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argenx Announces FDA Approval of VYVGART Hytrulo for Chronic Inflammatory Demyelinating Polyneuropathy VYVGART Hytrulo is first and only neonatal Fc receptor (FcRn) blocker approved to treat chronic inflammatory demyelin

Key Takeaway: argenx SE has announced the FDA approval of VYVGART Hytrulo for the treatment of chronic inflammatory demyelinating polyneuropathy (CIDP), making it the first neonatal Fc receptor blocker approved for this condition. This treatment option aims to improve the quality of life for patients suffering from CIDP, a debilitating immune-mediated disorder. The approval is based on the promising results of the ADHERE trial, which demonstrated significant clinical improvement in a majority of participants. VYVGART Hytrulo is expected to be available to U.S. patients immediately, addressing a critical need for more diverse treatment options in CIDP.

Market Sentiment Analysis

POSITIVE FACTORS

  • FDA approval of VYVGART Hytrulo marks a significant advancement in CIDP treatment.
  • First and only FcRn blocker approved for CIDP, offering hope to patients.
  • Clinically demonstrated improvements for 69% of patients in the ADHERE trial.

CONCERNS & RISKS

  • Potential serious allergic reactions associated with VYVGART Hytrulo.
  • Common side effects include respiratory infections and headaches.

Full Press Release Details

Announces FDA Approval of VYVGART Hytrulo for Chronic Inflammatory Demyelinating Polyneuropathy
Hytrulo is first and only neonatal Fc receptor (FcRn) blocker approved to treat chronic
inflammatory demyelinating polyneuropathy (CIDP)
novel, precision mechanism of action in more than 30 years for patients with CIDP
approved indication for VYVGART and VYVGART Hytrulo franchise
to host conference call on June 21, 2024 at 11:00pm CET (5:00pm ET)
June 21, 2024, 4:40pm ET
Netherlands - argenx SE (Euronext & Nasdaq: ARGX), a global immunology company committed to improving the lives of
people suffering from severe autoimmune diseases, today announced that the U.S. Food and Drug Administration (FDA) has approved VYVGART
Hytrulo (efgartigimod alfa and hyaluronidase-qvfc) for the treatment of adult patients with chronic inflammatory demyelinating polyneuropathy
(CIDP). VYVGART Hytrulo is approved for CIDP as a once weekly 30-to-90 second subcutaneous injection. It is the first and only neonatal
Fc receptor (FcRn) blocker approved for the treatment of CIDP.
to pursue our ambition to turn science into solutions for patients with severe autoimmunity," said Luc Truyen M.D., Ph.D., Chief
Medical Officer, argenx. "Patients have been waiting, and today argenx is delivering the first innovative treatment for CIDP in
more than 30 years. VYVGART Hytrulo is a precision tool that has been shown to drive meaningful benefits for patients. Today's
FDA approval means that CIDP patients have a transformational new treatment option and further affirms the therapeutic profile of VYVGART
Hytrulo and the potential of FcRn blockade in IgG-mediated autoimmune diseases."
debilitating, often progressive, immune-mediated neuromuscular disorder of the peripheral nervous system. Patients experience a range
of disabling mobility and sensory issues, including trouble standing from a seated position, pain and fatigue, and frequent tripping
or falling. Many patients become wheelchair bound and are unable to work as the disease progresses. Currently, 85% of patients require
ongoing treatment and nearly 88% of treated patients experience residual impairment and disability.
patients face many daily concerns and challenges, fear of disease progression should not be one of them. CIDP can be debilitating and
have significant impact on quality of life and many patients with CIDP require treatments that may be burdensome. The approval of this
promising new treatment option for CIDP may provide hope to patients that they can treat their disease beyond just managing symptoms.
CIDP patients deserve treatment options and we look forward to a future of choices for optimal and individualized care," said Lisa
Butler, Executive Director, GBS|CIDP Foundation.
a groundbreaking day for the treatment of CIDP. Existing treatments have been limited to corticosteroids and plasma-derived therapies.
These treatments, while effective for many patients, can be challenging for some patients to receive," said Jeffrey Allen, M.D.,
Professor, Department of Neurology,
of Minnesota and Principal Investigator in the ADHERE trial. "Today's approval of VYVGART Hytrulo gives doctors and patients
a new, safe and effective treatment option that may lessen the burden of treatment that some patients experience."
is based on the ADHERE Study, the largest clinical trial to date studying CIDP. In the ADHERE study, 69% (221/322) of patients
treated with VYVGART Hytrulo, regardless of prior treatment, demonstrated evidence of clinical improvement, including improvements in
mobility, function and strength. ADHERE met its primary endpoint (p<0.0001) demonstrating a 61% reduction (HR: 0.39 95% CI: 0.25;
0.61) in the risk of relapse versus placebo. Ninety-nine percent of trial participants elected to participate in the ADHERE open-label
extension. The safety results were generally consistent with the known safety profile of VYVGART in previous clinical studies and real-world
is also approved in the U.S. for the treatment of generalized myasthenia gravis (gMG) in adult patients who are anti-acetylcholine receptor
(AChR) antibody positive.
Access to VYVGART Hytrulo
to supporting access for patients to its medicines and VYVGART Hytrulo is expected to be available for patients in the U.S. immediately.
The typical patient will have an annual out-of-pocket cost similar to that of a VYVGART or VYVGART Hytrulo patient with gMG, or an IVIg
argenx has established
a patient support program, My VYVGART Path, which can help patients and HCPs navigate access. My VYVGART Path program resources include
disease and product education, access support and benefits verification, and financial assistance programs for eligible patients. More
information is available at VYVGART.com.
Conference Call Details
a conference call Friday, June 21, 2024, at 11:00 pm CET (5:00pm ET) to discuss the approval. A webcast of the live call and replay
may be accessed on the Investors section of the argenx website.
Belgium 32 800 50 201
France 33 800 943355
Netherlands 31 20 795 1090
United Kingdom 44 800 358 0970
United States 1 888 415 4250
Japan 81 3 4578 9081
Switzerland 41 43 210 11 32
FDA-approved Important Safety Information below and full Prescribing Information for VYVGART Hytrulo for additional information.
What is VYVGART HYTRULO
(efgartigimod alfa and hyaluronidase-qvfc)?
is a prescription medicine used for the treatment of adult patients with chronic inflammatory demyelinating polyneuropathy (CIDP).
IMPORTANT SAFETY INFORMATION
HYTRULO if you have a serious allergy to efgartigimod alfa, hyaluronidase, or any of the other ingredients in VYVGART HYTRULO. VYVGART
HYTRULO can cause serious allergic reactions and a decrease in blood pressure leading to fainting.
VYVGART HYTRULO may cause serious
side effects, including:
if you have signs or symptoms of an infection, allergic reaction, or infusion-related reaction. These can happen while you are receiving
your VYVGART HYTRULO treatment or afterward. Your doctor may need to pause or stop your treatment. Contact your doctor immediately if
you have signs or symptoms of a serious allergic reaction.
Before taking VYVGART HYTRULO, tell
What are the common side effects
side effects in efgartigimod-alfa-fcab-treated patients were respiratory tract infection, headache, and urinary tract infection. Additional
common side effects with VYVGART HYTRULO are injection site reactions, including rash, redness of the skin, itching sensation, bruising,
These are not all the possible side
effects of VYVGART HYTRULO. Call your doctor for medical advice about side effects. You may report side effects to the US Food and Drug
Administration at 1-800-FDA-1088.
Please see the full Prescribing Information
for VYVGART HYTRULO and talk to your doctor.
About ADHERE Trial Design
was a multicenter, randomized, double-blind, placebo-controlled trial evaluating VYVGART Hytrulo (efgartigimod
alfa and hyaluronidase-qvfc) for the treatment of chronic inflammatory demyelinating polyneuropathy (CIDP). ADHERE enrolled 322 adult
patients with CIDP who were treatment na ve (not on active treatment within the past six months or newly diagnosed) or being treated
with immunoglobulin therapy or corticosteroids. The trial consisted of an open-label Stage A followed by a randomized, placebo-controlled
Stage B. In order to be eligible for the trial, the diagnosis of CIDP was confirmed by an independent panel of experts. Patients entered
a run-in stage, where any ongoing CIDP treatment was stopped and in order to be eligible for Stage A had to demonstrate active disease,
with clinically meaningful worsening on at least one CIDP clinical assessment tool, including INCAT, I -RODS, or mean grip strength.
Treatment na ve patients were able to skip the run-in period with proof of recent worsening. To advance to Stage B, patients needed
to demonstrate evidence of clinical improvement (ECI) with VYVGART Hytrulo. ECI was achieved through improvement of the INCAT score,
or improvement on I-RODS or mean grip strength if those scales had demonstrated worsening during the run-in period. In Stage B, patients
were randomized to either VYVGART Hytrulo or placebo for up to 48 weeks. The primary endpoint was measured once 88 total relapses or
events were achieved in Stage B and was based on the hazard ratio for the time to first adjusted INCAT deterioration (i.e. relapse).
After Stage B, all patients had the option to roll-over to an open-label extension study to receive VYVGART Hytrulo.
About VYVGART Hytrulo (efgartigimod
alfa and hyaluronidase-qvfc)
is a subcutaneous combination of efgartigimod alfa, a human IgG1 antibody fragment marketed for intravenous use as VYVGART, and recombinant
human hyaluronidase PH20 (rHuPH20), Halozyme's ENHANZE drug delivery technology to facilitate subcutaneous injection
delivery of biologics. In binding to the neonatal Fc receptor (FcRn), VYVGART Hytrulo results in the reduction of circulating IgG. It
is the first-and-only approved FcRn blocker administered by subcutaneous injection.
is the proprietary name in the U.S. for subcutaneous efgartigimod alfa and recombinant human hyaluronidase PH20. It may be marketed under
different proprietary names following approval in other regions.
About Chronic Inflammatory Demyelinating
Chronic inflammatory
demyelinating polyneuropathy (CIDP) is a rare and serious autoimmune disease of the peripheral nervous system. Although confirmation
of disease pathophysiology is still emerging, there is increasing evidence that IgG antibodies play a key role in the damage to the peripheral
nerves. People with CIDP experience fatigue, muscle weakness and a loss of feeling in their arms and legs that can get worse over time
or may come and go. These symptoms can significantly impair a person's ability to function in their daily lives. Without treatment,
one-third of people living with CIDP will need a wheelchair. There are approximately 24,000 patients in the U.S. currently receiving

Frequently Asked Questions

What is VYVGART Hytrulo approved for?

VYVGART Hytrulo is approved for treating chronic inflammatory demyelinating polyneuropathy (CIDP) in adults.

How is VYVGART Hytrulo administered?

VYVGART Hytrulo is given as a subcutaneous injection once weekly, lasting 30 to 90 seconds.

What was the outcome of the ADHERE trial?

The ADHERE trial showed that 69% of patients on VYVGART Hytrulo had clinical improvement.

What is the mechanism of action of VYVGART Hytrulo?

It functions as a neonatal Fc receptor blocker, representing a novel treatment approach for CIDP.

Is VYVGART Hytrulo available immediately?

Yes, VYVGART Hytrulo is expected to be available for patients in the U.S. immediately.

Last updated: Jun 21, 2024