ClinicalTrials.gg
RecruitingNCT06392386ADAPT Jr SCUpdated Sep 28, 2026

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

A Phase 2/3 interventional study of Efgartigimod PH20 SC in Generalized Myasthenia Gravis, sponsored by argenx. Recruiting at 22 sites in 14 countries. Open to participants aged 2 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-09-28.

Sponsored by argenx · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2024; still recruiting 2 years 4 months later.
Updated Sep 28, 2026Site recruiting status changedGo to Updates ↓
Phase
Phase 2/3
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
2 Years to 17 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 20 studies testing efgartigimod alfa in Myasthenia Gravis — 11 open to participants now, 14 under way, 7 of them phase 3. efgartigimod alfa · Myasthenia Gravis.

Planned enrollment
20th of 20
12 · median 55
Started
2024
with 4 others
Phase 2/3
2 of 20
1 open now
Primary completion
2027-09
later than 11 of 13 live
Registered
10th of 20
by date
Lead sponsor
12 of 20
argenx

Among the 20 studies testing efgartigimod alfa in Myasthenia Gravis, this one is the 20th largest by planned enrollment, is one of 5 that started in 2024, is one of 2 in phase 2/3, reaches primary completion later than 11 of the 13 other live ones, and was the 10th registered.

Myasthenia Gravis

330 studies on the registry are indexed under Myasthenia Gravis; 144 are open to participants now.

Browse Myasthenia Gravis studies →

Open to participants now

11 of the 20 studies testing efgartigimod alfa in Myasthenia Gravis are open now, in 12 countries. Recruiting first, the newest first:

5 more — sign in →

By country, each count listing its studies:

All 11 open studies →

About efgartigimod alfa

efgartigimod alfa: first FDA approval 2021 (VYVGART), first EMA approval 2022. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 104 Myasthenia Gravis studies recruiting now, 64 (62%) set no upper age limit and 23 (22%) stop at 75 or younger; 16 take children under 18; 13 take healthy volunteers.

This study: 2 Years to 17 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 20 studies testing efgartigimod alfa in Myasthenia Gravis, or all of them as a file.
02

Study summary

The purpose of this study is to measure the pharmacokinetics (PK), pharmacodynamics (PD), safety, tolerability, and immunogenicity of efgartigimod PH20 SC in pediatric participants with gMG aged 2 to \<18 years. The primary goal is to confirm an appropriate dose of efgartigimod PH20 SC for pediatric patients using PK and PD results from this study. Participants will receive injections of efgartigimod PH20 SC and will be monitored for safety until the end of the study. At the end of the follow-up period, eligible participants may roll over to an open-label extension (OLE) study.

The participants will be in the study for up to 14 weeks.

03

Conditions studied

  • Generalized Myasthenia Gravis

Browse trials for

04

Who can participate

Ages eligible
2 Years to 17 Years
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

  • The participant (and/or their legally authorized representative) understands the requirements of the study and is capable of providing written /assent and complying with protocol requirements
  • The participant is aged 2 to \<18 years at the time of informed consent/assent
  • The participant has been diagnosed with generalised Myasthenia Gravis that is supported by a physical examination and confirmed seropositivity for anti-acetylcholine receptor antibodies
  • The participant has had an unsatisfactory response to , , or acetylcholinesterase inhibitors but is on stable concomitant MG therapy. If receiving corticosteroids and/or immunosuppressants, must be on a stable dose for ≥1 month before screening
  • The participant agrees to use consistent with local regulations and people of must have a negative blood pregnancy test at screening and a negative urine pregnancy test before receiving the study drug

Exclusion criteria

Exclusion Criteria:

  • Is a female adolescent of who is pregnant and/or lactating or intends to become pregnant during their participation in the study
  • Has worsening muscle weakness secondary to a concurrent infection or as a result of a medication
  • Has a documented lack of clinical response to plasma exchange (PLEX)
  • Received a live or within \<4 weeks before screening
  • Received a thymectomy within 3 months before screening or is planning to get a thymectomy during their participation in the study
  • Has a known disease or any medical condition that would interfere with an accurate assessment of clinical symptoms of generalised Myasthenia Gravis or puts the participant at undue risk
  • History of , cancer, unless considered cured by adequate treatment with no evidence of recurrence for ≥3 years. Adequately treated participants with the following cancers can be included at any time: Basal cell or squamous cell skin cancer, Carcinoma in situ of the cervix, Carcinoma in situ of the breast, Incidental histological findings of prostate cancer
  • active infection that is not sufficiently resolved in the investigator's opinion or positive serum test at screening for active infection with any of the following: virus (HBV), virus (HCV),
  • Has a positive PCR test for SARS-CoV-2 at screening
  • Has/had a clinically significant disease, had recent major surgery (within 3 months of screening) or intends to have major surgery during the study, or has/had any other medical condition that, in the investigator's opinion, would confound the results of the study or put the participant at undue risk
  • Has received a different study drug in another clinical study within \<12 before screening
  • Is currently participating in another interventional clinical study
  • Has previously participated in an efgartigimod clinical study and received at least one dose of study drug
  • Has a known to study drug or any of its
  • Has a history of or current episode of alcohol, drug, or medication abuse as assessed by the investigator
  • Use of some medications before screening (more information is found in the protocol)

The complete list of exclusion criteria can be found in the protocol.

Terms in these criteria, in plain language(14)

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

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.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (estimated)

Study arms

  • Experimental
    Efgartigimod PH20 SC

    Participants aged 12 to \<18 years receiving efgartigimod PH20 SC treatment

    Biological: Efgartigimod PH20 SC

Interventions

06

What researchers measure

Primary outcomes

  1. Efgartigimod serum concentrations as input for compartmental, model-driven analysis to determine age and size dependency of Clearance (CL)

    Time frame: Up to 12 weeks

  2. Efgartigimod serum concentrations as input for compartmental, model-driven analysis to determine age and size dependency of Volume Distribution (Vd)

    Time frame: Up to 12 weeks

  3. Total G immunoglobulins (IgG) levels as input for pharmacokinetics (PK)/pharmacodynamics (PD) modelling analysis

    Time frame: Up to 12 weeks

  4. Anti-acetylcholine receptors antibodies (AChR-Ab) as input for pharmacokinetics (PK)/ pharmacodynamics (PD) modelling analysis

    Time frame: Up to 12 weeks

Secondary outcomes

  1. Incidence of adverse events (AEs)

    Time frame: Up to 14 weeks

  2. Severity of adverse events (AEs)

    Time frame: Up to 14 weeks

  3. Incidence of serious adverse events (SAEs)

    Time frame: Up to 14 weeks

  4. Severity of serious adverse events (SAEs)

    Time frame: Up to 14 weeks

  5. Incidence of adverse events of special interest (AESI)

    Time frame: Up to 14 weeks

  6. Severity of adverse events of special interest (AESI)

    Time frame: Up to 14 weeks

  7. Efgartigimod serum concentrations

    Time frame: Up to 12 weeks

  8. Absolute values of total Immunoglobulin G (IgG) from blood samples

    Time frame: Up to 12 weeks

  9. Change from baseline values of total Immunoglobulin G (IgG) from blood samples

    Time frame: Up to 12 weeks

  10. Percentage change from baseline values of total Immunoglobulin G (IgG) from blood samples

    Time frame: Up to 12 weeks

  11. Absolute values of anti-acetylcholine receptor antibodies (AChR-Ab) from blood samples

    Time frame: Up to 12 weeks

  12. Change from baseline values of anti-acetylcholine receptor antibodies (AChR-Ab) from blood samples

    Time frame: Up to 12 weeks

  13. Percentage change from baseline values of anti-acetylcholine receptor antibodies (AChR-Ab) from blood samples

    Time frame: Up to 12 weeks

  14. Incidence of anti-drug antibodies (ADAs) against efgartigimod in serum samples

    Time frame: Up to 12 weeks

  15. Prevalence of anti-drug antibodies (ADAs) against efgartigimod in serum samples

    Time frame: Up to 12 weeks

  16. Incidence of antibodies against rHuPH20 in serum samples

    Time frame: Up to 12 weeks

  17. Prevalence of antibodies against rHuPH20 in serum samples

    Time frame: Up to 12 weeks

  18. Absolute value of total Myasthenia Gravis Activity of Daily Living (MG-ADL) score, appropriate for pediatric use

    Minimum value: 0 (no impairment); Maximum value: 24 (highest impairment)

    Time frame: Up to 12 weeks

  19. Change from baseline of total Myasthenia Gravis Activity of Daily Living (MG-ADL) score, appropriate for pediatric use

    Minimum value: 0 (no impairment); Maximum value: 24 (highest impairment)

    Time frame: Up to 12 weeks

  20. Absolute value of Quantitative Myasthenia Gravis (QMG) score

    Minimum value: 0 (no impairment); Maximum value: 39 (most severe impairment)

    Time frame: Up to 12 weeks

  21. Change from baseline of Quantitative Myasthenia Gravis (QMG) score

    Minimum value: 0 (no impairment); Maximum value: 39 (most severe impairment)

    Time frame: Up to 12 weeks

  22. Absolute value of EuroQoL 5 Dimensions Youth (EQ-5D-Y) score

    Time frame: Up to 12 weeks

  23. Change from baseline value of Neuro-QoL Pediatric Fatigue Score

    Time frame: Up to 12 weeks

  24. Change from baseline value of EuroQoL 5 Dimensions Youth (EQ-5D-Y) score

    Time frame: Up to 12 weeks

  25. Change from baseline value of Clinical Global Impression of Improvement (CGI-I)

    Time frame: Up to 12 weeks

  26. Changes in protective antibody titers to vaccines

    Time frame: Up to 12 weeks

07

Study locations

19 of 22 sites recruiting
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2024 (actual). Primary completion is estimated for Sep 2027, 39 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 26, 2024
First posted
Apr 30, 2024
StartActual
Jun 28, 2024
Primary completionEst.
Sep 2027
CompletionEst.
Sep 2027
Last update
Sep 28, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
4 sites changed recruiting status (3 now active, not recruiting, 1 now recruiting)
Show 4 sites
  • Carolinas HealthCare System Neurosciences Institute - Neurology · Charlotte, United StatesRecruiting→Active, not recruiting
  • Neurology Rare Disease Center · Denton, United StatesRecruiting→Active, not recruiting
  • University of Virginia · Charlottesville, United StatesRecruiting→Active, not recruiting
  • Royal Children's Hospital Melbourne · Melbourne, AustraliaActive, not recruiting→Recruiting
Sep 28, 2026
Site contacts
Changed at 4 sites. See the sites
Show 4 sites
  • Carolinas HealthCare System Neurosciences Institute - Neurology · Charlotte, United StatesContact removed c•••@argenx.com · •••4834
  • Neurology Rare Disease Center · Denton, United StatesContact removed c•••@argenx.com · •••4834
  • University of Virginia · Charlottesville, United StatesContact removed c•••@argenx.com · •••4834
  • Royal Children's Hospital Melbourne · Melbourne, AustraliaContact added e•••@rch.org.au · •••9077
Sep 28, 2026
Show all 1 update
  1. Sep 28, 2026
    4 sites changed recruiting status (3 now active, not recruiting, 1 now recruiting)
    Show 4 sites
    • Carolinas HealthCare System Neurosciences Institute - Neurology · Charlotte, United StatesRecruiting→Active, not recruiting
    • Neurology Rare Disease Center · Denton, United StatesRecruiting→Active, not recruiting
    • University of Virginia · Charlottesville, United StatesRecruiting→Active, not recruiting
    • Royal Children's Hospital Melbourne · Melbourne, AustraliaActive, not recruiting→Recruiting
    Site contacts Changed at 4 sites. See the sites
    Show 4 sites
    • Carolinas HealthCare System Neurosciences Institute - Neurology · Charlotte, United StatesContact removed c•••@argenx.com · •••4834
    • Neurology Rare Disease Center · Denton, United StatesContact removed c•••@argenx.com · •••4834
    • University of Virginia · Charlottesville, United StatesContact removed c•••@argenx.com · •••4834
    • Royal Children's Hospital Melbourne · Melbourne, AustraliaContact added e•••@rch.org.au · •••9077

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06392386
Lead sponsor
argenx
Responsible party
Sponsor
First posted
Apr 30, 2024
Start date
Jun 28, 2024
Primary completion
Sep 2027 (estimated)
Completion
Sep 2027 (estimated)
Last update
Sep 28, 2026

Study contacts

Sabine Coppieters, MD
Contact
clinicaltrials@argenx.com
857-350-4834

Oversight

Data monitoring committee
Yes
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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