Actively Recruiting

Phase 2
Phase 3
Age: 2Years - 17Years
All Genders
ID06392386

An Open-label, Uncontrolled Study to Evaluate the Pharmacokinetics, Pharmacodynamics, Safety, and Activity of Efgartigimod PH20 SC in Participants From 2 to Less Than 18 Years of Age With Generalized Myasthenia Gravis

Led by argenx · Updated on 2026-06-04

12

Participants Needed

20

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying efgartigimod PH20 SC in children aged 2 to less than 18 years who have generalized Myasthenia Gravis (gMG). The study aims to understand how the drug is processed by the body, its effects, safety, tolerability, and immune response in this pediatric group. The main goal is to determine the appropriate dose for children using pharmacokinetic and pharmacodynamic data. Participants will receive subcutaneous injections of efgartigimod PH20 SC and be monitored throughout the study, which lasts up to 14 weeks. The study is open-label and uncontrolled, focusing on evaluating the drug's activity and safety. After the follow-up period, eligible participants may join an open-label extension study for continued observation. During the study, researchers will collect blood samples to measure drug levels, immunoglobulin G, and antibodies related to Myasthenia Gravis. They will monitor adverse events, severity of side effects, and changes in disease activity scores suitable for children. Participants will complete assessments of fatigue, quality of life, and global improvement. Safety will be closely observed with regular testing and follow-up visits throughout the study duration.

CONDITIONS

Brief Title

A Study of Efgartigimod PH20 SC in Children Between 2 and Less Than 18 Years of Age With Generalized Myasthenia Gravis

Who Can Participate

Age: 2Years - 17Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participant or legal representative understands the study and can provide written consent or assent
  • Aged 2 to less than 18 years at the time of consent or assent
  • Diagnosed with generalized Myasthenia Gravis confirmed by physical exam and positive anti-acetylcholine receptor antibodies
  • Unsatisfactory response to immunosuppressants, corticosteroids, or acetylcholinesterase inhibitors but currently on stable treatment for at least 1 month before screening
  • Agree to use birth control as required and have negative pregnancy tests if of child-bearing potential
Not Eligible

You will not qualify if you...

  • Female adolescents of child-bearing potential who are pregnant, breastfeeding, or planning pregnancy during the study
  • Worsening muscle weakness due to infection or medication
  • No clinical response to plasma exchange treatment
  • Received live or live-attenuated vaccine within 4 weeks before screening
  • Thymectomy within 3 months before screening or planned during the study
  • Known autoimmune diseases or medical conditions interfering with symptom assessment or causing undue risk
  • History of cancer unless cured with no recurrence for 3 or more years, except certain skin or in situ cancers
  • Active infections including hepatitis B, hepatitis C, HIV, or positive COVID-19 test at screening
  • Recent major surgery or medical conditions that could affect study results or safety
  • Participation in another interventional clinical trial or prior efgartigimod study within 12 months
  • Known allergy to study drug or its ingredients
  • History of substance abuse
  • Use of certain medications before screening as detailed in the protocol

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 12 weeks

Participants receive subcutaneous injections of Efgartigimod PH20 SC as the investigational treatment for generalized Myasthenia Gravis.

Regular visits during treatment for assessments and injections

Follow-up

Duration - Up to 2 weeks following treatment (total study duration up to 14 weeks)

Participants are monitored for safety and response after the treatment period ends.

Visits for safety assessments and follow-up

Trial Site Locations

Total: 20 locations

1

Carolinas HealthCare System Neurosciences Institute - Neurology

Charlotte, North Carolina, United States, 28207

Actively Recruiting

2

Neurology Rare Disease Center

Denton, Texas, United States, 76208

Actively Recruiting

3

University of Virginia

Charlottesville, Virginia, United States, 22903

Actively Recruiting

4

UZ Gent

Ghent, Belgium, 9000

Actively Recruiting

5

Childrens Hospital of Eastern Ontario

Ottawa, Canada, K1H 8L1

Actively Recruiting

6

Fakultni nemocnice Brno

Brno, Czechia, 613 00

Actively Recruiting

7

Fakultni nemocnice Ostrava

Ostrava, Czechia, 708 00

Actively Recruiting

8

AP-HM- Hôpital de La Timone

Marseille, France, 13385

Actively Recruiting

9

Universitätsklinikum Essen

Essen, Germany, 45147

Actively Recruiting

10

Hadassah Medical Center- Ein Kerem

Jerusalem, Israel, 9112001

Actively Recruiting

11

Schneider Children's Medical Center of Israel

Petah Tikvah, Israel, 4920235

Actively Recruiting

12

Tel Aviv Sourasky Medical Center Ichilov

Tel Aviv, Israel, 6423906

Actively Recruiting

13

Istituto G Gaslini Ospedale Pediatrico IRCCS

Genova, Italy, 16147

Actively Recruiting

14

Leiden University Medical Center

Leiden, Netherlands, 2333 ZA

Actively Recruiting

15

Uniwersyteckie Centrum Kliniczne w Gdansku

Gdansk, Poland, 80-211

Actively Recruiting

16

Neurologia Śląska Centrum Medyczne

Katowice, Poland, 40-689

Actively Recruiting

17

Centralny Szpital Kliniczny - Uniwersyteckie Centrum Kliniczne WUM

Warsaw, Poland, 02-097

Actively Recruiting

18

Hospital Universitari i Politecnic La Fe de Valencia

Valencia, Spain, 46026

Actively Recruiting

19

Hôpital Nestlé

Lausanne, Switzerland, 1011

Actively Recruiting

20

Oxford Children's Hospital

Oxford, United Kingdom, OX3 9DU

Actively Recruiting

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Research Team

S

Sabine Coppieters, MD

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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