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A phase Ib study to investigate safety and tolerability of ARGX-119 in adult participants with DOK7 congenital myasthenic syndrome (CMS)

A phase Ib, double-blinded, randomized, placebo-controlled study to assess the safety, tolerability, pharmacokinetics, immunogenicity, and efficacy of ARGX-119 in adult participants With DOK7-congenital myasthenic syndromes

Status
Recruiting
Phases
Phase 1
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN83274361
Enrollment
15
Registered
2024-10-08
Start date
2024-09-25
Completion date
Unknown
Last updated
2025-01-06

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

Conditions

Congenital neuromuscular disorders Nervous System Diseases

Interventions

After the screening period, eligible participants will be randomized through IRT in a 4:1 ratio to receive intravenous infusions of ARGX-119 or placebo during the treatment period. Participants will t

Sponsors

Argenx (Belgium)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. At least 18 years of age 2. Has genetically confirmed congenital myasthenic syndromes due to mutation downstream of kinase 7 (DOK7-CMS). 3. Participants taking oral beta agonists (eg, albuterol, salbutamol, ephedrine) must have been receiving the medication for more than 3 months and agree to remain on the same stable dosing regimen of the same medication until the end of the study

Exclusion criteria

Exclusion criteria: 1. Diagnosis of CMS due to mutation of any gene other than DOK7. 2. Known medical condition that would interfere with an accurate assessment of CMS, confound the results of the study, or put the patient at undue risk, as assessed by the investigator. 3. History of malignancy, or cancer, unless considered cured by adequate treatment with no evidence of recurrence for more than 5 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, and Incidental histological findings of prostate cancer 4. Different study drugs received in another clinical study within 12 weeks or 5 half-lives before screening 5. Current participation in another interventional clinical study or prior participation in any gene therapy or cell therapy study 6. Pregnant or lactating state or intention to become pregnant during the study The complete list of exclusion criteria can be found in the protocol.

Design outcomes

Primary

MeasureTime frame
Assessment of adverse events, clinical laboratory tests, electrocardiograms, and vital signs up to week 42

Secondary

MeasureTime frame
1. Pharmacokinetic (PK) parameters of ARGX-119 measured up to week 42 2. Incidence and prevalence of anti-drug antibodies (ADA) against ARGX-119 measured up to week 42 3. Change from baseline up to week 42 in: 3.1. Disease severity measured using the Quantitative Myasthenia Gravis (QMG) scale 3.2. Impact of myasthenia gravis on daily functioning measured using the Myasthenia Gravis Activities of Daily Living (MG-ADL) 3.3. Changes in patient quality of life measured using the Patient-Reported Outcomes Measurement Information System Global Health (PROMIS-GH) scale

Countries

Austria, Canada, England, France, Italy, Spain, United Kingdom, United States of America

Contacts

Public ContactPublic Contact
ClinicalTrials@argenx.com+1 857-350-4834

Outcome results

None listed

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