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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 69 (estimated) |
| Sponsor | argenx Industry-sponsored |
| Drugs / interventions | rituximab, prednisone |
| Locations | 94 sites (Phoenix, Arizona and 93 other locations) |
| Status | Recruiting |
| Started | October 18, 2024 |
| Main results expected | June 2028 |
| Study ends | June 2028 |
| Registry record updated | May 1, 2026 |
| Trial ID | NCT06544499 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
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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
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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
- Study coordinator: Sabine Coppieters, MD
- Email: Clinicaltrials@argenx.com
- Phone: 857-350-4834
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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High-dose dexamethasone plus orelabrutinib versus placebo for newly diagnosed adult ITP
This trial tests whether adding orelabrutinib to high-dose dexamethasone helps adults newly diagnosed with primary ITP raise and maintain their platelet counts compared with placebo.
-
Ianalumab plus a thrombopoietin receptor agonist for adults with ITP or Evans syndrome
This study will test whether adding ianalumab to a doctor's chosen TPO-RA is tolerable for adults with immune thrombocytopenia (and an exploratory group with Evans syndrome) who have had prior treatments and are on a stable TPO-RA dose.
-
Intravenous immunoglobulin (5%) treatment for primary immune thrombocytopenia
This study tests whether 5% intravenous immunoglobulin given daily for five days safely raises platelet counts in adults (18–65) with chronic primary ITP and platelet counts below 30 × 10^9/L.
-
Romiplostim combined with glucocorticoids for treating newly diagnosed adult ITP
This study is testing if a new treatment combining romiplostim and glucocorticoids can help adults newly diagnosed with immune thrombocytopenia feel better compared to just using glucocorticoids alone.
-
Testing STSA-1301 injection for treating immune thrombocytopenia
This study is testing a new injection called STSA-1301 to see if it can safely help people with immune thrombocytopenia improve their platelet levels.
-
Registry for patients with Primary Immune Thrombocytopenia in Spain
This study is collecting information from patients with Primary Immune Thrombocytopenia in Spain to better understand the condition and improve how it's treated.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.