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Cladribine Low Dose

Phase 3

Generalized Myasthenia Gravis | Small molecule | Neurology |Merck & Company, Inc.|Last Updated: Aug 12, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment264

FDA Designations

No designations recorded

Clinical trial landscape

Cladribine Low Dose · 1 trial · 1 indication

Phase 3 1
NCT06463587Efficacy and Safety of a New Formulation of Oral Cladribine Compared With Placebo in Participants With Generalized Myasthenia Gravis (MyClad)Generalized Myasthenia Gravis
RECRUITING264 Analytics
PHASE3RECRUITING
Efficacy and Safety of a New Formulation of Oral Cladribine Compared With Placebo in Participants With Generalized Myasthenia Gravis (MyClad)
Generalized Myasthenia GravisUnlock trial analytics

Study Endpoints

Primary Endpoints

Change from Baseline in Myasthenia Gravis - Activities of Daily Living (MG-ADL) Scale Score at Week 24 During the Double-Blind Placebo Controlled (DBPC) Period
Baseline, Week 24

Secondary Endpoints

Change from Baseline in Quantitative Myasthenia Gravis (QMG) Scale Score at Week 24 During the Double-Blind Placebo Controlled (DBPC) Period
Baseline, Week 24
Percentage of MG-ADL Responders at Week 24 During the Double-Blind Placebo Controlled (DBPC) Period
At Week 24
Change from Baseline in Myasthenia Gravis Composite (MGC) Scale Score at Week 24 During the Double-Blind Placebo Controlled (DBPC) Period
Baseline, Week 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORDBPC Period: Participants will be administered with Placebo, orally as 2 separate treatment courses starting on Day 1 and at the beginning of Week 5. BE Period: Participants initially randomized to placebo matched to cladribine in DBPC period will receive cladribine Low Dose or High Dose, orally as 2 separate treatment courses starting at the beginning of Week 25 and at the beginning of Week 29 and retreated if clinically justified with placebo matched to cladribine. RT Period: If clinically justified, participants requiring retreatment with cladribine Low Dose or High Dose or cladribine supplemental dose will receive the selected dose of cladribine or matching placebo regimen.
Cladribine Low DoseEXPERIMENTALDBPC Period: Participants will be administered with cladribine Low Dose, orally as 2 separate treatment courses starting on Day 1 and at the beginning of Week 5. BE Period: Participants initially randomized to cladribine Low Dose in DBPC period will receive placebo matched to cladribine as 2 separate treatment courses starting at the beginning of Week 25 and at the beginning of Week 29 and retreated with cladribine supplemental dose if clinically justified. RT Period: If clinically justified, participants requiring retreatment with cladribine Low Dose regimen and/or supplemental dose will receive the selected dose of cladribine or matching placebo regimen.
Cladribine High DoseEXPERIMENTALDBPC Period: Participants will be administered cladribine High Dose, orally as 2 separate treatment courses starting on Day 1 and at the beginning of Week 5. BE Period: Participants initially randomized to cladribine High Dose in DBPC period will receive placebo matched to cladribine as 2 separate treatment courses starting at the beginning of Week 25 and at the beginning of Week 29 and retreated with cladribine supplemental dose if clinically justified. RT Period: If clinically justified, participants requiring retreatment with cladribine High Dose regimen and/or supplemental dose will receive the selected dose of cladribine or matching placebo regimen.

Interventions

NameTypeDescription
PlaceboOTHERParticipants will receive placebo matched to cladribine in two courses separated by 4 weeks.
Cladribine Low DoseDRUGParticipants will receive cladribine low dose in two courses separated by 4 weeks.
Cladribine High DoseDRUGParticipants will receive cladribine high dose in two courses separated by 4 weeks.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites148

Inclusion Criteria: * Adults of ≥ 18 years of age at the time of signing the informed consent. * Diagnosis of Myasthenia Gravis with generalized muscle weakness, meeting clinical criteria for Myasthenia Gravis Foundation of America Class II to IVa classification. * In participants positive for A...

Countries:United StatesArgentinaAustraliaBelgiumBulgariaCanadaChinaFranceGeorgiaGermanyGreeceHungaryIndiaItalyJapanPolandRomaniaSerbiaSouth KoreaSpainSwedenSwitzerlandTaiwanTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)

LOWAug 12, 2026NCT06463587lastUpdatePostDate: changed
LOWAug 12, 2026NCT06463587lastUpdatePostDate: changed
LOWJul 24, 2026NCT06463587lastUpdatePostDate: changed
LOWJul 24, 2026NCT06463587lastUpdatePostDate: changed
LOWJul 5, 2026NCT06463587lastUpdatePostDate: changed
LOWJul 5, 2026NCT06463587lastUpdatePostDate: changed
LOWJul 5, 2026NCT06463587lastUpdatePostDate: changed

Frequently asked questions about Cladribine Low Dose

What is Cladribine Low Dose used for?

Cladribine Low Dose is an investigational small molecule being studied for the treatment of generalized myasthenia gravis, a chronic autoimmune neuromuscular disease. It is currently in Phase 3 clinical development and has not been approved by regulatory authorities.

What does Cladribine Low Dose target?

Cladribine Low Dose is a small molecule that works by targeting and depleting certain immune cells, specifically lymphocytes, which play a role in the autoimmune attack on neuromuscular junctions in generalized myasthenia gravis. This mechanism aims to reduce the abnormal immune response.

Who makes Cladribine Low Dose?

Cladribine Low Dose is being developed by Merck & Company, Inc., a global pharmaceutical company traded on the New York Stock Exchange under the ticker symbol MRK. The company is conducting clinical trials to evaluate the drug's safety and efficacy in generalized myasthenia gravis.

What phase is Cladribine Low Dose in?

Cladribine Low Dose is in Phase 3 clinical development for generalized myasthenia gravis. It is an investigational drug, meaning it has not yet been approved by the FDA or other regulatory agencies. The ongoing Phase 3 trial is actively recruiting participants.

What clinical trials is Cladribine Low Dose in?

Cladribine Low Dose is being evaluated in a Phase 3 clinical trial with the identifier NCT06463587, titled 'Efficacy and Safety of a New Formulation of Oral Cladribine Compared With Placebo in Participants With Generalized Myasthenia Gravis (MyClad).' This randomized, double-blind, placebo-controlled study plans to enroll 264 participants across multiple countries.

Is Cladribine Low Dose the same as Cladribine?

Cladribine Low Dose is a specific low-dose formulation of cladribine, a purine nucleoside analog. While the active ingredient is the same, this new formulation is being developed specifically for generalized myasthenia gravis and is currently in Phase 3 trials, distinct from other cladribine products approved for different indications.