC
Santo André, São Paulo, 09060-870, Brazil
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Fondazione IRCCS Di Rilievo Nazionale Istituto Nazionale Neurologico Carlo Besta
Milan, Lombardy, 20133, Italy
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Friedrich Baur Institute
München, Bavaria, 80336, Germany
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Fujian Medical University Union Hospital
Fuzhou, Fujian, 350001, China
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Gdanski Uniwersytet Medyczny
Gdansk, Pomeranian Voivodeship, 80-952, Poland
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Government General Hospital, Guntur
Guntur, Andhra Pradesh, 522001, India
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Guangdong Hospital of Traditional Chinese Medicine
Guangdong, Guangdong, 510120, China
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Hainan General Hospital
Haikou, Hainan, 570311, China
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Hiroshima City Hiroshima Citiz
Hiroshima, 730-8518, Japan
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HonorHealth Neurology 2018
Scottsdale, Arizona, 85251, United States
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Hopital de la Pitie Salpetriere
Paris, 75013, France
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Hospital Universitari i Politecnic La Fe
Valencia, 46026, Spain
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Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo
São Paulo, 05403-010, Brazil
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Hospital de la Santa Creu i Sant Pau
Barcelona, 08041, Spain
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Huashan Hospital Fudan University
Shanghai, Shanghai Municipality, 201107, China
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IMV Pesquisa Neurologica
Porto Alegre, Rio Grande do Sul, 90110-000, Brazil
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Institute of Neurosciences
Surat, Gujarat, 395001, India
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Israeli-Georgian Medical Research Clinic Healthycore, LTD
Tbilisi, 0112, Georgia
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Japanese Red Cross Osaka Hospital
Osaka, 543-8555, Japan
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Jordy Sinapse Medicina LTDA
Itapevi, São Paulo, 06655-250, Brazil
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Karadeniz Technical University Farabi Hospital
Trabzon, 61080, Turkey (Türkiye)
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Kasturba Medical College (KMC)
Udupi, Karnataka, 576104, India
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Kobe City Medical Center General Hospital
Kobe, Hyōgo, 650-0047, Japan
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Kocaeli University Hospital
Izmit, Van, 41380, Turkey (Türkiye)
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Kochi Medical School Hospital
Nankoku, Kochi, 783-8505, Japan
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Kyungpook National University Chilgok Hospital
Daegu, 41404, South Korea
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LTD National Center of Urology Named after L. Managadze
Tbilisi, 0144, Georgia
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LTD New Hospitals
Tbilisi, 0114, Georgia
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London Health Sciences Centre
London, Ontario, N6A 5A5, Canada
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Medical Hospital of Tokyo Medical and Dental University
Bunkyo, Tokyo, 113-8519, Japan
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Medsol Clinical Research Center Inc
Port Charlotte, Florida, 33952, United States
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Multiprofile Clinic Consilium Medulla
Tbilisi, 0186, Georgia
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NZOZ Neuro-kard
Poznan, Greater Poland Voivodeship, 61-853, Poland
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Nanfang Hospital Southern Medical University
Guangzhou, Guangdong, 510120, China
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National Cheng Kung University Hospital
Tainan, 701, Taiwan
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National Neuromuscular Research Institute
Austin, Texas, 78759, United States
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Nerve and Muscle Center of Texas
Houston, Texas, 77030, United States
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NeuroProtect
Warsaw, Mazovian, 01-684, Poland
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Neurological Services of Orlando
Orlando, Florida, 32806, United States
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Nihon University Itabashi Hospital
tabashi City, Tokyo, 173-8610, Japan
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Nizam's Institute of Medical Sciences (NIMS)
Panjagutta, Hyderabad, 500082, India
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NorthShore University Health System
Glenview, Illinois, 60026-1301, United States
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Northwest Neurology Ltd. - Clinedge - PPDS
Rolling Meadows, Illinois, 60080, United States
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Odense Universitetshospital
Odense, 05000, Denmark
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Okinawa National Hospital
Ginowan-Shi, Okinawa, 901-2214, Japan
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Okinawa Prefectural Nanbu Medical Center and Children's Medical Center
Shimajiri, Okinawa, 901-1193, Japan
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Ondokuz Mayis Universitesi Tip Fakultesi Hastanesi
Samsun, 55239, Turkey (Türkiye)
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Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100032, China
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Penn Medicine University City
Philadelphia, Pennsylvania, 19104, United States
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Pineo Medical Ecosystem
Tbilisi, 0114, Georgia
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Polakulath Narayanan Renai Medicity Multi Specialty Hospital, Kochi
Kochi, Punjab, 141008, India
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Postgraduate Institute of Medical Education & Research
Chandigarh, 160012, India
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Pseg Centro de Pesquisa Clinica S.A
São Paulo, 04038-002, Brazil
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Qilu Hospital of Shandong University (Qingdan)
Qingdao, Shandong, 266035, China
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Renmin Hospital of Wuhan University - Hubei Provincial People's Hospital
Wuhan, Hubei, 430060, China
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Rigshospitalet, Copenhagen
Copenhagen, 2100, Denmark
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SFM Clinical Research, LLC
Boca Raton, Florida, 33487, United States
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Saitama Medical University, Saitama Medical Center
Kawagoe, Saitama, 350-8550, Japan
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Samsung Medical Center
Seoul, 06351, South Korea
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Seth G.S. Medical College & K.E.M. Hospital, Mumbai
Pārel, Mumbai, 400012, India
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Sheffield Teaching Hospital NHS Foundation Trust
Sheffield, South Yorkshire, 511 9NE, United Kingdom
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Shin Kong Wu Ho Su Memorial Hospital
Taipei, 111, Taiwan
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Sichuan Provincial People's Hospital
Chengdu, Sichuan, 610072, China
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St. Elizabeth's Hospital
O'Fallon, Illinois, 62269, United States
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The First Affiliated Hospital of Guangzhou University of Chinese Medicine
Guangzhou, Guangzhou, 510405, China
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The First Hospital of Jilin University
Changchun, Jilin, 130000, China
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The Second Affiliated Hospital of the Chinese Peoples' Liberation Army Air Force Medical University
Xi’an, Shanxi, 710032, China
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The University of Hong Kong-Shenzhen Hospital
Shenzhen, Guangdong, 518053, China
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Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, 300050, China
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Tokyo Medical University Hospital
Shinjuku, Tokyo, 160-0023, Japan
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Toronto General Hospital
Toronto, Ontario, M5G2C4, Canada
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Universita' Degli Studi di Roma La Sapienza
Roma, 00161, Italy
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Universitair Ziekenhuis Antwerpen
Edegem, Antwerp, 2650, Belgium
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Universitatsklinikum Jena
Jena, 07747, Germany
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Universitatsklinikum Leipzig
Leipzig, Saxony, 04103, Germany
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Universitatsklinikum Munster
Münster, North Rhine-Westphalia, 48149, Germany
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University Clinical Centre Nis
Niš, 700461, Serbia
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University Hospital Birmingham
Birmingham, B15 2TH, United Kingdom
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University Hospital Essen
Essen, North Rhine-Westphalia, 45127, Germany
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University of Alberta
Edmonton, Alberta, T6G 2X8, Canada
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University of California Irvine
Irvine, California, 92697, United States
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University of Cincinnati Gardner Neuroscience Institute
Cincinnati, Ohio, 45219, United States
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University of South Florida Morsani Center for Advanced Healthcare
Tampa, Florida, 33612, United States
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University of Southern California
Los Angeles, California, 90033, United States
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Uniwersyteckie Centrum Kliniczne WUM, Centralny Szpital Kliniczny
Warsaw, Mosavian, 02-097, Poland
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Wayne State University School of Medicine
Detroit, Michigan, 48201, United States
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Xiangya Hospital Central South University
Changsha, Hunan, 410008, China
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Yamaguchi University Hospital
Ube, Yamaguchi, 755-8505, Japan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new drug offer Long-Term relief for muscle weakness?
- Can a new drug ease the muscle weakness of myasthenia gravis?
- Engineered immune cells take aim at debilitating muscle weakness
- New hope for myasthenia gravis: experimental drug CNP-106 enters human trials
- New hope for myasthenia gravis patients: experimental drug enters phase 2 trial
- New drug trial aims to ease muscle weakness in rare disease