ClinicalTrials.gg
Enrolling by invitationNCT05979441ALKIVIA+Updated Oct 16, 2026

A Study to Assess the Long-term Safety and Efficacy of a Subcutaneous Formulation of Efgartigimod in Adults With Active Idiopathic Inflammatory Myopathy

A Phase 3 interventional study of Efgartigimod PH20 SC in Myositis, Active Idiopathic Inflammatory Myopathy and Dermatomyositis, sponsored by argenx. Enrolling by invitation at 92 sites in 29 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-16.

Primary conditionDermatomyositisRegistry: MyositisReclassifiedWhy we changed it
Registry
Myositis — the first condition term the registry derived for this study.
ClinicalTrials.gg
Dermatomyositis
Why
  1. The study's listed conditions name Dermatomyositis, a narrower term within Myositis.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by argenx · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
240
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The main purpose of this study is to measure the long-term safety and tolerability of efgartigimod PH20 SC in adult participants with Idiopathic Inflammatory Myopathy (IIM) who previously participated in ARGX-113-2007.

The study consists of a treatment period where participants will receive efgartigimod PH20 SC for up to 51 months. The treatment period will be followed by a treatment-free safety follow-up period of 56 days.

02

Conditions studied

  • Myositis
  • Active Idiopathic Inflammatory Myopathy
  • Dermatomyositis
  • Polymyositis
  • Immune-Mediated Necrotizing Myopathy
  • Antisynthetase Syndrome

Browse trials for

03

In context

Dermatomyositis Reclassified

184 studies on the registry are indexed under Dermatomyositis; 63 are open to participants now.

This study's planned enrollment of 240 is above the median of 35 across 130 interventional studies indexed under Dermatomyositis.

Browse Dermatomyositis studies →

Lead sponsor

argenx is the lead sponsor of 87 studies on the registry; 29 are open to participants now.

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

Compared within Dermatomyositis, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Myositis. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Has completed trial ARGX-113-2007
  • Being capable of providing signed and complying with protocol requirements
  • Agrees to use measures consistent with local regulations and women of must have a negative urine pregnancy test at baseline before receiving the study drug

Exclusion criteria

Exclusion Criteria:

  • Intention to have major surgery during the study period or any other medical condition that has arisen since enrollment in study ARGX-113-2007, that in the investigator's opinion, would confound the results of the study or put the participant at undue risk
  • Known reaction to the study drug or 1 of its
  • Development of any , either new or recurrent, other than basal cell carcinoma of the skin, regardless of relatedness
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

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

Study arms

  • Experimental
    Efgartigimod PH20 SC

    Participants receiving efgartigimod PH20 subcutaneously

    Biological: Efgartigimod PH20 SC

Interventions

06

What researchers measure

Primary outcomes

  1. Incidence of AEs, SAEs and AESIs over time

    AE : adverse event ; SAE : serious adverse event ; AESI : adverse event of special interest.

    Time frame: Up to 53 months

Secondary outcomes

  1. C-GTI comprising the AIS over time

    The Composite Glucocorticoid Toxicity Index (C-GTI) serves as a primary instrument to capture toxicities likely caused by glucocorticoid exposure and enables monitoring of long-term tolerability of glucocorticoids during prolonged use. The Aggregate Improvement Score (AIS) is an analytical scores generated from the weighted C-GTI. The AIS can be used to assess whether a new therapy is effective in reducing glucocorticoid toxicity over time; higher AIS scores are associated with less toxicity.

    Time frame: Up to 51 months

  2. C-GTI comprising the CWS over time

    The Composite Glucocorticoid Toxicity Index (C-GTI) serves as a primary instrument to capture toxicities likely caused by glucocorticoid exposure and enables monitoring of long-term tolerability of glucocorticoids during prolonged use. The Cumulative Worsening Score (CWS) is an analytical score generated from the weighted C-GTI. The CWS is designed to assess cumulative glucocorticoid toxicity; higher scores indicate increased steroid toxicity.

    Time frame: Up to 51 months

  3. C-GTI comprising the GTI-MD over time

    The Composite Glucocorticoid Toxicity Index (C-GTI) serves as a primary instrument to capture toxicities likely caused by glucocorticoid exposure and enables monitoring of long-term tolerability of glucocorticoids during prolonged use. The Glucocorticoid Toxicity Index-Metabolic Domains (GTI-MD) is an abbreviated GTI version limited to the 4 metabolic domains. A GTI-MD score of 0 indicates a low likelihood of toxicity in the assessed metabolic domains.

    Time frame: Up to 51 months

  4. Prednisone dose reduction (average monthly dose) over time

    Time frame: Up to 51 months

  5. TIS over time

    The total improvement score (TIS) assesses minimal, moderate, and major clinical response, and it is assessed using the ACR/EULAR criteria. The total score varies between 0 and 100, with higher scores indicating greater improvement.

    Time frame: Up to 51 months

  6. Proportion of TIS responders (minimal, moderate, major) over time

    The total improvement score (TIS) assesses minimal, moderate, and major clinical response, and it is assessed using the ACR/EULAR criteria. The total score varies between 0 and 100, with higher scores indicating greater improvement

    Time frame: Up to 51 months

  7. Individual CSMs of the TIS over time

    The total improvement score (TIS) assesses minimal, moderate, and major clinical response, and it is assessed using the ACR/EULAR criteria. The ACR/EULAR criteria calculate TIS using the 6 core set measure (CSMs): MDGA, PGA, MMT8, HAQ-DI, muscle enzymes, and extramuscular global assessment (assessed by the MDAAT).

    Time frame: Up to 51 months

  8. Percentage of participants with clinically inactive disease

    Clinically inactive disease is defined as no evidence of disease activity, based on an Physician Global Assessment of Disease Activity (MDGA) and Extramuscular Global Assessment of the Myositis Disease Activity Assessment Tool (MDAAT) of 0 and normal creatine kinase (CK) values for at least 12 weeks (at week 28 and every 24 weeks thereafter).

    Time frame: Up to 51 months

  9. Percentage of participants with remission during the study

    Remission is defined as a clinically inactive disease for at least 24 weeks

    Time frame: Up to 51 months

  10. PGI-S over time

    The Patient Global Impression of Severity (PGI-S) asks participants to rate the severity of their disease symptoms over the past 7 days on a 4-point Likert scale, where scores range from "no symptoms" to "severe."

    Time frame: Up to 51 months

  11. CGI-S over time

    The Clinical Global Impression of Severity (CGI-S) asks the physician to rate the severity of the participant's disease on a 4-point Likert scale, where scores range from "no activity" to "severe".

    Time frame: Up to 51 months

  12. Physical Functioning subscale and Physical Component Summary scores of the SF-36v2 over time

    The 36-Item Short Form Survey version 2 (SF-36v2) is a 36-item scale constructed to survey health-related quality of life in 8 domains.

    Time frame: Up to 51 months

  13. EQ-5D-5L utilities over time

    The EQ-5D-5L questionnaire is a standardized test recognized by many health authorities as a generic measure of health status for clinical and economic appraisal. The descriptive system comprises 5 dimensions, each having 5 levels ranging from "No problem" to "Extreme problem".

    Time frame: Up to 51 months

  14. EQ-5D-5L VAS over time

    The EQ-5D-5L questionnaire is a standardized test recognized by many health authorities as a generic measure of health status for clinical and economic appraisal. A visual analog scale (VAS) is included in the EQ-5D-5L, where participants will mark their health status from 0 (the worst health you can imagine) to 100 (the best health you can imagine).

    Time frame: Up to 51 months

  15. Percent change from baseline in total IgG levels in serum over time

    Time frame: Up to 53 months

  16. Incidence of ADA against efgartigimod (serum levels) over time

    ADA : anti-drug antibodies.

    Time frame: Up to 53 months

  17. Proportion of participants achieving sustained low disease activity while on IMP, over time

    Sustained low disease activity is defined as a CGI-S score of "mild" or "no activity" and a PGI-S score of "mild" or "no symptoms" for at least 12 weeks.

    Time frame: Up to 51 months

  18. Proportion of participants with low disease activity over time, while on IMP

    Low disease activity is defined as a CGI-S score of "mild" or "no activity" and a PGI-S score of "mild" or "no symptoms"

    Time frame: Up to 51 months

  19. Proportion of participants with low disease activity who continue dosing every 2 weeks at week 52 and every 24 weeks thereafter

    Low disease activity is defined as a CGI-S score of "mild" or "no activity" and a PGI-S score of "mild" or "no symptoms"

    Time frame: Up to 51 months

  20. Proportion of participants who have marked worsening during the period of dosing every 2 weeks

    Marked worsening is defined as a CGI-S score of "moderate" or "severe" and a PGI-S score of "moderate" or "severe"

    Time frame: Up to 51 months

  21. Duration of dosing every 2 weeks

    Time frame: Up to 51 months

07

Study locations

92 sites
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 Oct 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
NCT05979441
Lead sponsor
argenx
Responsible party
Sponsor
First posted
Aug 7, 2023
Start date
Sep 12, 2023
Primary completion
Sep 2028 (estimated)
Completion
Sep 2028 (estimated)
Last update
Oct 16, 2026

Oversight

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

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Studies of the drugs tested here: Efgartigimod alfa · Hyaluronidase (human recombinant)

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