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A phase 3 study to evaluate the long-term safety, tolerability and efficacy of efgartigimod PH20 SC in adult participants with bullous pemphigoid

An Open-label Extension Study of ARGX-113-2009 to Evaluate the Long term Safety, Tolerability, and Efficacy of Efgartigimod PH20 SC in Adult Participants With Bullous Pemphigoid

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2021-003063-10-SK
Enrollment
160
Registered
2022-12-16
Start date
2023-04-21
Completion date
Unknown
Last updated
2024-10-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Bullous Pemphigoid MedDRA version: 21.1 Level: LLT Classification code 10006567 Term: Bullous pemphigoid System Organ Class: 10040785 - Skin and subcutaneous tissue disorders

Interventions

Product Name: Efgartigimod PH20 SC Pharmaceutical Form: Solution for injection INN or Proposed INN: Efgartigimod Alfa CAS Number: 1821402-21-4 Current Sponsor code: ARGX-113 Other descriptive name: Ef

Sponsors

argenx BV
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Has completed the week 36 visit of ARGX-113-2009 2. Is capable of providing signed informed consent and complying with protocol requirements 3. Agrees to use contraceptive measures consistent with local regulations and the following: a. Male participants: An acceptable method of contraception is a condom. All nonsterilized male participants must use this method from signing of the ICF until the date of the last dose of IMP. b. Women of childbearing potential must have a negative urine pregnancy test at baseline before receiving IMP. WOCBP must use one of the contraception methods described in the protocol from signing the ICF until the last dose of IMP Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 40 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 120

Exclusion criteria

Exclusion criteria: 1. Clinically significant disease, recent major surgery (within 3 months of baseline), or intention to have surgery during the study; or any other medical condition that, in the investigator’s opinion would confound the results of the study or put the participant at undue risk 2. Known hypersensitivity to IMP or 1 of its excipients 3. Permanently discontinued IMP in ARGX-113-2009 due to an AE considered related to IMP and for whom the benefit/risk balance is not considered positive

Design outcomes

Primary

MeasureTime frame
Main Objective: To assess the long-term safety and tolerability of treatment with efgartigimod PH20 SC in participants with BP;Secondary Objective: To assess the long-term efficacy and durability of response with efgartigimod PH20 SC treatment in participants with BP To evaluate the impact of efgartigimod PH20 SC treatment in reducing long-term glucocorticoid-associated toxicity in participants with BP To evaluate the impact of efgartigimod PH20 SC treatment on QoL in participants with BP To evaluate the PD and immunogenicity of efgartigimod PH20 SC in participants with BP;Primary end point(s): Incidence and severity of treatment-emergent adverse events (TEAEs), serious AEs (SAEs), and AEs of special interest (AESIs) Rate of treatment discontinuation because of safety concerns ;Timepoint(s) of evaluation of this end point: Up to wk 56

Secondary

MeasureTime frame
Secondary end point(s): 1. Proportions of participants achieving: - complete remission (CR) while off oral corticosteroids (OCS) for =8 weeks - CR or partial remission (PR) while off OCS for =8 weeks - CR while on minimal OCS therapy for =8 weeks. (Minimal OCS therapy is defined as =0.10 mg/kg/day of prednisone [or an equivalent dose of another OCS]) - CR while off both OCS and efgartigimod PH20 SC for =8 weeks - CR or PR while off both OCS and efgartigimod PH20 SC for =8 weeks 2. Duration of sustained remission 3. Proportion of participants who relapse 4. Time to relapse 5. Incidence and severity of relapse 6. Bullous Pemphigoid Disease Area Index (BPDAI) activity scores, Investigator Global Assessment of Bullous Pemphigoid (IGA-BP) scores, and itch numerical rating scale (NRS) over time 7. Rate of treatment failure 8. GTI-related scores, including the GTI-AIS, GTI CWS, and GTI SL over time 9. EQ-5D-5L, DLQI, and ABQoL scores over time 10. Percent change from baseline over time for anti BP180 and anti BP230 antibody levels 11. Incidence and prevalence of ADA against efgartigimod (serum levels);Timepoint(s) of evaluation of this end point: 1-5 & 7: Up to wk 56 6: At wks 0, 2, 4, 8, 16, 24, 32, 40, 48 & 56 when EFG is NA. When EFG continues/starts its evaluated at wks 0, 2, 4, 8, then every 4 wks to EFG stop, every 8 wks after & at wks 48, 52 & 56 8 & 9: At wks 0, 24 & 48 when EFG is NA. When EFG continues/starts its evaluated at wks 0, 8, every 16 wks up to & after EFG stop, then at wk 48 10: At wks 0, 2, 4, 8, 16, 24, 32, 40, 48 & 56 when EFG is NA. When EFG continues/starts its evaluated at wks 0, 2, 4, 8, then every 4 wks to EFG stop, every 8 wks after, then at wks 48, 52 & 56 11: At wks 0, 2, 4, 8, 16, 24, 32, 40, 48 & 56 when EFG is NA. When EFG continues/starts its evaluated at wks 0, 4, 8, then every 8 wks to EFG stop, every 8 wks after, then at wks 48, 52 & 56

Countries

Australia, Bulgaria, Canada, China, Croatia, Czechia, France, Germany, Greece, Hungary, Israel, Italy, Japan, Latvia, Netherlands, Poland, Romania, Serbia, Slovakia, Spain, United Kingdom, United States

Contacts

Public ContactRegulatory

argenx BV

regulatory@argenx.com00329310 3400

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026