A Study of Efgartigimod PH20 SC in Children Between 2 and Less Than 18 Years of Age With Generalized Myasthenia Gravis

NCT ID: NCT06392386

Last Updated: 2025-12-05

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

RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-28

Study Completion Date

2026-09-30

Brief Summary

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The purpose of this study is to measure the pharmacokinetics (PK), pharmacodynamics (PD), safety, tolerability, and immunogenicity of efgartigimod PH20 SC in pediatric participants with gMG aged 2 to \<18 years. The primary goal is to confirm an appropriate dose of efgartigimod PH20 SC for pediatric patients using PK and PD results from this study. Participants will receive injections of efgartigimod PH20 SC and will be monitored for safety until the end of the study. At the end of the follow-up period, eligible participants may roll over to an open-label extension (OLE) study.

The participants will be in the study for up to 14 weeks.

Detailed Description

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Conditions

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Generalized Myasthenia Gravis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Efgartigimod PH20 SC

Participants aged 12 to \<18 years receiving efgartigimod PH20 SC treatment

Group Type EXPERIMENTAL

Efgartigimod PH20 SC

Intervention Type BIOLOGICAL

Subcutaneous injections

Interventions

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Efgartigimod PH20 SC

Subcutaneous injections

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* The participant (and/or their legally authorized representative) understands the requirements of the study and is capable of providing written informed consent/assent and complying with protocol requirements
* The participant is aged 2 to \<18 years at the time of informed consent/assent
* The participant has been diagnosed with generalised Myasthenia Gravis that is supported by a physical examination and confirmed seropositivity for anti-acetylcholine receptor antibodies
* The participant has had an unsatisfactory response to immunosuppressants, corticosteroids, or acetylcholinesterase inhibitors but is on stable concomitant MG therapy. If receiving corticosteroids and/or immunosuppressants, must be on a stable dose for ≥1 month before screening
* The participant agrees to use birth control consistent with local regulations and people of child-bearing potential must have a negative blood pregnancy test at screening and a negative urine pregnancy test before receiving the study drug

Exclusion Criteria

* Is a female adolescent of child-bearing potential who is pregnant and/or lactating or intends to become pregnant during their participation in the study
* Has worsening muscle weakness secondary to a concurrent infection or as a result of a medication
* Has a documented lack of clinical response to plasma exchange (PLEX)
* Received a live or live-attenuated vaccine within \<4 weeks before screening
* Received a thymectomy within 3 months before screening or is planning to get a thymectomy during their participation in the study
* Has a known autoimmune disease or any medical condition that would interfere with an accurate assessment of clinical symptoms of generalised Myasthenia Gravis or puts the participant at undue risk
* History of malignancy, cancer, unless considered cured by adequate treatment with no evidence of recurrence for ≥3 years. Adequately treated participants with the following cancers can be included at any time: Basal cell or squamous cell skin cancer, Carcinoma in situ of the cervix, Carcinoma in situ of the breast, Incidental histological findings of prostate cancer
* Clinically significant active infection that is not sufficiently resolved in the investigator's opinion or positive serum test at screening for active infection with any of the following: Hepatitis B virus (HBV), Hepatitis C virus (HCV), HIV
* Has a positive PCR test for SARS-CoV-2 at screening
* Has/had a clinically significant disease, had recent major surgery (within 3 months of screening) or intends to have major surgery during the study, or has/had any other medical condition that, in the investigator's opinion, would confound the results of the study or put the participant at undue risk
* Has received a different study drug in another clinical study within \<12 before screening
* Is currently participating in another interventional clinical study
* Has previously participated in an efgartigimod clinical study and received at least one dose of study drug
* Has a known hypersensitivity to study drug or any of its excipients
* Has a history of or current episode of alcohol, drug, or medication abuse as assessed by the investigator
* Use of some medications before screening (more information is found in the protocol)
Minimum Eligible Age

2 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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argenx

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Carolinas HealthCare System Neurosciences Institute - Neurology

Charlotte, North Carolina, United States

Site Status RECRUITING

Neurology Rare Disease Center

Denton, Texas, United States

Site Status RECRUITING

University of Virginia

Charlottesville, Virginia, United States

Site Status RECRUITING

UZ Gent

Ghent, , Belgium

Site Status RECRUITING

Childrens Hospital of Eastern Ontario

Ottawa, , Canada

Site Status RECRUITING

Fakultni nemocnice Brno

Brno, , Czechia

Site Status RECRUITING

Fakultni nemocnice Ostrava

Ostrava, , Czechia

Site Status RECRUITING

AP-HM- Hôpital de La Timone

Marseille, , France

Site Status RECRUITING

Universitätsklinikum Essen

Essen, , Germany

Site Status RECRUITING

Hadassah Medical Center- Ein Kerem

Jerusalem, , Israel

Site Status RECRUITING

Schneider Children's Medical Center of Israel

Petah Tikvah, , Israel

Site Status RECRUITING

Tel Aviv Sourasky Medical Center Ichilov

Tel Aviv, , Israel

Site Status RECRUITING

Istituto G Gaslini Ospedale Pediatrico IRCCS

Genova, , Italy

Site Status RECRUITING

Leiden University Medical Center

Leiden, , Netherlands

Site Status RECRUITING

Uniwersyteckie Centrum Kliniczne w Gdansku

Gdansk, , Poland

Site Status RECRUITING

Neurologia Śląska Centrum Medyczne

Katowice, , Poland

Site Status RECRUITING

Centralny Szpital Kliniczny - Uniwersyteckie Centrum Kliniczne WUM

Warsaw, , Poland

Site Status RECRUITING

Hospital Universitari i Politecnic La Fe de Valencia

Valencia, , Spain

Site Status RECRUITING

Hôpital Nestlé

Lausanne, , Switzerland

Site Status RECRUITING

Oxford Children's Hospital

Oxford, , United Kingdom

Site Status RECRUITING

Countries

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United States Belgium Canada Czechia France Germany Israel Italy Netherlands Poland Spain Switzerland United Kingdom

Central Contacts

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Sabine Coppieters, MD

Role: CONTACT

857-350-4834

Facility Contacts

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Urvi Desai, MD

Role: primary

857-350-4834

Diana Castro, MD

Role: primary

857-350-4834

Anna Jesus, MD

Role: primary

857-350-4834

Nicolas Deconinck, MD

Role: primary

857-350-4834

Hugh McMillan, MD

Role: primary

857-350-4834

Ondrej Havlin, MD

Role: primary

857-350-4834

Hana Medricka, MD

Role: primary

857-350-4834

Cecile Halbert, MD

Role: primary

857-350-4834

Adela Della Marina, MD

Role: primary

857-350-4834

Talya Dor-Wollman, MD

Role: primary

857-350-4834

Yoram Nevo, MD

Role: primary

857-350-4834

Liora Sagi, MD

Role: primary

857-350-4834

Chiara Fiorillo, MD

Role: primary

857-350-4834

Erik Harmen Niks, MD

Role: primary

857-350-4834

Maria Mazurkiewicz-Beldzinska, MD

Role: primary

857-350-4834

Marek Smilowski, MD

Role: primary

857-350-4834

Anna Kostera-Pruszczyk, MD

Role: primary

857-350-4834

Teresa Sevilla Mantecón, MD

Role: primary

857-350-4834

David Jacquier, MD

Role: primary

857-350-4834

Sithara Ramdas, MD

Role: primary

857-350-4834

Other Identifiers

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2023-506159-12-00

Identifier Type: CTIS

Identifier Source: secondary_id

ARGX-113-2207

Identifier Type: -

Identifier Source: org_study_id

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