Actively Recruiting
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
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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
Eligibility Criteria
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
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
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
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
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
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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