This is the open-label extension study of phase II ARGX-113-1802 to evaluate the long-term safety and efficacy of the subcutaneous formulation of efgartigimod in adults with CIDP. Patients already stabilized on efgartigimod PH20 SC will also have the opportunity to participate in a sub study to explore less frequent dosing of efgartigimod PH20 SC.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
229
Subcutaneous administration of efgartigimod
Investigator site 0010065
Birmingham, Alabama, United States
Investigator site 0010013
Phoenix, Arizona, United States
Investigator site 0010055
Scottsdale, Arizona, United States
Investigator site 0010032
Carlsbad, California, United States
Investigator site 10190
Pomona, California, United States
Incidence of treatment-emergent adverse events and serious adverse events
Time frame: Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
Change from baseline over time of the adjusted INCAT score
The Adjusted Inflammatory Neuropathy Cause and Treatment Disability Score (aINCAT) score is a 10-point scale that covers the functionality of legs and arms. The score varies between 0 and 10 (higher score, worse outcome).
Time frame: Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
Change from baseline over time of the MRC Sum score
The Medical Research Council Sum Score evaluates motor strength. Evaluated on 6 muscle groups on each side, the score varies from 0 to 60 (lower score, worse outcome).
Time frame: Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
Change from baseline over time of I-RODS disability scores
Inflammatory Rasch-built Overall Disability Scale (I-RODS) assesses the limitations of activities and social participation in patients with inflammatory neuropathies like CIDP. The score ranges from 0 to 100 (higher score, worse outcome).
Time frame: Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
Change from baseline over time of mean grip strength
Time frame: Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
Change from baseline over time of TUG score
The Timed Up and Go Test (TUG) is a simple test to assess a person's mobility in which the time expended to rise from a chair, walk 3 meters, turn around, walk back to the chair, and sit down is measured.
Time frame: Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
Percentage of patients without clinical deterioration over time, defined by adjusted INCAT deterioration ≥1 point compared to baseline.
The Adjusted Inflammatory Neuropathy Cause and Treatment Disability Score (aINCAT) score is a 10-point scale that covers the functionality of legs and arms. The score varies between 0 and 10 (higher score, worse outcome).
Time frame: Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
Percentage of patients with titers of binding antibodies towards efgartigimod and the presence of neutralizing antibodies against efgartigimod.
Time frame: Up to 51 weeks
Efgartigimod serum concentrations
Time frame: Up to 51 weeks
Changes from baseline over time of serum IgG levels (total)
Time frame: Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
Change from baseline over time in EQ-5D-5L
EQ-5D-5L questionnaire is a patient-reported outcome measure, ranging 0 to 100 (lower score, worse outcome).
Time frame: Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
Change from baseline over time in BPI SF
The Brief Pain Inventory-Short Form (BPI-SF) is a patient-reported outcome measure to assess pain severity and pain interference
Time frame: Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
Change from baseline over time in TSQM-9
The Treatment Satisfaction Questionnaire for Medication (TSQM) is a 9-item questionnaire to assess treatment satisfaction in naturalistic study designs, in which there is potential that the administration of the side effects domain of the TSQM would interfere with routine clinical care
Time frame: Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
Change from baseline over time in RT-FSS
The Rasch-Transformed Fatigue Severity Scale (RT-FSS) is a 7-item self-reported questionnaire designed to differentiate fatigue from clinical depression. The participant has to rate from 0 to 3 their level of fatigue on 7 items (low score indicates that the statement is not very appropriate, and high score indicates agreement).
Time frame: Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
Change from baseline over time in HADS
The Hospital Anxiety and Depression Scale (HADS) aims to measure symptoms of anxiety and depression in people with physical health problems. HADS is a 14-item scale with 7 items related to anxiety and 7 to depression
Time frame: Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
Percentage of patients performing self-administration over time
Time frame: Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
Percentage of patients with treatment administered by caregiver over time.
Time frame: Up to 48 weeks per cycle (each cycle is 48 weeks) until the end of the study
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Investigator site 0010160
Rancho Mirage, California, United States
Investigator site 0010071
San Francisco, California, United States
Investigator site 0010057
Centennial, Colorado, United States
Investigator site 0010072
Boca Raton, Florida, United States
Investigator site 0010144
Coral Springs, Florida, United States
...and 137 more locations