Efgartigimod for Graves’ Disease in Adults
Official title: A Phase 3, Randomized, Double-Masked, Placebo-Controlled, Multicenter Study Evaluating the Efficacy and Safety of Efgartigimod PH20 SC PFS in Adult Participants With Graves' Disease Inadequately Controlled With Antithyroid Drugs
Run by argenx · NCT07596849 · Data updated 2026-11-12
This study tests whether giving efgartigimod under the skin helps thyroid function and is safe for adults with Graves’ disease.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 230 (estimated) |
| Sponsor | argenx Industry-sponsored |
| Drugs / interventions | radiation |
| Locations | 51 sites (Aalst, Oost-Vlass and 50 other locations) |
| Status | Recruiting |
| Started | June 10, 2026 |
| Main results expected | June 2028 |
| Study ends | May 2030 |
| Registry record updated | November 3, 2026 |
| Trial ID | NCT07596849 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 and older with Graves’ disease and active hyperthyroidism who have been treated with methimazole or carbimazole for at least 3 months.
✕Probably not a fit
Patients without a clear response to efgartigimod or who experience adverse effects may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3 interventional study evaluates efgartigimod PH20 SC (with a placebo control in parts of the study) in adults with Graves’ disease. It uses a multi-part design: a double-blind treatment period, a treatment/observation period, and an open-label period to assess safety, pharmacokinetics, antibody changes, and immune response. Participants may receive either the active drug or placebo during the initial phases, and all may receive the drug during the open-label phase, depending on response. The trial aims to determine how the drug distributes and clears in the body and its effect on thyroid-related markers over a follow-up ranging from roughly 63 to 135 weeks.
Why it matters
Potential benefit: If successful, participants and others with Graves’ disease could benefit from improved thyroid control and a new treatment option.
How similar studies have gone: Previous similar approaches in autoimmune thyroid conditions have shown variable safety and efficacy, making this study an important evaluation in Graves’ disease.
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 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
Where it's running
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AZORG Ziekenhuis
Aalst, Oost-Vlass, Belgium Recruiting -
Universitair Ziekenhuis Gent
Ghent, Belgium Recruiting -
Medical Center Tonus - 2013 OOD
Pazardzhik, Bulgaria Recruiting -
DCC Pulmed
Plovdiv, Bulgaria Recruiting -
Multiprofile Hospital for Active Treatment Hadzhi Dimitar OOD
Sliven, Bulgaria Recruiting -
Medical Center Kalimat
Sofia, Bulgaria Recruiting
Show 44 more locations
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Diagnostic Consultative Center Ekvita OOD
Varna, Bulgaria Recruiting -
MC Klinika Nova
Varna, Bulgaria Recruiting -
Multi-Profile District Hospital for Active Treatment Dr. Stefan Cherkezov
Veliko Tarnovo, Bulgaria Recruiting -
Endocrinologie Oasis
Montreal, Quebec, Canada Recruiting -
TLC Diabetes and Endocrinology Clinic
Surrey, Canada Recruiting -
Nordsjaellands Hospital - Hillerod
Hillerød, Capital Region, Denmark Recruiting -
High Technology Hospital Medcenter LLC
Batumi, Georgia Recruiting -
First Medical Clinic Ltd
Tbilisi, Georgia Recruiting -
LTD MediClub Georgia
Tbilisi, Georgia Recruiting -
Institut fuer Praeventive Medizin & Klinische Forschung
Magdeburg, Germany Recruiting -
Evangelismos Hospital
Athens, Greece Recruiting -
Athens Medical Center
Athens, Greece Recruiting -
AOU Ospedali Riuniti di Ancona Umberto I-G.M. Lancisi-G. Salesi
Ancona, Italy Recruiting -
Okayama University Hospital
Okayama, Okayama-ken, Japan Recruiting -
Juntendo University Hospital
Bunkyō-Ku, Tokyo, Japan Recruiting -
Toho University Omori Medical Center
Ōta-ku, Tokyo, Japan Recruiting -
Aso Iizuka Hospital
Iizuka, Japan Recruiting -
Nippon Medical School Musashikosugi Hospital
Kawasaki, Japan Recruiting -
Hospital of University of Occupational and Environmental Health
Kitakyushu, Japan Recruiting -
National Hospital Organization Kyoto Medical Center
Kyoto, Japan Recruiting -
Nagasaki University Hospital
Nagasaki, Japan Recruiting -
Ito Hospital
Shibuya City, Japan Recruiting -
SHOWA Medical University Northern Yokohama Hospital
Yokohama, Japan Recruiting -
Tottori University Hospital
Yonago, Japan Recruiting -
LTD M & M Centers
Adazi, Latvia Recruiting -
Veselibas centrs 4
Riga, Latvia Recruiting -
Hospital of Lithuanian University of Health Sciences Kaunas
Kaunas, Kauno, Lithuania Recruiting -
Klaipeda's University Hospital
Klaipėda, Lithuania Recruiting -
Osrodek Medyczny Osteomed
Krakow, Lesser Poland Voivodeship, Poland Recruiting -
NZOZ Holsamed- Oddzial Libero
Katowice, Silesian Voivodeship, Poland Recruiting -
Centrum Medyczne INTERCOR Sp. z o.o.
Bydgoszcz, Poland Recruiting -
DIABET Centrum Medyczne s.c.
Chrzanów, Poland Recruiting -
ETG Lublin
Lublin, Poland Recruiting -
Reumed Sp Z O.O.
Lublin, Poland Recruiting -
NZOZ GynCentrum - Oddzial Warszawa
Warsaw, Poland Recruiting -
ETG JustMed
Warsaw, Poland Recruiting -
Etg Warszawa Sp. z o.o.
Warsaw, Poland Recruiting -
ETC Zamosc
Zamość, Poland Recruiting -
Clinical Hospital of Emergency Sibiu Ambulatory if Endocrinology
Sibiu, Sibiu County, Romania Recruiting -
Cluj County Clinical Emergency Hospital
Cluj-Napoca, Romania Recruiting -
Hospital Universitario De La Ribera
Alzira, Spain Recruiting -
Hospital de la Santa Creu i Sant Pau
Barcelona, Spain Recruiting -
Hospital Universitario de Móstoles
Móstoles, Spain Recruiting -
Instituto De Investigacion Marques De Valdecilla (IDIVAL
Santander, Spain Recruiting
+1 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.
-
Efgartigimod for Graves' Disease in adults
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-
ETHY-001 safety and activity in Thyroid Eye Disease (TED)
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Early risk stratification of thyroid eye disease in newly diagnosed Graves' disease
This study tests whether early eye-related signs, blood and tear biomarkers, or eye surface features can predict who with Graves’ disease will develop thyroid eye disease within a year.
-
Felzartamab for Graves’ Disease: See if it helps control thyroids and reduce need for ATDs
This study tests felzartamab vs placebo in adults with Graves’ disease to see if it can normalize thyroid hormones and let people stop anti-thyroid drugs.
-
AI-based MRI and ultrasound for thyroid-related eye disease
This study tests an AI model using orbital MRI and eye ultrasound to help diagnose activity and severity of thyroid-associated ophthalmopathy and predict its course in adults.
-
YB-101 for Graves' Disease: safety, dosing, and how it works
This study tests YB-101 versus placebo in adults with Graves' disease to see if it is safe, tolerated, and whether it can help thyroid symptoms over about 40 weeks.
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.