A Phase 2/3 Study of Efgartigimod PH20 SC in Adult Participants with Bullous Pemphigoid

Last updated: October 10, 2024
Sponsor: argenx
Overall Status: Completed

Phase

2/3

Condition

Pemphigus Vulgaris (Pv)

Epidermolysis Bullosa

Treatment

efgartigimod PH20 SC

Prednisone

placebo

Clinical Study ID

NCT05267600
ARGX-113-2009
  • Ages > 18
  • All Genders

Study Summary

ARGX-113-2009 is an operationally seamless 2-part, phase 2/3, prospective, global, multicenter, randomized, double-blinded, placebo-controlled study to investigate the efficacy, safety, tolerability, immunogenicity, participant-reported outcome measures (including those assessing participant QoL), PK, and PD of efgartigimod PH20 SC administered via subcutaneous (SC) injection in adult participants with moderate to severe BP. This study intends to demonstrate that efgartigimod is an effective and safe treatment for BP, providing participants with control of disease activity (CDA) and eventually remission while reducing their cumulative exposure to OCS.

study will consist of 2 parts:

  • Part A of the study is a phase 2 evaluation that intends to provide proof of concept for the therapeutic activity of efgartigimod PH20 SC in participants with BP.

  • Part B of the study is a phase 3 evaluation that intends to confirm the results obtained from part A in a separate, larger group of participants with BP.

An interim analysis will be performed during part A (on data obtained through week 26 for all Part A participants) to assess the primary endpoint and several secondary endpoints, confirm the appropriate sample size for part B of the study, and determine whether the efficacy results observed through week 26 of part A warrant continued study of efgartigimod PH20 SC for the treatment of participants with BP (futility analysis).

Other than differences in main goals, endpoints, and statistical analyses, parts A and B are identical in schedule, structure, assessments, and conduct.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • The participant is willing and able to do the following:
  1. understand the requirements of the study

  2. provide written informed consent

  3. comply with the study protocol procedures.

  • The participant is male or female and has reached the age of consent at the time ofsigning the informed consent form (ICF).

  • Participants have clinical signs of BP.

  • Contraceptive use should be consistent with local regulations regarding the methodsof contraception for those participating in clinical studies and: Women ofchildbearing potential must have a negative serum pregnancy test at screening and anegative urine pregnancy test at baseline before study intervention can beadministered.

The full list of inclusion criteria can be found in the protocol.

Exclusion

Exclusion Criteria:

  • Other forms of pemphigoid or other autoimmune bullous diseases (AIBDs).

  • Received unstable dose of treatments known to cause or exacerbate BP for at least 4weeks prior to the baseline visit

  • Use of BP treatments other than oral corticosteroids (OCS), topical corticosteroids (TCS), conventional immunosuppressants or dapsone.

  • Known contraindication to OCS therapy

  • Active, chronic or latent infection at screening

  • Positive COVID-19 test result at screening (testing performed if required per localregulations).

  • History of malignancy unless deemed cured by adequate treatment with no evidence ofrecurrence for ≥3 years before the first administration of the IMP. Participantswith the following cancers can be included at any time, provided they are adequatelytreated prior to their participation in the study: Basal cell or squamous cell skincancer, Carcinoma in situ of the cervix, Carcinoma in situ of the breast, Incidentalhistological finding of prostate cancer

  • Clinical evidence of other significant serious diseases, have had a recent surgery,or who have any other condition that, in the opinion of the investigator, couldconfound the results of the study or put the patient at undue risk or preventparticipants from complying with protocol requirements

  • Use of an investigational product within 3 months before the first dose of IMP

  • Previously participated in a clinical study with efgartigimod or currentlyparticipating in another interventional clinical study

  • Known hypersensitivity to any of the components of the administered treatments

  • Positive serum test at screening for an active infection: HBV, HCV, HIV

  • Current or history (ie, within 12 months of screening) of alcohol, drug, ormedication abuse as assessed by the investigator

  • Pregnant or lactating females and those who intend to become pregnant during thestudy

  • Live or live-attenuated vaccine received <4 weeks before baseline visit

The full list of exclusion criteria can be found in the protocol.

Study Design

Total Participants: 98
Treatment Group(s): 3
Primary Treatment: efgartigimod PH20 SC
Phase: 2/3
Study Start date:
June 09, 2022
Estimated Completion Date:
September 13, 2024

Connect with a study center

  • Investigator site 36 - AU0610013

    Fitzroy, 3065
    Australia

    Site Not Available

  • Investigator site 27 - AU0610006

    Kogarah, 2217
    Australia

    Site Not Available

  • Investigator site 125 - AU0610019

    Woolloongabba, 4102
    Australia

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  • Investigator site AU0610019

    Woolloongabba, 4102
    Australia

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  • Investigator site 14 - BG3590010

    Sofia, 1431
    Bulgaria

    Site Not Available

  • Investigator site 28 - BG3590018

    Sofia, 1407
    Bulgaria

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  • Investigator site 15 - BG3590020

    Stara Zagora, 6003
    Bulgaria

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  • Investigator site 111 - CN0860064

    Beijing, 100006
    China

    Site Not Available

  • Investigator site 91 - CN0860017

    Beijing,
    China

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  • Investigator site 95 - CN0860018

    Chengdu,
    China

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  • Investigator site 116 - CN0860027

    Chongqing, 400016
    China

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  • Investigator site 108 - CN0860023

    Fujian, 350004
    China

    Site Not Available

  • Investigator site 107 - CN0860021

    Guangzhou, 510091
    China

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  • Investigator site 110 - CN0860053

    Guanzhou, 510080
    China

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  • Investigator site 128 - CN0860097

    Hefei,
    China

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  • Investigator site 124 - CN0860098

    Nanchang, 330000
    China

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  • Investigator site 94 - CN0860066

    Nanyang,
    China

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  • Investigator site 127 - CN860020

    Shangai, 200025
    China

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  • Investigator site 123 - CN0860095

    Shanghai, 200435
    China

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  • Investigator site 109 - CN0860025

    Wuhan, 430031
    China

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  • Investigator site 126 - CN0860026

    Zhengzhou, 450003
    China

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    Zhengzhou, 450003
    China

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    Ürümqi, 830054
    China

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    Split, 21000
    Croatia

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    Zagreb, 10000
    Croatia

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    Zagreb, 10000
    Croatia

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  • Investigator site 97 - CZ4200015

    Brno, 656 91
    Czechia

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    Hradec Králové, 500 05
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    Plzen-Bory, 13, 301 00
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    Prague, 180 81
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    Nice, 06202
    France

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    Rouen, 76031
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    Berlin, 10117
    Germany

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    Dresden, 01307
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    Erlangen, 91054
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    Frankfurt am main, 60590
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    Freiburg, 79104
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    Würzburg, 97080
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    Athens, 16121
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    Athens, 11525
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    Athens, 11525
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    Chaïdári, 12462
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    Thessaloníki, 56429
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    Roma, 00167
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    Riga, 1001
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    Riga, 1003
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    Groningen, 9713
    Netherlands

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    Rzeszów, 35055
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    Warsaw, 00-716
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    Wrocław, 50-220
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    Wrocław, 51-685
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    Łódź, 90-647
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    Cluj-Napoca, 400006
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    Iaşi, 700111
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    Belgrad, 11040
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    Belgrade, 110000
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    Niš, 18000
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    Novi Sad, 21000
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    Bratislava, 4210002
    Slovakia

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    Košice, 040 11
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    Trnava, 91702
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  • Investigator site 32 - ES0340050

    Badalona, 08916
    Spain

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    Barcelona, 08003
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    Granada, 18016
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    Madrid, 28041
    Spain

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    Madrid, 28034
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    Manises, 46940
    Spain

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    Mieres, 33611
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    Málaga, 29009
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    Sevilla, 41009
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    Valencia, 46017
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    Bristol, BS2 8HW
    United Kingdom

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    London,
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  • Investigator site 74 - US0010178

    Phoenix, Arizona 85006
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  • Investigator site 121 - US0010092

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    Santa Monica, California 90404
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    Castle Rock, Colorado 80109
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  • Investigator site 2 - US0010087

    Boca Raton, Florida 33428
    United States

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    Clearwater, Florida 33756
    United States

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  • Investigator site 21 - US0010155

    Clearwater, Florida 33756
    United States

    Active - Recruiting

  • Investigator site 1 - US0010017

    Miami, Florida 33173
    United States

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  • Investigator site 13 - US0010155

    West Lafayette, Indiana 47906
    United States

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  • Investigator site 35 - US0010156

    Louisville, Kentucky 40217
    United States

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  • Investigator site 50 - US0010149

    Ann Arbor, Michigan 48109
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  • Investigator site 115 - US0010157

    Jackson, Mississippi 39216
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    Saint Louis, Missouri 63110
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    Lebanon, New Hampshire 03756
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    Buffalo, New York 14203
    United States

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  • Investigator site 93 - US0010169

    New York, New York 10016
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    Fairborn, Ohio 45324
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    Pittsburgh, Pennsylvania 15213
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    Houston, Texas 77004
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    Murray, Utah 84107
    United States

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  • Investigator site 3 - US0010151

    Morgantown, West Virginia 26505
    United States

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