Clinical trial Recruiting at 93 sites Phase 3 Interventional Ages 18 and up

Assessing the effects of efgartigimod IV in adults with primary immune thrombocytopenia

Official title: A Phase 3, Multicenter, Randomized, Double-Blinded, Placebo-Controlled, Parallel-Arm Study Followed by an Open-Label Arm to Evaluate the Efficacy and Safety of Efgartigimod IV in Adult Participants With Primary Immune Thrombocytopenia

Run by argenx · NCT06544499 · Data updated 2026-11-12

This study is testing whether a new treatment called efgartigimod IV can help adults with primary immune thrombocytopenia feel better and improve their platelet counts.

More Primary Immune Thrombocytopenia (ITP) trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment69 (estimated)
Sponsorargenx
Industry-sponsored
Drugs / interventionsrituximab, prednisone
Locations94 sites (Phoenix, Arizona and 93 other locations)
StatusRecruiting
StartedOctober 18, 2024
Main results expectedJune 2028
Study endsJune 2028
Registry record updatedMay 1, 2026
Trial IDNCT06544499 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 and older with a documented history of primary immune thrombocytopenia and insufficient response to prior treatments.

Probably not a fit

Patients who have not previously received treatment for ITP or those with a platelet count above the specified threshold may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the efficacy and safety of efgartigimod IV in adults diagnosed with primary immune thrombocytopenia (ITP). Participants will undergo a screening period followed by randomization to receive either efgartigimod IV or a placebo in a double-blinded manner. After a treatment period of up to 24 weeks, all participants will receive efgartigimod IV in an open-label phase lasting up to 52 weeks, with the possibility of an additional open-label treatment phase. The total duration of participation in the study may extend up to 138 weeks.

Why it matters

Potential benefit: If successful, this treatment could significantly improve platelet counts and overall management of primary immune thrombocytopenia in affected patients.

How similar studies have gone: Previous studies have shown promise with similar treatments for ITP, indicating potential for success with this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Is at least 18 years of age and the local legal age of consent for clinical studies when signing the informed consent form (ICF).
* Has documented baseline mean platelet count of \<30 x 10\^9/L before randomization
* Has a documented duration of primary immune thrombocytopenia (ITP) of more than 12 months on the date of informed consent form (ICF) signature.
* Has documented prior ITP treatment with at least 1 of the following treatments: corticosteroids, intravenous immunoglobulin (IVIg), anti-D immunoglobulin, thrombopoietin receptor agonist (TPO-RAs), or rituximab.
* Has documented insufficient response to a prior ITP treatment (the specific criteria can be found in the protocol).
* Has documented prior response defined as 1 platelet count of ≥50 × 109/L to at least 1 of the following ITP treatments in the 3 years before the date of ICF signature: prednisone, dexamethasone, other or nonspecified corticosteroids, IVIg, or anti-D immunoglobulin

Exclusion Criteria:

* Other than the indication under study, known autoimmune disease or any medical condition that would interfere with an accurate assessment of clinical symptoms of ITP, confound the results of the study or put the participant at undue risk.
* Secondary ITP
* Nonimmune thrombocytopenia
* Autoimmune hemolytic anemia
* ITP-associated critical or severe bleeding The complete list of criteria can be found in the protocol.

Where it's running

  • Mayo Clinic Hospital Scottsdale
    Phoenix, Arizona, United States
    Recruiting
  • University of Southern California Norris Comprehensive Cancer Center
    Los Angeles, California, United States
    Recruiting
  • Sharp Memorial Hospital
    Oceanside, California, United States
    Recruiting
  • University of Colorado Hospital
    Aurora, Colorado, United States
    Recruiting
  • Yale University School of Medicine
    New Haven, Connecticut, United States
    Recruiting
  • Georgetown University Hospital
    Washington D.C., District of Columbia, United States
    Recruiting
Show 44 more locations
  • The University of Chicago Medicine
    Chicago, Illinois, United States
    Recruiting
  • The University of Iowa Hospitals & Clinics
    Iowa City, Iowa, United States
    Recruiting
  • Tulane University
    New Orleans, Louisiana, United States
    Recruiting
  • Henry Ford Health
    Detroit, Michigan, United States
    Recruiting
  • University of Minnesota
    Minneapolis, Minnesota, United States
    Recruiting
  • Regional Cancer Care Associates, LLC (RCCA)
    Little Silver, New Jersey, United States
    Recruiting
  • Duke University Medical Center
    Durham, North Carolina, United States
    Recruiting
  • Brody School of Medicine at East Carolina University
    Greenville, North Carolina, United States
    Recruiting
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio, United States
    Recruiting
  • Ohio State University Hospital East
    Columbus, Ohio, United States
    Recruiting
  • INTEGRIS Cancer Institute of Oklahoma
    Oklahoma City, Oklahoma, United States
    Recruiting
  • Allgemeines Krankenhaus der Stadt Linz
    Linz, Austria
    Recruiting
  • Ordensklinikum Linz GmbH Elisabethinen
    Linz, Austria
    Recruiting
  • Klinikum Kreuzschwestern Wels
    Wels, Austria
    Recruiting
  • Acibadem City clinic Tokuda hospital
    Sofia, Bulgaria
    Recruiting
  • UMHAT Aleksandrovska
    Sofia, Bulgaria
    Recruiting
  • University Multi-Profile Hospital for Active Treatment (UMHAT) St. Ivan Rilski
    Sofia, Bulgaria
    Recruiting
  • National Specialized Hospital for Active Treatment of Hematology Diseases
    Sofia, Bulgaria
    Recruiting
  • UMHAT SofiaMed
    Sofia, Bulgaria
    Recruiting
  • University Hospital Prof. Dr. Stoyan Kirkovich AD
    Stara Zagora, Bulgaria
    Recruiting
  • Beijing YouYi Hospital-Beijing Friendship Hospital Capital Medical University
    Beijing, China
    Recruiting
  • Peking University Third Hospital
    Beijing, China
    Recruiting
  • The First Affiliated Hospital Of Bengbu Medical College
    Bengbu, China
    Recruiting
  • The Affiliated Hospital of Chengde Medical University
    Chengde, China
    Recruiting
  • The Affiliated Hospital of Inner Mongolia Medical University
    Hohhot, China
    Recruiting
  • The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University
    Huai'an, China
    Recruiting
  • Huizhou Central People's Hospital
    Huizhou, China
    Recruiting
  • Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
    Tianjin, China
    Recruiting
  • Union Hospital Tongji Medical College of Huazhong University of Science and Technology (HUST)
    Wuhan, China
    Recruiting
  • Wuxi People's Hospital (Wuxi No.1 People's Hospital)
    Wuxi, China
    Recruiting
  • Affiliated Hospital of Jiangsu University
    Zhenjiang, China
    Recruiting
  • University Hospital Center Zagreb
    Zagreb, Croatia
    Recruiting
  • Fakultni Nemocnice Ostrava
    Ostrava, Czechia
    Recruiting
  • Fakultni nemocnice Kralovske Vinohrady
    Prague, Czechia
    Recruiting
  • CHU d'Amiens-Picardie - Hopital SUD
    Amiens, France
    Recruiting
  • Centre Hospitalier Universitaire (CHU) - Hopital Henri Mondor
    Créteil, France
    Recruiting
  • Centre Hospitalier Universitaire Dijon Bourgogne Medecine Interne et Immunologie Clinique
    Dijon, France
    Recruiting
  • University Hospital Carl Gustav Carus
    Dresden, Germany
    Recruiting
  • Universitaetsklinikum Essen (AoR)
    Essen, Germany
    Recruiting
  • Semmelweis University-Internal Medicine and Haematology
    Budapest, Hungary
    Recruiting
  • Gyor-Moson-Sopron Varmegyei Petz Aladar Egyetemi Oktato Korhaz
    Győr, Hungary
    Recruiting
  • Mater Misericordiae University Hospital
    Dublin, Ireland
    Recruiting
  • St James's Hospital - Cancer Clinical Trials Office
    Dublin, Ireland
    Recruiting
  • Azienda ULSS 7 Pedemontana
    Bassano del Grappa, Italy
    Recruiting

+44 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.