New drug shows promise for Long-Term control of rare Muscle-Weakening disease
NCT ID NCT04818671
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested the long-term safety of efgartigimod injections in 184 people with generalized myasthenia gravis, a chronic disease that causes muscle weakness. Participants received repeated treatment cycles over time. The goal was to see if the drug is safe and tolerable when used long-term, and to measure its effects on daily living and antibody levels.
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 successful, this could provide a long-term treatment option to control symptoms of generalized myasthenia gravis.
- What could go wrong
- This is an open-label study without a placebo group, so results may be less reliable. The drug lowers IgG levels, which may increase infection risk.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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184 people
The number who actually took part.
- Started
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Apr 2021
- Finished
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Dec 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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.
Inclusion Criteria: 1. Must be capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol. 2. Previously participated in antecedent studies ARGX-113-2001 or ARGX-113-1705 and are eligible for roll over. 3. Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies and: * Women of Child bearing potential (WOCBP) must have a negative urine pregnancy test at baseline before investigational medicinal product (IMP) can be administered. Exclusion Criteria: 1. The participant was discontinued early from studies ARGX-113-2001 or ARGX-113-1705, unless the reason for discontinuation from study ARGX-113-1705 was to roll over into study ARGX-113-2002. a. Participants who, in the investigator's judgment, are not benefiting from efgartigimod IV in study ARGX-113-1705 Part B are not eligible for roll over into ARGX-113-2002. 2. Are pregnant or lactating, or intend to become pregnant during the study or within 90 days after the last dose of investigational medicinal product (IMP) 3. Has any of the following medical conditions: 1. Clinically significant uncontrolled chronic bacterial, viral, or fungal infection at roll-over 2. Any other known autoimmune disease that, in the opinion of the investigator, would interfere with accurate assessment of clinical symptoms of myasthenia gravis or put the participant at undue risk 3. History of malignancy unless deemed cured by adequate treatment with no evidence of reoccurrence for ≥3 years before the first administration of investigational medicinal product (IMP). Participants with the following cancers can be included at any time: * adequately treated 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 (TNM classification of malignant tumors stage T1a or T1b) 4. Clinical evidence of other significant serious diseases, or the participant has had a recent major surgery, or who have any other condition that, in the opinion of the investigator, could confound the results of the study or put the participant at undue risk 4. Received a live-attenuated vaccine within 28 days prior to study entry or plan to receive a live-attenuated vaccine during the study 5. A known hypersensitivity reaction to efgartigimod, rHuPH20, or any of its excipients
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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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Investigator Site 1 - GEO9950001
Tbilisi, 0114, Georgia
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Investigator Site 25 - DE490006
Berlin, 10117, Germany
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Investigator Site 26 - DE490009
Münster, 48149, Germany
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Investigator Site 27 - JP0810008
Sapporo, 060 8542, Japan
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Investigator Site 28- JP0810059
Ōta-ku, Tokyo, 143-8541, Japan
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Investigator Site 29- RU0070002
Novosibirsk, 630087, Russia
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Investigator Site 30 - RU0070014
Saint Petersburg, 194354, Russia
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Investigator Site 31 - ES0340038
Barcelona, 08041, Spain
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Investigator Site 32 - GEO9950004
Tbilisi, K'alak'i T'bilisi, 0160, Georgia
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Investigator Site 33 - GEO9950016
Tbilisi, K'alak'i T'bilisi, 016, Georgia
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Investigator Site 34 - IT0390007
Naples, 80138, Italy
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Investigator Site 35 - IT0390008
Roma, 00189, Italy
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Investigator Site 36 - JP0810055
Sapporo, Hokkaido, 063-0005, Japan
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Investigator Site 37 - ES0340021
Barcelona, 08035, Spain
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Investigator Site 38 - US0010003
Chapel Hill, North Carolina, 27514, United States
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Investigator Site 39 - US0010006
Tampa, Florida, 41076, United States
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Investigator Site 40 - US0010009
San Antonio, Texas, 78229, United States
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Investigator Site 41 - US0010015
Kansas City, Kansas, 66160, United States
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Investigator Site 42 - US0010019
Cleveland, Ohio, 44195, United States
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Investigator Site 43 - US0010066
Austin, Texas, 78759, United States
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Investigator Site 44 - US0010077
Durham, North Carolina, 27710, United States
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Investigator Site 45 - US0010108
Boca Raton, Florida, 33428, United States
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Investigator Site 46 - US0010111
Amherst, New York, 14226, United States
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Investigator Site 47 - US0010021
Palo Alto, California, 94304, United States
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Investigator site 10 - HU0360013
Budapest, 1082, Hungary
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Investigator site 11 - IT0390003
Milan, 20133, Italy
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Investigator site 12 - JP0810002
Chiba, Chiba-Shi, 260-8677, Japan
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Investigator site 13 - JP0810005
Sendai, 983-8520, Japan
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Investigator site 14 - JP0810007
Osaka, 565-0871, Japan
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Investigator site 15 - JP0810009
Tokyo, 160-0023, Japan
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Investigator site 16 - NL0310001
Leiden, 2333, Netherlands
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Investigator site 17 - PL0480001
Gdansk, 80-952, Poland
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Investigator site 18 - PL0480005
Krakow, 31-505, Poland
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Investigator site 19 - PL0480007
Katowice, 40-123, Poland
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Investigator site 2 - GEO9950002
Tbilisi, 0112, Georgia
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Investigator site 20 - PL0480018
Lublin, 20-093, Poland
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Investigator site 21 - PL0480022
Warsaw, 02-097, Poland
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Investigator site 22 - PL0480065
Krakow, 31-426, Poland
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Investigator site 23 - ES0340039
Valencia, 46026, Spain
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Investigator site 24 - CZ4200005
Brno, 625 00, Czechia
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Investigator site 3 - GEO9950003
Tbilisi, 0114, Georgia
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Investigator site 4 - US0010110
Port Charlotte, Florida, 33952, United States
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Investigator site 5 - BE0320007
Ghent, 9000, Belgium
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Investigator site 6 - US0010032
Carlsbad, California, 92011, United States
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Investigator site 7 - US0010008
Cordova, Tennessee, 38018, United States
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Investigator site 8 - JP0810004
Hanamaki, Iwate, 025-0082, Japan
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Investigator site 9 - HU0360012
Budapest, 1204, Hungary
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new drug offer Long-Term relief for muscle weakness?
- Can a new drug ease the muscle weakness of myasthenia gravis?
- Engineered immune cells take aim at debilitating muscle weakness
- New hope for myasthenia gravis: experimental drug CNP-106 enters human trials
- New hope for myasthenia gravis patients: experimental drug enters phase 2 trial
- New drug trial aims to ease muscle weakness in rare disease