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Status of the thymectomy trial for nonthymomatous myasthenia gravis patients receiving prednisone

  • John Newsom-Davis
  • , Gary Cutter
  • , Gil I. Wolfe
  • , Henry J. Kaminski
  • , Alfred Jaretzki
  • , Greg Minisman
  • , Inmaculada Aban
  • , Robin Conwit
  • University of Oxford
  • University of Alabama at Birmingham
  • Saint Louis University
  • Columbia University
  • National Institutes of Health

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

63 Scopus citations

Abstract

The primary study [MGTX] aims to answer three questions: does extended transsternal thymectomy combined with the prednisone protocol, when compared with the prednisone protocol alone: (1) result in a greater improvement in myasthenic weakness, (2) result in a lower total dose of prednisone, thus decreasing the likelihood of concurrent and long-term toxic effects, (3) enhance the quality of life by reducing adverse events and symptoms associated with the therapies? Inclusion criteria are MGFA Class 2, 3, or 4; acetylcholine receptor antibody positive; age at least 18.0 years and <60.0 years; MG history of <3 years. Patients can be prednisone naïve or not. The National Institute for Neurological Disorders and Stroke awarded funding for MGTX in September 2005, and NIH awarded funding for the ancillary Biomarkers study (BioMG) in February 2006. Diverse regulatory obstacles have been encountered in this international study, but we now have a total of over 70 centers in 22 countries (North America, South America, Europe, Australasia, South Africa) either actively recruiting or at various levels of readiness.

Original languageEnglish
Title of host publicationMyasthenia Gravis and Related Disorders 11th International Conference
PublisherBlackwell Publishing Inc.
Pages344-347
Number of pages4
ISBN (Print)9781573316873
DOIs
StatePublished - Jun 2008

Publication series

NameAnnals of the New York Academy of Sciences
Volume1132
ISSN (Print)0077-8923
ISSN (Electronic)1749-6632

Keywords

  • Myasthenia gravis
  • Prednisone
  • Thymectomy

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