ADAPT JR. +: Long-term follow-up trial of ARGX-113-2006 of efgartigimod for Children with gMG

  • Research type

    Research Study

  • Full title

    A Long-term, Single-Arm, Open-label, Multicenter, Follow-on Trial of ARGX-113-2006 to Evaluate Safety of Efgartigimod Administered Intravenously in Children With Generalized Myasthenia Gravis

  • IRAS ID

    1004782

  • Contact name

    Sabine Coppieters

  • Contact email

    regulatory@argenx.com

  • Sponsor organisation

    argenx BV

  • Eudract number

    2021-002460-46

  • Clinicaltrials.gov Identifier

    NCT05374590

  • Research summary

    Generalised myasthenia gravis (gMG) is a rare, muscle disease where antibodies attack the nerve muscle junction causing fatigue and muscle weakness affecting different muscles in the body. Muscle weakness can limit normal day to day activities and can be life threatening. Current treatments for gMG are not beneficial in about 20% of patients or patients have significant side effects from these medications.
    The aim of this trial is to investigate the long-term safety, tolerability, and vaccination protection (immunogenicity) of efgartigimod administered intravenously (IV) in paediatric participants ages 2 to less than 18 years with gMG, who have rolled over from the ARGX-113-2006 trial (EudraCT n°2020-005841-18, submitted under IRAS ID: 1003989) and to ensure access to the drug before commercial availability or until another option to access efgartigimod is available.
    The study consists of treatment periods lasting 4 weeks in which patients are given 1 infusion of efgartigimod every week for 4 weeks, dosage is based on their body-weight dose (mg/kg). Additional treatment of 4 infusions once per week may be repeated as needed, however a treatment free period of at least 4 weeks is required. During the treatment free period patients will visit the hospital 1 week after their last dose of efgartigimod. After that, a telephone visit every 3 months and a visit to the study site every 6 months (or more often, if extra visits are needed) will be carried out.
    The transition from the ARGX-113-2006 trial to the ARGX-113-2008 trial can occur at Day 140 or Day 180 if the investigator determines the participant has a clinical need for retreatment at the time of trial entry.
    This study is sponsored by argenx BV and will be carried out globally with 3 NHS hospitals in the UK. The number of children in this study will be the number of children who have completed study ARGX-113-2006, meet the eligibility criteria and are willing to take part in the study.

  • REC name

    East of England - Cambridge East Research Ethics Committee

  • REC reference

    22/EE/0111

  • Date of REC Opinion

    20 Jun 2022

  • REC opinion

    Further Information Favourable Opinion