Efgartigimod PH20 SC treatment for adults with thyroid eye disease
A Phase 3, Randomized, Double-Masked, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy, Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of Efgartigimod PH20 SC Administered by Prefilled Syringe in Adult Participants With Thyroid Eye Disease
This study is testing if a new treatment called efgartigimod can help adults with moderate-to-severe thyroid eye disease feel better compared to a placebo.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Enrollment | 108 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | argenx Industry-sponsored |
| Locations | 53 sites (Los Angeles, California and 52 other locations) |
| Trial ID | NCT06307626 on ClinicalTrials.gov |
What this trial studies
This study evaluates the efficacy, safety, and tolerability of efgartigimod PH20 SC in adults with active, moderate-to-severe thyroid eye disease (TED). Participants will be randomized to receive either the treatment or a placebo during a double-blinded period, followed by a potential observational phase. The study aims to assess pharmacokinetics, pharmacodynamics, and immunogenicity over a duration of approximately 60 to 110 weeks.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and older with active, moderate-to-severe thyroid eye disease related to autoimmune thyroid conditions.
Not a fit: Patients with stable thyroid eye disease or those who have had symptoms for more than 12 months prior to screening may not benefit from this study.
Why it matters
Potential benefit: If successful, this treatment could significantly improve the management of thyroid eye disease, enhancing patients' quality of life.
How similar studies have performed: Other studies have shown promise in treating thyroid eye disease with similar approaches, indicating potential for success.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * The participant is at least 18 years of age * The participant is capable of providing signed informed consent and following with protocol requirements * The investigator determines active, moderate-to-severe thyroid eye disease (TED) associated with autoimmune thyroid conditions (Graves' disease or Hashimoto's thyroiditis) for the most severely affected eye * The participant has first onset of active TED symptoms within 12 months before screening * The participant must have normal thyroid function with the baseline disease under control or have mild hypo or hyperthyroidism at screening. Every effort should be made to correct the mild hypo or hyperthyroidism promptly and to maintain the normal thyroid function for the full duration of the study * The participant agrees to use birth control consistent with local regulations and the people of child-bearing potential must have a negative blood pregnancy test at screening and a negative urine pregnancy test before receiving the study drug Exclusion Criteria: * Optic neuropathy (damage to optic nerve), defined as new visual field defect (blind spot), relative afferent pupillary defect (pupils respond differently to light), or color defect secondary to optic nerve involvement within the 6 months before screening * Corneal decompensation (swelling of the cornea) unresponsive to medical management * Previous orbital irradiation or surgery for TED * Use of some medications before screening (more information is found in the protocol) * Known autoimmune disease or any medical condition that would interfere with an accurate assessment of clinical symptoms of TED or puts the participant at undue risk * History of malignancy, cancer, unless considered cured by adequate treatment with no evidence of recurrence for ≥3 years. Adequately treated participants with the following cancers can be included at any time: Basal cell or squamous cell skin cancer, Carcinoma in situ of the cervix, Carcinoma in situ of the breast, Incidental histological findings of prostate cancer * Clinically significant active infection that is not sufficiently resolved in the investigator's opinion or positive serum test at screening for active infection with any of the following: Hepatitis B virus (HBV), Hepatitis C virus (HCV), HIV * Current participation in another interventional clinical study or previous participation in an efgartigimod clinical study and at least 1 dose of study drug received or has received at least 1 dose of commercially available efgartigimod * Known hypersensitivity to study drug or one of its excipients (inactive ingredients) * History of or current alcohol, drug, or medication abuse within 12 months before screening as assessed by the investigator * Pregnant or lactating state or intention to become pregnant during the study * Live or live-attenuated vaccine received \<4 weeks before screening The complete list of exclusion criteria can be found in the protocol.
Where this trial is running
Los Angeles, California and 52 other locations
- American Institute of Research — Los Angeles, California, United States (Completed)
- North Valley Eye Medical Group, Inc. — Mission Hills, California, United States (Recruiting)
- North Valley Eye Medical Group, Inc. — Mission Hills, California, United States (Recruiting)
- Martel Eye Medical Group — Rancho Cordova, California, United States (Recruiting)
- Cockerham Eye Consultants — San Diego, California, United States (Recruiting)
- Sibia Eye Institute — Boynton Beach, Florida, United States (Recruiting)
- Butchertown Clinical Trials — Louisville, Kentucky, United States (Recruiting)
- St. Louis University (SLU) Care - Center for Specialized Medicine — St. Louis, Missouri, United States (Recruiting)
- Advancing Research International, LLC — Las Vegas, Nevada, United States (Recruiting)
- Baylor College of Medicine — Houston, Texas, United States (Recruiting)
- Landeskrankenhaus - Universitaetskliniken Innsbruck — Innsbruck, Austria (Recruiting)
- Hanusch-Krankenhaus - Vienna Institute for Research in Ocular Surgery — Wien, Austria (Recruiting)
- AIPSMAED Sveti Luka EOOD — Plovdiv, Bulgaria (Recruiting)
- Multi-Profile Hospital for Active Treatment (MHAT) Hadji Dimitar — Sliven, Bulgaria (Recruiting)
- Medical Center Hera EOOD — Sofia, Bulgaria (Recruiting)
- Peking University Third Hospital — Beijing, China (Recruiting)
- The Second Affiliated Hospital of Chengdu Medical College / Nuclear Industry 416 Hospital — Chengdu, China (Recruiting)
- The Second Hospital of Dalian Medical University — Dalian, China (Recruiting)
- Fujian Provincial Hospital — Fuzhou, China (Recruiting)
- Guangdong Provincial People's Hospital — Guangzhou, China (Recruiting)
- Shandong Provincial Hospital of Shandong First Medical University — Jinan, China (Recruiting)
- Hospices Civils de Lyon (HCL) - Hopital Louis Pradel — Bron, France (Recruiting)
- CHU Lille - Hopital Huriez — Lille, France (Recruiting)
- Centre Hospitalier National d'Ophtalmologie (Chno) Des Quinze-Vingts — Paris, France (Recruiting)
- CHU de Saint-Etienne - Hopital Nord — Saint-Priest-en-Jarez, France (Recruiting)
- Universitaetsaugenklinik Ulm — Ulm, Germany (Recruiting)
- Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale San Raffaele (HSR) (Istituto Scientifico Universitario San Raffaele) — Milano, Italy (Recruiting)
- Ospedale Cisanello — Pisa, Italy (Recruiting)
- Azienda Ospedaliero Universitaria Sant'Andrea — Roma, Italy (Recruiting)
- Azienda Ospedaliero Ordine Mauriziano Torino - Ospedale Umberto I di Torino — Torino, Italy (Recruiting)
- Kanazawa University Hospital — Kanazawa, Japan (Recruiting)
- Koga Hospital Group - Shinkoga Hospital — Kurume-shi, Japan (Recruiting)
- Shinkoga clinic — Kurume, Japan (Recruiting)
- National Hospital Organization Kyoto Medical Center — Kyoto-City, Japan (Recruiting)
- National Hospital Organization Kyoto Medical Center — Kyoto, Japan (Recruiting)
- Kozawa Eye Hospital and Diabetes Center — Mito, Japan (Recruiting)
- Nagasaki University Hospital — Nagasaki, Japan (Recruiting)
- Niigata University Medical & Dental Hospital — Niigata, Japan (Recruiting)
- Osaka City General Hospital — Osaka, Japan (Recruiting)
- Hokkaido University Hospital — Sapporo-shi, Japan (Recruiting)
- Tohoku Medical and Pharmaceutical University - Fukumuro — Sendai, Japan (Recruiting)
- Tottori University Hospital — Yonago, Japan (Recruiting)
- Daugavpils Regionala Slimnica — Daugavpils, Latvia (Recruiting)
- Paula Stradina Kliniska universitates slimnica — Riga, Latvia (Recruiting)
- Szpital Sw. Rozy — Krakow, Poland (Recruiting)
- Instytut Centrum Zdrowia Matki Polki — Lodz, Poland (Recruiting)
- Institut Catala de Retina (ICR) Centre Oftalmologic - ICR Seu Central Ganduxer — Barcelona, Spain (Recruiting)
- Hospital Arruzafa — Cordoba, Spain (Recruiting)
- Quironsalud - Hospital Universitari General de Catalunya — Sant Cugat del Valles, Spain (Recruiting)
- Hospital Clinico Universitario de Valladolid — Valladolid, Spain (Recruiting)
+3 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Sabine Coppieters, MD
- Email: clinicaltrials@argenx.com
- Phone: 857-350-4834
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.