Actively Recruiting

Phase 2
Phase 3
Age: 12Years - 17Years
All Genders
ID07194850

A Study of Efgartigimod Intravenous Infusion in Children 12 to Under 18 Years with Chronic Immune Thrombocytopenia (ITP) Evaluating Pharmacokinetics and Pharmacodynamics

Led by argenx · Updated on 2026-06-03

24

Participants Needed

9

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the appropriate dose of efgartigimod given by intravenous infusion for young patients aged 12 to under 18 years who have chronic immune thrombocytopenia (ITP), a condition that affects platelet counts. This study is a randomized, double-blinded, placebo-controlled trial followed by an open-label phase, designed to better understand how efgartigimod works in this pediatric population. Participants are randomly assigned in a 2:1 ratio to receive either efgartigimod IV or a placebo IV during the double-blinded treatment period lasting up to 24 weeks. After this, all participants receive efgartigimod IV during the first year of an open-label treatment period (OLTP1). Those who complete OLTP1 can continue into a second open-label treatment year (OLTP2). After OLTP2, participants enter an approximately 8-week follow-up period without the study drug, with total participation lasting up to about 138 weeks. Throughout the study, participants will undergo regular blood tests to measure efgartigimod levels and total IgG in the blood. Researchers will also monitor platelet counts, bleeding events, and immune responses to the treatment. Quality of life and fatigue will be assessed using questionnaires. Safety will be closely tracked through the study and follow-up periods. This detailed monitoring helps researchers understand the treatment's effects and long-term impact on pediatric patients with chronic ITP.

CONDITIONS

Brief Title

A Study of Efgartigimod IV in Participants From 12 Years to Less Than 18 Years of Age With Chronic Immune Thrombocytopenia (ITP)

Who Can Participate

Age: 12Years - 17Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged 12 to less than 18 years at consent
  • Diagnosed with primary chronic ITP lasting more than 12 months
  • Previously treated with corticosteroids, IVIg, anti-D immunoglobulin, TPO-RAs, or rituximab
  • Had at least one platelet count of 50 x 10^9/L or higher in response to prior ITP treatments
  • Documented insufficient response to prior ITP treatments including corticosteroids, IVIg, anti-D immunoglobulin, TPO-RAs, rituximab, or splenectomy
  • Mean platelet count below 30 x 10^9/L
Not Eligible

You will not qualify if you...

  • Secondary ITP as defined by the International Working Group
  • Nonimmune thrombocytopenia
  • Critical or severe bleeding related to ITP
  • History of hereditary thrombocytopenia

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 24 weeks

Participants receive intravenous infusions of either efgartigimod or placebo during the double-blinded treatment period and may continue with open-label treatment periods.

Multiple visits for infusions and assessments during treatment period

Follow-up

Duration - Up to 112 weeks after treatment

Participants are monitored for safety and efficacy outcomes including platelet counts, bleeding incidence, and antibody responses after treatment ends.

Regular visits for assessments and safety monitoring

Trial Site Locations

Total: 9 locations

1

Charite - Universitaetsmedizin Berlin - Campus Virchow-Klinikum (CVK)

Berlin, Germany, 13353

Actively Recruiting

2

Gaslini Children's Hospital

Genoa, Italy, 16147

Actively Recruiting

3

Uniwersytecki Szpital Dzieciecy w Lublinie

Lublin, Poland, 20-093

Actively Recruiting

4

Institutul Clinic Fundeni

Bucharest, Romania, 022328

Actively Recruiting

5

Hospital Universitari Vall d'Hebron

Barcelona, Spain, 08035

Actively Recruiting

6

Hospital Sant Joan de Deu Barcelona

Esplugues de Llobregat, Spain, 08950

Actively Recruiting

7

Hospital Infantil Universitario Nino Jesus (HIUNJS)

Madrid, Spain, 28009

Actively Recruiting

8

Hospital Materno-Infantil Universitario Gregorio Maranon

Madrid, Spain, 28009

Actively Recruiting

9

Cardiff and Vale NHS Trust - University Hospital of Wales (UHW)

Cardiff, United Kingdom, CF14 4XW

Actively Recruiting

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Research Team

S

Sabine Coppieters, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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