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argenx Highlights Breadth of Autoimmune Pipeline with New Multifocal Motor Neuropathy Data at 2024 Peripheral Nerve Society Annual Meeting ARDA study data show potential for empasiprubart to drive functional improvement

Key Takeaway: argenx SE recently presented new data at the 2024 Peripheral Nerve Society Annual Meeting, highlighting the company's autoimmune pipeline, particularly focusing on the Phase 2 ARDA study of empasiprubart for multifocal motor neuropathy (MMN). The data indicate that empasiprubart may offer significant functional improvement and risk reduction of relapse for MMN patients. Additionally, argenx showcased promising results from the pivotal ADHERE study regarding VYVGART Hytrulo, an approved treatment for chronic inflammatory demyelinating polyneuropathy (CIDP), evidencing its sustained efficacy and safety. This presentation underlines argenx's objective to innovate therapies that address unmet needs in severe autoimmune diseases.

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POSITIVE FACTORS

  • New data shows potential for empasiprubart to drive functional improvement in MMN patients.
  • VYVGART Hytrulo demonstrated sustained efficacy in CIDP patients with a 61% reduction in relapse risk.
  • argenx presents compelling data at a major medical congress, supporting its innovative pipeline.
  • The FDA approved VYVGART Hytrulo, expanding treatment options for chronic inflammatory demyelinating polyneuropathy patients.

Full Press Release Details

argenx Highlights Breadth of Autoimmune Pipeline
with New Multifocal Motor Neuropathy Data at 2024 Peripheral Nerve Society Annual Meeting
ARDA study data show potential for empasiprubart
to drive functional improvement and reduced risk of relapse for multifocal motor neuropathy (MMN) patients
show durability of functional improvements with VYVGART Hytrulo (efgartigimod alfa and hyaluronidase-qvfc),
which is FDA approved for use in adults with chronic inflammatory demyelinating polyneuropathy (CIDP)
June 25, 2024 - 4:30pm EDT
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 new data from across the company's autoimmune pipeline
were presented at the 2024 Peripheral Nerve Society (PNS) Annual Meeting in Montr al, Quebec.
"argenx is on a mission to transform the
treatment of severe autoimmunity," said Luc Truyen, M.D., Ph.D., Chief Medical Officer, argenx. "We have established MMN
and CIDP as autoantibody-mediated diseases, and by developing novel medicines that precisely target disease biology, we are fulfilling
our mission to create truly transformative outcomes for patients. We are excited to present data for our novel therapies that may offer
benefits beyond symptom management - to safely help patients regain control of their lives without harsh side effects, residual
impairments, or treatments dependent on high frequency infusions. argenx continues to build scientific and clinical evidence that supports
the advancement of our innovative pipeline and shows the potential to expand therapeutic choices while reducing the risk of relapse and
accumulating disability."
Phase 2 ARDA Data Support Empasiprubart as
Novel Targeted Treatment for MMN
For the first time at a medical congress, argenx
presented Cohort 1 data from the Phase 2 ARDA study, which support proof of concept for empasiprubart as a potential new treatment option
for MMN, a chronic, progressive autoimmune disease with only one approved treatment option. ARDA is the largest interventional study
ADHERE Oral Presentation Highlights Consistent Sustained Efficacy
and Safety of VYVGART Hytrulo for Patients with CIDP
argenx also presented
new data from the pivotal ADHERE and open-label extension ADHERE+ studies evaluating VYVGART Hytrulo in patients with CIDP. The ADHERE
data supported the recent FDA approval of VYVGART Hytrulo as a safe and effective new treatment option for CIDP, demonstrating sustained
functional benefit across all disease scores regardless of disease stage or treatment history. 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.
VYVGART Hytrulo was approved on June 21,
2024, for the treatment of adult patients with CIDP by the U.S Food and Drug Administration (FDA).
About Multifocal Motor Neuropathy
Multifocal motor neuropathy (MMN) is a rare,
chronic autoimmune disease of the peripheral nervous system. The disease is characterized by slowly progressive, asymmetric muscle weakness
mainly of the hands, forearms and lower legs. MMN is often associated with the presence of anti-GM1 IgM autoantibodies, leading to activation
of the classical complement pathway, driving subsequent axon damage. High-dose IVIg is the only approved treatment for MMN and patients
typically experience disease progression despite therapy, indicating an unmet need for efficacious and better tolerated therapeutic options.
About Chronic Inflammatory Demyelinating Polyneuropathy
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.
Phase 2 ARDA Study Design
The Phase 2 ARDA study is a randomized, double-blinded,
placebo-controlled multicenter study to evaluate the safety and tolerability, efficacy, pharmacokinetics, pharmacodynamics, and immunogenicity
of two dose regimens of empasiprubart in adults with multifocal motor neuropathy (MMN). The study consists of an IVIg dependency and
monitoring period before 2:1 randomization into a double-blind treatment phase for 16-weeks. Two sequential cohorts of 27 MMN patients
receiving empasiprubart or placebo were enrolled investigating two different dose levels of empasiprubart. The primary endpoint is safety
and tolerability. Additional endpoints include time to IVIg retreatment, biomarker analyses of C2 levels, and changes in measurements
on key clinical efficacy scores (modified medical research council (mMRC)-14 sum score, grip strength, MMN-RODS) as well as several patient-reported
quality of life outcome measures.
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.
Empasiprubart (ARGX-117) is a first-in-class
humanized monoclonal antibody that binds C2 and blocks activation of both the classical and lectin pathways of the complement cascade,
leaving the alternative pathway intact for its antimicrobial properties. By blocking complement activity upstream of C3 and C5, empasiprubart
has the potential to reduce tissue inflammation and cellular damage, representing a broad pipeline opportunity across multiple severe
autoimmune indications. In addition to multifocal motor neuropathy, argenx is evaluating empasiprubart in delayed graft function following
kidney transplant and dermatomyositis.
About VYVGART Hytrulo (efgartigimod alfa
and hyaluronidase-qvfc)
VYVGART Hytrulo 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.
Hytrulo is the proprietary name in the U.S. for subcutaneous efgartigimod alfa and recombinant human hyaluronidase PH20. It is marketed
as VYVDURA in Japan and VYVGART SC in Europe.
See 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)?
VYVGART HYTRULO is a prescription medicine used
for the treatment of adult patients with chronic inflammatory demyelinating polyneuropathy (CIDP).
IMPORTANT SAFETY INFORMATION
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 HYTRULO can cause serious allergic
reactions and a decrease in blood pressure leading to fainting.
VYVGART HYTRULO may cause serious side effects,
Infection. 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 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 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 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

Frequently Asked Questions

What is empasiprubart used for?

Empasiprubart is a potential treatment for multifocal motor neuropathy (MMN), an autoimmune disease.

What is VYVGART Hytrulo approved for?

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

What did the Phase 2 ARDA study demonstrate?

The Phase 2 ARDA study supported empasiprubart's potential as a novel treatment for MMN.

How effective is VYVGART Hytrulo?

VYVGART Hytrulo showed a 61% reduction in relapse risk in CIDP patients compared to placebo.

What characterizes multifocal motor neuropathy?

MMN is marked by progressive muscle weakness, primarily affecting hands and legs.

Last updated: Jun 25, 2024