Patient description: The patient is a 35-year-old woman with myasthenia gravis, class IIa. She complains of diplopia and fatigue and weakness that affects mainly her upper limbs. She had a positive anti-AChR antibody test, and her single fiber electromyography (SFEMG) was positive. She takes pyridostigmine 60 mg three times a day. But she still has some symptoms that interfere with her job. She is a research coordinator and has 3 children. Her 70-year-old father has hypertension. She does not smoke or use illicit drugs. She drinks alcohol occasionally at social events. Her physical exam and lab studies were not remarkable for any other abnormalities. BP: 110/75 Hgb: 11 g/dl WBC: 8000 /mm3 Plt: 300000 /ml Creatinine: 0.5 mg/dl BUN: 10 mg/dl Beta hcg: negative for pregnancy

Clinical trial eligibility criteria: eligible ages (years): 18.0-999.0,  Generalized Myasthenia Gravis Patient is ≥18 years of age, at the time of signing the informed consent Patient has a diagnosis of MG (AChR-Ab seropositive or seronegative) with generalized muscle weakness Patient has been vaccinated against COVID-19 or has had a negative COVID-19 test result in the 2 weeks before enrollment Patient has documented IgG >6 g/L within one month of screening Patient agrees to contraceptive use consistent with local regulations and scientific rationale regarding the methods of contraception and: 1. Male patients: must agree to use an acceptable method of contraception and to not donate sperm from the time of providing informed consent until the end of the program 2. Female patients: Women of childbearing potential must use a highly effective or acceptable method of contraception and have a negative serum pregnancy test at screening Patient provides signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and this protocol Patients with a history of hepatitis B, hepatitis C, or HIV must have a documented negative test for an active viral infection  Patient has clinically significant uncontrolled active or chronic bacterial, viral, or fungal infection at screening Patient has a known autoimmune disease that, in the opinion of the treating physician, would interfere with an accurate assessment of clinical symptoms of gMG or put the patient at undue risk Patient has a history of malignancy unless it is deemed to be cured by adequate treatment with no evidence of recurrence for ≥3 years before the first administration of the IMP. Patients with documentation of adequate treatment of the following cancers can be included at any time: basal cell or squamous cell skin cancer; carcinoma in situ of the cervix; carcinoma in situ of the breast; incidental histological finding of prostate cancer (TNM stage T1a or T1b) Patient has clinical evidence of other significant serious diseases, has recently had major surgery, or has any other condition that, in the opinion of the treating physician, could put the patient at undue risk Patient may be excluded based upon review of clinical medical records and screening clinical safety laboratory test results Patient has received a live or a live-attenuated vaccination during the month before screening Patient is pregnant and/or lactating or intends to become pregnant during the program or within 90 days after the last dose Patient is an unsterilized male who is sexually active while participating in the program and does not intend to use effective methods of contraception during the program through 90 days after the last dose or plans to donate sperm during the program or through 90 days after the last dose The patient has previously received rituximab, and the last rituximab dose was received less than 6 months before the first dose of efgartigimod