Full Press Release Details
argenx Data Highlight
Evidence that VYVGART and VYVGART Hytrulo Drive Transformative Outcomes for Patients with Debilitating Autoimmune Disease
VYVGART Hytrulo has potential to be first advancement for CIDP patients in 30 years
demonstrate gMG patients able to significantly reduce steroid use over first six months of initiating VYVGART
April 16, 2024 - 7:00am CET
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 data from its Phase 3 ADHERE trial evaluating VYVGART Hytrulo
(efgartigimod alfa and hyaluronidase-qvfc) in patients with chronic inflammatory demyelinating polyneuropathy (CIDP) were presented for
the first time to the medical community during the Clinical Trials Plenary Session at the American Academy of Neurology (AAN) Annual
Meeting in Denver, CO.
argenx also highlighted clinical trial and real-world
data across seven posters and presentations that continue to reinforce VYVGART and VYVGART Hytrulo as a transformative treatment option
"Our innovative approach to autoimmunity
research is changing expectations for the global immunology community," said Luc Truyen, M.D., Ph.D., Chief Medical Officer, argenx.
"The gMG and CIDP data presented at AAN reinforce that our pioneering approach to transforming autoimmunity is redefining what
is possible for patients and their communities."
"Patients with CIDP face a number of diagnostic
and treatment challenges" said Jeffrey Allen, M.D., Professor, Department of Neurology, University of Minnesota and Principal Investigator
in the ADHERE trial. "The results of the ADHERE trial show that VYVGART Hytrulo reduces the risk of clinical deterioration in patients
with CIDP while minimizing side effects and reducing the treatment burden. These findings enhance our understanding of the role that
IgG autoantibodies are likely to play in the disease, and open the door to new safe, effective and well-tolerated treatments that eliminate
ADHERE Plenary Session (PL5) Highlights Rapid,
Deep and Clinically Meaningful, and Durable Functional Improvements in CIDP
In the ADHERE study, a majority of patients treated
with VYVGART Hytrulo, regardless of prior treatment, demonstrated evidence of rapid clinical improvement, and a reduced risk of relapse
compared to those treated with placebo. As previously reported, ADHERE met its primary endpoint (p=0.000039) demonstrating a 61% reduction
(HR: 0.39 95% CI: 0.25; 0.61) in the risk of relapse versus placebo. VYVGART Hytrulo was well-tolerated, and the observed safety and
tolerability profile was consistent with previous clinical trials.
AAN presentations highlight rapid, deep, and
sustained improvements in gMG with ability to reduce steroid burden
Clinical trial data and real-world evidence presented
during AAN continue to highlight the differentiated efficacy and safety profile of VYVGART and VYVGART Hytrulo, driving rapid, deep,
and sustained improvement across disease scales and with different dosing schedules, including the ability for patients to achieve minimal
symptom expression (MSE).
| MSE results in ADAPT/ADAPT+: Poster Session 10 | ||
| ADAPT-SC+ interim results: Poster Session 10 | ||
| ADAPT-NXT interim results: Poster Session 10 | ||
| Cost-benefit analysis of efgartigimod to IVIG in Canada: Poster Session 4 |
Side effects from long-term steroid use continue
to be a significant burden associated with autoimmune disease, reinforcing the importance of the favorable safety profile of VYVGART.
New data presented in an oral presentation (Scientific Platform Session 38) during AAN characterize how VVYGART treatment can significantly
reduce concomitant steroid use.
| A substantial proportion of gMG patients (46%) were able to reduce steroid use over the first six months of initiating VYVGART treatment, including 34% of patients who tapered to <5mg/day and 18% who reduced completely to zero. | ||
| Overview of efgartigimod safety profile across indications: Poster Session 4 | ||
| Analysis of serious infections and malignancies in MG: Poster Session 10 |
About ADHERE Trial Design
The ADHERE trial 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.
See Important Safety Information below, full
United States Prescribing Information for VYVGART and full Prescribing Information for VYVGART Hytrulo for additional information.
What is VYVGART (efgartigimod
alfa-fcab) for intravenous (IV) infusion and what is VYVGART HYTRULO (efgartigimod alfa and hyaluronidase-qvfc)
for subcutaneous injection?
VYVGART and VYVGART HYTRULO are both prescription
medicines, each used to treat a condition called generalized myasthenia gravis, which causes muscles to tire and weaken easily throughout
the body, in adults who are positive for antibodies directed toward a protein called acetylcholine receptor (anti-AChR antibody positive).
Do not use VYVGART if you have a serious allergy
to efgartigimod alfa or any of the other ingredients in VYVGART. Do not use VYVGART HYTRULO if you have a serious allergy to efgartigimod
alfa, hyaluronidase, or any of the other ingredients in VYVGART HYTRULO. VYVGART and VYVGART HYTRULO can cause serious allergic reactions
and a decrease in blood pressure leading to fainting.
VYVGART and VYVGART HYTRULO may cause serious
side effects, including:
VYVGART and VYVGART HYTRULO may increase the
risk of infection. The most common infections for efgartigimod alfa-fcab-treated patients were urinary tract and respiratory tract infections.
Signs or symptoms of an infection may include fever, chills, frequent and/or painful urination, cough, pain and blockage of nasal passages/sinus,
wheezing, shortness of breath, fatigue, sore throat, excess phlegm, nasal discharge, back pain, and/or chest pain.
Allergic Reactions (hypersensitivity reactions)
VYVGART and VYVGART HYTRULO can cause allergic
reactions such as rashes, swelling under the skin, and shortness of breath. Hives were also observed in patients treated with VYVGART
HYTRULO. Serious allergic reactions, such as trouble breathing and decrease in blood pressure leading to fainting have been reported
with efgartigimod alfa-fcab.
Infusion-Related Reactions
VYVGART and VYVGART HYTRULO can cause infusion-related
reactions. The most frequent symptoms and signs reported with efgartigimod alfa-fcab were high blood pressure, chills, shivering, and
chest, abdominal, and back pain.
Tell your doctor if you have signs or symptoms
of an infection, allergic reaction, or infusion-related reaction. These can happen while you are receiving your VYVGART or 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 or VYVGART HYTRULO,
tell your doctor if you:
| take any medicines, including prescription and non-prescription medicines, supplements, or herbal medicines, | ||
| have received or are scheduled to receive a vaccine (immunization), or | ||
| have any allergies or medical conditions, including if you are pregnant or planning to become pregnant, or are breastfeeding. |
What are the common side effects of VYVGART
and VYVGART HYTRULO?
The most common 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, pain, and hives.
These are not all the possible side effects of
VYVGART and 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.
see the full Prescribing Information for VYVGART and the full Prescribing Information for VYVGART HYTRULO.
Generalized Myasthenia Gravis
myasthenia gravis (gMG) is a rare and chronic autoimmune disease where IgG autoantibodies disrupt communication between nerves and muscles,