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Clinical Trials in the UK / NCT06392386
Recruiting Phase 2/3

A Study of Efgartigimod PH20 SC in Children Between 2 and Less Than 18 Years of Age With Generalized Myasthenia Gravis

NCT06392386 · tracked via the Priya Life Science UK tracker
Sponsor
argenx
Phase
Phase 2/3
Started
2024-06-28
Last updated
2026-09-14

Condition(s) studied

Generalized Myasthenia Gravis

Investigational drug(s) / intervention(s)

Efgartigimod PH20 SC

Efgartigimod PH20 SC: Subcutaneous injections

Study summary

The purpose of this study is to measure the pharmacokinetics (PK), pharmacodynamics (PD), safety, tolerability, and immunogenicity of efgartigimod PH20 SC in pediatric participants with gMG aged 2 to \<18 years. The primary goal is to confirm an appropriate dose of efgartigimod PH20 SC for pediatric patients using PK and PD results from this study. Participants will receive injections of efgartigimod PH20 SC and will be monitored for safety until the end of the study. At the end of the follow-up period, eligible participants may roll over to an open-label extension (OLE) study.

The participants will be in the study for up to 14 weeks.

Eligibility

Sex
ALL
Min age
2 Years
Max age
17 Years
Healthy volunteers
No
Inclusion Criteria: * The participant (and/or their legally authorized representative) understands the requirements of the study and is capable of providing written informed consent/assent and complying with protocol requirements * The participant is aged 2 to \<18 years at the time of informed consent/assent * The participant has been diagnosed with generalised Myasthenia Gravis that is supported by a physical examination and confirmed seropositivity for anti-acetylcholine receptor antibodies * The participant has had an unsatisfactory response to immunosuppressants, corticosteroids, or acetylcholinesterase inhibitors but is on stable concomitant MG therapy. If receiving corticosteroids and/or immunosuppressants, must be on a stable dose for ≥1 month before screening * The participant agrees to use birth control consistent with local regulations and people of child-bearing potential must have a negative blood pregnancy test at screening and a negative urine pregnancy test before receiving the study drug Exclusion Criteria: * Is a female adolescent of child-bearing potential who is pregnant and/or lactating or intends to become pregnant during their participation in the study * Has worsening muscle weakness secondary to a concurrent infection or as a result of a medication * Has a documented lack of clinical response to plasma exchange (PLEX) * Received a live or live-attenuated vaccine within \<4 weeks before screening * Received a thymectomy within 3 months before screening or is planning to get a thymectomy during their participation in the study * Has a known autoimmune disease or any medical condition that would interfere with an accurate assessment of clinical symptoms of generalised Myasthenia Gravis or puts the participant at undue risk * History of malignancy, cancer, unless considered cured by adequate treatment with no evidence of recurrence for ≥3 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, Incidental histological findings of prostate cancer * Clinically significant active infection that is not sufficiently resolved in the investigator's opinion or positive serum test at screening for active infection with any of the following: Hepatitis B virus (HBV), Hepatitis C virus (HCV), HIV * Has a positive PCR test for SARS-CoV-2 at screening * Has/had a clinically significant disease, had recent major surgery (within 3 months of screening) or intends to have major surgery during the study, or has/had any other medical condition that, in the investigator's opinion, would confound the results of the study or put the participant at undue risk * Has received a different study drug in another clinical study within \<12 before screening * Is currently participating in another interventional clinical study * Has previously participated in an efgartigimod clinical study and received at least one dose of study drug * Has a known hypersensitivity to study drug or any of its excipients * Has a history of or current episode of alcohol, drug, or medication abuse as assessed by the investigator * Use of some medications before screening (more information is found in the protocol) The complete list of exclusion criteria can be found in the protocol.

Primary outcome measure(s)

Trial sites (21)

FacilityCityRegionStatus
Carolinas HealthCare System Neurosciences Institute - Neurology Charlotte North Carolina Recruiting
Neurology Rare Disease Center Denton Texas Recruiting
University of Virginia Charlottesville Virginia Recruiting
Sydney Children's Hospital Randwick Australia Recruiting
UZ Gent Ghent Belgium Recruiting
Childrens Hospital of Eastern Ontario Ottawa Canada Recruiting
Fakultni nemocnice Brno Brno Czechia Recruiting
Fakultni nemocnice Ostrava Ostrava Czechia Recruiting
AP-HM- Hôpital de La Timone Marseille France Recruiting
Universitätsklinikum Essen Essen Germany Recruiting
Hadassah Medical Center- Ein Kerem Jerusalem Israel Recruiting
Schneider Children's Medical Center of Israel Petah Tikvah Israel Recruiting
Tel Aviv Sourasky Medical Center Ichilov Tel Aviv Israel Recruiting
Istituto G Gaslini Ospedale Pediatrico IRCCS Genova Italy Recruiting
Leiden University Medical Center Leiden Netherlands Recruiting
Uniwersyteckie Centrum Kliniczne w Gdansku Gdansk Poland Recruiting
Neurologia Śląska Centrum Medyczne Katowice Poland Recruiting
Centralny Szpital Kliniczny - Uniwersyteckie Centrum Kliniczne WUM Warsaw Poland Recruiting
Hospital Universitari i Politecnic La Fe de Valencia Valencia Spain Recruiting
Hôpital Nestlé Lausanne Switzerland Recruiting
Oxford Children's Hospital Oxford United Kingdom Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06392386 on ClinicalTrials.gov ↗ ← All trials in the UK