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. 2024 Jan 10;6(1):e000536. doi: 10.1136/bmjno-2023-000536

Table 1.

Assumptions and power calculations for primary and secondary endpoints

Endpoints Assumptions Effective sample size/Group Power
Change from baseline to week 12 in MG-ADL score for AChRAb+ patients
  • Difference in change from baseline to week 12 in MG-ADL between the batoclimab and placebo groups is –3.0

  • Common SD of the change from baseline to week 12 in MG-ADL is 4.0

≈60 >90%
Change from baseline to week 12 in QMG for AChRAb+ patients
  • Difference in change from baseline to week 12 in QMG between the batoclimab and placebo groups is –5.0

  • Common SD of the change from baseline to week 12 in QMG is 3.5

≈60 >90%
Change from weeks 12 to 24 in MG-ADL for AChRAb+ randomised withdrawal patients
  • Participants re-randomised to batoclimab will maintain their MG-ADL scores from week 12, whereas in patients re-randomised to placebo, MG-ADL scores will return to baseline

  • Difference in change from weeks 12 to 24 in MG-ADL between the batoclimab and placebo groups is –3.0

  • Common SD of the change from weeks 12 to 24 in MG-ADL is 4.0

≈30 80%–<90%
Proportion of AChRAb+ patients with a ≥3-point improvement from baseline to week 12 in QMG
  • Proportion of patients with an improvement from baseline to week 12 in QMG will be 63% in the batoclimab groups and 14% in the placebo group

≈60 >90%
Proportion of AChRAb+ patients with an MG-ADL score of 0 or 1 by week 12
  • Proportion of patients achieving an MD-ADL score of 0 or 1 by week 12 will be 40% in the batoclimab groups and 11% in the placebo group

≈60 >90%
Change from baseline to week 12 in MG-ADL score for AChRAb– patients
  • Difference in change from baseline to week 12 in MG-ADL between the batoclimab and placebo groups is –3.0

  • Common SD of the change from baseline to week 12 in MG-ADL is 4.0

Batoclimab: ≈40
Placebo: ≈20
70%–<80%

Note: expected dropout rate is 5%.

AChRAb, acetylcholine receptor antibodies; MG-ADL, Myasthenia Gravis Activities of Daily Living; QMG, quantitative myasthenia gravis.