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A Phase 1 Bioequivalence Study of Efgartigimod PH20 SC Administered Via a Prefilled Syringe Versus a Vial+Syringe Presentation in Healthy Adults

Phase 1
Completed
Conditions
Bioequivalence
Interventions
Biological: efgartigimod PH20 SC as a prefilled syringe presentation
Biological: efgartigimod PH20 SC as a vial + syringe presentation
Registration Number
NCT05817435
Lead Sponsor
argenx
Brief Summary

This is a randomized, open-label, parallel-group, single-dose study comparing the pharmacokinetics of efgartigimod in blood following a single administration of efgartigimod PH20 SC via a prefilled syringe versus a vial + syringe in healthy participants.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
120
Inclusion Criteria
  • Is at least the local legal age of consent for participation in a clinical study and ≤55 years when signing the ICF
  • Is capable of providing signed informed consent, and complying with protocol requirements
  • Agrees to use contraceptive measures consistent with local regulations and the following: Women Of Child-Bearing Potential must have a negative serum hCG pregnancy test at screening and a negative urine hCG pregnancy test at baseline before receiving IMP.
  • Has a BMI between 18 and 30 kg/m2 , inclusive, and a weight between 50 and 100 kg (inclusive) at screening
Exclusion Criteria
  • Has a known autoimmune disease or any medical condition that, in the investigator's judgment, would interfere with an accurate assessment of clinical symptoms or puts the participant at undue risk
  • Has a history of malignancy, unless considered cured by adequate treatment with no evidence of recurrence for ≥3 years before the administration of IMP. 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.
  • Has a clinically significant active infection that is not sufficiently resolved in the investigator's opinion.
  • Has a positive serum test at screening for active infection with any of the following: HBV indicative of an acute or chronic infection, unless associated with a negative HBsAg or negative HBV DNA test; HCV based on HCV antibody assay unless a negative RNA test is available ; HIV based on test results (regardless of therapy treatment or not).
  • Has a clinically significant disease, recent major surgery (within 3 months of screening), or intends to have surgery during the study; or any other medical condition that, in the investigator's opinion, would confound the results of the study or put the participant at undue risk.
  • Received a different IMP in another clinical study <12 weeks or 5 half-lives (whichever is longer) before screening.
  • Is currently participating in another interventional clinical study. Has a known hypersensitivity to IMP or its excipients.
  • Has abdominal skin condition that does not allow for absorption and assessment of local safety of the planned SC injection, as determined by the investigator.
  • Has a history of (within 12 months before screening) or current alcohol, drug, or medication abuse, as assessed by the investigator.
  • Is pregnant or lactating or intends to become pregnant during the study.
  • Previously participated in an efgartigimod clinical study and received at least 1 dose of IMP.
  • Is taking concomitant medications (except for oral contraceptives or occasional acetaminophen).
  • Has a total IgG of <4 g/L at screening.
  • Had a positive COVID-19 test result on day -1 or contact with someone with a known COVID-19 infection within 2 weeks before receiving IMP.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Efgartigimod PH20 SC - prefilled syringeefgartigimod PH20 SC as a prefilled syringe presentationefgartigimod PH20 SC administered by a prefilled syringe
Efgartigimod PH20 SC - vial + syringeefgartigimod PH20 SC as a vial + syringe presentationefgartigimod PH20 SC administered by a vial + syringe
Primary Outcome Measures
NameTimeMethod
Primary PK parameters (Cmax)Up to 29 days

maximum observed plasma concentration

Primary PK parameters (AUC0-inf)Up to 29 days

area under the concentration-time curve from 0 to infinity

Secondary Outcome Measures
NameTimeMethod
Second PK parameters (Vz/F)up to 57 days

apparent volume of distribution

Total IgG as percent change from baseline over timeup to 57 days
Safety parameters (number of AEs)up to 85 days
Second PK parameters (AUC0-t)up to 57 days

area under the concentration-time curve from 0 to last quantifiable concentration

Second PK parameters (AUC0-168h)up to 57 days

area under the concentration-time curve from time 0 to168 hours

Total IgG as absolute change from baseline over timeup to 57 days
Second PK parameters (CL/F)up to 57 days

apparent clearance (total body clearance for extravascular administration divided by the fraction of dose absorbed, calculated using the observed value of the last nonzero concentration)

Incidence of ADA against efgartigimod PH20 SCup to 57 days

Incidence of antidrug antibodies against efgartigimod PH20 SC

Second PK parameters (Tmax)up to 57 days

time to maximum concentration

Second PK parameters (t1/2)up to 57 days

elimination half-life

Trial Locations

Locations (2)

Investigator site 0010209

🇺🇸

Tempe, Arizona, United States

Investigator site 0010208

🇺🇸

Lincoln, Nebraska, United States

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