The purpose of this study is to assess the safety and tolerability of ARGX-119 in adult participants with DOK7- Congenital Myasthenic Syndromes. The study will also assess how ARGX-119 is processed by the body (pharmacokinetics), how the immune system reacts to it (immunogenicity), and how it may improve the way patients feel and function.
After the screening period, eligible participants will be randomized in a 4:1 ratio to receive intravenous infusions of ARGX-119 or placebo during the double-blinded treatment period. Participants will then enter the follow-up period. After the follow-up period, participants may enrol in the active-treatment period, where they will receive open-label ARGX-119.
The full duration of the study is approximately 38 months.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* At least 18 years of age.
* Has genetically confirmed congenital myasthenic syndromes due to mutation of downstream of kinase 7 (DOK7-CMS).
* 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 a same stable dosing regimen of the same medication until the end of the study.
Exclusion Criteria:
* Diagnosis of CMS due to mutation of any gene other than DOK7.
* 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.
* History of malignancy, 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, Incidental histological findings of prostate cancer.
* Pregnant or lactating state or intention to become pregnant during the study.
Primary outcome measure(s)
Assessment of adverse events (AEs) — Up to week 42
Change from active-treatment baseline over time for 6MWT distance — Up to 72 weeks The 6-minute walk test (6MWT) measures the distance a participant walks in 6 minutes. Before and after the 6MWT assessment, the participant's blood pressure, heart rate, and SPO2 will be recorded, and the participant's perception of fatigue and dyspnea will be measured.
Trial sites (9)
Facility
City
Region
Status
UC Davis Medical Center
Sacramento
California
Ann and Robert H Lurie Childrens Hospital of Chicago
Chicago
Illinois
Ottawa Hospital Research Institute - Civic Campus
Ottawa
Canada
CHU - Hospital de la Timone
Marseille
France
Group Hospitalier Pitie-Salpetriere
Paris
France
Fondazione IRCCS Istituto Neurologico Carlo Besta
Milan
Italy
Universitat de Valencia - Hospital Universitari i Politecnic La Fe de Valencia (Hospital La Fe Bulevar Sur)
Valencia
Spain
Clinical Trials Centre - South Eastern Health and Social Care Trust - The Ulster Hospital
Belfast
United Kingdom
John Radcliffe Hospital - Oxford University Hospitals NHS Foundation Trust
Oxford
United Kingdom
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.
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