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ARGX-113

Phase 3

Generalized Myasthenia Gravis | Monoclonal antibody | Neurology |argenx SE|Last Updated: Aug 28, 2024

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment318

FDA Designations

No designations recorded

Clinical trial landscape

ARGX-113 · 8 trials · 7 indications

Phase 3 2Phase 2 3Phase 1 3
NCT03770403A Safety and Tolerability Study of ARGX-113 in Patients With Myasthenia Gravis Who Have Generalized Muscle Weakness.Generalized Myasthenia Gravis
COMPLETED151 Analytics
NCT03669588An Efficacy and Safety Study of ARGX-113 in Patients With Myasthenia Gravis Who Have Generalized Muscle WeaknessGeneralized Myasthenia Gravis
COMPLETED167 Analytics
PHASE3COMPLETED
A Safety and Tolerability Study of ARGX-113 in Patients With Myasthenia Gravis Who Have Generalized Muscle Weakness.
Generalized Myasthenia GravisUnlock trial analytics
PHASE3COMPLETED
An Efficacy and Safety Study of ARGX-113 in Patients With Myasthenia Gravis Who Have Generalized Muscle Weakness
Generalized Myasthenia GravisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious AEs, TEAEs Leading to Study Drug Discontinuation and Fatal TEAE in AChR-Positive Participants
TEAEs were collected from the start of first administered study treatment (Day 1) up to end of follow-up, approximately up to 3 years

An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Any clinically significant abnormal laboratory test results (hematology, clinical chemistry, or urinalysis) or other safety assessments (electrocardiogram \[ECG\], radiological scans, vital signs measurements) were collected as AEs. All AEs starting on or after first dose administered and until completion of participant's last visit were considered as TEAEs. A serious AE (SAE) was any AE that resulted in death, was life-threatening, required inpatient hospitalization, resulted in persistent or significant disability/incapacity, was a congenital abnormality, or was medically significant.

Percentage of MG-ADL Responders During Cycle 1 (C1); Analyzed in the AChR-Ab Seropositive Population
Baseline up to Day 63 (end of TC1)

The MG-ADL is an 8-item patient-reported scale to assess MG symptoms and their effects on daily activities. The scale comprises 2 items on daily life activities and 6 items on symptoms. The MG-ADL total score range is 0-24, with higher scores indicative of greater disease severity. A patient was considered an MG-ADL responder during C1 if there was a reduction of ≥2 points on the MG-ADL total score (compared to baseline of C1 \[C1B\]) for ≥4 consecutive weeks with the first reduction occurring no later than 1 week after the last infusion of IMP in C1.

Safety and tolerability as measured by the incidence and severity of treatment-emergent (serious) adverse events over the study.
Up to 6 months
Incidence and severity of serious adverse events (SAEs).
After the first administration of Investigational Medicinal Product day 1 to 30 days of a patient's last visit.

Changes from Baseline in vital signs, electrocardiogram parameters (ECGs), physical examination abnormalities and clinical laboratory assessments.

Number of Patients With Treatment Emergent Adverse Events (TEAES) and Treatment Emergent Serious Adverse Events (SAEs)
Day 1 to Day 78

TEAEs were defined as AEs that first occurred or worsened in severity after the first administration of the treatment. A treatment emergent SAE was any untoward medical occurrence that resulted in death; was life-threatening; required inpatient hospitalization or prolongation of existing hospitalization;resulted in persistent or significant disability or incapacity; was a congenital abnormality or birth defect; or other medically significant events. All TEAEs observed were graded using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.03 with descriptions of severity for each AE based on the following general guideline: Grade 1= mild; Grade 2 = moderate; Grade 3 = severe or medically significant but not immediately life-threatening; Grade 4 = life-threatening consequences; Grade 5 = death related to AE.

Mean Change From Baseline in Vital Signs: Blood Pressure
Baseline and Days 8,15, 22, 29, 36, 43, 50, 64 and 78

The patients' diastolic and systolic blood pressure were measured pre-dose on dosing days 1,8,15 and 22 and also during the follow up period. The mean change from baseline at each time point is presented. Baseline is defined as the last non-missing value before first dose of study medication.

Mean Change From Baseline in Vital Signs: Heart Rate
Baseline and Days 8,15, 22, 29, 36, 43, 50, 64 and 78

The patients' heart rate was measured pre-dose on dosing days 1,8,15 and 22 and also during the follow up period. The mean change from baseline at each time point is presented. Baseline is defined as the last non-missing value before first dose of study medication.

Mean Change From Baseline in Vital Signs: Temperature
Baseline and Days 8,15, 22, 29, 36, 43, 50, 64 and 78

The patients' temperature was measured pre-dose on dosing days 1,8,15 and 22 and also during the follow up period. The mean change from baseline at each time point is presented. Baseline is defined as the last non-missing value before first dose of study medication.

Mean Change From Baseline in Vital Signs: Weight
Baseline and Days 8,15, 22, 29, 36, 43, 50, 64 and 78

The patients' weight as measured pre-dose on dosing days 1,8,15 and 22 and also during the follow up period. The mean change from baseline at each time point is presented. Baseline is defined as the last non-missing value before first dose of study medication.

Number of Patients With Abnormal Clinically Relevant Findings in Electrocardiogram (ECG) Parameters
Day 1 to Day 78

ECG parameters of heart rate, PR, QT, and QRS interval were read locally and performed pre-dose on dosing days 1,8,15 and 22 and on the last follow up visit on Day 78. Any patients recording abnormal clinically relevant findings during the study are presented.

Number of Patients With Abnormal Clinical Laboratory Findings Reported as TEAEs
Day 1 to Day 78

Sampling for clinical laboratory tests including hematology, clinical chemistry, and urinalysiswas performed pre-dose on dosing Days 1, 8, 15 and 22 and throughout the follow up period. Patients fasted for at least 8 hours prior to this sampling. Abnormal laboratory values, or test results were not reported as TEAEs unless they were associated with clinical signs and symptoms that were considered clinically relevant, required therapy or led to treatment discontinuation. Patients reporting TEAEs in any of the laboratory parameters during the study are presented.

IgG levels of four different subcutaneous dose levels
Up to 11 weeks, from study start until the end of the study
bioavailability of a s.c. ARGX-113 formulation
1.5 months

AUC0-inf

Number of (related) treatment emergent AE of single ascending dose of ARGX-113
57 days

Determining the incidence, severity, and dose relationship of adverse events that are related to treatment with ARGX-113

Secondary Endpoints

Number of Participants With TEAEs, Treatment-Emergent SAEs, TEAEs Leading to Study Drug Discontinuation and Fatal TEAE in the Overall Population
TEAEs were collected from the start of first administered study treatment (Day 1) up to end of follow-up, approximately up to 3 years
Percentage of Quantitative Myasthenia Gravis (QMG) Responders During C1; Analyzed in the AChR-Ab Seropositive Population
Baseline up to Day 63 (end of TC1)
Percentage of MG-ADL Responders During C1; Analyzed in the Overall Population
Baseline up to Day 63 (end of TC1)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ARGX-113EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
ARGX-113 Dose A + SoCEXPERIMENTALPatients will be randomized in a 1:1:1 ratio to ARGX-113 (Dose A or Dose B) or placebo
ARGX-113 Dose B +SoCEXPERIMENTALPatients will be randomized in a 1:1:1 ratio to ARGX-113 (Dose A or Dose B) or placebo
Placebo + SoCPLACEBO_COMPARATORPatients will be randomized in a 1:1:1 ratio to ARGX-113 (Dose A or Dose B) or placebo
Treatment AEXPERIMENTALSingle SC injection of Dose A
Treatment BEXPERIMENTALSingle SC injection of Dose B
Treatment CEXPERIMENTALSingle SC injection of Dose C
Treatment DEXPERIMENTALSingle SC injection of Dose D
1EXPERIMENTALScheme 1
2EXPERIMENTALScheme 2
3EXPERIMENTALScheme 3

Interventions

NameTypeDescription
ARGX-113BIOLOGICALIntravenous administration of ARGX-113
PlaceboBIOLOGICALIntravenous administration of placebo
ARGX-113 with rHuPH20BIOLOGICALsubcutaneous administration of efgartigimod with recombinant human hyaluronidase PH20 (rHuPH20)
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites52

Inclusion Criteria: 1. Patients with the ability to understand the requirements of the trial, provide written informed consent, and comply with the trial protocol procedures. 2. Patients who participated in trial ARGX-113-1704 and are eligible for roll over, as specified in the protocol. Other mor...

Countries:United StatesBelgiumCanadaCzechiaDenmarkFranceGeorgiaGermanyHungaryItalyJapanNetherlandsPolandRussiaSerbiaUnited KingdomIsraelUkraineAustriaSpainSweden
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Frequently asked questions about ARGX-113

What is ARGX-113 used for?

ARGX-113 is an investigational small molecule being studied for use in Primary Immune Thrombocytopenia, Pemphigus Vulgaris, Generalized Myasthenia Gravis, and Myasthenia Gravis. It has also been evaluated in healthy volunteers and in bioavailability studies. As of the available data, it remains in clinical development and is not approved.

Who makes ARGX-113?

ARGX-113 is being developed by argenx SE, a biopharmaceutical company listed on the stock exchange under the ticker ARGX. The company is conducting clinical trials to evaluate the safety and efficacy of this investigational drug.

What phase is ARGX-113 in?

ARGX-113 is in Phase 1 and Phase 2 clinical development. The available trials include a Phase 2 study in patients with Primary Immune Thrombocytopenia and multiple Phase 1 studies in healthy volunteers. All trials listed are completed, and the drug remains investigational.

What clinical trials is ARGX-113 in?

ARGX-113 has been studied in several completed trials, including NCT03102593 (Phase 2 in Primary Immune Thrombocytopenia), NCT03334084 (Phase 1 bioavailability study), NCT03457649 (Phase 1 in healthy volunteers), and NCT04073589 (Phase 1 in healthy subjects). These trials enrolled a total of 318 participants.

Is ARGX-113 the same as efgartigimod?

Yes, ARGX-113 is also known as efgartigimod. One of the clinical trials, NCT04073589, is titled 'Efgartigimod Co-administered Subcutaneously With rHuPH20 in Healthy Subjects,' confirming that ARGX-113 and efgartigimod refer to the same drug candidate.