Clinical trial • Phase III • Immunology

EFGARTIGIMOD ALFA for Primary Sjögren's syndrome

Phase III trial of EFGARTIGIMOD ALFA for Primary Sjögren's syndrome.

Overview

Trial Therapeutic Area
Immunology
Trial Disease
Primary Sjögren's syndrome
Trial Stage
Phase III
Drug Modality
Monoclonal antibody

Key dates

Initial CTIS Submission Date
18-11-2024
First CTIS Authorization Date
25-03-2025

Trial design

Randomised, open-label, placebo matching imp (placebo ph20 sc) administered subcutaneously as comparator to efgartigimod ph20 sc; dose/schedule for placebo not specified in the record (active product provided as vyvgart 1 000 mg solution for injection in pre-filled syringe; specific trial dosing schedule not stated in the ctis data).-controlled Phase III trial.

Randomised
Yes
Open Label
Yes
Comparator
Placebo matching IMP (Placebo PH20 SC) administered subcutaneously as comparator to efgartigimod PH20 SC; dose/schedule for placebo not specified in the record (active product provided as Vyvgart 1 000 mg solution for injection in pre-filled syringe; specific trial dosing schedule not stated in the CTIS data).
Target Sample Size
332
Trial Duration For Participant
672

Eligibility

Recruits 332 Participants must be adults: "Is at least 18 years of age and the local legal age of consent for clinical studies when signing the ICF." Vulnerable populations are not selected for this study (isVulnerablePopulationSelected: false). Consent is provided by the adult participant via the informed consent form (ICF). No assent process for minors is described because only adults (≥18/local legal age) are eligible..

Vulnerable Population
Participants must be adults: "Is at least 18 years of age and the local legal age of consent for clinical studies when signing the ICF." Vulnerable populations are not selected for this study (isVulnerablePopulationSelected: false). Consent is provided by the adult participant via the informed consent form (ICF). No assent process for minors is described because only adults (≥18/local legal age) are eligible.

Inclusion criteria

  • {"criterion_text":"- Is at least 18 years of age and the local legal age of consent for clinical studies when signing the ICF."}
  • {"criterion_text":"- Meets the following criteria at screening: ACR/EULAR classification criteria 2016 pSjD; clinESSDAI ≥ 6; Anti-Ro/SS-A positive at central laboratory; Unstimulated residual salivary flow (≥ 0.01 mL/min)"}

Exclusion criteria

  • {"criterion_text":"- Secondary (also referred to as associated) Sjögren’s disease, defined as overlap with another autoimmune rheumatic or systemic inflammatory condition (eg, rheumatoid arthritis, systemic lupus erythematosus, scleroderma, or idiopathic inflammatory myopathy)."}
  • {"criterion_text":"- Active fibromyalgia which is not adequately controlled in the judgment of the investigator, or participant is receiving fibromyalgia treatment that has not been stable treatment for at least 12 weeks before screening."}
  • {"criterion_text":"- Any severe systemic pSjD manifestation that is not adequately controlled at screening or baseline that may put the participant at undue risk based on the investigator’s opinion."}
  • {"criterion_text":"- Use of cyclophosphamide ≤ 24 weeks prior to screening"}
  • {"criterion_text":"- Anti-CD20 or anti-CD19 antibody received < 6 months before screening"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Change from baseline in clinESSDAI score at week 48","definition_or_measurement_approach":"Change from baseline measured using the clinESSDAI score at Week 48 (difference between baseline clinESSDAI and clinESSDAI at Week 48)."}

Secondary endpoints

  • {"endpoint_text":"- Change from baseline in ESSDAI score at week 48","definition_or_measurement_approach":"Change from baseline measured using the ESSDAI score at Week 48."}
  • {"endpoint_text":"- Proportion of participants with low disease activity (clinESSDAI < 5) at week 48","definition_or_measurement_approach":"Proportion of participants whose clinESSDAI score is <5 at Week 48."}
  • {"endpoint_text":"- Proportion of responders on STAR (defined as ≥ 5 points) at week 48","definition_or_measurement_approach":"Proportion of participants meeting STAR response threshold (improvement ≥5 points) at Week 48."}
  • {"endpoint_text":"- Change from baseline in DiSSA joint pain item at week 48","definition_or_measurement_approach":"Change from baseline measured on the DiSSA joint pain item at Week 48."}
  • {"endpoint_text":"- Change from baseline in DiSSA total score at week 48","definition_or_measurement_approach":"Change from baseline measured by the total DiSSA score at Week 48."}
  • {"endpoint_text":"- Change from baseline in DiSSA sicca domain at week 48","definition_or_measurement_approach":"Change from baseline measured in the DiSSA sicca domain at Week 48."}
  • {"endpoint_text":"- Proportion of participants with MCII (minimal clinically important improvement) in ESSDAI (defined as improvement of ≥ 3 points) at week 48","definition_or_measurement_approach":"Proportion of participants achieving MCII in ESSDAI, defined as an improvement of ≥3 points, at Week 48."}
  • {"endpoint_text":"- Change from baseline in clinESSDAI score at week 24","definition_or_measurement_approach":"Change from baseline measured using the clinESSDAI score at Week 24."}

Recruitment

Registry Or Advocacy Recruitment
True, Sjoegren'S Foundation Inc.
Digital Remote Recruitment
True, recruitment materials include online banner advertisements, social media clinical trial posts, patient pre-screening website content, and ePR/participant journey emails (country-specific versions available).
Planned Sample Size
332
Recruitment Window Months
39
Consent Approach
Consent is collected from adult participants (ICF). Eligibility requires participants to be "at least 18 years of age and the local legal age of consent for clinical studies when signing the ICF." Subject information and informed consent forms (ICFs) and related materials are provided and available in multiple country/language versions for participating countries (documents listed in CTIS include translations and country-specific ICFs and supporting materials for e.g. EN, DE, FR, ES, IT, NL, EL/GR, HU, PL, PT, RO, SV, BG, LT among others). No assent process for minors is described because only adults are eligible.

Methods

  • Online advertisements — Banner Ads (e.g., K2_Recruitment Material_Banner Ads; country-specific versions exist such as Ireland V01 IRL en). Channel: web banner ads; target: potential patient population/public in participating country (example: Ireland).
  • Online advertisements — Social media clinical trial posts (K2 Online Advertisements_Social Media_Clinical Trial Posts). Channel: social media; target: potential patients/clinical community.
  • Physician / Doctor-to-Patient letters (K2_Dr-to-Patient Letter) distributed to clinicians for forwarding to patients.
  • Physician referral brochures / letters (Physician Referral Brochure / Letter) for HCP-to-HCP / HCP-to-patient referral.
  • Patient advocacy group letters (K2_Patient Advocacy Group Letter) used to engage patient organisations.
  • Patient posters and brochures (K1_Patient Poster, K2_Patient Brochure) for site and community distribution.
  • ePR Participant Journey Emails / Participant Journey Emails (K2 ePR Participant Journey Emails) — email communications to engaged/potential participants.
  • Patient pre-screening website content / Patient pre-screening website (K2_Patient Pre-screening Website Content) — online pre-screening for potential participants.

Geography

Total Number Of Participants
332

Sponsor

Primary sponsor

Full Name
Argenx
Organisation Type
Pharmaceutical company
Country Of Registered Address
Belgium

Contract research organisations

Name
Pharmaceutical Product Development LLC (PPD)
Responsibilities
sponsorDuties codes: [4]
Name
IQVIA Limited
Responsibilities
sponsorDuties codes: [1,10,11,12,13,2,3,5,6,8,9]
Name
IQVIA RDS Hellas Single Member S.A.
Responsibilities
sponsorDuties codes: [1,12]
Name
Icon Development Solutions LLC
Responsibilities
sponsorDuties codes: [4]

Third parties

  • {"country":"United States","full_name":"Sjoegren'S Foundation Inc.","duties_or_roles":"Managing of ESSDAI training","organisation_type":"Patient organisation/association"}
  • {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"sponsorDuties codes: [1,10,11,12,13,2,3,5,6,8,9]","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Iqvia Laboratories Limited","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Greece","full_name":"IQVIA RDS Hellas Single Member S.A.","duties_or_roles":"sponsorDuties codes: [1,12]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Icon Development Solutions LLC","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Patient travel / compensation and reimbursement (sponsorDuties code 15, value: \"Patient travel / compensation and reimbursement\")","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"sponsorDuties codes: [7]","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Iqvia Laboratories Limited (secondary entry)","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Non-Pharmaceutical company"}

Investigational products

Investigational Product Name
Vyvgart 1 000 mg solution for injection in pre-filled syringe
Active Substance
EFGARTIGIMOD ALFA
Modality
Monoclonal antibody
Routes Of Administration
Subcutaneous
Route
Subcutaneous
Authorisation Status
Marketing authorisation present (EU/1/22/1674/003 listed)
Maximum Dose
1000 mg (maxDailyDoseAmount as listed)
Investigational Product Name
Placebo matching IMP.
Modality
Other

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