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Trial Title: Myasthenia Gravis Registry in China

NCT ID: NCT06241521

Condition: Myasthenia Gravis

Conditions: Official terms:
Myasthenia Gravis
Muscle Weakness

Conditions: Keywords:
Myasthenia Gravis
Prospective study
Observational study
Patient registry

Study type: Observational [Patient Registry]

Overall status: Recruiting

Study design:

Time perspective: Prospective

Summary: Myasthenia gravis (MG) is an autoimmune disease caused by dysfunction at the neuromuscular junction, characterized by partial or generalized skeletal muscle weakness and fatigability. The estimated annual incidence rate of MG in China is 0.68/100,000, with a high rate of relapse and poor treatment compliance. This study is a prospective, observational, multi-center patient registry across China. To support standardized management and follow-up of MG patients in China, a Cloud-based MG Patient Management Platform (CN MG Base) was established in September 2023 with the support of the Chinese Rare Diseases Alliance. The platform aims to collect longitudinal clinical data including demographic information, age of onset, medical history, comorbidities, medication usage, treatment responses, and others. It is intended to collect newly registered MG cases each year and follow up with these patients at one-year intervals for ten years

Detailed description: This study is a observational nationwide multicenter MG registry research. Starting from the baseline, annual follow-ups will be conducted to prospectively collect information on treatment medications, prognosis, and safety events. The following classification definitions can be applied: ① MG clinical subtypes (ocular, early-onset generalized, thymoma-related, late-onset generalized, MuSK-related, and seronegative); ② Different treatment methods (classic immunotherapy group, B-cell-targeted therapy, complement inhibition therapy, rapid-acting therapy, and IL-6 pathway inhibitors, etc.).

Criteria for eligibility:

Study pop:
MG patients mostly of Chinese Han ethnicity (ocular MG type no more than 30%).

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: - Fluctuating weakness in skeletal muscles, such as extraocular, bulbar, limb muscles, etc.. Demonstrating fluctuation and fatigability: Weakness is usually worse in the morning and improves with rest; worsens with sustained activity. - Patients themselves or their guardians can understand and sign the informed consent form. To meet the eligibility criteria, at least one of the following additional criteria must be met: - a. Positive Tensilon test; - b. Decrease in compound muscle action potential by more than 10% with low-frequency repetitive nerve stimulation or widening of the "jitter" (the variability in time of the second action potential relative to the first) on single-fiber electromyography, with or without blocking; - c. Positive antibodies: Serum testing positive for AChR antibodies, MuSK antibodies, or LRP4 antibodies. Exclusion Criteria: - Patients with mental illness who cannot cooperate. - Patients with multiple organ dysfunction or in extremely critical condition, unable to complete relevant medical history collection or evaluation.

Gender: All

Minimum age: N/A

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Beijing Hospital

Address:
City: Beijing
Zip: 100051
Country: China

Status: Recruiting

Contact:
Last name: Hua Zhang

Investigator:
Last name: Hua Zhang
Email: Principal Investigator

Facility:
Name: Xuanwu hospital, Capital medical university

Address:
City: Beijing
Zip: 100053
Country: China

Status: Recruiting

Contact:
Last name: Yuwei Da

Investigator:
Last name: Yuwei Da
Email: Principal Investigator

Facility:
Name: Peking Union Medical College Hospital

Address:
City: Beijing
Zip: 100730
Country: China

Status: Recruiting

Contact:
Last name: Yuzhou Guan

Investigator:
Last name: Yuzhou Guan
Email: Principal Investigator

Facility:
Name: The First Affiliated Hospital of Chongqing Medical University

Address:
City: Chongqing
Zip: 401147
Country: China

Status: Recruiting

Contact:
Last name: Fei Xiao

Investigator:
Last name: Fei Xiao
Email: Principal Investigator

Facility:
Name: The First Affiliated Hospital, Sun Yat-sen University

Address:
City: Guangzhou
Zip: 510060
Country: China

Status: Recruiting

Contact:
Last name: Huiyu Feng

Investigator:
Last name: Huiyu Feng
Email: Principal Investigator

Facility:
Name: The Third Hospital, Sun Yat-sen University

Address:
City: Guangzhou
Zip: 510060
Country: China

Status: Recruiting

Contact:
Last name: Wei Qiu

Investigator:
Last name: Wei Qiu
Email: Principal Investigator

Facility:
Name: First Affiliated Hospital of Zhengzhou University

Address:
City: Zhengzhou
Zip: 450052
Country: China

Status: Recruiting

Contact:
Last name: Bo Song

Investigator:
Last name: Bo Song
Email: Principal Investigator

Facility:
Name: Xiangya hospital, Central south university

Address:
City: Changsha
Zip: 410001
Country: China

Status: Recruiting

Contact:
Last name: Huan Yang

Investigator:
Last name: Huan Yang
Email: Principal Investigator

Facility:
Name: The First Hospital, Soochow University

Address:
City: Suzhou
Zip: 215005
Country: China

Status: Recruiting

Contact:
Last name: Qun Xue

Investigator:
Last name: Qun Xue
Email: Principal Investigator

Facility:
Name: Affiliated Hospital of Xuzhou Medical University

Address:
City: Xuzhou
Zip: 221004
Country: China

Status: Recruiting

Contact:
Last name: Yong Zhang

Investigator:
Last name: Yong Zhang
Email: Principal Investigator

Facility:
Name: The First Affiliated Hospital of Nanchang University

Address:
City: Nanchang
Zip: 330209
Country: China

Status: Recruiting

Contact:
Last name: Daojun Hong

Investigator:
Last name: Daojun Hong
Email: Principal Investigator

Facility:
Name: The First Hospital, Jilin University

Address:
City: Changchun
Zip: 130021
Country: China

Status: Recruiting

Contact:
Last name: Hui Deng

Investigator:
Last name: Hui Deng
Email: Principal Investigator

Facility:
Name: Huashan Hospital, Fudan University

Address:
City: Shanghai
Zip: 200040
Country: China

Status: Recruiting

Contact:
Last name: Chongbo Zhao

Investigator:
Last name: Chongbo Zhao
Email: Principal Investigator

Facility:
Name: Tangdu Hospital, The Air Force Medical University

Address:
City: Xi'an
Zip: 710000
Country: China

Status: Recruiting

Contact:
Last name: Ting Chang

Investigator:
Last name: Ting Chang
Email: Principal Investigator

Facility:
Name: West China Hospital, Sichuan University

Address:
City: Chengdu
Zip: 610041
Country: China

Status: Recruiting

Contact:
Last name: Hongyu Zhou

Investigator:
Last name: Hongyu Zhou
Email: Principal Investigator

Facility:
Name: Tianjin Medical University General Hospital

Address:
City: Tianjin
Zip: 300052
Country: China

Status: Recruiting

Contact:
Last name: Chunsheng Yang

Investigator:
Last name: Chunsheng Yang
Email: Principal Investigator

Start date: February 1, 2024

Completion date: January 30, 2035

Lead sponsor:
Agency: Huashan Hospital
Agency class: Other

Collaborator:
Agency: China Alliance for Rare Diseases
Agency class: Other

Collaborator:
Agency: National Center for Neurological Disorders (China)
Agency class: Other

Collaborator:
Agency: China myasthenia gravis collaborating group (CMGCG)
Agency class: Other

Source: Huashan Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06241521

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