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CompletedNCT04225156ADVANCE+Updated Mar 16, 2026

A Long-term Study to Assess the Safety and Efficacy of Efgartigimod in Adult Patients With Primary Immune Thrombocytopenia (ITP).

A Phase 3 interventional study of efgartigimod in Primary Immune Thrombocytopenia, sponsored by argenx. Completed at 87 sites in 18 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-16.

Sponsored by argenx · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
101
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is an open-label long-term multicenter phase 3 trial to evaluate the efficacy and safety of ARGX-113 in adult patients with primary ITP.

02

Conditions studied

  • Primary Immune Thrombocytopenia
03

In context

Purpura, Thrombocytopenic, Idiopathic

517 studies on the registry are indexed under Purpura, Thrombocytopenic, Idiopathic; 161 are open to participants now.

This study's enrollment of 101 is above the median of 60 across 381 interventional studies indexed under Purpura, Thrombocytopenic, Idiopathic.

Browse Purpura, Thrombocytopenic, Idiopathic studies →

Lead sponsor

argenx is the lead sponsor of 87 studies on the registry; 33 are open to participants now.

Of its 22 completed or terminated interventional studies of FDA-regulated products, 16 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Ability to understand the requirements of the trial, to provide written informed consent (including consent for the use and disclosure of research-related health information), and to comply with the trial protocol procedures (including required trial visits).
  2. Patients enrolled in the ARGX-113-1801 trial who completed the 24-weeks trial period.
  3. Women of childbearing potential must have a negative urine pregnancy test at baseline before trial medication (infusion) can be administered.
  4. Women of childbearing potential should use a highly effective or acceptable method of contraception during the trial and for 90 days after the last administration of the IMP. They must be on a stable regimen, for at least 1 month (as listed in the protocol)

6. Ability to understand the requirements of the additional 52-week treatment period of the trial, to provide written informed consent (including consent for the use and disclosure of research-related health information), and to comply with the trial protocol procedures (including required trial visits).

7. Patient has completed a 52-week treatment period.

Exclusion criteria

Exclusion criteria:

  1. Introduction or continuation of non-permitted medications during the ARGX-113-1801 trial (such as anti-CD20 therapy, romiplostim, monoclonal antibodies, Fc fusion proteins or live/live-attenuated vaccines).
  2. Pregnant or lactating women, and those intending to become pregnant during the trial or within 90 days after the last dosing.
  3. Patients with known medical history of hypersensitivity to any of the ingredients of efgartigimod.
  4. Use of any other investigational drug or participation in any other investigational trial.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
101 participants (actual)

Study arms

  • Experimental
    efgartigimod

    patients receiving efgartigimod

    Biological: efgartigimod

Interventions

  • Biologicalefgartigimod

    Intravenous infusion of efgartigimod

    Also known as: ARGX-113

06

What researchers measure

Primary outcomes

  1. Frequency and severity of Adverse Events

    Time frame: Up to 60 weeks

  2. Frequency and severity of vital signs

    Time frame: Up to 60 weeks

  3. Frequency and severity of laboratory assessments

    Time frame: Up to 60 weeks

Secondary outcomes

  1. Extent of disease control defined as the percentage of weeks in the trial with platelet counts of ≥50×10E9/L.

    Time frame: Over the 52 weeks of treatment

  2. Percentage of patients with overall platelet count response defined as achieving a platelet count of ≥50×10^9/L on at least 4 occasions at any time during the 52-week treatment period.

    Time frame: Over the 52 weeks of treatment

  3. Mean change from baseline in platelet count at each visit.

    Time frame: Up to 60 weeks, at each visit

  4. For patients rolling-over from the ARGX-113-1801 trial with a platelet count of <30×10^9/L: time to response is defined as the time to achieve 2 consecutive platelet counts of ≥50×10^9/L

    Time frame: Up to 60 weeks, at each visit

  5. The percentage of weeks in the trial with platelet counts of ≥30×109/L and at least 20×10E9/L above baseline.

    Time frame: Over the 52 weeks of treatment

  6. In patients with baseline platelet count of <15×10E9/L in the current trial (ARGX-113-1803), the percentage of weeks in the trial with platelet counts of ≥30×10E9/L and at least 20×10E9/L above baseline.

    Time frame: Over the 52 weeks of treatment

  7. In patients with first exposure to efgartigimod: proportion of patients who achieve a sustained platelet response defined as achieving platelet counts of at least 50×10^9/L for at least 4 of the 6 visits between week 19 and 24 of the trial.

    Time frame: Up to 5 weeks, between visit 19 and 24 of the trial

  8. In patients with first exposure to efgartigimod: proportion of patients in the overall population achieving platelet counts of at least 50x10^9/L for at least 6 of the 8 visits between week 17 and 24 of the trial.

    Time frame: Up to 7 weeks, between visit 17 and 24 of the trial

  9. Rate of receipt of rescue therapy (rescue per patient per month).

    Time frame: Up to 60 weeks, at each visit

  10. Reduction in concurrent ITP therapy.

    Time frame: Up to 60 weeks, at each visit

  11. Incidence and severity of the WHO-classified bleeding events.

    Time frame: Up to 60 weeks, at each visit

  12. Change from baseline in Patient reported Outcomes (FACIT-Fatigue) at planned visits.

    Time frame: Up to 52 weeks

  13. Change from baseline in Patient reported Outcomes (Fact-Th6) at planned visits.

    Time frame: Up to 52 weeks

  14. Change from baseline in Quality of Life (SF-36) at planned visits.

    Time frame: Up to 52 weeks

  15. Incidence of anti-drug antibodies (ADA) to efgartigimod.

    Time frame: Up to 216 weeks

  16. Pharmacokinetic parameter of efgartigimod: serum concentration observed predose (Ctrough).

    Time frame: Up to 60 weeks

  17. Pharmacodynamics markers: total IgG.

    Time frame: Up to 60 weeks

07

Study locations

87 sites
  • Investigator Site 0010045
    Washington D.C., District of Columbia 20007, United States
  • Investigator Site 0010037
    Ocala, Florida 34474, United States
  • Investigator Site 0010042
    Iowa City, Iowa 52242, United States
  • Investigator Site 0010040
    Columbus, Ohio 43210, United States
  • Investigator Site 0430002
    Vienna, Austria
  • Investigator Site 0430003
    Vienna, Austria
  • Investigator Site 0320012
    Brasschaat, Belgium
  • Investigator Site 0320011
    Bruges, Belgium
  • Investigator Site 0320014
    Turnhout, Belgium
  • Investigator Site 0320002
    Yvoir, Belgium
  • Investigator Site 3590001
    Pleven, Bulgaria
  • Investigator Site 3590002
    Sofia, Bulgaria
  • Investigator Site 4200001
    Brno, Czechia
  • Investigator Site 4200008
    Olomouc, Czechia
  • Investigator Site 4200006
    Ostrava, Czechia
  • Investigator Site 4200007
    Prague, Czechia
  • Investigator Site 0330009
    Créteil, France
  • Investigator Site 0330018
    Montpellier, France
  • Investigator Site 0330008
    Pessac, France
  • Investigator Site 0330016
    Périgueux, France
  • Investigator site 9950007
    Tbilisi, Georgia
  • Investigator site 9950008
    Tbilisi, Georgia
  • Investigator site 9950009
    Tbilisi, Georgia
  • Investigator site 9950011
    Tbilisi, Georgia
  • Investigator site 9950012
    Tbilisi, Georgia
  • Investigator Site 0490010
    Düsseldorf, Germany
  • Investigator Site 0490008
    Essen, Germany
  • Investigator Site 0360004
    Budapest, Hungary
  • Investigator Site 0360006
    Debrecen, Hungary
  • Investigator Site 0360015
    Győr, Hungary
  • Investigator Site 0360010
    Nyíregyháza, Hungary
  • Investigator Site 0360014
    Szombathely, Hungary
  • Investigator Site 0390014
    Milan, Italy
  • Investigator Site 0390020
    Monza, Italy
  • Investigator Site 0390015
    Novara, Italy
  • Investigator Site 0390010
    Ravenna, Italy
  • Investigator Site 0390011
    Reggio Calabria, Italy
  • Investigator Site 0390018
    Reggio Emilia, Italy
  • Investigator Site 0390019
    Rimini, Italy
  • Investigator Site 0390009
    Siena, Italy
  • Investigator Site 0390016
    Trieste, Italy
  • Investigator Site 0810015
    Hirakata, Japan
  • Investigator Site 0810010
    Hiroshima, Japan
  • Investigator Site 0810017
    Iruma, Japan
  • Investigator Site 0810022
    Kashiwa, Japan
  • Investigator Site 0810018
    Maebashi, Japan
  • Investigator Site 0810021
    Niigata, Japan
  • Investigator Site 0810014
    Sapporo, Japan
  • Investigator Site 0810016
    Shibukawa, Japan
  • Investigator Site 0810023
    Shimotsuke, Japan
  • Investigator Site 0310005
    Rotterdam, Netherlands
  • Investigator Site 0310006
    The Hague, Netherlands
  • Investigator Site 0480012
    Gdansk, Poland
  • Investigator Site 0480013
    Katowice, Poland
  • Investigator Site 0480011
    Lodz, Poland
  • Investigator Site 0480014
    Lublin, Poland
  • Investigator Site 0480026
    Nowy Sącz, Poland
  • Investigator Site 0070006
    Kaluga, Russia
  • Investigator Site 0070008
    Moscow, Russia
  • Investigator Site 0070007
    Petrozavodsk, Russia
  • Investigator Site 0070013
    Rostov-on-Don, Russia
  • Investigator Site 0070015
    Syktyvkar, Russia
  • Investigator Site 0070012
    Tula, Russia
  • Investigator Site 0070010
    Ufa, Russia
  • Investigator Site 0340006
    Barcelona, Spain
  • Investigator Site 0340007
    Barcelona, Spain
  • Investigator Site 0340009
    Madrid, Spain
  • Investigator Site 0340014
    Madrid, Spain
  • Investigator Site 0340012
    Palma de Mallorca, Spain
  • Investigator Site 0340015
    Pozuelo de Alarcón, Spain
  • Investigator Site 0340013
    Seville, Spain
  • Investigator Site 0340004
    Valencia, Spain
  • Investigator Site 0340011
    Valencia, Spain
  • Investigator Site 0900003
    Ankara, Turkey (Türkiye)
  • Investigator Site 0900006
    Ankara, Turkey (Türkiye)
  • Investigator Site 0900015
    Ankara, Turkey (Türkiye)
  • Investigator Site 0900016
    Edirne, Turkey (Türkiye)
  • Investigator Site 0900013
    Istanbul, Turkey (Türkiye)
  • Investigator Site 0900004
    Izmir, Turkey (Türkiye)
  • Investigator Site 0900010
    Mersin, Turkey (Türkiye)
  • Investigator Site 0900007
    Sakarya, Turkey (Türkiye)
  • Investigator Site 0900009
    Samsun, Turkey (Türkiye)
  • Investigator Site 0900017
    Tekirdağ, Turkey (Türkiye)
  • Investigator Site 0900019
    Trabzon, Turkey (Türkiye)
  • Investigator Site 3800006
    Mykolaiv, Ukraine
  • Investigator Site 0440008
    London, United Kingdom
  • Investigator Site 0440012
    Southampton, United Kingdom
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04225156
Lead sponsor
argenx
Responsible party
Sponsor
First posted
Jan 13, 2020
Start date
Jun 2, 2020
Primary completion
Mar 11, 2026
Completion
Mar 11, 2026
Last update
Mar 16, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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