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NCT06599697 · ClinicalTrials.gov registry record · Phase 2

The MIGHT Trial - An Exploratory Clinical Trial of IVIG in Anti-HMGCR Immune Mediated Necrotizing Myopathy

A Phase 2 study of Anti-3-hydroxy-3-methylglutaryl-CoA Reductase (HMGCR) Immune-Mediated Necrotizing Myopathy, sponsored by University of Alabama at Birmingham.

Recruiting
Registry status
Phase 2
Development phase
12
Enrollment target
5
Study locations

NCT06599697: Recruiting Phase 2 study of Anti-3-hydroxy-3-methylglutaryl-CoA Reductase (HMGCR) Immune-Mediated Necrotizing Myopathy, sponsored by University of Alabama at Birmingham.

NCT06599697 is a Phase 2 study of Anti-3-hydroxy-3-methylglutaryl-CoA Reductase (HMGCR) Immune-Mediated Necrotizing Myopathy that is actively recruiting participants, run by University of Alabama at Birmingham. The registered enrollment target is 12 participants, below the 133-participant average among 30,622 other Phase 2 trials with a reported enrollment target (91% lower). The trial reports 5 study locations across 5 states. According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT06599697, a Phase 2 study of Anti-3-hydroxy-3-methylglutaryl-CoA Reductase (HMGCR) Immune-Mediated Necrotizing Myopathy, is actively recruiting participants, sponsored by University of Alabama at Birmingham.

RECRUITING
Registry status
Phase 2
Development phase
12 participants
Enrollment target
5
Study locations

Study Summary

This is a randomized, placebo-controlled, double blinded phase 2 exploratory clinical trial of intravenously administered pooled human immunoglobulin (IVIG) in anti-3-hydroxy-3-methylglutaryl-CoA reductase (HMGCR) immune mediated necrotizing myopathy (IMNM). Planned enrollment is 12 individuals with active anti-HMGCR IMNM meeting inclusion and exclusion criteria. Assuming 20% drop-out, the investigators anticipate 10 participants will complete all study assessments. Enrolled participants will be randomized 1:1 to either IVIG 2g/kg or placebo (0.9% sodium chloride at equivalent volume) at weeks 0, 4, and 8. The primary efficacy and co-primary safety and tolerability endpoints will be assessed at week 12. After the randomized phase of the trial, all participants will be offered to continue on to an open-label extension phase in which participants will receive IVIG at weeks 12, 16, and 20. Participants will then return at week 24 for a final non-infusion visit to reassess safety, tolerability, and efficacy outcome.

Primary Outcome

Primary Efficacy Outcome

Interventions

  • BIOLOGICAL Intravenously administered pooled human immunoglobulin (IVIG)

Study Locations (5)

Alabama

  • University of Alabama at Birmingham - Birmingham

Maryland

  • Johns Hopkins University - Baltimore

Pennsylvania

  • University of Pittsburgh - Pittsburgh

Texas

  • University of Texas Health Science Center at Houston - Houston

Washington

  • University of Washington - Seattle

Trial Details

FieldValue
Enrollment Target 12 participants
Start Date 2025-10-27
Est. Completion 2027-06-30
Phase Phase 2
University of Alabama at Birmingham

1,160 total trials

What NCT06599697 shows while recruiting

NCT06599697 is an interventional study that assigns participants to a tested intervention. The registry caps enrollment at 12 participants, a relatively small participant target, below the 133-participant average among 30,622 other Phase 2 trials with a reported enrollment target (91% lower).

The record links to 1 condition, with Anti-3-hydroxy-3-methylglutaryl-CoA Reductase (HMGCR) Immune-Mediated Necrotizing Myopathy appearing as the primary indexed condition, and to 1 intervention - of which Intravenously administered pooled human immunoglobulin (IVIG) is the first listed.

NCT06599697 lists 5 locations in 5 states (Alabama, Maryland, Pennsylvania).

Frequently Asked Questions

What is clinical trial NCT06599697 about?

NCT06599697 is a clinical study titled "The MIGHT Trial - An Exploratory Clinical Trial of IVIG in Anti-HMGCR Immune Mediated Necrotizing Myopathy". This is a randomized, placebo-controlled, double blinded phase 2 exploratory clinical trial of intravenously administered pooled human immunoglobulin (IVIG) in anti-3-hydroxy-3-methylglutaryl-CoA reductase (HMGCR) immune mediated necrotizing myopathy (IMNM). Planned enrollment is 12 individuals with...

What is the current status of trial NCT06599697?

This trial is currently recruiting. It is a Phase 2 study. The enrollment target is 12 participants. The study started on 2025-10-27. Estimated completion is 2027-06-30.

What conditions does trial NCT06599697 study?

This clinical trial studies the following conditions: Anti-3-hydroxy-3-methylglutaryl-CoA Reductase (HMGCR) Immune-Mediated Necrotizing Myopathy.

What interventions are being tested in trial NCT06599697?

The interventions under investigation include: Intravenously administered pooled human immunoglobulin (IVIG) (BIOLOGICAL).

Who is sponsoring clinical trial NCT06599697?

This trial is sponsored by University of Alabama at Birmingham, which has 1,160 total clinical trials registered on ClinicalTrials.gov.

Where is trial NCT06599697 being conducted?

This trial has 5 study locations across Alabama, Maryland, Pennsylvania, Texas, Washington. Contact the study sites directly through ClinicalTrials.gov for enrollment availability.

How this trial's enrollment target compares

Where NCT06599697's enrollment target sits among peer trials

12 1949th of 2000 higher than 34 of 2,000 other Phase 2 trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other Phase 2 trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT06599697, the US trial registry maintained by the National Library of Medicine. NCT06599697 (small enrollment · multi site footprint · recruiting) retrieved and formatted by PlainTrial, see methodology.