New drug aims to shrink swollen glands in rare disease
NCT ID NCT07025330
First seen Jun 24, 2026 · Last updated Jul 24, 2026 · Updated 4 times
Summary
This study tests whether efgartigimod, a drug that lowers certain antibodies, can reduce swelling in the tear glands, saliva glands, or pancreas of people with IgG4-related disease. Five adults will receive weekly injections for 12 weeks and have regular scans and checkups. The goal is to see if the drug can control the disease and improve symptoms.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- efgartigimod (a drug that lowers certain antibodies)
- What this could lead to
- If it works, this could point toward a new treatment option for IgG4-related disease, reducing gland swelling and inflammation.
- What could go wrong
- This is a very small, early-phase trial with only 5 participants, so results may not apply to everyone. The drug may not reduce swelling or could cause side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
About 5 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Nov 2025
- Expected to finish
-
Jun 2028
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 90 years
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Have a clinical diagnosis of IgG4-related disease that requires treatment in the opinion of the investigator * Meet the 2019 ACR/EULAR Classification Criteria for IgG4-Related Disease * Have a serum IgG4 concentration greater than or equal to 2 times the upper limit of normal at Screening * Have involvement of the lacrimal gland(s), salivary gland(s), and/or pancreas * If lacrimal and/or salivary glands are involved, it must be symptomatic, including but not limited to discomfort, pain, dryness, headache, or vision changes * If the pancreas is involved, it must be asymptomatic, diffuse enlargement without signs or symptoms of obstruction or evidence of major organ dysfunction in the opinion of the investigator * Have a prior inadequate response to, or intolerance of, glucocorticoids, or who have experienced recurrent symptoms after previous treatment with glucocorticoids * Are not receiving current treatment with immunosuppressive medications * All women must test negative for pregnancy and agree to use a reliable method of birth control Key Exclusion Criteria: * Any exclusion criteria listed in the 2019 ACR/EULAR Classification Criteria for IgG4-Related Disease * Prior treatment with an FcRn inhibitor * Have conventional synthetic disease-modifying antirheumatic drug (csDMARD) or immunosuppressive use as follows: * Treatment with glucocorticoids within 28 days prior to Baseline or planned treatment during the study * Treatment with csDMARDs including but not limited to hydroxychloroquine, methotrexate, leflunomide, or sulfasalazine within 28 days prior to Baseline or planned treatment during the study * Treatment with cytotoxic or immunosuppressive drugs including but not limited to cyclophosphamide, mycophenolic acid, azathioprine, cyclosporine, sirolimus, or tacrolimus within 28 days prior to Baseline or planned treatment during the study * Treatment with a janus kinase (JAK) inhibitor including but not limited to tofacitinib, baricitinib, upadacitinib, or filgotinib within 28 days prior to Baseline or planned treatment during the study * Treatment with a Bruton's tyrosine kinase (BTK) inhibitor including but not limited to ibrutinib, zanubrutinib, acalabrutinib, pirtobrutinib, or rilzabrutinib within 28 days prior to Baseline or planned treatment during the study * Have biologic disease-modifying antirheumatic drug (bDMARD) use as follows: * Treatment with etanercept, adalimumab, or anakinra within 28 days before Baseline or planned treatment during the study * Treatment with infliximab, certolizumab pegol, golimumab, abatacept, or tocilizumab within 56 days before Baseline or planned treatment during the study * Treatment with a B cell depleting agent including but not limited to rituximab, ocrelizumab, obinutuzumab, ofatumumab, inebilizumab, ianalumab, or obexelimab ≤ 6 months prior to Baseline * Patients who received B-cell targeted therapy \> 6 and ≤ 12 months prior to Baseline must have a B-cell count that is within the laboratory reference range at Screening * Treatment with a BAFF antagonist including but not limited to belimumab or tabalumab within 6 months before Baseline or planned treatment during the study * Treatment with an IL-17 antagonist including but not limited to secukinumab, ixekizumab, or brodalumab within 6 months before Baseline or planned treatment during the study * Prior treatment with other bDMARDs may be allowed at the discretion of the investigator * A history of, or current, inflammatory or autoimmune disease (that could affect the interpretation of safety or efficacy outcomes) other than IgG4-related disease * Evidence of active tuberculosis, HIV, or hepatitis B or C infection * History of cancer except for skin basal or squamous cell carcinoma, cervical dysplasia or carcinoma in situ that has been treated and is considered cured \> 1 year prior to Baseline, prostate cancer considered cured for \> 5 years with a normal prostate specific antigen, or colon cancer considered cured \> 5 years
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Stanford University
Palo Alto, California, 94304-2210, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can engineered immune cells tame a stubborn autoimmune disease?
- New drug aims to stop IgG4 disease relapses without Long-Term steroids
- Experimental CAR-T injection aims to tame autoimmune diseases
- Scientists investigate immune cell role in rare IgG4 disease