Long-term safety and efficacy of eculizumab in generalized myasthenia gravis.

Journal Article (Journal Article)

INTRODUCTION: Eculizumab is effective and well tolerated in patients with antiacetylcholine receptor antibody-positive refractory generalized myasthenia gravis (gMG; REGAIN; NCT01997229). We report an interim analysis of an open-label extension of REGAIN, evaluating eculizumab's long-term safety and efficacy. METHODS: Eculizumab (1,200 mg every 2 weeks for 22.7 months [median]) was administered to 117 patients. RESULTS: The safety profile of eculizumab was consistent with REGAIN; no cases of meningococcal infection were reported during the interim analysis period. Myasthenia gravis exacerbation rate was reduced by 75% from the year before REGAIN (P < 0.0001). Improvements with eculizumab in activities of daily living, muscle strength, functional ability, and quality of life in REGAIN were maintained through 3 years; 56% of patients achieved minimal manifestations or pharmacological remission. Patients who had received placebo during REGAIN experienced rapid and sustained improvements during open-label eculizumab (P < 0.0001). DISCUSSION: These findings provide evidence for the long-term safety and sustained efficacy of eculizumab for refractory gMG. Muscle Nerve 2019.

Full Text

Duke Authors

Cited Authors

  • Muppidi, S; Utsugisawa, K; Benatar, M; Murai, H; Barohn, RJ; Illa, I; Jacob, S; Vissing, J; Burns, TM; Kissel, JT; Nowak, RJ; Andersen, H; Casasnovas, C; de Bleecker, JL; Vu, TH; Mantegazza, R; O'Brien, FL; Wang, JJ; Fujita, KP; Howard, JF; Regain Study Group,

Published Date

  • July 2019

Published In

Volume / Issue

  • 60 / 1

Start / End Page

  • 14 - 24

PubMed ID

  • 30767274

Pubmed Central ID

  • PMC6619057

Electronic International Standard Serial Number (EISSN)

  • 1097-4598

Digital Object Identifier (DOI)

  • 10.1002/mus.26447


  • eng

Conference Location

  • United States