A Study to Assess Efficacy and Safety of Efgartigimod PH20 SC PFS in Adult Participants With Graves' Disease

Purpose

The main purpose of this study is to look at how efgartigimod affects thyroid function in adults with Graves' Disease (GD). The study will also check whether efgartigimod is safe and well tolerated. It will look at how efgartigimod is distributed and eliminated in the body, how it changes antibody levels, and how the immune system responds to it. The study consists of a part A double-blinded treatment period, a part B treatment/observation period and a part C open-label treatment/observation period. During the part A and part B treatment periods, participants will receive efgartigimod PH20 SC via Prefilled Syringe (PFS) or placebo. During the part C open-label treatment period, participants will receive efgartigimod PH20 SC PFS. Participation in the different parts of the study will depend on the participant's response to treatment. The total study duration for participants ranges from 63 to 135 weeks, depending on the response to treatment. More information can be found here: https://clinicaltrials.argenx.com/vitalithy

Conditions

  • Graves' Disease
  • Graves Disease

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Is at least 18 years of age and the local legal age of consent for clinical studies when signing the ICF. - Has a documented diagnosis of GD with TRAb (anti-thyrotropin receptor antibody) levels >=ULN (upper limit of normal) at screening. - Has active hyperthyroidism due to GD with TSH (thyroid-stimulating hormone) <0.1 mIU/L at screening. - Has been treated with MMI (methimazole) or CBZ (carbimazole) for at least 3 months before screening.

Exclusion Criteria

  • History of hyperthyroidism not caused by GD (eg, toxic adenoma or toxic multinodular goiter). - History of RAI (radioactive iodine) therapy or received a total thyroidectomy. - T3- or T4-containing medication or supplement (eg, levothyroxine, liothyronine, desiccated thyroid preparations, or thyroid-support supplements) received <6 weeks before screening. - Any complication of hyperthyroidism or underlying medical condition that would put the participant at undue risk. This includes arrhythmia or tachyarrhythmia related to GD, such as atrial fibrillation or atrial flutter not sufficiently controlled with medications. - Graves' orbitopathy/Thyroid Eye Disease (GO/TED) requiring systemic therapy (eg, corticosteroids), orbital injections, orbital surgery, or orbital radiation, or expected immediate surgical intervention and/or planned corrective surgery/irradiation or medical therapy during the study.

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Part A - efgartigimod PH20 SC PFS
Participants will receive efgartigimod PH20 SC Via Prefilled Syringe (PFS) during the part A double-blinded treatment period.
  • Biological: Efgartigimod PH20 SC
    Subcutaneous injection of Efgartigimod PH20 Via Prefilled Syringe (PFS)
Placebo Comparator
Part A - placebo PH20 SC PFS
Participants will receive placebo PH20 SC Via Prefilled Syringe (PFS) during the part A double-blinded treatment period.
  • Other: Placebo PH20 SC
    Subcutaneous injection of placebo PH20 via Prefilled Syringe (PFS)
Experimental
Part B - efgartigimod PH20 SC PFS
Participants will receive efgartigimod PH20 SC Via Prefilled Syringe (PFS) during the part B treatment period.
  • Biological: Efgartigimod PH20 SC
    Subcutaneous injection of Efgartigimod PH20 Via Prefilled Syringe (PFS)
Experimental
Part B - placebo PH20 SC PFS
Participants will receive placebo PH20 SC Via Prefilled Syringe (PFS) during the part B treatment period.
  • Other: Placebo PH20 SC
    Subcutaneous injection of placebo PH20 via Prefilled Syringe (PFS)
Experimental
Part C - efgartigimod PH20 SC PFS
Participants will receive efgartigimod PH20 SC PFS in the part C open-label treatment period
  • Biological: Efgartigimod PH20 SC
    Subcutaneous injection of Efgartigimod PH20 Via Prefilled Syringe (PFS)

Recruiting Locations

Diabetes Associates Medical Group
Orange, California 92868
Contact:
Ivy-Joan Madu, MD
714-202-8894
diabetesmd@sbcglobal.net

Havana Research Institute LLC.
Pasadena, California 91105
Contact:
John De Beixedon, MD
626-698-9794
drjohn@havanaresearchinstitute.com

Northeast Florida Endocrine & Diabetes Associates (NEFEDA) - Orange Park Location
Fleming Island, Florida 32003
Contact:
Senan Sultan, MD
478-319-7900
drsultan@nerifl.com

The Center for Diabetes and Endocrine Care
Fort Lauderdale, Florida 33312
Contact:
Sam Lerman, MD
954-963-7100
slerman@diabetes-endocare.com

Ilumina Medical Research LLC
Kissimmee, Florida 34744
Contact:
Max Sosa-Pagan, MD
857-350-4834
MSosapaganMD@gmail.com

Johnson County Clin-Trials, Inc.
Lenexa, Kansas 66219
Contact:
Thomas Kreamer, MD
913-825-4400
tkreamer@jcct.com

Metro Detroit Endocrinology Center
Dearborn, Michigan 48126
Contact:
Ayman Elkadry, MD
313-203-5300
aymankad73@gmail.com

Profound Research
Farmington Hills, Michigan 48334
Contact:
Gary Edelson, MD
947-254-1920
gary.edelson@profoundresearch.io

Endocrine Associates of West Village PC
New York, New York 10016
Contact:
Anastasios Manessis, MD
646-660-9991
amanessis@endocrinenyc.com

Research Institute of Dallas
Dallas, Texas 75231
Contact:
Heidi Shea, MD
927-867-4658
hshea@eadallas.com

Juno Research
Houston, Texas 77040
Contact:
Damaris Vega, MD
713-779-5494
Dvega@jcct.com

Tekton Research Irving
Irving, Texas 75039
Contact:
Pablo Mora, MD
972-566-7799
pablo.mora@tektonresearch.com

Biopharma Informatic, LLC
McAllen, Texas 78503
Contact:
Gloria Ortiz, MD
281-944-3610
gortiz@biopharmainfo.net

Tekton Research - McKinney
McKinney, Texas 75069
Contact:
Muhammad Siddiqui, MD
972-777-6011
muhammad.siddiqui@tektonresearch.com

Southern Endocrinology Associates PA
Mesquite, Texas 75149
Contact:
Sumana Gangi, MD
214-909-8904
sumana_gangi@yahoo.com

Consano Clinical Research
Shavano Park, Texas 78231
Contact:
Daniel Katselnik, MD
210-545-4900
katselnik.md@consanosa.com

More Details

Status
Recruiting
Sponsor
argenx

Study Contact

Sabine Coppieters, MD
857-350-4834
clinicaltrials@argenx.com