ADAPT Forward - Master Protocol of a Platform Study to Evaluate the Safety and Efficacy of Multiple Regimens in Participants With Myasthenia Gravis

NCT ID: NCT07294170

Last Updated: 2026-01-12

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

Total Enrollment

70 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-12-19

Study Completion Date

2028-03-07

Brief Summary

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ADAPT Forward is a platform study with the aim to look at how safe different drugs are and how well they work for people with myasthenia gravis. The goal is to find the best therapeutic approach to reduce patients' side effects and improve their quality of life.

Detailed Description

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This is a platform study and is governed by a single master protocol that enables multiple regimens to be evaluated in separate intervention-specific appendixes (ISAs).

The key design structure of the platform study comprises: common master protocol screening period, ISA-specific screening period, ISA treatment period of variable duration and design and ISA safety follow-up/follow-up period of variable duration.

Details on each study period will be specified in the ISAs. Following ISAs are included in this platform study:

* NCT07284420 - ADAPT Forward 1 - a study to evaluate empasiprubart IV as add-on therapy to efgartigimod IV in participants with AChR-Ab seropositive generalized myasthenia gravis with a partial clinical response to efgartigimod (https://www.clinicaltrials.gov/study/NCT07284420)

Conditions

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Myasthenia Gravis MG gMG Generalized Myasthenia Gravis Generalized Myasthenia Gravis (gMG) AChR-Ab Seropositive Generalized Myasthenia Gravis

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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ISA1 participants

Participants With AChR-Ab Seropositive Generalized Myasthenia Gravis With a Partial Clinical Response to Efgartigimod

Efgartigimod IV

Intervention Type BIOLOGICAL

Intravenous infusion of efgartigimod

Empasiprubart IV

Intervention Type BIOLOGICAL

Intravenous infusion of empasiprubart

Interventions

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Efgartigimod IV

Intravenous infusion of efgartigimod

Intervention Type BIOLOGICAL

Empasiprubart IV

Intravenous infusion of empasiprubart

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Is at least 18 years of age and the local legal age of consent for clinical studies
* Has been diagnosed with MG with consistent clinical features per the investigator's clinical judgment
* If receiving MG therapy, including nonsteroidal immunosuppressive drugs (NSIDs), corticosteroids, or acetylcholinesterase (AChE) inhibitors either in combination or alone, the participant should receive a stable dosage before master protocol screening

Exclusion Criteria

* Known autoimmune disease or any medical condition other than the indication under study that would interfere with an accurate assessment of clinical symptoms of MG or puts the participant at undue risk
* Is MGFA (Myasthenia Gravis Foundation of America) Class V
Minimum Eligible Age

18 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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Profound Research LLC - Carlsbad

Carlsbad, California, United States

Site Status RECRUITING

Visionary Investigators Network

Miami, Florida, United States

Site Status RECRUITING

National Neuromuscular Research Institute

Austin, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Sabine Coppieters, MD

Role: CONTACT

857-350-4834

Facility Contacts

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Gregory Sahagian, MD

Role: primary

857-350-4834

Andrew Lerman, MD

Role: primary

857-350-4834

Yessar Hussain, MD

Role: primary

857-350-4834

Other Identifiers

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ARGX-999-2-MG-2000

Identifier Type: -

Identifier Source: org_study_id

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