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Early versus late add-on therapy in generalized myasthenia gravis: a multicenter real-world cohort study - PubMed

5 hours ago
  • #Add-on Therapy
  • #Myasthenia Gravis
  • #Clinical Outcomes
  • Study compares early versus late add-on therapy in generalized myasthenia gravis (gMG).
  • 153 AChR antibody-positive gMG patients from eight German centers were included.
  • Patients grouped by treatment initiation within 24 months (EIT) or later (LIT).
  • EIT group showed more pronounced clinical improvement and fewer deteriorations.
  • Significant differences in MG-ADL and QMG reductions favoring EIT.
  • Patient-acceptable symptom states more often reached with EIT.
  • Prednisone declined more steeply in EIT patients.
  • Findings support timely escalation for better efficacy and tolerability in gMG care.