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Empasiprubart

Phase 3

Chronic Inflammatory Demyelinating Polyneuropathy | Biologics | Neurology |argenx SE|Trials Updated: Nov 4, 2026

Empasiprubart development status

Highest phase Phase 3
Registered trials 2 across 1 sponsor since Dec 2024

Empasiprubart target and mechanism

ModalityBiologics

Also known as Empasiprubart IV, empasiprubart SC AI, empasiprubart AI

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials8
Total Enrollment704

FDA Designations

No designations recorded

Empasiprubart clinical trials

Empasiprubart · 8 trials · 15 indications

Phase 3 3Phase 2/3 1Phase 2 3Phase 1 1
NCT07091630A Study to Assess the Efficacy and Safety of Empasiprubart in Adults With CIDPChronic Inflammatory Demyelinating Polyneuropathy
RECRUITING160 Analytics
NCT06920004A Study to Assess Efficacy and Safety of Empasiprubart Versus IVIg in Adults With CIDPChronic Inflammatory Demyelinating Polyneuropathy
RECRUITING218 Analytics
NCT06742190A Study to Assess the Efficacy and Safety of Empasiprubart Versus IVIg in Adults With Multifocal Motor NeuropathyMultifocal Motor Neuropathy (MMN)
ACTIVE NOT_RECRUITING154 Analytics
PHASE3RECRUITING
A Study to Assess the Efficacy and Safety of Empasiprubart in Adults With CIDP
Chronic Inflammatory Demyelinating PolyneuropathyUnlock trial analytics
PHASE3RECRUITING
A Study to Assess Efficacy and Safety of Empasiprubart Versus IVIg in Adults With CIDP
Chronic Inflammatory Demyelinating PolyneuropathyUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Assess the Efficacy and Safety of Empasiprubart Versus IVIg in Adults With Multifocal Motor Neuropathy
Multifocal Motor Neuropathy (MMN)Unlock trial analytics

Study Endpoints

Primary Endpoints

Reduction of ≥1 point compared with baseline in aINCAT score at week 24
Up to 24 weeks

The Adjusted Inflammatory Neuropathy Cause and Treatment Disability Score (aINCAT) score is a 10-point scale that covers the functionality of legs and arms. The score varies between 0 and 10 (higher score, worse outcome).

Change from baseline in grip strength (4-week average) in the most affected hand at week 24
Up to 24 weeks
Empasiprubart serum concentrations as input for a population PK-driven analysis to determine the effect of age and body size on CL and Vd
Up to 8 weeks

CL = Clearance; Vd = apparent volume of distribution.

Free and total C2 levels as input for PK/PD modeling analysis
Up to 8 weeks

C2 = complement component 2.

Proportion of Participants With a Guillain-Barré Syndrome Disability Scale (GBS-DS) Score ≤2 at Week 4
at week 4

The Guillain-Barré Syndrome Disability Scale (GBS-DS) is a clinician-reported measure of global functional disability. It has 7 categories ranging from 0 (healthy) to 6 (death), with higher scores indicating greater disability. A GBS-DS score ≤2 indicates the participant is able to walk 10 meters or more without assistance.

Incidence of adverse events and serious adverse events in the DBTP
Up to 12 weeks
Incidence of adverse events (AEs)
Up to 90 weeks
Percentage of participants discontinuing investigational medicinal product (IMP) due to an adverse event (AE)
Up to 25 weeks
Change from baseline in nerve CSA at week 24 as measured by ultrasound imaging of the median nerve and brachial plexus (individual nerves and average sum score)
Up to 48 weeks

CSA : cross-sectional area

Secondary Endpoints

Change from baseline in I-RODS centile points score
Up to 24 weeks (part A) + 96 weeks (Part B)
Change from baseline in MRC-SS at week 24
Up to 24 weeks
Change from baseline in grip strength (3-day moving average) in the dominant hand at week 24
Up to 24 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A - EmpasiprubartEXPERIMENTALParticipants receive empasiprubart during part A
Part A - PlaceboPLACEBO_COMPARATORParticipants receive placebo during part A
Part B - EmpasiprubartEXPERIMENTALParticipants receive empasiprubart during part B. Participants from the empasiprubart arm in part A will receive placebo once to maintain the blind of part A.
Part A - empasiprubart + IVIg-placeboEXPERIMENTALDuring Part A, participants receive empasiprubart and a placebo resembling the IVIg treatment in this arm.
Part A - IVIg + empasiprubart-placeboACTIVE_COMPARATORDuring Part A, participants receive IVIg and a placebo resembling the empasiprubart treatment in this arm.
Empasiprubart IVEXPERIMENTALParticipants will receive empasiprubart IV
Empasiprubart + IVIgEXPERIMENTALParticipants receive empasiprubart by intravenous infusion and IVIg by intravenous infusion.
Placebo + IVIgPLACEBO_COMPARATORParticipants receive placebo by intravenous and IVIg by intravenous infusion.
Placebo IVPLACEBO_COMPARATORParticipants receive placebo IV in the DBTP
Efgartigimod PH20 SC PFSOTHERParticipants receive open-label efgartigimod PH20 SC PFS in the safety follow-up period
EmpasiprubartEXPERIMENTALPatients receiving Empasiprubart IV
PlaceboPLACEBO_COMPARATORPatients receiving Placebo IV

Interventions

NameTypeDescription
Empasiprubart IVBIOLOGICALIntravenous infusion of empasiprubart
Placebo IVOTHERIntravenous infusion of placebo
empasiprubartBIOLOGICALIntravenous infusion of empasiprubart
IVIgBIOLOGICALIntravenous infusion of IVIg
empasiprubart-placeboOTHERA placebo resembling the empasiprubart treatment
IVIg-placeboOTHERA placebo resembling the IVIg treatment
IVIG (Intravenous Immunoglobulin)BIOLOGICALIntravenous infusion of IVIg
Empasiprubart Placebo IVOTHERIntravenous infusion of Placebo
Intravenous immunoglobulin (IVIg)BIOLOGICALIntravenous infusion of IVIg
Efgartigimod PH20 SC PFSCOMBINATION_PRODUCTSubcutaneous administration of efgartigimod PH20 via pre-filled syringe (PFS)
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites89

Inclusion Criteria: * Meets criteria for CIDP based on EAN/PNS Task Force CIDP guidelines, second revision (2021) * Has either typical CIDP or 1 of the following CIDP variants: motor CIDP (including motor-predominant CIDP), multifocal CIDP (also known as Lewis-Sumner syndrome), focal CIDP, or dista...

Countries:United StatesArgentinaAustriaBrazilBulgariaChinaColombiaCzechiaDenmarkEstoniaFranceGeorgiaGreeceHungaryIsraelItalyJapanMoldovaNetherlandsPolandRomaniaSingaporeSlovakiaSouth KoreaUnited KingdomAustraliaCanadaGermanyNorwayPortugalSerbiaSloveniaSpainSwedenSwitzerlandTurkey (Türkiye)BelgiumLatviaLithuania
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Recent Changes (Last 90 Days)

LOWNov 4, 2026NCT07673627lastUpdatePostDate: changed
LOWNov 4, 2026NCT06284954lastUpdatePostDate: changed
LOWNov 4, 2026NCT07673627lastUpdatePostDate: changed
LOWNov 4, 2026NCT06284954lastUpdatePostDate: changed
LOWNov 3, 2026NCT06920004lastUpdatePostDate: changed
LOWNov 3, 2026NCT06920004lastUpdatePostDate: changed
LOWOct 30, 2026NCT06920004lastUpdatePostDate: changed
LOWOct 30, 2026NCT06920004lastUpdatePostDate: changed
LOWOct 28, 2026NCT07821762lastUpdatePostDate: changed
LOWOct 28, 2026NCT07821762lastUpdatePostDate: changed
LOWOct 27, 2026NCT07091630lastUpdatePostDate: changed
LOWOct 27, 2026NCT07091630lastUpdatePostDate: changed
LOWOct 16, 2026NCT07673627lastUpdatePostDate: changed
LOWOct 16, 2026NCT07091630lastUpdatePostDate: changed
LOWOct 16, 2026NCT06920004lastUpdatePostDate: changed
LOWOct 16, 2026NCT07673627lastUpdatePostDate: changed
LOWOct 16, 2026NCT07091630lastUpdatePostDate: changed
LOWOct 16, 2026NCT06920004lastUpdatePostDate: changed
LOWSep 25, 2026NCT07821762lastUpdatePostDate: changed
LOWSep 25, 2026NCT07821762lastUpdatePostDate: changed

Frequently asked questions about Empasiprubart

What is empasiprubart?

Empasiprubart is an investigational biologic developed by argenx SE for neurological autoimmune conditions. It is being studied in AChR-Ab seropositive generalized myasthenia gravis, chronic inflammatory demyelinating polyneuropathy, dermatomyositis, Guillain-Barré syndrome, and multifocal motor neuropathy. It is in Phase 2 clinical development and is not yet approved.

What is empasiprubart used for?

Empasiprubart is being developed to treat several neurological autoimmune disorders, including AChR-Ab seropositive generalized myasthenia gravis, chronic inflammatory demyelinating polyneuropathy, dermatomyositis, Guillain-Barré syndrome, and multifocal motor neuropathy. These are the indications under study in its clinical program.

Who makes empasiprubart?

Empasiprubart is developed by argenx SE, which trades under the ticker ARGX. The company is running the Phase 2 clinical program evaluating the drug across its neurological indications.

What phase is empasiprubart in?

Empasiprubart is in Phase 2 clinical development. It is investigational and has not been approved by the FDA. Its trials include a Phase 2 study in generalized myasthenia gravis and a Phase 2/Phase 3 study in adolescents with chronic inflammatory demyelinating polyradiculoneuropathy.

What clinical trials is empasiprubart in?

Empasiprubart trials include NCT07673627, a recruiting Phase 2 study of IV monotherapy in AChR-Ab seropositive generalized myasthenia gravis, and NCT07821762, a Phase 2 study as add-on therapy to IVIg in Guillain-Barré syndrome. NCT07638566 is a Phase 2/Phase 3 study in adolescent CIDP, and NCT07610564 is a Phase 1 nerve morphology study in multifocal motor neuropathy.

Is empasiprubart the same as empasiprubart IV or empasiprubart SC?

Yes. Empasiprubart IV, empasiprubart SC AI, empasiprubart AI, and empasiprubart IV all refer to the same investigational drug, empasiprubart. The suffixes describe the formulation or route studied, such as intravenous or subcutaneous administration, rather than a different molecule.