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Efgartigimod Alfa

Phase 2

Optic Neuritis | Small molecule | Ophthalmology |argenx SE|Last Updated: Nov 10, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment20
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06453694Efgartigimod for the Treatment of Acute Optic NeuritisPHASE2 RECRUITING 20Aug 12, 2025Jul 1, 2027Nov 10, 20252 United States
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Study Endpoints
Primary Endpoints
Recruitment Rate
2 years

Number of enrolled participants per month

Study Adherence Rate
2 years

Proportion of randomized participants who receive both doses of assigned study intervention, attend all assigned study visits, and complete at least the high contrast visual acuity, low contrast visual acuity, and Pelli-Robson assessments at all visits

Change in high contrast visual acuity for effect size and standard deviation estimation
1 month

Difference in change in high-contrast visual acuity from baseline to 1 month between groups

Change in low contrast visual acuity for effect size and standard deviation estimation
1 month

Difference in change in low contrast visual acuity (LCVA) (# of letters seen at 2.5% illumination) from baseline to 1 month between groups

Secondary Endpoints
Retention rate
2 years
Screen failure rate
2 years
Pre-screen failure rate
2 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Efgartigmod alfaACTIVE_COMPARATOR10 patients will receive efgartigimod alfa All participants will receive standard of care high dose corticosteroids for 3 days with a prednisone taper over 3 weeks.
PlaceboPLACEBO_COMPARATOR10 patients will receive placebo. All participants will receive standard of care high dose corticosteroids for 3 days with a prednisone taper over 3 weeks.
Interventions
NameTypeDescription
Efgartigimod AlfaDRUG2,016 mg will be administered subcutaneously by a healthcare provider on Day 0 and Day 3 of the trial. Rescue therapy with therapeutic plasma exchange will be given to any participant based on the results of Day 7 evaluation.
PlaceboDRUGSubcutaneous injection of placebo will be administered by a healthcare provider on Day 0 and Day 3 of the trial. Rescue therapy with therapeutic plasma exchange will be given to any participant based on the results of Day 7 evaluation.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: 1. Provision of signed and dated informed consent form 2. Stated willingness to comply with all study procedures and availability for the duration of the study 3. Adults aged 18 years or older 4. Diagnosed with a first episode of optic neuritis, based on clinical presentation (i...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT06453694studyFirstPostDate: changed