A Study to Assess the Safety, Tolerability, Efficacy, Pharmacokinetics, and Immunogenicity of Intravenous Administration of ARGX-119 in Pediatric Participants Aged 5 to Less Than 18 Years With Spinal Muscular Atrophy

NCT ID: NCT07287982

Last Updated: 2025-12-17

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

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-19

Study Completion Date

2029-05-28

Brief Summary

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This study aims to find the correct dose of ARGX-119 for children with SMA. The study will also look at how safe the study drug is, how well it works, how it moves through the body, and how the immune system responds to it. The study consists of a double-blinded treatment period (DBTP) where participants will either receive ARGX-119 IV or placebo IV, in addition to disease-modifying therapy (DMT) for 24 weeks. Participants who complete the DBTP will enter the open-label active-treatment extension period (ATEP) during which all participants will receive ARGX-119 IV up to 100 weeks (approximately 2 years).

Detailed Description

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This phase 2 study aims to establish proof of concept with the age-appropriate dose of ARGX-119 in ambulant pediatric patients with spinal muscular atrophy (SMA). Despite available treatments, there remains an unmet medical need for patients with SMA. Neuromuscular junction (NMJ) dysfunction contributes to the pathophysiology of SMA, including muscle weakness and fatigability. Activation of muscle-specific kinase (MuSK) by ARGX-119 may stabilize and improve NMJ function in patients with SMA, reducing muscle weakness and fatigability, and improving quality of life.

Conditions

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Spinal Muscular Atrophy (SMA)

Keywords

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Spinal Muscular Atrophy Pediatric Muscle Function Fatigability SMA ambulant

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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DBTP - ARGX-119 IV

Participants receive ARGX-119 IV during the DBTP

Group Type EXPERIMENTAL

ARGX-119 IV

Intervention Type BIOLOGICAL

Intravenous infusion of ARGX-119

DBTP - Placebo IV

Participants receive placebo IV during the DBTP

Group Type PLACEBO_COMPARATOR

Placebo IV

Intervention Type OTHER

Intravenous infusion of placebo

ATEP - ARGX-119 IV

Participants receive ARGX-119 IV during the ATEP. Participants from ARGX-119 IV arm in the DBTP will receive placebo once to maintain the DBTP blinding

Group Type PLACEBO_COMPARATOR

ARGX-119 IV

Intervention Type BIOLOGICAL

Intravenous infusion of ARGX-119

Placebo IV

Intervention Type OTHER

Intravenous infusion of placebo

Interventions

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ARGX-119 IV

Intravenous infusion of ARGX-119

Intervention Type BIOLOGICAL

Placebo IV

Intravenous infusion of placebo

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Is aged ≥5 to \<18 years when completing the informed consent process, defined as providing informed assent according to local regulations and having a parent or guardian sign the ICF, and can comply with protocol
* requirements.
* Has documented historical genetic diagnosis of 5q-SMA.
* Currently receiving a stable SMA treatment regimen (nusinersen or risdiplam) and/or have a history of onasemnogene abeparvovec treatment
* Must be able to walk at least 50 meters without walking aids in the 6MWT at screening

Exclusion Criteria

* Known medical condition that would interfere with an accurate assessment of SMA, confound the results of the study, or put the participant at undue risk, as assessed by the investigator
* Recent major surgery, except spinal fusion, within 3 months of screening or intends to have major surgery during the study
* Current or previous administration of antimyostatin therapies in the past 6 months
* Severe scoliosis (defined as curvature \>40°) and/or contractures at screening. o History of spinal fusion within 6 months before screening or planned during the study
* Respiratory insufficiency, defined by the medical necessity for invasive or noninvasive ventilation for daytime treatment while awake. Ventilation used overnight or during daytime naps is acceptable.
Minimum Eligible Age

5 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

Central Contacts

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Sabine Coppieters, MD

Role: CONTACT

Phone: 857-350-4834

Email: [email protected]

Other Identifiers

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2025-523496-32-00

Identifier Type: CTIS

Identifier Source: secondary_id

ARGX-119-24-SMA-2001

Identifier Type: -

Identifier Source: org_study_id