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Record W7115059703 · doi:10.1136/jnnp-2025-abn.2

2 Long-term safety and efficacy of zilucoplan in generalised myasthenia gravis: 120-week interim analysis of RAISE-XT

2025· article· W7115059703 on OpenAlexaff

Bibliographic record

Venuenot available
Typearticle
Language
FieldMedicine
TopicMyasthenia Gravis and Thymoma
Canadian institutionsMontreal Neurological Institute and Hospital
Fundersnot available
KeywordsInterim analysisPlaceboMyasthenia gravisAdverse effectIncidence (geometry)InterimPooled analysis

Abstract

fetched live from OpenAlex

a:2:{s:4:"lang";s:2:"en";s:7:"content";s:1534:" Background In this interim analysis of RAISE-XT (NCT04225871), an ongoing, Phase 3, open-label extension study, we evaluate the long-term safety and efficacy of zilucoplan, a macrocyclic peptide complement component 5 inhibitor, in patients with acetylcholine receptor autoantibody-positive generalised myasthenia gravis (gMG). Methods Adults with gMG who completed a qualifying double-blind study (NCT03315130/NCT04115293) self-administered daily subcutaneous zilucoplan 0.3mg/kg. Primary outcome: incidence of treatment-emergent adverse events (TEAEs). Change from baseline (CFB) to Week 120 in MG Activities of Daily Living (MG-ADL) score was analysed for pooled data from participants who received zilucoplan 0.3mg/kg or placebo in the qualifying studies. Results 200 patients enrolled in RAISE-XT. At data cut-off (11 November 2023), median (range) exposure to zilucoplan was 2.2 (0.1–5.6) years. TEAEs occurred in 194 (97.0%) patients; 81 (40.5%) experienced a serious TEAE. The most common TEAEs were COVID-19 (71 [35.5%]) and MG worsening (59 [29.5%]). Of 183 patients who received zilucoplan 0.3mg/kg or placebo in the qualifying study, 93 continued zilucoplan and 90 switched from placebo to zilucoplan. At Week 120, mean CFB in MG-ADL score in pooled zilucoplan 0.3mg/kg patients was –7.14 (standard error 0.44). Conclusions Zilucoplan demonstrated a favourable long-term safety profile with sustained efficacy up to Week 120. maria.leite{at}ndcn.ox.ac.uk ";}

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)0.005
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.005
Threshold uncertainty score0.027

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0050.003
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0020.002
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0010.001
Open science0.0010.000
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0050.001

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 head0.018
GPT teacher head0.302
Teacher spread0.284 · 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 designObservational
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".

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Citations0
Published2025
Admission routes1
Has abstractyes

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