Clinical trial Recruiting at 51 sites Phase 3 Interventional Ages 18 and up

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

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment230 (estimated)
Sponsorargenx
Industry-sponsored
Drugs / interventionsradiation
Locations51 sites (Aalst, Oost-Vlass and 50 other locations)
StatusRecruiting
StartedJune 10, 2026
Main results expectedJune 2028
Study endsMay 2030
Registry record updatedNovember 3, 2026
Trial IDNCT07596849 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

  • 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
  • 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

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.