Mechanism of action ULTOMIRIS® is indicated as an add–on to standard therapy for the treatment of adult patients with gMG who are anti-acetylcholine receptor (AChR) antibody–positive.1
ULTOMIRIS® inhibits the complement component 5 (C5) – a key driver of damage to the NMJ in gMG.1,4

Complement activation plays a critical role in the pathophysiology of anti–AChR antibody–positive gMG.4,5

  • The binding of anti–AChR antibodies to the AChR triggers activation of the complement system5
  • Terminal complement activation results in the cleavage of C5 into C5a and C5b4
  • C5a leads to inflammation, while C5b binds to other complement proteins to form the MAC4
  • MAC formation results in damage to the NMJ4,5

ULTOMIRIS® is designed to target the complement system, a key mediator of NMJ damage1,5

  • ULTOMIRIS® is a monoclonal antibody that inhibits C5, preventing its cleavage into C5a and C5b1,5
  • This prevents formation of the MAC1


AChR, acetylcholine receptor; C5, complement component 5; gMG, generalised myasthenia gravis; MAC, membrane attack complex; NMJ, neuromuscular junction.




Adverse Event Reporting

Please report any adverse reactions via your national reporting system. Adverse events should also be reported to Alexion pharmaceuticals by the following link: https://contactazmedical.astrazeneca.com

ULTOMIRIS® (ravulizumab) EU Summary of Product Characteristics. Available from: https://www.ema.europa.eu/en/documents/product-information/ultomiris-epar-product-information_en.pdf. Last accessed: September 2024. Kulasekararaj AG, et al. Ravulizumab vs eculizumab in C5-inhibtor-experienced adult patients with PNH: the 302 study. Blood. 2019;133(6):540–549. Lee JW, et al. ravulizumab vs eculizumab in adult patients with PNH naive to complement inhibitors: the 301 study. Blood. 2019;133(6):530–539. Howard JF Jr. Myasthenia gravis: the role of complement at the neuromuscular junction. Ann NY Acad Sci. 2018;1412(1):113-128. Conti-Fine BM, et al. Myasthenia gravis: past present and future. J Clin Invest. 2006;116(11):2843-2854.
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