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ARGX-113

Phase 4

Generalized Myasthenia Gravis | Monoclonal antibody | Neurology |argenx SE|Trials Updated: Oct 19, 2026

ARGX-113 development status

Highest phase Phase 4 (NCT06860633)
Phase scored for ARGXPhase 3
Registered trials 44 across 4 sponsors since Nov 2016

ARGX-113 target and mechanism

Molecular targetFcRn
Target classProtein
ModalityMonoclonal antibody

Also known as efgartigimod, Efgartigimod PH20 SC

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials38
Total Enrollment4,358

FDA Designations

No designations recorded

ARGX-113 clinical trials

ARGX-113 · 38 trials · 45 indications

Phase 3 18Phase 2 18Phase 1 2
NCT06765161Efgartigimod in IVIG Dependent Myasthenia Gravis PatientsMyasthaenia Gravis
RECRUITING30 Analytics
NCT07570316A Study to Assess Efficacy and Safety of Efgartigimod PH20 SC PFS in Adult Participants With Graves' DiseaseGraves' Disease
RECRUITING230 Analytics
NCT07596849A Study to Assess Efficacy and Safety of Efgartigimod PH20 SC PFS in Adult Participants With Graves' Disease.Graves Disease
RECRUITING230 Analytics
NCT06684847A Study of the Efficacy and Safety of Efgartigimod in Patients With Primary Sjögren's SyndromePrimary Sjogrens Disease
ACTIVE NOT_RECRUITING631 Analytics
NCT06544499A Study to Assess the Efficacy and Safety of Efgartigimod IV in Adult Participants With Primary Immune ThrombocytopeniaPrimary Immune Thrombocytopenia (ITP)
RECRUITING69 Analytics
NCT06558279A Study to Assess Efficacy and Safety of Efgartigimod PH20 SC in Adults With Ocular Myasthenia GravisMyasthenia Gravis, Ocular
ACTIVE NOT_RECRUITING141 Analytics
NCT06298552A Phase 3 Study to Evaluate the Efficacy and Safety of Efgartigimod IV in Patients With Acetylcholine Receptor Binding Antibody Seronegative Generalized Myasthenia GravisGeneralized Myasthenia Gravis
ACTIVE NOT_RECRUITING119 Analytics
NCT05979441A Study to Assess the Long-term Safety and Efficacy of a Subcutaneous Formulation of Efgartigimod in Adults With Active Idiopathic Inflammatory MyopathyMyositis
ENROLLING BY_INVITATION240 Analytics
NCT04980495An Open-label Study to Investigate the Clinical Efficacy of Different Dosing Regimens of Efgartigimod IV in Patients With Generalized Myasthenia GravisGeneralized Myasthenia Gravis
COMPLETED69 Analytics
NCT04812925A Phase 3 Study to Evaluate the Safety and Efficacy of Efgartigimod PH20 Subcutaneous in Adult Patients With Primary Immune ThrombocytopeniaPrimary Immune Thrombocytopenia
ACTIVE NOT_RECRUITING173 Analytics
PHASE3RECRUITING
Efgartigimod in IVIG Dependent Myasthenia Gravis Patients
Myasthaenia GravisUnlock trial analytics
PHASE3RECRUITING
A Study to Assess Efficacy and Safety of Efgartigimod PH20 SC PFS in Adult Participants With Graves' Disease
Graves' DiseaseUnlock trial analytics
PHASE3RECRUITING
A Study to Assess Efficacy and Safety of Efgartigimod PH20 SC PFS in Adult Participants With Graves' Disease.
Graves DiseaseUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study of the Efficacy and Safety of Efgartigimod in Patients With Primary Sjögren's Syndrome
Primary Sjogrens DiseaseUnlock trial analytics
PHASE3RECRUITING
A Study to Assess the Efficacy and Safety of Efgartigimod IV in Adult Participants With Primary Immune Thrombocytopenia
Primary Immune Thrombocytopenia (ITP)Unlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Assess Efficacy and Safety of Efgartigimod PH20 SC in Adults With Ocular Myasthenia Gravis
Myasthenia Gravis, OcularUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Phase 3 Study to Evaluate the Efficacy and Safety of Efgartigimod IV in Patients With Acetylcholine Receptor Binding Antibody Seronegative Generalized Myasthenia Gravis
Generalized Myasthenia GravisUnlock trial analytics
PHASE3ENROLLING BY_INVITATION
A Study to Assess the Long-term Safety and Efficacy of a Subcutaneous Formulation of Efgartigimod in Adults With Active Idiopathic Inflammatory Myopathy
MyositisUnlock trial analytics
PHASE3COMPLETED
An Open-label Study to Investigate the Clinical Efficacy of Different Dosing Regimens of Efgartigimod IV in Patients With Generalized Myasthenia Gravis
Generalized Myasthenia GravisUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Phase 3 Study to Evaluate the Safety and Efficacy of Efgartigimod PH20 Subcutaneous in Adult Patients With Primary Immune Thrombocytopenia
Primary Immune ThrombocytopeniaUnlock trial analytics

Study Endpoints

Primary Endpoints

MG-ADL
a sustained decrease persistent for at least 4 consecutive weeks over the 26 week period

The percentage of patients who do not experience, at any time during the study, a 2 or more-point deterioration from their averaged baseline MG-ADL score that is sustained for a period of 4 or more consecutive weeks. (stable or improved patients)

Percentage of participants who are euthyroid (fT3, fT4, and TSH within normal ranges) off ATDs at week 24 in part A
Up to 24 weeks (part A)

Free triiodothyronine: \[fT3\]; free thyroxine: \[fT4\]; ATDs: antithyroid drugs

Change from baseline in clinESSDAI score at week 48
Up to 48 weeks

The ESSDAI was designed to measure systemic disease activity in patients with PSjD and consists of 12 domains. The score varies between 0 (no disease activity) and 123 (max disease activity). The clinESSDAI includes all ESSDAI domains except the biological domain.

Extent of disease control, defined as the number of cumulative weeks during the 24-week Double-Blinded Treatment Period with platelet counts of at least 50 × 10^9/L
Up to 24 weeks
MGII (PRO) ocular score change from baseline to day 29 in part A
Up to 29 days

The Myasthenia Gravis Impairment Index (MGII) is a scoring tool measuring disease severity. It consists of 22 patient-reported outcomes (PRO) and 6 physical examinations (PE). The Ocular PRO score varies between 0 and 18. The higher the score, the more severe the disease.

MG-ADL Total Score Change From Baseline
Up to 29 days in part A

The Myasthenia Gravis Activities of Daily Living (MG-ADL) scale is an 8-item instrument used to assess MG symptoms and their effects on daily activities. The total score ranges from 0 (no symptoms) to 24 (most severe symptoms).

Incidence of AEs, SAEs and AESIs over time
Up to 53 months

AE : adverse event ; SAE : serious adverse event ; AESI : adverse event of special interest.

Mean of the Average MG-ADL Total Score Change From Baseline During the Visit of Week 1 Through Week 21 by Regimen Arm
Up to 21 weeks

The MG-ADL (Myasthenia Gravis Activities of Daily Living) scale assesses MG symptoms and their effects on daily activities. The total score varies between 0 and 24, with higher total scores indicating more impairment.

Incidence of AEs, AESIs, SAEs
Up to 216 weeks

AE : adverse event ; SAE : Serious adverse event ; AESI : adverse event of special interest.

Vital sign measurement: blood pressure in the overall population
Up to 216 weeks
ECG: PR, QT and QRS interval in the overall population
Up to 216 weeks
Laboratory safety evaluations: CRP analysis in the overall population
Up to 216 weeks
Number of AEs, SAEs and AESIs
Up to 3.5 years

Adverse events, Serious Adverse event and Adverse events of special interest. Adverse events in the 'Infections and infestations' SOC were defined as AESIs because efgartigimod causes a transient reduction in total IgG levels.

Percent Change From Baseline in Total IgG Levels at Day 29 (mITT Analysis Set)
From week 0 to week 4

ANCOVA Analysis of Percent Change From Baseline in Total IgG Level at Day 29 (ie, 7 days after the fourth IV or SC administration).

Percentage of Participants With Chronic Immune Thrombocytopenia (ITP) With a Sustained Platelet Count Response Between Weeks 19 and 24
Up to 6 weeks (between Weeks 19 and 24)

A participant was considered a responder for this endpoint (i.e., had a sustained platelet count response) if the participant had platelet counts of ≥50 × 10\^9/L for ≥4 of the 6 analysis visits between Weeks 19 and 24.

Number of Pemphigus Vulgaris (PV) Participants Who Achieve Complete Clinical Remission (CR) on Minimal Prednisone Therapy
up to 30 weeks treatment period

Proportion of participants with pemphigus vulgaris who had CRmin within 30 weeks, defined as the absence of new lesions and complete healing of established lesions while the participant was receiving prednisone at ≤10 mg/day for at least 8 weeks.

Frequency and severity of Adverse Events
Up to 60 weeks
Frequency and severity of vital signs
Up to 60 weeks
Frequency and severity of laboratory assessments
Up to 60 weeks
Percentage of Participants With Chronic ITP With a Sustained Platelet Count Response Defined as Achieving Platelet Counts of at Least 50×10^9/L for at Least 4 of the 6 Visits Between Week 19 and 24 of the Trial.
From Week 19 up to Week 24

Percentage of participants with chronic ITP with a sustained platelet count response was defined as achieving platelet counts of at least 50 × 10\^9/L for at least 4 of the 6 visits between Week 19 and 24 of the study.

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.

Change in CASE score in the NMDAR population
up to week 24

CASE= Clinical Assessment Scale in Autoimmune Encephalitis; NMDAR=N-methyl-D-aspartate receptor; Neuropsychological Status. The CASE (Clinical Assessment Scale in AIE) includes an assessment of 9 items: seizure, memory dysfunction, psychiatric symptoms, consciousness, language problems, dyskinesia/dystonia, gait instability and ataxia, brainstem dysfunction, weakness. This overall CASE total score ranges from 0 to 27, with a higher score indicating a greater degree of disability.

Change from baseline in modified Toronto Clinical Neuropathy Score (mTCNS) total score at the end of Part A
Up to 48 weeks

The mTCNS (modified Toronto Clinical Neuropathy Score) is a clinician-reported outcome measure derived from the original TCNS to improve sensitivity to early and mild neuropathy and to enhance feasibility and consistency inclinical research settings. The total mTCNS score is calculated as the sum of the symptom and sensory subscores, yielding a total possible score range of 0 to 33, with higher scores indicating greater neuropathy severity.

Incidence of adverse events and serious adverse events in parts A and B
Up to 21 weeks
Efgartigimod serum concentrations in the DBTP
Up to 24 weeks
Total IgG levels in the DBTP
Up to 24 weeks
Change from baseline in mRSS at week 24
Up to 24 weeks

The Modified Rodnan Skin Score is a scoring tool to assess skin thickness in 17 cutaneous sites across the body. Each site is rated on a semiquantitative score ranging from 0 (normal) to 3 (severe). The total score is the sum of the individual skin scores and can range from 0 to 51.

Incidence of Adverse Events (AEs)
Up to 78 weeks
Percentage of participants with permanent treatment discontinuation due to adverse events (AEs)
Up to 48 weeks
Efgartigimod serum concentrations as input for compartmental, model-driven analysis to determine age and size dependency of Clearance (CL)
Up to 12 weeks
Efgartigimod serum concentrations as input for compartmental, model-driven analysis to determine age and size dependency of Volume Distribution (Vd)
Up to 12 weeks
Total G immunoglobulins (IgG) levels as input for pharmacokinetics (PK)/pharmacodynamics (PD) modelling analysis
Up to 12 weeks
Anti-acetylcholine receptors antibodies (AChR-Ab) as input for pharmacokinetics (PK)/ pharmacodynamics (PD) modelling analysis
Up to 12 weeks
Number of Participants With TEAEs, TESAEs and TEAESIs
From the first dose of study drug (Day 1) up to 60 days post last study drug, approximately 56 weeks

An adverse event (AE) was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. A serious adverse event (SAE) was any untoward medical occurrence that, at any dose: resulted in death, was life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or any other medically important event. Treatment-emergent adverse events (TEAEs) were defined as AEs with onset on or after the first administration of study drug up to and including 60 days after the last study drug administration. Adverse events in the 'Infections and infestations' SOC were defined as AE of Special Interest (AESIs) because efgartigimod causes a transient reduction in total IgG levels.

Percentage of Participants Meeting Overall CRESS Response of at Least 3 of 5 Items at Week 24
Week 24

A Composite of Relevant Endpoints for Sjögren's Syndrome (CRESS) responder is defined as improvements in at least 3 of the 5 items of CRESS (systemic disease activity, patient-reported symptoms, tear gland function, salivary gland function and serology. The score ranges from 0 to 9 (higher score = worse symptoms).

Change from baseline to week 24 in urine protein creatinine ratio (UPCR)
up to 24 weeks
Change From Baseline to Week 24 in the COMPASS 31 (2-week Recall Version)
Baseline (Day 1) and Week 24

Composite Autonomic Symptom Score (COMPASS) 31 modified version (2-week recall) is a self-rated questionnaire to evaluate the severity and distribution of autonomic symptoms in various autonomic nerve disorders. It consists of 31 questions in 6 weighted domains (orthostatic intolerance, vasomotor, secretomotor, gastrointestinal {GI}-mixed upper and diarrhea, bladder, and pupillomotor). A weighted total score of 0 (mild) to 100 (severe) was determined by adding a maximum raw score for each domain. Higher scores indicated a more severe degree of autonomic symptoms.

Change From Baseline to Week 24 in the MaPS
Baseline (Day 1) and Week 24

The Malmö POTS Symptom Score (MaPS) score is a dedicated POTS symptom scoring questionnaire. The score consists of 12 questions that assess symptom burden related (tachycardia, palpitations, dizziness, presyncope) and unrelated to orthostatic intolerance (GI symptoms, insomnia, concentration difficulties). Participants graded their symptoms for the past 7 days using a visual analog scale ranging from 0 (no symptoms) to 10 (worst possible). The total score was calculated by summing up the items/individual items and range was 0 to 120 points, with higher scores indicating more severe symptoms.

Number of Participants With TEAEs and TESAEs
From the first dose of study drug (Day 1) up to 60 days post last dose of study drug, up to 236 days

An adverse event (AE) was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. A serious adverse event (SAE) was any untoward medical occurrence that at any dose resulted in death, was life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or any other medically important event. Treatment-emergent adverse events (TEAEs) were defined as AEs with onset on or after the first administration of study drug up to and including 60 days after the last study drug administration.

Incidence of AEs, SAEs and AESIs
Up to 4 years

AE : adverse event; SAE : serious adverse event; AESI : adverse event of special interest

Number of Participants With CRoff at Week 36
at week 36

CRoff = complete remission while receiving efgartigimod PH20 SC or placebo and being off oral corticosteroid therapy for at least 8 weeks. Complete remission is defined as the absence of new lesions, complete healing of existing lesions and absence of pruritus.

Efgartigimod concentrations as input for compartmental, model-driven analysis to determine (age and size dependency of) Clearance (CL)
up to 26 weeks

Blood samples will be collected from each participant for measurement of serum concentrations of efgartigimod

Efgartigimod concentrations as input for compartmental, model-driven analysis to determine (age and size dependency of) Volume of Distribution (Vd)
up to 26 weeks

Blood samples will be collected from each participant for measurement of serum concentrations of efgartigimod

Total Immunoglobulin G (IgG) levels as input for pharmacokinetics (PK) and pharmacodynamics (PD) modeling analysis
up to 26 weeks

Total Immunoglobulin G levels will be measured from blood samples

Anti-acetylcholine receptors antibodies (AChR-Ab) as input for pharmacokinetics (PK) and pharmacodynamics (PD) modeling analysis
up to 26 weeks

Total Immunoglobulin G (IgG) levels will be measured from blood samples

Incidence of treatment-emergent adverse events and serious adverse events
Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
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.

Reduction in serum C7 antibody levels
26 weeks

The proportion of patients who exhibit reduction in serum C7 antibody levels at week 26 as compared to week 1.

Adverse Events and Effects
38 weeks

Occurrence of adverse events and effects.

The Epidermolysis Bullosa Disease Activity and Scarring Index (EBDASI) improvement
26 weeks

The overall improvement of EB symptoms at week 26 as compared to week 1, measured by percentage change of a participant's EBDASI score (overall total score, total activity score, and total damage score). The EBDASI is scored in the range of 0 - 506, with a lower score corresponding to mild disease and higher score corresponding to more severe disease.

Efgartigimod PK parameters (Cmax)
up to 64 days

Secondary Endpoints

QMG
those who experience a sustained decrease for 4 consecutive weeks during the 26 week period
MGQOL
during the whole study period of 26 weeks
incidence of patients who are still receiving efgartigimod by the end of the 26 weeks
for the duration of the 26 week study
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
treatmentEXPERIMENTALEfgartigimod infusion
Part A - efgartigimod PH20 SC PFSEXPERIMENTALParticipants will receive efgartigimod PH20 SC Via Prefilled Syringe (PFS) during the part A double-blinded treatment period.
Part A - placebo PH20 SC PFSPLACEBO_COMPARATORParticipants will receive placebo PH20 SC Via Prefilled Syringe (PFS) during the part A double-blinded treatment period.
Part B - efgartigimod PH20 SC PFSEXPERIMENTALParticipants will receive efgartigimod PH20 SC Via Prefilled Syringe (PFS) during the part B treatment period.
Part B - placebo PH20 SC PFSEXPERIMENTALParticipants will receive placebo PH20 SC Via Prefilled Syringe (PFS) during the part B treatment period.
Part C - efgartigimod PH20 SC PFSEXPERIMENTALParticipants will receive efgartigimod PH20 SC PFS in the part C open-label treatment period
Double-blinded treatment period: Efgartigimod PH20 SCEXPERIMENTALParticipants receiving efgartigimod PH20 SC during the double-blinded treatment period
Double-blinded treatment period: Placebo PH20 SCPLACEBO_COMPARATORParticipants receiving placebo PH20 SC during the double-blinded treatment period
Open-label treatment periodEXPERIMENTALParticipants receiving efgartigimod PH20 SC during the open-label treatment period
Efgartigimod IVEXPERIMENTALParticipants receiving efgartigimod IV during the double-blinded treatment period and the open-label treatment period(s)
Placebo IVEXPERIMENTALParticipants receiving placebo IV during the double-blinded treatment period and receiving efgartigimod IV during the open-label treatment period(s)
Efgartigimod PH20 SC in part A+BEXPERIMENTALParticipants receiving efgartigimod PH20 SC during part A and part B
Placebo PH20 SC in Part A + Efgartigimod PH20 SC in Part BEXPERIMENTALParticipants receiving placebo PH20 SC in Part A and Efgartigimod PH20 SC in Part B
PlaceboPLACEBO_COMPARATORPatients receiving placebo during part A and receiving efgartigimod IV during part B
Efgartigimod PH20 SCEXPERIMENTALParticipants receiving efgartigimod PH20 subcutaneously
Efgartigimod IV - continuous regimenEXPERIMENTALParticipants receiving efgartigimod IV on a continuous regimen
Efgartigimod IV - cyclic regimenEXPERIMENTALParticipants receiving efgartigimod IV on a cyclic regimen
efgartigimodEXPERIMENTALPatients receiving efgartigimod intravenous (IV) treatment
Placebo PH20 SCPLACEBO_COMPARATORPatients receiving placebo PH20 SC treatment
ARGX-113EXPERIMENTAL -
Part A (Open-Label Lead-in Period): Efgartigimod PH20 SCEXPERIMENTALAll participants will receive efgartigimod PH20 SC open label for 8 weeks
Part B (Double-blinded treatment period): Efgartigimod PH20 SCEXPERIMENTALParticipants will receive efgartigimod PH20 SC for 24 weeks
Part B (Maintenance double-blinded treatment period): Placebo PH20 SCPLACEBO_COMPARATORParticipants will receive placebo for 24 weeks
Part C (Open-Label Extension Period): Efgartigimod PH20 SCEXPERIMENTALParticipants who complete Part B will receive efgartigimod PH20 SC for 24 weeks
Double-blinded treatment period (DBTP): Efgartigimod PH20 SCEXPERIMENTALParticipants receiving efgartigimod PH20 SC during the double-blinded treatment period
Double-blinded treatment period (DBTP): Placebo PH20 SCPLACEBO_COMPARATORParticipants receiving placebo PH20 SC during the double-blinded treatment period
Open-label treatment period (OLTP)EXPERIMENTALParticipants receiving efgartigimod PH20 SC during the open-label treatment period
Efgartigimod IV + Empasiprubart IVEXPERIMENTALParticipants receive efgartigimod IV in part A, B and C and empasiprubart IV in part B
Efgartigimod IV (part A + C)EXPERIMENTALParticipants not eligible for part B, receiving efgartigimod IV in part A and C
Treatment arm 1EXPERIMENTALParticipants receiving Efgartigimod PH20 SC on top of optimized standard background immunosuppression therapy (tacrolimus, mycophenolate mofetil, and optionally steroids)
Treatment arm 2EXPERIMENTALParticipants receiving Efgartigimod PH20 SC on top of optimized standard background immunosuppression therapy (tacrolimus, mycophenolate mofetil, and optionally steroids) up to week 24 followed by placebo PH20 SC on top of optimized standard background immunosuppression therapy from weeks 24 to 48
Treatment arm 3PLACEBO_COMPARATORParticipants receiving Placebo PH20 SC on top of optimized standard background immunosuppression therapy (tacrolimus, mycophenolate mofetil, and optionally steroids)
Efgartigimod IV armEXPERIMENTALpatients receiving infusions of Efgartigimod IV
Placebo armPLACEBO_COMPARATORpatients receiving infusions of placebo IV
Efgartigimod or Efgartigimod PH20 SCEXPERIMENTALPatients receiving Efgartigimod IV treatment or Efgartigimod PH 20 SC treatment
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
Mild renal impairmentEXPERIMENTALPatients with 60 \<= eGFR \<90
Moderate renal impairmentEXPERIMENTALPatients with 30 \<= eGFR \<60
Severe renal impairmentEXPERIMENTALPatients with eGFR \<30
Normal renal functionEXPERIMENTALPatients with eGFR \>=90

Interventions

NameTypeDescription
efgartigimod administrationDRUGefgartigimod infusion
Efgartigimod PH20 SCBIOLOGICALSubcutaneous injection of Efgartigimod PH20 Via Prefilled Syringe (PFS)
Placebo PH20 SCOTHERSubcutaneous injection of placebo PH20 via Prefilled Syringe (PFS)
Efgartigimod IVBIOLOGICALIntravenous infusion of efgartigimod
Placebo IVOTHERIntravenous infusion of placebo
PlaceboOTHERSubcutaneous injection of placebo
prednisoneDRUGOral prednisone tablets
efgartigimodBIOLOGICALIntravenous infusion of efgartigimod
ARGX-113BIOLOGICALIntravenous administration of ARGX-113
Efgartigimod PH20 (ARGX-113) SCBIOLOGICALsubcutaneous administrations of efgartigimod PH20 SC given by prefilled syringe (PFS). For participants aged 12 to \<18 years with body weight ≤50 kg, the study drug will be administered by vial and syringe.
Empasiprubart IVBIOLOGICALIntravenous infusion of empasiprubart
Efgartigimod PH20 SC - prefilled syringeCOMBINATION_PRODUCTSubcutaneous efgartigimod PH20 SC given by prefilled syringe
Placebo PH20 SC - prefilled syringeOTHERSubcutaneous placebo PH20 SC given by prefilled syringe
Efgartigimod IV or Efgartigimod PH20 SCBIOLOGICALIntravenous infusion of Efgartigimod or Subcutaneous injection of Efgartigimod PH20 SC
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * 1\. Signed informed consent. 2. Age 18-80 years 3. Acetylcholine receptor antibody positive, myasthenia gravis patients, with stable disease for the past four or more months. Stable disease is defined as no change in dosage or interval in IVIG treatments and without any signif...

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Recent Changes (Last 90 Days)

MEDIUMOct 19, 2026NCT04812925primaryCompletionDate: changed
LOWOct 16, 2026NCT07596849lastUpdatePostDate: changed
LOWOct 16, 2026NCT07570316lastUpdatePostDate: changed
LOWOct 16, 2026NCT07194850lastUpdatePostDate: changed
MEDIUMOct 16, 2026NCT06655155Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWOct 16, 2026NCT05979441lastUpdatePostDate: changed
LOWOct 16, 2026NCT07596849lastUpdatePostDate: changed
LOWOct 16, 2026NCT07570316lastUpdatePostDate: changed
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Frequently asked questions about ARGX-113

What is ARGX-113 used for?

ARGX-113 is an investigational monoclonal antibody being studied for Generalized Myasthenia Gravis, Pemphigus Vulgaris, and Primary Immune Thrombocytopenia. It has been evaluated in Phase 3 trials in Generalized Myasthenia Gravis and Phase 2 trials in Pemphigus Vulgaris and Primary Immune Thrombocytopenia. It is not yet approved for any indication.

What does ARGX-113 target?

ARGX-113 targets the neonatal Fc receptor, also known as FcRn, a protein involved in recycling immunoglobulin G antibodies. By binding FcRn, ARGX-113 is designed to accelerate the clearance of pathogenic IgG autoantibodies, which are central to autoimmune conditions such as Generalized Myasthenia Gravis and Pemphigus Vulgaris.

Who is developing ARGX-113?

ARGX-113 is being developed by argenx SE, a biotechnology company listed on Nasdaq under the ticker ARGX. The company is also developing ARGX-113 with rHuPH20, a recombinant human hyaluronidase formulation intended to enable subcutaneous administration.

What phase is ARGX-113 in?

ARGX-113 is in Phase 3 clinical development. Two completed Phase 3 trials have evaluated the drug in Generalized Myasthenia Gravis, and Phase 2 trials have been completed in Pemphigus Vulgaris and Primary Immune Thrombocytopenia. ARGX-113 is investigational and has not been approved by the FDA.

What clinical trials is ARGX-113 in?

ARGX-113 has been studied in four completed trials. Phase 3 trials include NCT03770403 with 151 patients and NCT03669588 with 167 patients, both in Generalized Myasthenia Gravis. Phase 2 trials include NCT03334058 in Pemphigus Vulgaris and Pemphigus Foliaceus, and NCT03102593 in Primary Immune Thrombocytopenia.