NCT07787247 · George Washington University
Feasibility of Remote Monitoring of Patients With Myasthenia Gravis
(ROME-MG)
What this study is about
Myasthenia gravis is an autoimmune neuromuscular disorder characterized by fluctuating weakness, which can worsen suddenly without a clear predictor.
View original scientific description
Myasthenia gravis is an autoimmune neuromuscular disorder characterized by fluctuating weakness, which can worsen suddenly without a clear predictor. The hypothesis is that continuous monitoring of key aspects of patient physiology and activity coupled to rigorous telemedicine-performed examination has the potential to detect MG worsening which requires change in treatment with the benefit of avoiding need for hospitalization or emergent therapy.
Primary outcome measures
Subject Study Completion
Time frame: 12 months
Proportion of subjects complete the 12-month study
Datasets retrieved from study assessments
Time frame: 12 months
Proportion of assessments provide data sets that can be analyzed
Who can participate
This study lists these criteria on ClinicalTrials.gov. A study coordinator reviews eligibility during screening — this page does not determine whether you qualify.
Inclusion criteria
- Has the capacity to understand and sign an informed consent form
- ≥18 years old
- Diagnosed with acquired autoimmune MG based on clinical syndrome and seropositivity for MG associated autoantibodies (AChR binding, MuSK, or LRP4 antibodies), and/or a decremental response on repetitive nerve stimulation, positive single fiber electromyography (EMG) or positive edrophonium test
- Subject has been previously evaluated in a face-to-face clinical encounter at participating study site or referral site within the prior 3 years
- Primary language is English, or equivalent level of English language fluency
- Required disease severity range previously judged by the Investigator. MGFA class 1-4a within 3 years of diagnosis without other chronic medical conditions, which compromise participation.
- Having MG-ADL score above 2 upon entrance to study
- Patients considered by study PI not to require hospitalization at time of entrance
- The patient has internet capability and a smart phone compatible with the apps required by the study.
Exclusion criteria
- Disease Specific Exclusion Criteria
- Inability to comply with study protocol for monitoring
- Current MGFA Severity Class IVb or V, or patients in remission with MGFA Class 0
- Any significant medical/psychiatric condition that, in the opinion of the Investigator, may interfere with interpretation of subject evaluation(s) or protocol compliance
- Any disorder that could limit ability to assess myasthenia gravis specific deficits (not including planned or recent thymectomy)
- Pregnancy, based on the evaluator's judgment, if the subject is deemed not safe to undergo evaluation or comply with study visit requirements.
- Lack of effective internet connection or ability to use study telemedicine station and monitors
- Home environment prevents use of study equipment
- Likelihood of leaving DC, Maryland, or Virginia area in year after initiation of study
- Subject is already participating in a research study -
Where
- Washington D.C., District of Columbia
Related conditions & keywords
Frequently asked questions
What is a clinical trial?
A clinical trial is a research study that tests new medical treatments, drugs, devices, or procedures to determine their safety and effectiveness. Trials are carefully designed and monitored to protect participants while advancing medical knowledge.
Is it safe to participate?
Clinical trials follow strict safety guidelines and ethical standards. Trials must be reviewed and approved, and participants are closely monitored by medical professionals throughout the study. You can withdraw at any time if you choose.
Will I be compensated?
Many clinical trials offer compensation for your time, travel expenses, and inconvenience. The specific compensation varies by study and will be discussed during the screening process. All study-related medical care is typically provided at no cost to participants.
Will I receive a placebo instead of treatment?
When effective treatment exists, participants typically receive either the standard treatment plus the study intervention, or the standard treatment plus placebo. You would not be denied effective care. Placebos are primarily used when no proven treatment is available, or in addition to standard care. Your trial consent form will clearly explain what treatments you may receive.
Can I leave a trial if I change my mind?
Absolutely. Participation in clinical trials is completely voluntary. You have the right to withdraw from the study at any time, for any reason, without penalty or loss of benefits to which you are otherwise entitled.
How long does a clinical trial last?
Trial duration varies widely depending on the study design and purpose. Some trials last just a few weeks, while others may continue for months or years. The study coordinator will provide specific timeline information during your screening call.
Data: ClinicalTrials.gov · synced Aug 26, 2026 · Source of record for eligibility and locations