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Evaluating Long-term Safety of Efgartigimod Administered Intravenously in Children With Generalized Myasthenia Gravis

Primary Purpose

Generalized Myasthenia Gravis

Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Efgartigimod IV
Sponsored by
argenx
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Generalized Myasthenia Gravis

Eligibility Criteria

2 Years - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Participants are eligible to be included in the trial only if all of the following criteria apply:

  1. The participant completed ARGX-113-2006, defined as:

    1. The participant reached end of trial in trial ARGX-113-2006 and agreed to participate in the ARGX-113-2008 trial.
    2. The participant qualifies for retreatment in trial ARGX-113-2006, but cannot complete a Treatment Period (TP) and the required Intertreatment Period (IP) visits within the ARGX-113-2006 trial's timeframe (ie, between TPnV1 to IPnV4).
  2. Either the participant or the participant's legally acceptable representative (LAR) can understand the requirements of the trial and provide written informed consent/assent (including consent/assent for the use and disclosure of research-related health information), and demonstrates a willingness and ability to comply with the trial protocol procedures (including attending the required trial visits).
  3. Contraceptive use by males and females must be consistent with local regulations for those participating in clinical trials and:

    1. Male participants agree not to donate sperm from the time the informed consent form (ICF) is signed until the end of the trial.
    2. Female adolescents of childbearing potential (FAOCBP; defined in Section 10.4.1.1 of the protocol) must have a negative urine pregnancy test at trial entry (TP1V1 or IP0V1).

The contraceptive requirements for male participants are described in Section 10.4.2.2 of the protocol. The contraceptive requirements for FAOCBP are described in Section 10.4.2.1 of the protocol.

Exclusion Criteria:

Participants are excluded from the trial if any of the following criteria apply:

  1. Female adolescents of childbearing potential: Pregnancy or lactation, or the participant intends to become pregnant during the trial or within 90 days after the last dose of investigational medicinal product (IMP).
  2. Discontinued early from ARGX-113-2006 treatment for pregnancy, receiving prohibited medication, participating in another trial with an investigational product, or the occurrence of a life threatening or an investigational medicinal product-related adverse events, as assessed by the investigator
  3. A known hypersensitivity reaction to efgartigimod or any of its excipients
  4. Received a live-attenuated vaccine fewer than 4 weeks before trial entry.
  5. Any of the following medical conditions:

    1. Clinically significant uncontrolled chronic bacterial, viral, or fungal infection at trial entry
    2. Any other known autoimmune disease that, in the opinion of the investigator, would interfere with accurate assessment of clinical symptoms of myasthenia gravis or put the participant at undue risk

Sites / Locations

  • Investigator site US10120Recruiting
  • Investigator site US10003Recruiting
  • Investigator site US10142Recruiting
  • Investigator site AT430010Recruiting
  • Investigator site BE320021Recruiting
  • Investigator site FR330032Recruiting
  • Investigator site FR330041Recruiting
  • Investigator site GE9950017Recruiting
  • Investigator site GE9950018Recruiting
  • Investigator site DE0490034
  • Investigator site DU490032Recruiting
  • Investigator site IT390047Recruiting
  • Investigator site IT390048Recruiting
  • Investigator Site NL0310001Recruiting
  • Investigator site PL480035Recruiting
  • Investigator Site PL0480038Recruiting
  • Investigator Site PL0480034Recruiting
  • Investigator site ES340040Recruiting
  • Investigator site ES340041Recruiting
  • Investigator site GB440035Recruiting
  • Investigator site UK0440027
  • Investigator site GB440024Recruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Efgartigimod

Arm Description

Patients receiving efgartigimod IV treatment

Outcomes

Primary Outcome Measures

Incidence of adverse events (AEs)
Severity of adverse events (AEs)
Incidence of serious adverse events (SAEs)
Severity of serious adverse events (SAEs)
Incidence of adverse events of special interest (AESIs)
Severity of adverse events of special interest (AESIs)
Changes in height from baseline
Changes in weight from baseline
Electrocardiogram - heart rate
Electrocardiogram - QTcF (ms)

Secondary Outcome Measures

Incidence of antidrug antibodies (ADAs) against efgartigimod
Prevalence of antidrug antibodies (ADAs) against efgartigimod

Full Information

First Posted
April 1, 2022
Last Updated
October 9, 2023
Sponsor
argenx
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1. Study Identification

Unique Protocol Identification Number
NCT05374590
Brief Title
Evaluating Long-term Safety of Efgartigimod Administered Intravenously in Children With Generalized Myasthenia Gravis
Official Title
A Long-term, Single-Arm, Open-label, Multicenter, Follow-on Trial of ARGX-113-2006 to Evaluate Safety of Efgartigimod Administered Intravenously in Children With Generalized Myasthenia Gravis
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 18, 2022 (Actual)
Primary Completion Date
March 1, 2026 (Anticipated)
Study Completion Date
July 1, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
argenx

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this trial is to evaluate the safety of efgartigimod administered to participants of the previous trial ARGX-113-2006.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Generalized Myasthenia Gravis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Efgartigimod
Arm Type
Experimental
Arm Description
Patients receiving efgartigimod IV treatment
Intervention Type
Biological
Intervention Name(s)
Efgartigimod IV
Intervention Description
Intravenous infusion of Efgartigimod
Primary Outcome Measure Information:
Title
Incidence of adverse events (AEs)
Time Frame
up to 4 years
Title
Severity of adverse events (AEs)
Time Frame
up to 4 years
Title
Incidence of serious adverse events (SAEs)
Time Frame
up to 4 years
Title
Severity of serious adverse events (SAEs)
Time Frame
up to 4 years
Title
Incidence of adverse events of special interest (AESIs)
Time Frame
up to 4 years
Title
Severity of adverse events of special interest (AESIs)
Time Frame
up to 4 years
Title
Changes in height from baseline
Time Frame
up to 4 years
Title
Changes in weight from baseline
Time Frame
up to 4 years
Title
Electrocardiogram - heart rate
Time Frame
up to 4 years
Title
Electrocardiogram - QTcF (ms)
Time Frame
up to 4 years
Secondary Outcome Measure Information:
Title
Incidence of antidrug antibodies (ADAs) against efgartigimod
Time Frame
up to 4 years
Title
Prevalence of antidrug antibodies (ADAs) against efgartigimod
Time Frame
up to 4 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participants are eligible to be included in the trial only if all of the following criteria apply: The participant completed ARGX-113-2006, defined as: The participant reached end of trial in trial ARGX-113-2006 and agreed to participate in the ARGX-113-2008 trial. The participant qualifies for retreatment in trial ARGX-113-2006, but cannot complete a Treatment Period (TP) and the required Intertreatment Period (IP) visits within the ARGX-113-2006 trial's timeframe (ie, between TPnV1 to IPnV4). Either the participant or the participant's legally acceptable representative (LAR) can understand the requirements of the trial and provide written informed consent/assent (including consent/assent for the use and disclosure of research-related health information), and demonstrates a willingness and ability to comply with the trial protocol procedures (including attending the required trial visits). Contraceptive use by males and females must be consistent with local regulations for those participating in clinical trials and: Male participants agree not to donate sperm from the time the informed consent form (ICF) is signed until the end of the trial. Female adolescents of childbearing potential (FAOCBP; defined in Section 10.4.1.1 of the protocol) must have a negative urine pregnancy test at trial entry (TP1V1 or IP0V1). The contraceptive requirements for male participants are described in Section 10.4.2.2 of the protocol. The contraceptive requirements for FAOCBP are described in Section 10.4.2.1 of the protocol. Exclusion Criteria: Participants are excluded from the trial if any of the following criteria apply: Female adolescents of childbearing potential: Pregnancy or lactation, or the participant intends to become pregnant during the trial or within 90 days after the last dose of investigational medicinal product (IMP). Discontinued early from ARGX-113-2006 treatment for pregnancy, receiving prohibited medication, participating in another trial with an investigational product, or the occurrence of a life threatening or an investigational medicinal product-related adverse events, as assessed by the investigator A known hypersensitivity reaction to efgartigimod or any of its excipients Received a live-attenuated vaccine fewer than 4 weeks before trial entry. Any of the following medical conditions: Clinically significant uncontrolled chronic bacterial, viral, or fungal infection at trial entry Any other known autoimmune disease that, in the opinion of the investigator, would interfere with accurate assessment of clinical symptoms of myasthenia gravis or put the participant at undue risk
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
ClinicalTrials@argenx.com
Facility Information:
Facility Name
Investigator site US10120
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator site US10003
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27599
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator site US10142
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22903
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator site AT430010
City
Vienna
ZIP/Postal Code
1060
Country
Austria
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator site BE320021
City
Antwerp
ZIP/Postal Code
2650
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator site FR330032
City
Marseille
ZIP/Postal Code
13005
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator site FR330041
City
Paris
ZIP/Postal Code
75015
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator site GE9950017
City
Tbilisi
ZIP/Postal Code
0177
Country
Georgia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator site GE9950018
City
Tbilisi
ZIP/Postal Code
0186
Country
Georgia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator site DE0490034
City
Berlin
ZIP/Postal Code
13353
Country
Germany
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
clinicaltrials@argenx.com
Facility Name
Investigator site DU490032
City
Essen
ZIP/Postal Code
45147
Country
Germany
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator site IT390047
City
Florence
ZIP/Postal Code
50139
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator site IT390048
City
Genova
ZIP/Postal Code
16147
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator Site NL0310001
City
Leiden
ZIP/Postal Code
2333
Country
Netherlands
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
8573504834
Email
clinicaltrials@argenx.com
Facility Name
Investigator site PL480035
City
Gdańsk
ZIP/Postal Code
80-952
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator Site PL0480038
City
Katowice
ZIP/Postal Code
40-123
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
8573504834
Email
clinicaltrials@argenx.com
Facility Name
Investigator Site PL0480034
City
Warszawa
ZIP/Postal Code
02-097
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
8573504834
Email
clinicaltrials@argenx.com
Facility Name
Investigator site ES340040
City
Barcelona
ZIP/Postal Code
08950
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator site ES340041
City
Valencia
ZIP/Postal Code
46026
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator site GB440035
City
London
ZIP/Postal Code
WC1N 3JH
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com
Facility Name
Investigator site UK0440027
City
Manchester
ZIP/Postal Code
M13 9WL
Country
United Kingdom
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
clinicaltrials@argenx.com
Facility Name
Investigator site GB440024
City
Oxford
ZIP/Postal Code
OX3 0AG
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sabine Coppieters, MD
Phone
857-350-4834
Email
Clinicaltrials@argenx.com

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Evaluating Long-term Safety of Efgartigimod Administered Intravenously in Children With Generalized Myasthenia Gravis

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