ALKIVIA+: A Study to Assess the Long-term Safety and Efficacy of a Subcutaneous Formulation of Efgartigimod in Adults With Active Idiopathic Inflammatory Myopathy

Sponsor
argenx (Industry)
Overall Status
Not yet recruiting
CT.gov ID
NCT05979441
Collaborator
(none)
240
1
48

Study Details

Study Description

Brief Summary

The purpose of this study is to measure the long-term safety and tolerability of efgartigimod PH20 SC in adult participants with IIM who previously participated in ARGX-113-2007. Secondary objectives include efficacy measures of efgartigimod PH20 SC in participants with IIM.

Condition or Disease Intervention/Treatment Phase
  • Biological: EFG PH20 SC
Phase 3

Study Design

Study Type:
Interventional
Anticipated Enrollment :
240 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 3, Single-Arm, Multicenter, Open-label Extension of Study ARGX-113-2007 to Investigate the Long-term Safety, Tolerability, and Efficacy of Efgartigimod PH20 SC in Participants Aged 18 Years and Older With Active Idiopathic Inflammatory Myopathy
Anticipated Study Start Date :
Sep 1, 2023
Anticipated Primary Completion Date :
Sep 1, 2027
Anticipated Study Completion Date :
Sep 1, 2027

Arms and Interventions

Arm Intervention/Treatment
Experimental: EFG PH20 SC

participants receiving efgartigimod PH20 SC on top of background treatment

Biological: EFG PH20 SC
Subcutaneous injection of efgartigimod coformulated with rHuPH20, a permeation enhancer

Outcome Measures

Primary Outcome Measures

  1. Incidence treatment-emergent adverse events and adverse event of special interest [Up to 60 weeks]

Secondary Outcome Measures

  1. Composite Glucocorticoid Toxicity Index (C-GTI) comprising the Aggregate Improvement Score (AIS) and the Cumulative Worsening Score (CWS) [Up to 52 weeks]

  2. Prednisone dose reduction (average monthly dose) [Up to 52 weeks]

  3. Proportion of participants who discontinue corticosteroids [Up to 52 weeks]

  4. Total improvement score (TIS) [Up to 52 weeks]

    measured on a [0,100] scale. Higher scores represent improvement; zero indicates no improvement or worsening (from baseline).

  5. Proportion of TIS responders (minimal, moderate, major) [up to 52 weeks]

  6. Individual core set measures (CSMs) of the TIS [up to 52 weeks]

    measured on a [0,100] scale. Higher scores represent improvement; zero indicates no improvement or worsening (from baseline).

  7. Percentage of participants with clinically inactive disease [up to 52 weeks]

  8. Percentage of participants with remission, defined as a clinically inactive disease for at least 24 weeks [up to 52 weeks]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Has completed trial ARGX-113-2007

  • Being capable of providing signed informed consent and complying with protocol requirements

  • Agrees to use contraceptive measures consistent with local regulations and women of childbearing potential must have a negative urine pregnancy test at baseline before receiving the investigational medicinal product

Exclusion Criteria:
  • Intention to have major surgery during the study period; or any other medical condition that has arisen since enrollment in study ARGX-113-2007, that in the investigator's opinion, would confound the results of the study or put the participant at undue risk

  • Known hypersensitivity reaction to investigational medicinal product or 1 of its excipients Development of any malignancy, either new or recurrent, other than basal cell carcinoma of the skin, regardless of relatedness

  • Permanent discontinuation of IMP in ARGX-113-2007, or met the permanent discontinuation criteria at the rollover visit

  • Diagnosis with a deselected subtype of myositis based on the analysis of the phase 2 stage data in ARGX-113-2007, unless the investigator determines that the participant is benefiting from IMP as defined by a score of "much better" or "moderately better" on the 'Clinical Global Impression of Change' and 'Patient Global

  • Impression of Change' assessments for at least 12 weeks, and that enrolling in the study is in the participant's best interest

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • argenx

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
argenx
ClinicalTrials.gov Identifier:
NCT05979441
Other Study ID Numbers:
  • ARGX-113-2011
First Posted:
Aug 7, 2023
Last Update Posted:
Aug 7, 2023
Last Verified:
Jul 1, 2023
Individual Participant Data (IPD) Sharing Statement:
Undecided
Plan to Share IPD:
Undecided
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Aug 7, 2023