Ocular Myasthenia Gravis Clinical Trial
Official title:
Efficacy of Prednisone In the Treatment of Ocular Myasthenia: The EPITOME' Study
The purpose of this study is to evaluate the efficacy and tolerability of prednisone in
patients diagnosed with ocular myasthenia.
Funding Source - FDA OOPD
The purpose of this study is to learn two things about prednisone in patients with ocular
myasthenia. The first thing we aim to learn is whether or not prednisone is effective in
improving the symptoms of double vision and drooping eyes that are experienced by patients
with ocular myasthenia. The second thing we aim to learn is whether we can find a dose of
prednisone that is well tolerated and safe. The overall goal is to find out whether a dose of
prednisone that is safe and well tolerated is also effective in improving the symptoms of
ocular myasthenia.
After completing screening assessments to confirm eligibility, all participants will receive
treatment with pyridostigmine. If a participant's symptoms do not resolve within the first
month while being treated with pyridostigmine, they will be randomized to receive prednisone
or placebo. The amount of study medication a participant receives will depend on how their
symptoms respond to the medication and if they experience any side effects.
After four months, participants that continue to have symptoms of ocular myasthenia and do
not have side effects will receive open label high dose prednisone. Participants that no
longer have symptoms will taper their dose of study drug in a double-blind fashion.
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