Top-line Phase III data for Ultomiris in generalized myasthenia gravis (gMG) looked positive for Alexion Pharmaceuticals Inc. and its buyer, AstraZeneca PLC, but analysts wonder if another drug class might ultimately surpass complement 5 (C5) protein inhibitors in establishing a new standard of care.
Alexion reported on 16 July that its C5 inhibitor Ultomiris (ravulizumab) – a follow-on to Alexion’s rare disease blockbuster Soliris (eculizumab) – met statistical significance at 26 weeks of treatment on the Myasthenia Gravis-Activities of Daily Living Profile (MG-ADL) patient assessment in a 175-patient, placebo-controlled study. For entry into the study, patients had to have an MG-ADL score of at least 6; at 26 weeks, treatment-arm patients’ scores were down an average of 3
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