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Record W4389152064 · doi:10.1136/jnnp-2023-abn.253

Rozanolixizumab efficacy in generalised myasthenia gravis: Subgroup analyses from the randomised, phase 3, MycarinG study

2023· article· en· W4389152064 on OpenAlexaff
Moxey Jo, Drużdż Artur, Grosskreutz Julian, Mantegazza Renato, Utsugisawa Kimiaki, V. John, Lejdstrom Raphaëlle Beau, Boehnlein Marion, Grimson Fiona, Bril Vera

Bibliographic record

Venuenot available
Typearticle
Languageen
FieldMedicine
TopicMyasthenia Gravis and Thymoma
Canadian institutionsUniversity Health Network
Fundersnot available
KeywordsPlaceboMedicineMyasthenia gravisInternal medicineClinical endpointPopulationGastroenterologyRandomized controlled trial

Abstract

fetched live from OpenAlex

Background Establish efficacy of rozanolixizumab (FcRn inhibitor) in generalised myasthenia gravis (gMG) across subgroups. Design/Methods The Phase 3 MycarinG study (MG0003/NCT03971422) randomised adults (MGFA Class II–IVa AChR/MuSK autoantibody-positive gMG) to weekly rozanolixizumab 7mg/kg, 10mg/kg or placebo for 6 weeks. The primary endpoint was least squares mean (LSM) change from baseline (CFB) to Day 43 in MG-ADL. Results Patients (N=200) were randomised to rozanolixizumab 7mg/kg (n=66), 10mg/kg (n=67) or placebo (n=67). In the overall population, LSM MG-ADL CFB at Day 43 was −3.4, −3.4 and −0.8 for rozanolixizumab 7mg/kg, rozanolixizumab 10mg/kg and placebo, respectively. Mean observed MG-ADL CFB at Day 43 was more reduced in both rozanolixizumab groups than the placebo group across subgroups: ≥1 prior therapy (n=163): −3.2, −3.3 and −1.0, respectively; ≥2 prior therapies (n=84): −2.5, −3.0 and −0.8; baseline QMG ≤15 (n=110): −3.7, −2.6 and −0.6; baseline QMG >15 (n=90): −3.0, −4.0 and −0.7; baseline disease duration <4 years (n=78): −2.9, −3.1 and −0.6; baseline disease duration ≥4 years (n=122): −3.8, −3.3 and −0.7. TEAEs occurred in 81.3%, 82.6% and 67.2% of patients, respectively. Conclusion Rozanolixizumab treatment demonstrated greater reductions in MG-ADL score than placebo in a broad range of patients with gMG. Funding: UCB Pharma.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.008
metaresearch head score (Gemma)0.007
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Randomized trial · Consensus signal: Randomized trial
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.008
Threshold uncertainty score0.043

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0080.007
Meta-epidemiology (narrow)0.0020.000
Meta-epidemiology (broad)0.0040.013
Bibliometrics0.0010.001
Science and technology studies0.0000.001
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0020.001
Insufficient payload (model declined to judge)0.0040.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.108
GPT teacher head0.413
Teacher spread0.304 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designRandomized trial
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2023
Admission routes1
Has abstractyes

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