Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as Efgartigimod PH20 SC - prefilled syringe, Efgartigimod PH20- prefilled syringe, Efgartigimod PH20, Efgartigimod PH20 SC via PFS, Efgartigimod PH20 via PFS, Efgartigimod PH20 SC via AI, Efgartigimod PH20 via AI, Efgartigimod PH20 (ARGX-113) SC
Efgartigimod PH20 SC · 22 trials · 22 indications
free triiodothyronine: \[fT3\]; free thyroxine: \[fT4\]; ATDs: antithyroid drugs
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.
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.
AE : adverse event ; SAE : serious adverse event ; AESI : adverse event of special interest.
AE : adverse event ; SAE : Serious adverse event ; AESI : adverse event of special interest.
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.
ANCOVA Analysis of Percent Change From Baseline in Total IgG Level at Day 29 (ie, 7 days after the fourth IV or SC administration).
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.
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.
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.
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.
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.
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.
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.
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.
Changes from Baseline in vital signs, electrocardiogram parameters (ECGs), physical examination abnormalities and clinical laboratory assessments.
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.
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.
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.
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.
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.
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.
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.
| Arm | Type | Description |
|---|---|---|
| Part A - efgartigimod PH20 SC PFS | EXPERIMENTAL | Participants will receive efgartigimod PH20 SC Via Prefilled Syringe (PFS) during the part A double-blinded treatment period. |
| Part A - placebo PH20 SC PFS | PLACEBO_COMPARATOR | Participants will receive placebo PH20 SC Via Prefilled Syringe (PFS) during the part A double-blinded treatment period. |
| Part B - efgartigimod PH20 SC PFS | EXPERIMENTAL | Participants will receive efgartigimod PH20 SC Via Prefilled Syringe (PFS) during the part B treatment period. |
| Part B - placebo PH20 SC PFS | EXPERIMENTAL | Participants will receive placebo PH20 SC Via Prefilled Syringe (PFS) during the part B treatment period. |
| Part C - efgartigimod PH20 SC PFS | EXPERIMENTAL | Participants, will receive efgartigimod PH20 SC PFS in the part C open-label treatment period |
| Double-blinded treatment period: Efgartigimod PH20 SC | EXPERIMENTAL | Participants receiving efgartigimod PH20 SC during the double-blinded treatment period |
| Double-blinded treatment period: Placebo PH20 SC | PLACEBO_COMPARATOR | Participants receiving placebo PH20 SC during the double-blinded treatment period |
| Open-label treatment period | EXPERIMENTAL | Participants receiving efgartigimod PH20 SC during the open-label treatment period |
| Efgartigimod PH20 SC in part A+B | EXPERIMENTAL | Participants receiving efgartigimod PH20 SC during part A and part B |
| Placebo PH20 SC in Part A + Efgartigimod PH20 SC in Part B | EXPERIMENTAL | Participants receiving placebo PH20 SC in Part A and Efgartigimod PH20 SC in Part B |
| Efgartigimod PH20 SC | EXPERIMENTAL | Participants receiving efgartigimod PH20 subcutaneously |
| efgartigimod | EXPERIMENTAL | Patients receiving efgartigimod intravenous (IV) treatment |
| Placebo PH20 SC | PLACEBO_COMPARATOR | Patients receiving placebo PH20 SC treatment |
| placebo | EXPERIMENTAL | patients receiving placebo on top of prednisone |
| ARGX-113 | EXPERIMENTAL | - |
| Part A (Open-Label Lead-in Period): Efgartigimod PH20 SC | EXPERIMENTAL | All participants will receive efgartigimod PH20 SC open label for 8 weeks |
| Part B (Double-blinded treatment period): Efgartigimod PH20 SC | EXPERIMENTAL | Participants will receive efgartigimod PH20 SC for 24 weeks |
| Part B (Maintenance double-blinded treatment period): Placebo PH20 SC | PLACEBO_COMPARATOR | Participants will receive placebo for 24 weeks |
| Part C (Open-Label Extension Period): Efgartigimod PH20 SC | EXPERIMENTAL | Participants who complete Part B will receive efgartigimod PH20 SC for 24 weeks |
| Double-blinded treatment period (DBTP): Efgartigimod PH20 SC | EXPERIMENTAL | Participants receiving efgartigimod PH20 SC during the double-blinded treatment period |
| Double-blinded treatment period (DBTP): Placebo PH20 SC | PLACEBO_COMPARATOR | Participants receiving placebo PH20 SC during the double-blinded treatment period |
| Open-label treatment period (OLTP) | EXPERIMENTAL | Participants receiving efgartigimod PH20 SC during the open-label treatment period |
| Treatment arm 1 | EXPERIMENTAL | Participants receiving Efgartigimod PH20 SC on top of optimized standard background immunosuppression therapy (tacrolimus, mycophenolate mofetil, and optionally steroids) |
| Treatment arm 2 | EXPERIMENTAL | Participants 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 3 | PLACEBO_COMPARATOR | Participants receiving Placebo PH20 SC on top of optimized standard background immunosuppression therapy (tacrolimus, mycophenolate mofetil, and optionally steroids) |
| ARGX-113 Dose A + SoC | EXPERIMENTAL | Patients will be randomized in a 1:1:1 ratio to ARGX-113 (Dose A or Dose B) or placebo |
| ARGX-113 Dose B +SoC | EXPERIMENTAL | Patients will be randomized in a 1:1:1 ratio to ARGX-113 (Dose A or Dose B) or placebo |
| Placebo + SoC | PLACEBO_COMPARATOR | Patients will be randomized in a 1:1:1 ratio to ARGX-113 (Dose A or Dose B) or placebo |
| Name | Type | Description |
|---|---|---|
| efgartigimod PH20 SC | BIOLOGICAL | Subcutaneous injection of Efgartigimod PH20 Via Prefilled Syringe (PFS) |
| Placebo PH20 SC | OTHER | Subcutaneous injection of placebo PH20 via Prefilled Syringe (PFS) |
| efgartigimod IV | BIOLOGICAL | Intravenous infusion of efgartigimod |
| Placebo | OTHER | Subcutaneous injection of placebo |
| prednisone | DRUG | Oral prednisone tablets |
| ARGX-113 | BIOLOGICAL | Intravenous administration of ARGX-113 |
| Efgartigimod PH20 (ARGX-113) SC | BIOLOGICAL | subcutaneous 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. |
| Efgartigimod PH20 SC - prefilled syringe | COMBINATION_PRODUCT | Subcutaneous efgartigimod PH20 SC given by prefilled syringe |
| Placebo PH20 SC - prefilled syringe | OTHER | Subcutaneous placebo PH20 SC given by prefilled syringe |
Inclusion Criteria: * Is at least 18 years of age and the local legal age of consent for clinical studies when signing the ICF. * Has a documented diagnosis of GD with TRAb (anti-thyrotropin receptor antibody) levels \>=ULN (upper limit of normal) at screening * Has active hyperthyroidism due to GD...
Efgartigimod PH20 SC is an investigational subcutaneous formulation of efgartigimod that combines the active molecule with PH20 to support subcutaneous delivery. Argenx SE (ticker ARGX) is developing it across several immune-mediated conditions, including generalized myasthenia gravis, chronic inflammatory demyelinating polyneuropathy, Graves disease, bullous pemphigoid, and autoimmune encephalitis.
Efgartigimod PH20 SC targets FCGRT, the neonatal Fc receptor, and acts as an antagonist at that target. By binding FCGRT, the molecule interferes with the receptor's normal recycling function. The PH20 component is included to facilitate subcutaneous administration of the efgartigimod molecule.
Efgartigimod PH20 SC is developed by argenx SE, which trades under the ticker ARGX. Argenx is the sponsor behind the clinical program for this subcutaneous efgartigimod formulation across its immunology indications.
Efgartigimod PH20 SC is in clinical development, with studies spanning Phase 2 and Phase 3. It is investigational and is being evaluated in placebo-controlled, randomized, double-blind trials. The program includes both recruiting and not-yet-recruiting studies across several indications.
Efgartigimod PH20 SC trials include NCT07596849 and NCT07570316, both Phase 3 recruiting studies in Graves disease with 230 participants each. Phase 2 studies include NCT07760818 in Sjogren's disease-associated polyneuropathy (SERENITY) and NCT07583641 in autoimmune encephalitis. Total planned enrollment across the listed trials is 631 participants.
Yes. Efgartigimod PH20 SC prefilled syringe, efgartigimod PH20 PFS, Efgartigimod PH20 SC via PFS, Efgartigimod PH20 via AI, and Efgartigimod PH20 (ARGX-113) SC all refer to the same subcutaneous efgartigimod PH20 product developed by argenx SE.