Actively Recruiting

Phase 2
Phase 3
Age: 2Years - 18Years
All Genders
NCT04833894

Evaluating the Pharmacokinetics, Pharmacodynamics, and Safety of Efgartigimod Administered Intravenously in Children With Generalized Myasthenia Gravis

Led by argenx · Updated on 2026-02-18

12

Participants Needed

25

Research Sites

278 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The purpose of this trial is to investigate the PK, PD, safety, and activity of efgartigimod IV in children and adolescents aged from 2 to less than 18 years of age with gMG. Trial details include: * The maximum trial duration for each individual participant will be approximately 28 weeks * The treatment duration will be 8 weeks for the dose-confirmatory part (Part A) and 18 weeks for the treatment response-confirmatory part (Part B)

CONDITIONS

Official Title

Evaluating the Pharmacokinetics, Pharmacodynamics, and Safety of Efgartigimod Administered Intravenously in Children With Generalized Myasthenia Gravis

Who Can Participate

Age: 2Years - 18Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Ability to understand trial requirements and provide informed consent or assent
  • Male or female participants aged 2 to less than 18 years
  • Diagnosis of generalized myasthenia gravis with confirmed documentation
  • Classified as MGFA class II, III, or IVa
  • Unsatisfactory response to immunosuppressants, steroids, or acetylcholinesterase inhibitors and stable on gMG therapy before screening
  • Positive test for anti-acetylcholine receptor antibodies (historical values acceptable for younger participants under 15 kg)
  • Use of contraception according to local regulations for childbearing potential; males must agree not to donate sperm during the trial; females must have negative pregnancy tests before treatment
Not Eligible

You will not qualify if you...

  • MGFA class I, IVb, or V
  • Pregnancy, lactation, or intention to become pregnant during the trial or within 90 days after last dose for females of childbearing potential
  • Clinically significant uncontrolled infections at screening
  • Other autoimmune diseases interfering with gMG assessment or posing risk
  • History of malignancy unless cured with no recurrence for 3 or more years (exceptions for certain skin, cervical, breast, or incidental prostate cancers)
  • Serious diseases, recent major surgery, or conditions confounding trial results or posing risk
  • Worsening muscle weakness due to infections or certain medications
  • Lack of response to plasma exchange
  • Receipt of live or live-attenuated vaccine within 28 days before screening
  • Thymectomy less than 3 months before screening or planned during trial
  • Positive tests for active viral infections (HBV, HCV, HIV, SARS-CoV-2)
  • Use of investigational products within 3 months or 5 half-lives before first dose
  • Use of monoclonal antibodies within 6 months before first dose
  • Use of immunoglobulin or plasma exchange within 4 weeks before screening
  • Total IgG levels below laboratory lower limit of normal
  • Known hypersensitivity to efgartigimod or its components
  • Current or prior participation in an efgartigimod trial
  • History of substance abuse within 12 months of screening

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 25 locations

1

Ann and Robert H Lurie Children's Hospital of Chicago - Main Hospital

Chicago, Illinois, United States, 60611

Actively Recruiting

2

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States, 27599

Actively Recruiting

3

University of Virginia (UVA) Health - Developmental Pediatrics Clinic

Charlottesville, Virginia, United States, 22903

Actively Recruiting

4

Medizinische Universitat Wien

Vienna, Austria, 1090

Completed

5

Universitair Ziekenhuis Antwerpen

Antwerp, Belgium, 2650

Actively Recruiting

6

Alberta Childrens Hospital

Calgary, Canada, T3B 6A8

Actively Recruiting

7

British Columbia Children's Hospital

Vancouver, Canada, V6H 3N1

Actively Recruiting

8

AP-HM - Hopital de la Timone

Marseille, France, 13385

Actively Recruiting

9

Assistance Publique Hopitaux de Paris (AP-HP) - Hopital Necker-Enfants Malades

Paris, France, 75015

Actively Recruiting

10

Vian - M. Iashvili Children's Central Hospital

Tbilisi, Georgia, 121

Completed

11

Tbilisi State Medical University - Givi Zhvania Pediatric Academic Clinic

Tbilisi, Georgia, 159

Completed

12

Charite Universitaetsmedizin Berlin - Campus Virchow-Klinikum - Sozialpadiatrisches Zentrum

Berlin, Germany, 13353

Completed

13

Universitätsklinikum Essen

Essen, Germany, 45147

Completed

14

Azienda Ospedaliera Universitaria Policlinico Consorziale Di Bari

Bari, Italy, 70124

Actively Recruiting

15

Azienda Ospedaliero Universitaria A. Meyer

Florence, Italy, 50139

Actively Recruiting

16

Ospedale Giannina Gaslini

Genova, Italy, 16147

Actively Recruiting

17

Leids Universitair Medisch Centrum

Leiden, Netherlands, 2333 ZA

Actively Recruiting

18

Uniwersyteckie Centrum Kliniczne

Gdansk, Woj. Pomorskie, Poland, 80-952

Actively Recruiting

19

Wielospecjalistyczna Poradnia Lekarska Synapsis

Katowice, Woj. Slaskie, Poland, 40-123

Actively Recruiting

20

Centralny Szpital Kliniczny - Uniwersyteckie Centrum Kliniczne WUM

Warsaw, Poland, 02-097

Actively Recruiting

21

Hospital Sant Joan de Deu

Esplugues de Llobregat, Spain, 08950

Actively Recruiting

22

Hospital Universitari i Politecnic La Fe de Valencia

Valencia, Spain, 46026

Actively Recruiting

23

Great Ormand Street Hospital for Children NHS Foundation Trust - Great Ormond Street Hospital

London, United Kingdom, WC1N 3JH

Actively Recruiting

24

Manchester University NHS Foundation Trust - Royal Manchester Children's Hospital

Manchester, United Kingdom, M13 9WL

Actively Recruiting

25

Oxford University Hospitals NHS Foundation Trust - John Radcliffe Hospital Children's Hospital

Oxford, United Kingdom, OX3 9DU

Actively Recruiting

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Research Team

S

Sabine Coppieters, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Evaluating the Pharmacokinetics, Pharmacodynamics, and Safety of Efgartigimod Administered Intravenously in Children With Generalized Myasthenia Gravis | DecenTrialz