A Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of ARGX-113 in Patients With ITP

NCT ID: NCT03102593

Last Updated: 2023-07-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-13

Study Completion Date

2019-04-09

Brief Summary

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The purpose of the study is to determine safety, efficacy, tolerability and Pharmacokinetics of ARGX-113 in Patients with Primary Immune Thrombocytopenia.

Detailed Description

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This is a randomized, double-blind, placebo-controlled Phase II study in which approximately 36 patients will be randomized in a 1:1:1 ratio to receive either ARGX-113 Dose A, or ARGX-113 Dose B body weight or placebo in 4 infusions administered 1-week apart in addition to Standard-of-Care (SoC) treatment. Patients aged 18 to 85 years (inclusive) with confirmed primary immune thrombocytopenia (ITP) who have a platelet count ˂ 30 × 109/L and who are receiving oral corticosteroids and/or permitted oral immunosuppressants and/or Thrombopoietin receptor (TPO-R) agonist as SoC which must be maintained on a stable dose and frequency for at least 4 weeks prior to Screening.

The study will include a 2-week Screening, a 3-week Treatment period, and an 21-week follow-up (FU) period. The study is followed by an open label period where patients will be given the option to be treated with ARGX-113 Dose A in cycles of 4 weekly infusions with a minimum of 4 weeks apart. Patients may receive rescue therapy during the study at the discretion the investigator when deemed medically necessary.

Conditions

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Primary Immune Thrombocytopenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Protocol designed to evaluate one or more interventions for treating a disease, syndrome or condition.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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ARGX-113 Dose A + SoC

Patients will be randomized in a 1:1:1 ratio to ARGX-113 (Dose A or Dose B) or placebo

Group Type EXPERIMENTAL

ARGX-113

Intervention Type DRUG

ARGX-113 (Dose A or Dose B) or matching placebo will be administered IV weekly

ARGX-113 Dose B +SoC

Patients will be randomized in a 1:1:1 ratio to ARGX-113 (Dose A or Dose B) or placebo

Group Type EXPERIMENTAL

ARGX-113

Intervention Type DRUG

ARGX-113 (Dose A or Dose B) or matching placebo will be administered IV weekly

Placebo + SoC

Patients will be randomized in a 1:1:1 ratio to ARGX-113 (Dose A or Dose B) or placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

ARGX-113 (Dose A or Dose B) or matching placebo will be administered IV weekly

Interventions

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ARGX-113

ARGX-113 (Dose A or Dose B) or matching placebo will be administered IV weekly

Intervention Type DRUG

Placebo

ARGX-113 (Dose A or Dose B) or matching placebo will be administered IV weekly

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Male or female patients aged ≥ 18 to ≤ 85 years.
2. Must receive SoC treatment for ITP that has been stable in dose and frequency for at least 4 weeks prior to Screening. SoC may include oral corticosteroids and/or permitted oral immunosuppressants and/or TPO-R agonist.
3. Confirmed diagnosis of ITP with blood platelet counts \< 30 × 109/L and who have not experienced major bleeding in the last 4 weeks prior to Screening.

Exclusion Criteria

1. Use of anticoagulants, or any drug with antiplatelet effect within 3 weeks prior to Screening.
2. Patients who have received any blood support or transfusion within 4 weeks prior to Screening.
3. Use of Intravenous immunoglobulin G (IVIg) or anti-D immunoglobulin treatment within 4 weeks prior to screening.
4. Use of recombinant thrombopoietin at any time.
5. Use of rituximab within 6 months prior to Screening. Use of any anti-CD20 other than rituximab at any time is not permitted.
6. Use of immunosuppressants is not permitted within 4 weeks prior to Screening, with the exception of the following oral immunosuppressants: azathioprine, danazol, mycophenolate mofetil, mycophenolate sodium which must have been stable for at least 4 weeks prior to Screening.
7. Use of any other biological therapy or investigational drug than those previously indicated within 3 months or 5 half-lives of the drug (whichever is longer) prior to Screening.
8. Received vaccinations within 4 weeks prior to Screening or planned during the study.
9. At Screening, have clinically significant laboratory abnormalities
10. History of any thrombotic or embolic event within 12 months prior to Screening.
11. Known auto-immune disease other than ITP.
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Quintiles, Inc.

INDUSTRY

Sponsor Role collaborator

argenx

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Adrian Newland

Role: STUDY_CHAIR

Barts Hospital, Cancer Centre in London

Locations

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Vienna

Vienna, , Austria

Site Status

Wien

Vienna, , Austria

Site Status

Leuven

Leuven, , Belgium

Site Status

Mont-Godinne

Namur, , Belgium

Site Status

Brno

Brno, , Czechia

Site Status

Praha

Prague, , Czechia

Site Status

Bordeaux

Bordeaux, , France

Site Status

Grenoble

Grenoble, , France

Site Status

Paris

Paris, , France

Site Status

Berlin

Berlin, , Germany

Site Status

Hanover

Hanover, , Germany

Site Status

Tubingen

Tübingen, , Germany

Site Status

Budapest

Budapest, , Hungary

Site Status

Debrecen

Debrecen, , Hungary

Site Status

Gyula

Gyula, , Hungary

Site Status

Kaposvar

Kaposvár, , Hungary

Site Status

Nyiregyhaza

Nyíregyháza, , Hungary

Site Status

Pecs

Pécs, , Hungary

Site Status

Lublin

Lublin, , Poland

Site Status

Opole

Opole, , Poland

Site Status

Wroclaw

Wroclaw, , Poland

Site Status

A Coruna

A Coruña, , Spain

Site Status

Barcelona

Barcelona, , Spain

Site Status

Madrid

Madrid, , Spain

Site Status

Valencia

Valencia, , Spain

Site Status

Dnipro

Dnipro, , Ukraine

Site Status

Ivano-Frankivsk

Ivano-Frankivsk, , Ukraine

Site Status

Nikolaev

Mykolayiv, , Ukraine

Site Status

Uzhgorod

Uzhhorod, , Ukraine

Site Status

London

London, , United Kingdom

Site Status

Countries

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Austria Belgium Czechia France Germany Hungary Poland Spain Ukraine United Kingdom

References

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Newland AC, Sanchez-Gonzalez B, Rejto L, Egyed M, Romanyuk N, Godar M, Verschueren K, Gandini D, Ulrichts P, Beauchamp J, Dreier T, Ward ES, Michel M, Liebman HA, de Haard H, Leupin N, Kuter DJ. Phase 2 study of efgartigimod, a novel FcRn antagonist, in adult patients with primary immune thrombocytopenia. Am J Hematol. 2020 Feb;95(2):178-187. doi: 10.1002/ajh.25680. Epub 2019 Dec 10.

Reference Type RESULT
PMID: 31821591 (View on PubMed)

Other Identifiers

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2016-003038-26

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ARGX-113-1603

Identifier Type: -

Identifier Source: org_study_id

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