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A Prospective Cohort Study of Myasthenia Gravis in China

Chinese Academy of Medical Sciences & Peking Union Medical College logo

Chinese Academy of Medical Sciences & Peking Union Medical College

Status

Enrolling

Conditions

Myasthenia Gravis

Treatments

Drug: Steroid Drug
Other: Withdraw all immunosuppresants

Study type

Observational

Funder types

Other

Identifiers

Details and patient eligibility

About

The goal of this prospective cohort study is to investigate long-term therapeutic strategies for myasthenia gravis (MG) and identify potential biomarkers. The main questions it aims to answer are:

  1. Whether low-dose oral steroids may lead to a reduction in the recurrence rate among patients with MG.
  2. To identify potential biomarkers that can predict disease progression and prognosis.

This study recruits well-controlled patients with MG. Based on patient preferences and considerations such as coexisting conditions (e.g., uncontrolled hypertension, diabetes, severe osteoporosis, obesity), the participants will be non-randomly divided into two groups: a maintenance steroid therapy group and a withdrawal group (withdraw all immunosuppresants). Subsequently, these groups of patients will undergo long-term follow-up assessments.

Enrollment

202 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • 1: Attended the outpatient department of neurology of PUMCH from 9/30/2022 to 9/30/2024.
  • 2: Diagnosed as myasthenia gravis.
  • 3: Follow-up time at PUMCH>6 months.
  • 4: The patient understood and signed the informed consent form.

Exclusion criteria

  • 1: Comorbidities with other conditions that cause skeletal muscle weakness make the clinical symptoms difficult to assess
  • 2: Records related to comorbidities and medications were not available at baseline and during follow-up.

Trial design

202 participants in 2 patient groups

maintenance steroid therapy group
Description:
Maintaining low-dose oral steroids
Treatment:
Drug: Steroid Drug
immunosuppresants withdrawal group
Description:
Withdraw all immunosuppresants
Treatment:
Other: Withdraw all immunosuppresants

Trial contacts and locations

1

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Central trial contact

Yuzhou Guan

Data sourced from clinicaltrials.gov

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