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A Long-term Study to Assess the Safety and Efficacy of Efgartigimod in Adult Patients With Primary Immune Thrombocytopenia (ITP).

Phase 3
Active, not recruiting
Conditions
Primary Immune Thrombocytopenia
Interventions
Registration Number
NCT04225156
Lead Sponsor
argenx
Brief Summary

This is an open-label long-term multicenter phase 3 trial to evaluate the efficacy and safety of ARGX-113 in adult patients with primary ITP.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
101
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
efgartigimodefgartigimodpatients receiving efgartigimod
Primary Outcome Measures
NameTimeMethod
Frequency and severity of vital signsUp to 60 weeks
Frequency and severity of laboratory assessmentsUp to 60 weeks
Frequency and severity of Adverse EventsUp to 60 weeks
Secondary Outcome Measures
NameTimeMethod
Extent of disease control defined as the percentage of weeks in the trial with platelet counts of ≥50×10E9/L.Over the 52 weeks of treatment
Mean change from baseline in platelet count at each visit.Up to 60 weeks, at each visit
In patients with first exposure to efgartigimod: proportion of patients in the overall population achieving platelet counts of at least 50x10^9/L for at least 6 of the 8 visits between week 17 and 24 of the trial.Up to 7 weeks, between visit 17 and 24 of the trial
Rate of receipt of rescue therapy (rescue per patient per month).Up to 60 weeks, at each visit
Incidence of anti-drug antibodies (ADA) to efgartigimod.Up to 216 weeks
For patients rolling-over from the ARGX-113-1801 trial with a platelet count of <30×10^9/L: time to response is defined as the time to achieve 2 consecutive platelet counts of ≥50×10^9/LUp to 60 weeks, at each visit
The percentage of weeks in the trial with platelet counts of ≥30×109/L and at least 20×10E9/L above baseline.Over the 52 weeks of treatment
Percentage of patients with overall platelet count response defined as achieving a platelet count of ≥50×10^9/L on at least 4 occasions at any time during the 52-week treatment period.Over the 52 weeks of treatment
In patients with baseline platelet count of <15×10E9/L in the current trial (ARGX-113-1803), the percentage of weeks in the trial with platelet counts of ≥30×10E9/L and at least 20×10E9/L above baseline.Over the 52 weeks of treatment
Incidence and severity of the WHO-classified bleeding events.Up to 60 weeks, at each visit
Change from baseline in Patient reported Outcomes (Fact-Th6) at planned visits.Up to 52 weeks
In patients with first exposure to efgartigimod: proportion of patients who achieve a sustained platelet response defined as achieving platelet counts of at least 50×10^9/L for at least 4 of the 6 visits between week 19 and 24 of the trial.Up to 5 weeks, between visit 19 and 24 of the trial
Change from baseline in Patient reported Outcomes (FACIT-Fatigue) at planned visits.Up to 52 weeks
Reduction in concurrent ITP therapy.Up to 60 weeks, at each visit
Change from baseline in Quality of Life (SF-36) at planned visits.Up to 52 weeks
Pharmacokinetic parameter of efgartigimod: serum concentration observed predose (Ctrough).Up to 60 weeks
Pharmacodynamics markers: total IgG.Up to 60 weeks

Trial Locations

Locations (87)

Investigator Site 0010045

🇺🇸

Washington D.C., District of Columbia, United States

Investigator Site 0010037

🇺🇸

Ocala, Florida, United States

Investigator Site 0010042

🇺🇸

Iowa City, Iowa, United States

Investigator Site 0010040

🇺🇸

Columbus, Ohio, United States

Investigator Site 0430002

🇦🇹

Vienna, Austria

Investigator Site 0430003

🇦🇹

Vienna, Austria

Investigator Site 0320012

🇧🇪

Brasschaat, Belgium

Investigator Site 0320011

🇧🇪

Bruges, Belgium

Investigator Site 0320014

🇧🇪

Turnhout, Belgium

Investigator Site 0320002

🇧🇪

Yvoir, Belgium

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Investigator Site 0010045
🇺🇸Washington D.C., District of Columbia, United States

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