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Dianthus Therapeutics Announces Initiation of Phase 3 Emerge Trial of Claseprubart in Generalized Myasthenia Gravis

(Moderate)
(Positive)

Dianthus Therapeutics (Nasdaq: DNTH) started the global Phase 3 EMERGE trial of claseprubart in generalized myasthenia gravis (gMG) in AChR+ patients.

The placebo-controlled study will enroll ~195 participants, test Q2W and Q4W S.C. dosing, and target top-line results in 2H 2028.

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Positive

  • Phase 3 EMERGE trial initiated in gMG with ~195 participants
  • Evaluating flexible claseprubart dosing regimens (Q2W and Q4W S.C.)
  • Multiple primary and secondary endpoints including MG-ADL, QMG, MSE, MGC, MG-QoL-15r
  • Phase 2 MaGic trial showed statistically significant MG-ADL and QMG improvements vs placebo
  • Phase 2 efficacy benefits observed as early as Week 1 and sustained to Week 13
  • Phase 2 safety profile showed no drug-related SAEs or discontinuations

Negative

  • Top-line Phase 3 EMERGE results expected only in second half of 2028

News Market Reaction – DNTH

+0.35%
+0.35% Session close to close

In the Jun 29 session, DNTH gained 0.35%, reflecting a mild positive market reaction.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement advances claseprubart into a global Phase 3 gMG trial with about 195 AChR+ patient...
Analysis

This announcement advances claseprubart into a global Phase 3 gMG trial with about 195 AChR+ patients, building on earlier MaGic data. The long path to 2H’28 top-line results and an effective $600M shelf remain key risk factors to monitor.

Key Figures

Phase 3 sample size: approximately 195 participants Claseprubart dose: 300mg/2mL Dosing interval: Q2W and Q4W +5 more
8 metrics
Phase 3 sample size approximately 195 participants EMERGE trial AChR+ generalized myasthenia gravis
Claseprubart dose 300mg/2mL Phase 3 EMERGE gMG regimen
Dosing interval Q2W and Q4W Subcutaneous administration schedules vs placebo in EMERGE
Top-line timing 2H’28 Expected Phase 3 EMERGE gMG results
Early efficacy timepoint Week 1 Phase 2 MaGic trial MG-ADL and QMG improvements
Primary assessment timepoint Week 13 Sustained Phase 2 MaGic efficacy across multiple endpoints
Phase 3 design randomized, multicenter, placebo-controlled Global EMERGE gMG study structure
Primary endpoint MG-ADL change from baseline Comparison of claseprubart vs placebo in EMERGE

Previous Clinical trial Reports

5 past events · Latest: Mar 09 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Mar 09 Phase 3 CIDP update Positive +21.5% Early GO decision in CAPTIVATE Phase 3 CIDP trial after responder analysis.
Dec 23 Phase 1 SLE start Positive -2.6% Initiation of Phase 1 LBL-047/DNTH212 trial and new autoimmune partnership.
Oct 16 DNTH212 license deal Positive -0.6% Exclusive global (ex‑China) license for DNTH212 with large milestone structure.
Sep 08 Phase 2 gMG data Positive +20.0% Positive Phase 2 MaGic claseprubart data in gMG with strong efficacy and safety.
May 05 Phase 2 gMG enrollment Positive -0.7% Completion of Phase 2 MaGic enrollment in gMG with top‑line timing guidance.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Clinical trial announcements often trigger sizable moves for DNTH, with several strong rallies but some positive updates met by mild selloffs.

Key Terms

placebo-controlled, subcutaneous, double-blind, serious adverse events (saes)
4 terms
placebo-controlled medical
"EMERGE is a global, randomized, multicenter, placebo-controlled Phase 3 trial"
"Placebo-controlled" describes a testing method where one group receives the actual treatment or intervention, while another group receives a harmless, inactive version called a placebo. This approach helps determine whether the real treatment has genuine effects beyond psychological expectations. For investors, understanding this ensures confidence that reported benefits are real and not influenced by bias or false perceptions.
subcutaneous medical
"claseprubart 300mg/2mL S.C. dosed Q2W and Q4W vs. placebo"
Subcutaneous means situated or applied just beneath the skin. In finance, the term can describe processes or investments that are hidden or not immediately visible, much like something placed under the skin that isn't easily seen from the outside. Recognizing subcutaneous activities helps investors understand underlying factors that may influence markets or asset values over time.
double-blind medical
"MaGic trial, a global, randomized, double-blind, placebo-controlled Phase 2 trial"
A double-blind process means that neither the people conducting an activity nor the people involved know certain key details, such as who is receiving a treatment or a placebo. This approach helps prevent bias from influencing the results, making the outcome more trustworthy. For investors, it ensures that decisions or judgments are based on unbiased information rather than preconceived opinions or expectations.
serious adverse events (saes) medical
"generally well tolerated with no drug-related Serious Adverse Events (SAEs)"
Serious adverse events (SAEs) are significant negative outcomes, such as severe health issues, hospitalizations, or death, that occur during a medical study or treatment. For investors, SAEs matter because they can signal potential risks associated with a product or company, potentially affecting its reputation, regulatory approval, or financial performance. Recognizing SAEs helps gauge the safety and reliability of medical-related investments.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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EMERGE is a global, randomized, multicenter, placebo-controlled Phase 3 trial that will evaluate claseprubart 300mg/2mL S.C. dosed Q2W and Q4W vs. placebo, with top-line results anticipated in 2H’28 

Advancing a neuromuscular franchise with claseprubart, a highly potent investigational classical pathway inhibitor, across generalized Myasthenia Gravis (gMG), Multifocal Motor Neuropathy (MMN) and Chronic Inflammatory Demyelinating Polyneuropathy (CIDP), with best-in-disease, pipeline-in-a-product potential

NEW YORK and WALTHAM, Mass., June 29, 2026 (GLOBE NEWSWIRE) -- Dianthus Therapeutics, Inc. (Nasdaq: DNTH), a clinical-stage biotechnology company dedicated to developing next-generation therapies to transform the treatment of severe autoimmune diseases, today announced initiation of the Phase 3 EMERGE trial of claseprubart in generalized Myasthenia Gravis (gMG).

“Given the impressive Phase 2 MG results, the medical team has been eagerly anticipating the initiation of this important study and the opportunity to implement important Phase 2 learnings,” said Simrat Randhawa, M.D., Executive Vice President and Head of R&D of Dianthus Therapeutics. “Our internal enthusiasm has been matched by site and principal investigator interest globally so far.”

EMERGE is a global, randomized, multicenter, placebo-controlled Phase 3 trial in approximately 195 participants with generalized Myasthenia Gravis who are acetylcholine receptor antibody positive (AChR+). Following an initial loading dose, claseprubart 300mg/2mL will be administered every two or four weeks (Q2W or Q4W) via subcutaneous (S.C.) injection. The primary endpoint of this trial is the change from baseline in the Myasthenia Gravis Activities of Daily Living Scale (MG-ADL) in the treatment arms vs. the placebo arm. A similar evaluation is used for secondary efficacy endpoints such as the Quantitative Myasthenia Gravis (QMG) scale, Minimal Symptom Expression (MSE), Myasthenia Gravis Composite (MGC) Score and the Myasthenia Gravis Quality of Life Scale (MG-QoL-15r). Top-line results from this trial are anticipated to be available in 2H’28.

Results from the MaGic trial, a global, randomized, double-blind, placebo-controlled Phase 2 trial in patients with gMG who are acetylcholine receptor (AChR) antibody positive, were reported in September 2025 and presented at the Myasthenia Gravis Foundation of America (MGFA) Scientific Session held during the 2025 American Association of Neuromuscular and Electrodiagnostic Medicine (AANEM) Annual Meeting. Claseprubart 300mg/2mL Q2W S.C. demonstrated rapid, sustained, statistically significant and clinically meaningful improvements over placebo as measured by both MG-ADL and QMG, including at Week 1 and at Week 13. The claseprubart 300mg/2mL Q2W dose was also statistically significant and clinically meaningful across other key efficacy endpoints, including MSE, MGC and MG-QoL-15r. Claseprubart was generally well tolerated with no drug-related Serious Adverse Events (SAEs) or discontinuations due to any related adverse event.

About Claseprubart (DNTH103)
Claseprubart is an investigational, clinical-stage, potent monoclonal antibody engineered to selectively target the classical pathway by inhibiting only the active form of the C1s protein, a clinically validated complement target. Claseprubart is enhanced with YTE half-life extension technology designed to enable a more convenient subcutaneous, infrequently dosed, self-administered injection. Additionally, selective inhibition of the classical complement pathway may lower patient risk of infection from encapsulated bacteria by preserving immune activity of the lectin and alternative pathways. As the classical pathway plays a significant role in disease pathology, claseprubart has the potential to be a best-in-disease pipeline-in-a-product across a range of autoimmune disorders with high unmet need. Claseprubart was granted Orphan Drug Designation by the FDA for the treatment of Myasthenia Gravis in May 2026.

Dianthus is building a neuromuscular franchise with claseprubart and expects to report top-line data from the Phase 2 MoMeNtum trial in Multifocal Motor Neuropathy in Q4’26, to provide an update on timing of top-line data from Part B of the Phase 3 CAPTIVATE trial in Chronic Inflammatory Demyelinating Polyneuropathy by YE’26, and to report top-line results from the Phase 3 EMERGE trial in generalized Myasthenia Gravis in 2H’28.

Claseprubart is an investigational agent that is not approved as a therapy in any indication in any jurisdiction worldwide.

About Generalized Myasthenia Gravis
Generalized Myasthenia Gravis (gMG) is a chronic autoimmune disorder driven by the classical pathway that causes progressive muscle weakness. Over 100,000 people in the U.S. are living with gMG and approximately 85% have AChR autoantibody-driven disease. Despite availability of current treatment options, a significant number of patients remain uncontrolled and are seeking better treatment options which may offer sustained efficacy, lower potential risk for infections, and convenient dosing and administration.

About Dianthus Therapeutics
Dianthus Therapeutics, Inc. is a clinical-stage biotechnology company dedicated to developing next-generation therapies to transform the treatment of severe autoimmune diseases. Based in New York City and Waltham, Mass., Dianthus is comprised of an experienced team of biotech and pharma executives who aim to deliver transformative medicines for people living with severe autoimmune and inflammatory diseases.

To learn more, please visit www.dianthustx.com and follow us on LinkedIn

Cautionary Statement Regarding Forward-Looking Statements
Certain statements in this press release, other than purely historical information, may constitute “forward-looking statements” within the meaning of the federal securities laws, including for purposes of the safe harbor provisions under the United States Private Securities Litigation Reform Act of 1995, express or implied statements regarding future plans and prospects, including statements regarding the expectations or plans for discovery, preclinical studies, clinical trials and research and development programs, in particular with respect to claseprubart, and any developments or results in connection therewith, including the target product profile and administration of claseprubart; the anticipated timing of the initiation and results from those studies and trials; expectations regarding the clinical trial designs or indications; expectations regarding the time period over which the Company’s capital resources are expected to be sufficient to fund its anticipated operations; and expectations regarding market size, patient population size, and potential opportunities for complement therapies, in particular with respect to claseprubart. Claseprubart is an investigational agent that is not approved as a therapy in any indication in any jurisdiction worldwide. The words “opportunity,” “potential,” “milestones,” “runway,” “will,” “anticipate,” “achieve,” “near-term,” “catalysts,” “pursue,” “pipeline,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “might,” “plan,” “possible,” “predict,” “project,” “should,” “strive,” “would,” “aim,” “target,” “commit,” and similar expressions (including the negatives of these terms or variations of them) generally identify forward-looking statements, but the absence of these words does not mean that statement is not forward looking.

Actual results could differ materially from those included in the forward-looking statements due to various factors, risks and uncertainties, including, but not limited to, that preclinical testing of claseprubart and data from clinical trials may not be predictive of the results or success of ongoing or later clinical trials, that the development of claseprubart may take longer and/or cost more than planned, that the Company or its partner may be unable to successfully complete the clinical development of the Company’s compounds, that the Company or its partner may be delayed in initiating, enrolling or completing its planned clinical trials, and that the Company's compounds may not receive regulatory approval or become commercially successful products. These and other risks and uncertainties are identified under the heading "Risk Factors" included in the Company’s Annual Report on Form 10-K for the period ended December 31, 2025, and other filings that the Company has made and may make with the SEC in the future. Nothing in this press release should be regarded as a representation by any person that the forward-looking statements set forth herein will be achieved or that any of the contemplated results of such forward-looking statements will be achieved.

The forward-looking statements in this press release speak only as of the date they are made and are qualified in their entirety by reference to the cautionary statements herein. Dianthus undertakes no obligation to publicly update or revise any forward-looking statement, whether as a result of new information, future events or otherwise, except as required by law.

Contact
Jennifer Davis Ruff
Dianthus Therapeutics
jdavisruff@dianthustx.com


FAQ

What is Dianthus Therapeutics (DNTH) EMERGE Phase 3 trial in generalized myasthenia gravis?

The EMERGE trial is a global, randomized, multicenter, placebo-controlled Phase 3 study of claseprubart in AChR+ generalized myasthenia gravis. According to Dianthus, it enrolls about 195 participants and evaluates Q2W and Q4W subcutaneous dosing versus placebo using MG-ADL as the primary endpoint.

When are top-line results from Dianthus Therapeutics (DNTH) EMERGE Phase 3 gMG trial expected?

Top-line results from the EMERGE Phase 3 trial are anticipated in the second half of 2028. According to Dianthus, the study is now underway and will assess MG-ADL and multiple secondary efficacy measures before releasing these key data for investors and clinicians.

What Phase 2 MaGic trial results support claseprubart for generalized myasthenia gravis (DNTH)?

The Phase 2 MaGic trial reported rapid, sustained, statistically significant and clinically meaningful improvements with claseprubart versus placebo on MG-ADL and QMG. According to Dianthus, benefits appeared by Week 1, continued through Week 13, and extended across MSE, MGC and MG-QoL-15r scales.

How is claseprubart administered in the Dianthus Therapeutics (DNTH) EMERGE Phase 3 trial?

Claseprubart is given as a 300mg/2mL subcutaneous injection after a loading dose, then every two or four weeks. According to Dianthus, EMERGE compares these Q2W and Q4W regimens with placebo in AChR+ generalized myasthenia gravis patients using standardized clinical outcome measures.

What is known about claseprubart safety from the Phase 2 MaGic trial for DNTH?

Claseprubart was generally well tolerated in the MaGic Phase 2 trial, with no drug-related serious adverse events or discontinuations due to related adverse events. According to Dianthus, this safety profile supports advancing claseprubart into the larger, global Phase 3 EMERGE study in gMG.

Which clinical endpoints will EMERGE use to evaluate claseprubart for gMG (DNTH)?

The primary endpoint is change from baseline in the Myasthenia Gravis Activities of Daily Living (MG-ADL) scale versus placebo. According to Dianthus, secondary endpoints include Quantitative Myasthenia Gravis (QMG), Minimal Symptom Expression (MSE), Myasthenia Gravis Composite (MGC) and MG-QoL-15r quality-of-life outcomes.

How does claseprubart fit into Dianthus Therapeutics (DNTH) neuromuscular franchise strategy?

Claseprubart is described as a highly potent investigational classical pathway inhibitor being advanced across gMG, multifocal motor neuropathy and CIDP. According to Dianthus, the program is positioned as a neuromuscular franchise with potential pipeline-in-a-product applications across several severe autoimmune neuromuscular diseases.