Open-Label Extension Study to Evaluate the Safety of Efgartigimod in Adult Patients With Primary Sjögren's Syndrome
- Registration Number
- NCT06203457
- Lead Sponsor
- argenx
- Brief Summary
Efgartigimod contributes to successfully treat pSS and has the potential to improve disease manifestations by the reduction of IgG autoantibodies in pSS. This open-label extension study will evaluate the long-term safety of efgartigimod in participants with pSS who have completed the treatment period of the qualifying efgartigimod studies (including ARGX-113-2106).
- Detailed Description
ARGX-113-2211 is a long-term, single-arm, open-label, multicenter extension study of the pSS-qualifying efgartigimod studies designed to evaluate the long-term safety of efgartigimod in adult patients with pSS. Participants will be enrolled from both active and placebo arms of qualifying efgartigimod studies and receive efgartigimod 10 mg/kg over 48 weeks in the extension study without knowledge of their treatment assignment in the qualifying study. Eligible participants must have completed the treatment period of the qualifying study and must not have permanently discontinued the IMP in that study.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 24
- Is at least the legal age of consent for clinical trials 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: WOCBP must have a negative urine pregnancy test at baseline before receiving IMP
- Has completed the qualifying efgartigimod pSS studies and agrees to continue study drug treatment without interruption in the extension study
- Clinically significant disease (including newly diagnosed malignancy or cardiovascular disease) or intention 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
- Pregnant or intention to become pregnant during the study
- Any severe systemic pSS manifestation that may put the participant at undue risk based on the investigator's opinion
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description efgartigimod Efgartigimod Participants will receive efgartigimod IV infusions
- Primary Outcome Measures
Name Time Method Number of participants with with abnormal laboratory test results or vital signs up to 48 weeks Number of participants with (serious) adverse events (of special interest) up to week 48
- Secondary Outcome Measures
Name Time Method Change from baseline in clinESSDAI score at weeks 24 and 48 up to 48 weeks ClinESSDAI derives from the ESSDAI, and its score provides an accurate evaluation of disease activity independent of B-cell biomarkers. The lower the scores are, the lower the disease activity is.
Proportion of participants with low disease activity: clinESSDAI score of < 5 at weeks 24 and 48 up to 48 weeks ClinESSDAI derives from the ESSDAI, and its score provides an accurate evaluation of disease activity independent of B-cell biomarkers. The lower the scores are, the lower the disease activity is.
Proportion of participants with minimal clinically important improvement from baseline in ESSDAI: improvement of ≥ 3 points in ESSDAI score at weeks 24 and 48 up to 48 weeks ESSDAI is a scoring system/scale - EULAR Sjögren's Syndrome disease activity index (0 to 123). The ESSDAI was designed to measure disease activity in patients with pSS. The lower the scores are, the lower the disease activity is.
Proportion of STAR responders (score of ≥ 5) at weeks 24 and 48 when compared to baseline up to 48 weeks STAR (Sjögren's Tool for Assessing Response) has been developed to assess the efficacy of treatments for pSS.
Percent reduction from baseline in autoantibodies (Anti-Ro/SS A and Anti-La/SS B) in serum over the 48-week treatment period up to 48 weeks : Proportion of CRESS (Composite of Relevant Endpoints for Sjögren's Syndrome) responders on ≥ 3 of 5 items at weeks 24 and 48 up to 48 weeks The efficacy of efgartigimod is being assessed based on how the CRESS values change compared to the baseline visits.
Proportion of participants with minimal clinically important improvement from baseline in clinESSDAI: improvement of ≥ 3 points in clinESSDAI score at weeks 24 and 48 up to 48 weeks ClinESSDAI derives from the ESSDAI, and its score provides an accurate evaluation of disease activity independent of B-cell biomarkers. The lower the scores are, the lower the disease activity is.
Change from baseline in ESSDAI score at weeks 24 and 48 up to 48 weeks ESSDAI is a scoring system/scale - EULAR Sjögren's Syndrome disease activity index (0 to 123). The ESSDAI was designed to measure disease activity in patients with pSS. The lower the scores are, the lower the disease activity is.
Proportion of participants with low disease activity: ESSDAI score of < 5 at weeks 24 and 48 up to 48 weeks ESSDAI is a scoring system/scale - EULAR Sjögren's Syndrome disease activity index (0 to 123). The ESSDAI was designed to measure disease activity in patients with pSS. The lower the scores are, the lower the disease activity is.
Proportion of participants with minimal clinically important improvement from baseline in ESSPRI: decrease of ≥ 1 point or ≥ 15% at weeks 24 and 48 up to 48 weeks ESSPRI is a questionnaire that has been developed to measure self-reported symptoms in participants with pSS. The total global score ranges from 0 to 10, with higher scores indicating more symptoms.
Percent reduction from baseline in total IgG levels in serum over the 48-week treatment period up to 48 weeks Efgartigimod serum concentrations over the 48-week treatment period up to 48 weeks Change from baseline in ESSPRI score at weeks 24 and 48 up to 48 weeks ESSPRI is a questionnaire that has been developed to measure self-reported symptoms in participants with pSS. The total global score ranges from 0 to 10, with higher scores indicating more symptoms.
Incidence of ADA against efgartigimod over the 48-week treatment period up to 48 weeks
Trial Locations
- Locations (11)
Debreceni Egyetem
🇭🇺Debrecen, Hungary
Centrum Medyczne Pratia Poznan
🇵🇱Skorzewo, Poland
FutureMeds sp zoo
🇵🇱Wroclaw, Poland
Clinical Research Center Spółka z ograniczoną odpowiedzialnością Medic-R Sp.k.
🇵🇱Poznan, Poland
MCBK SC
🇵🇱Grodzisk Mazowiecki, Poland
Centrum Medyczne Plejady
🇵🇱Krakow, Poland
Klinika Reuma Park Sp zoo Sp K
🇵🇱Warsaw, Poland
MICS Centrum Medyczne Warszawa
🇵🇱Warszawa, Poland
Narodowy Instytut Geriatrii
🇵🇱Warszawa, Poland
Vita Verum Medical Egeszsegugyi Szolgaltato Bt.
🇭🇺Szekesfehervar, Hungary
Universitair Ziekenhuis Gent
🇧🇪Gent, Belgium