Clinical outcome measures following plasma exchange for MG exacerbation

Ann Clin Transl Neurol. 2019 Oct;6(10):2114-2119. doi: 10.1002/acn3.50901. Epub 2019 Sep 27.

Abstract

Our objective is to report longitudinal results of the MG-ADL, MG-Composite, MG-MMT, and MG-QoL15 in an open-label trial of therapeutic plasma exchange in myasthenia gravis. Ten MG patients experiencing exacerbation had assessments prior to, immediately following, and at selected time points post-TPE. Changes from baseline to 2 weeks post-TPE were: MG-ADL median -5.0, P < 0.0033, MG-QoL15 median -13.0, P < 0.001, MG-MMT median -10.0, P < 0.0001, and MG-Composite median -10.0, P < 0.005. TPE produced a rapid, clinically significant change in all instruments, indicating these outcome measures are robust endpoints for clinical trials of rapidly efficacious MG therapies.

Publication types

  • Clinical Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Myasthenia Gravis / therapy*
  • Outcome Assessment, Health Care* / standards
  • Plasma Exchange*
  • Symptom Flare Up
  • Young Adult