Neostigmine Methylsulfate in Myasthenia Gravis: ACTRN12624000545561 Clinical Landscape Report 2026
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This Clinical Landscape Report was built with PatSnap Life Sciences MCP workflows. Clinical Trials MCP supplies protocol and result records, Drug & Asset MCP adds asset context, and Company & Deal Intelligence MCP resolves sponsor background. Use the same structured MCP building blocks in your research workflow.
Data snapshot: 28 September 2026. This strategic research report is not medical, regulatory or investment advice. Trial status and dates can change.
Phase 1
Clinical phase
Completed
Recruitment status
12
Planned enrollment
2024-07-25
Primary-completion proxy
Executive view
ACTRN12624000545561 evaluates Neostigmine Methylsulfate in Myasthenia Gravis. The disclosed sponsor is University of Chulalongkorn, the design is Interventional, and the geographic footprint is Thailand. The first listed primary endpoint is not reported, assessed over an unreported time frame.
The key landscape question is whether this protocol can generate a clinically interpretable signal relative to nearby programs. Phase alone is not a measure of evidence quality. Endpoint relevance, comparator choice, masking, enrollment feasibility, patient selection, country coverage and follow-up must be considered together.
PatSnap MCP Servers make this assessment reproducible by keeping protocol facts, result evidence, asset attributes and sponsor identity in separate structured calls.
How the MCP evidence stack was assembled
Clinical Trials MCP clinical_trial_fetch retrieved the design, outcomes, phase, status, enrollment, sponsor, countries and timing for ACTRN12624000545561 and selected peers. clinical_trial_result_fetch supplied detailed result records from the wider Myasthenia Gravis landscape. Drug & Asset MCP drug_fetch was queried for Neostigmine Methylsulfate, while Company & Deal Intelligence MCP organization_fetch was queried for University of Chulalongkorn.
This separation reduces a common diligence error: treating a registry label, a company description or a result excerpt as if each represented the complete evidence package. Explore the source workflow at the PatSnap MCP marketplace.
Trial landscape table
| Trial | Asset / intervention | Phase / status | Sponsor | Geography | Primary endpoint | Readout proxy |
|---|---|---|---|---|---|---|
| ACTRN12624000545561 | Neostigmine Methylsulfate | Phase 1 / Completed | University of Chulalongkorn | Thailand | 2024-07-25 | |
| NCT06587867 | Efgartigimod Alfa | Phase 3 / Unknown status | University Health Network | Canada | Total Myasthenia Gravis Impairment Index (MGII) score through study completion for 42 weeks | 2025-05-01 |
| NCT06558279 | Efgartigimod/Hyaluronidase | Phase 3 / Active, not recruiting | argenx SE | Cyprus, Czechia, United States, Japan, United Kingdom, United Arab Emirates, Portugal, Spain, Greece, Canada, Sweden, South Korea, Netherlands, Austria, Belgium, China, Finland, Poland, Denmark, Italy, Serbia, France, Australia, Germany | MGII (PRO) ocular score change from baseline to day 29 in part A Up to 29 days | 2026-01-12 |
| NCT06548620 | RD-06-04 | Early Phase 1 / Withdrawn | Nanjing Bioheng Biotech Co., Ltd. | China | Incidence of treatment-emergent adverse events, serious adverse events and incidence of adverse events of special inte… up to 2 years | 2026-08-31 |
| NCT06540144 | Rozanolixizumab | Phase 3 / Enrolling by invitation | UCB Biopharma SRL | Japan, Turkey, Taiwan Province, Poland, Italy | Occurrence of serious Treatment-Emergent Adverse Events (TEAEs) up to the End of Study (EOS) Visit From Baseline up to the EOS Visit (up to 52 weeks) | 2027-08-17 |
The table aligns endpoints, sponsors, phases, geographies and readout proxies. It is descriptive, not a head-to-head efficacy comparison. Differences in population, baseline risk, intervention schedule and follow-up can dominate apparent cross-trial differences.
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Protocol design and endpoint interpretation
ACTRN12624000545561 is a Phase 1, completed study with 12 planned participants. Allocation is Non-randomised trial, masking is not reported, and the intervention model is not reported.
The primary endpoint is “not reported” over “not reported.” The retrieved endpoint description is: Safety of neostigmine[Ocular examinations: visual acuity by ETDRS chart, intraocular pressure by applanation tonometer, and, slit-lamp examination Vital signs: blood pressure and heart rate by digital blood pressure monitor, and respiratory rate by direct observation Baseline, 15, 30, 60, 90, 120, 180 minutes, 24 hours, and 7 days after instillation ].
Interpretation should test whether the endpoint captures a clinically meaningful change, whether its time horizon matches the proposed biology, and whether treatment discontinuation or missing data can bias the estimate. The planned enrollment of 12 should be assessed against expected effect size, event frequency, multiplicity, subgroup plans and attrition.
No named control drug was returned in the protocol field set. A placebo comparator can strengthen internal efficacy assessment, while an active comparator may better test clinical differentiation. Single-arm and open-label programs require greater weight on objective outcomes, independent assessment and external benchmarks.
Indexed readouts in the surrounding landscape
5 recent result records were selected as contextual evidence for Myasthenia Gravis. These records do not establish direct evidence for ACTRN12624000545561 unless the registration number matches.
Management of Exacerbations and Rescue Therapy in the Phase 3 Myasthenia Gravis Inebilizumab Trial
Phase 3; n=238; exacerbation(26-week): HR = 0.41(95.0% CI, 0.24 - 0.7); exacerbation(26-week): HR = 0.41(95.0% CI, 0.24 - 0.7) Source: https://pubmed.ncbi.nlm.nih.gov/42573995/
A Randomized, Double-Blinded, Placebo-Controlled, Phase 3, Parallel-Group Design Study Evaluating the Efficacy and Safety of Efgartigimod IV in Adult Participants With Acetylcholi…
Phase 3; n=119; MG-ADL Total Score Change From Baseline(Least Squares Mean) = -1.90 points on a scale (90% Confidence Interval, -2.51 to -1.28); MG-ADL Total Score Change From Baseline(Least Squares Mean) = -3.35 points on a scale (90% Confidence Interval, -3.98 to -2.72) Source: https://clinicaltrials.gov/ct2/show/results/NCT06298552
Assessment of sustained health- related quality of life in Phase 3 Vivacity-MG3 Trial of Nipocalimab versus Placebo in Generalized Myasthenia Gravis
Phase 3; n=129; EQ-5D-VAS(24-week) = 37.1 % ; EQ-5D-VAS(24-week) = 55.2 % Source: https://onlinelibrary-wiley-com.sutd.idm.oclc.org/journal/14681331
Result fields should be reconciled with the source record before quantitative comparison. Population definitions, analysis sets, dose cohorts, estimands, confidence intervals, rescue therapy and follow-up can materially change the meaning of a numerical endpoint. Clinical Trials MCP supports repeatable refreshes as result records change.
Asset and sponsor context
Neostigmine Methylsulfate is indexed as Small molecule drug with ACHE biology and a global stage of Approved. The asset profile lists Shanghai Xinyi Jinzhu Pharmaceutical Co. Ltd. as an originator or developer.
University of Chulalongkorn is indexed in Thailand with the website http://www.chula.ac.th. Functions as a College/University The record lists 24 development-stage drug assets.
For execution diligence, monitor sponsor ownership, collaborator additions, site expansion, protocol amendments and enrollment revisions. A change in ownership or geography can alter operational confidence as well as the commercial meaning of a future readout.
Development white space
- Endpoint white space. Determine whether a more patient-relevant outcome, longer durability window or blinded central assessment would resolve uncertainty left by the current endpoint.
- Population white space. Test biomarker-defined, treatment-line or risk-stratified subgroups where effect size and unmet need could be clearer.
- Comparator white space. Identify whether the study can support differentiation against the current standard of care rather than only activity against baseline or placebo.
- Geographic white space. Assess whether the disclosed footprint supports recruitment, regulatory transferability and commercial generalizability.
- Sequencing white space. Clarify whether Neostigmine Methylsulfate is intended for monotherapy, combination, maintenance, rescue or an earlier treatment line.
White space should be framed as an unanswered development question, not merely an unoccupied mechanism label. A credible program closes a measurable clinical uncertainty with a design that can be executed and interpreted.
Strategic implications and next readouts
For sponsors, the endpoint hierarchy, safety window, enrollment pace and protocol amendment history should all support the same target product profile. Advancement criteria should be set before the readout and tied to clinical effect, uncertainty, tolerability and operational feasibility.
For business-development teams, differentiation may come from a sharper population, stronger comparator, more durable benefit, simpler delivery or clearer sequencing role. For investors, the central risk is evidence quality relative to time and capital, not the phase label in isolation.
Track recruitment status, enrollment changes, primary-completion timing, endpoint revisions, new result records, sponsor ownership and collaborator changes. Re-run the PatSnap MCP workflow when a surrogate becomes a clinical outcome, a single-country study expands, the comparator changes or a new result materially shifts the competitive benchmark.
Source trail and bottom line
Anchor trial: ACTRN12624000545561
Protocol source: https://anzctr.org.au/ACTRN12624000545561.aspx
MCP sources: Clinical Trials MCP (clinical_trial_fetch and clinical_trial_result_fetch); Drug & Asset MCP (drug_fetch); Company & Deal Intelligence MCP (organization_fetch).
Data snapshot: 28 September 2026.
Neostigmine Methylsulfate in Myasthenia Gravis is best understood through the interaction of protocol design, surrounding readouts, asset context and sponsor execution. The current record makes the primary endpoint and 2024-07-25 the leading decision points.
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