CClinicalTrials.gg
Active, not recruitingNCT06436742Updated Jul 24, 2026

A Phase 1b Study to Investigate Safety and Tolerability of ARGX-119 in Adult Participants With DOK7-Congenital Myasthenic Syndromes (CMS)

A Phase 1 interventional study of ARGX-119 and Placebo in Congenital Myasthenic Syndrome and CMS, sponsored by argenx. Active, not recruiting at 9 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-24.

Sponsored by argenx · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to assess the safety and tolerability of ARGX-119 in adult participants with DOK7- Congenital Myasthenic Syndromes. The study will also assess how ARGX-119 is processed by the body (pharmacokinetics), how the immune system reacts to it (immunogenicity), and how it may improve the way patients feel and function.

After the screening period, eligible participants will be randomized in a 4:1 ratio to receive intravenous infusions of ARGX-119 or placebo during the double-blinded treatment period. Participants will then enter the follow-up period. After the follow-up period, participants may enrol in the active-treatment period, where they will receive open-label ARGX-119.

The full duration of the study is approximately 38 months.

02

Conditions studied

  • Congenital Myasthenic Syndrome
  • CMS
03

In context

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

  • At least 18 years of age.
  • Has genetically confirmed congenital myasthenic syndromes due to mutation of downstream of kinase 7 (DOK7-CMS).
  • Participants taking oral beta agonists (eg, albuterol, salbutamol, ephedrine) must have been receiving the medication for more than 3 months and agree to remain on a same stable dosing regimen of the same medication until the end of the study.

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of CMS due to mutation of any gene other than DOK7.
  • Known medical condition that would interfere with an accurate assessment of CMS, confound the results of the study, or put the patient at undue risk, as assessed by the investigator.
  • History of malignancy, cancer, unless considered cured by adequate treatment with no evidence of recurrence for more than 5 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.
  • Pregnant or lactating state or intention to become pregnant during the study.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    Double-blinded treatment period - ARGX-119 IV

    Participants receive ARGX-119 during the double-blinded treatment period

    Biological: ARGX-119

  • Placebo comparator
    Double-blinded treatment period - Placebo IV

    Participants receive placebo during the double-blinded treatment period

    Other: Placebo

  • Experimental
    Active-treatment period - ARGX-119 IV

    Participants receive ARGX-119 during the active-treatment period

    Biological: ARGX-119

Interventions

  • BiologicalARGX-119

    Intravenous infusion of ARGX-119

  • OtherPlacebo

    Intravenous infusion of placebo

06

What researchers measure

Primary outcomes

  1. Assessment of adverse events (AEs)

    Time frame: Up to week 42

  2. Change from active-treatment baseline over time for 6MWT distance

    The 6-minute walk test (6MWT) measures the distance a participant walks in 6 minutes. Before and after the 6MWT assessment, the participant's blood pressure, heart rate, and SPO2 will be recorded, and the participant's perception of fatigue and dyspnea will be measured.

    Time frame: Up to 72 weeks

Secondary outcomes

  1. Maximum observed serum concentration (Cmax) of ARGX-119

    Time frame: Up to 42 weeks + 72 weeks

  2. Incidence of ADA against ARGX-119

    ADA : anti-drug antibodies

    Time frame: Up to 42 weeks + 72 weeks

  3. Change from baseline over time for key components of the QMG scale

    The Quantitative Myasthenia Gravis (QMG) scale is a standardized quantitative scoring system that was developed to assess disease severity based on impairment of body function and structures in patients with MG. Minimum value: 0 (no disease severity); Maximum value: 39 (highest disease severity). The change from active-treatment baseline will be used for the 72 week timepoint.

    Time frame: Up to 42 weeks + 72 weeks

  4. Change from baseline over time for MG-ADL

    The Myasthenia Gravis Activities of Daily Living (MG-ADL) is an 8-item scale that assesses MG symptoms and their effects on daily activities. Minimum value: 0 (normal symptoms); Maximum value: 24 (most severe symptoms). The change from active-treatment baseline will be used for the 72 week timepoint.

    Time frame: Up to 42 weeks + 72 weeks

  5. Change from baseline over time for PROMIS-GH scale

    The Patient-Reported Outcomes Measurement Information System Global Health (PROMIS-GH) is a 10-item participant completed quality of life questionnaire that measures global physical health and mental health. The participant records their response to each question on a 5-point Likert scale, with lower scores indicating poorer health (Minimum value: 0, Maximum value: 20)

    Time frame: Up to 42 weeks

  6. Change from active-treatment baseline over time for 6MWT cadence

    The 6-minute walk test (6MWT) measures the distance a participant walks in 6 minutes. Before and after the 6MWT assessment, the participant's blood pressure, heart rate, and SPO2 will be recorded, and the participant's perception of fatigue and dyspnea will be measured.

    Time frame: Up to 72 weeks

  7. Change from active-treatment baseline over time for PROMIS PF-WMA-SF

    The PROMIS PF-WMA-SF is an 11-item, participant-completed questionnaire that assesses lower and upper extremity function and associated activities of daily living. The questionnaire asks the participant to rate the items on a 5-point scale of 5 (without any difficulty) to 0 (unable to do).

    Time frame: Up to 72 weeks

  8. Change from active-treatment baseline over time for Neuro-QoL fatigue

    Time frame: Up to 72 weeks

  9. Change from active-treatment baseline over time for FVC

    Time frame: Up to 72 weeks

  10. Change from active-treatment baseline over time for PGI-C

    Time frame: Up to 72 weeks

  11. Change from active-treatment baseline over time for PGI-S

    Time frame: Up to 72 weeks

  12. Change from active-treatment baseline over time for CGI-C

    Time frame: Up to 72 weeks

  13. Change from active-treatment baseline over time for CGI-S

    Time frame: Up to 72 weeks

  14. Change from active-treatment baseline over time for EQ-5D-5L

    Time frame: Up to 72 weeks

  15. Incidence of AEs and SAEs

    AE : Adverse events ; SAE : Serious Adverse events

    Time frame: Up to 72 weeks

07

Study locations

9 sites
  • UC Davis Medical Center
    Sacramento, California 95817, United States
  • Ann and Robert H Lurie Childrens Hospital of Chicago
    Chicago, Illinois 60611, United States
  • Ottawa Hospital Research Institute - Civic Campus
    Ottawa, K1Y 4E9, Canada
  • CHU - Hospital de la Timone
    Marseille, 13385, France
  • Group Hospitalier Pitie-Salpetriere
    Paris, 75013, France
  • Fondazione IRCCS Istituto Neurologico Carlo Besta
    Milan, 20133, Italy
  • Universitat de Valencia - Hospital Universitari i Politecnic La Fe de Valencia (Hospital La Fe Bulevar Sur)
    Valencia, 46026, Spain
  • Clinical Trials Centre - South Eastern Health and Social Care Trust - The Ulster Hospital
    Belfast, BT16 1RH, United Kingdom
  • John Radcliffe Hospital - Oxford University Hospitals NHS Foundation Trust
    Oxford, OX3 9DU, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

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 Jul 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06436742
Lead sponsor
argenx
Responsible party
Sponsor
First posted
May 31, 2024
Start date
Sep 24, 2024
Primary completion
Aug 24, 2027 (estimated)
Completion
Jan 24, 2028 (estimated)
Last update
Jul 24, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion