ClinicalTrials.gg
Active, not recruitingNCT06655155eSScapeUpdated Oct 16, 2026

A Study to Assess the Efficacy and Safety of Efgartigimod PH20 SC in Adults With Systemic Sclerosis

A Phase 2 interventional study of Efgartigimod PH20 SC and Placebo PH20 SC in Systemic Sclerosis (SSc), sponsored by argenx. Active, not recruiting at 79 sites in 24 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by argenx · Phase 2, Interventional, and Treatment

Updated Oct 16, 2026Now Active, not recruitingPrimary completion moved+2 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
87
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 165 studies in Scleroderma, Systemic with a site in United States — 40 open to participants now, 52 under way, 6 of them phase 3. Scleroderma, Systemic · United States.

Enrollment
41st of 142
87 · median 34
Started
2024
with 9 others
Phase 2
54 of 165
10 open now
Primary completion
2027-03
later than 7 of 51 live
Registered
135th of 165
by date

Among the 165 studies in Scleroderma, Systemic with a site in United States, this one is the 41st largest by enrollment of the 142 interventional ones, is one of 10 that started in 2024, is one of 54 in phase 2, reaches primary completion later than 7 of the 51 other live ones, and was the 135th registered.

By phase

165 studies; the count open now beside each. This study's row is marked.

Phase 2this study54 · 10 open
Phase 131 · 12 open
No phase23 · 4 open
Observational22 · 4 open
Phase 1/215 · 4 open
Phase 312 · 3 open
Phase 2/35 · 2 open
Phase 43 · 1 open

By the year they started

First in 1992; this study’s year is marked. 10 started in 2024.

Size and results

Median enrollment 34 across the 142 interventional studies, 67 across the 22 observational. Of the 104 that completed or were terminated, 56 (54%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 165 studies in Scleroderma, Systemic with a site in United States, or all of them as a file.
02

Study summary

The main purpose of this study is to evaluate the effect and safety of efgartigimod PH20 SC compared to placebo in adults with systemic sclerosis. The study consists of a screening period, a treatment period of up to 48 weeks and a safety follow-up period. After the screening period, eligible participants will be randomized in a 2:1 ratio to receive either efgartigimod PH20 SC or placebo. The total study duration can be up to approximately 15 months.

More information can be found on: https://clinicaltrials.argenx.com/esscape

03

Conditions studied

  • Systemic Sclerosis (SSc)

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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

  • Is aged ≥18 years and the local legal age of consent for clinical studies
  • Has diffuse or limited SSc diagnosis and fulfills the 2013 ACR/EULAR classification criteria
  • Has a positive antinuclear antibodies (ANA) test result at the central laboratory with titer of at least 1:160
  • Has a Health Assessment Questionnaire-Disability Index (HAQ-DI) score of at least 0.5 OR a Patient Global Assessment (PGA) score of at least 3
  • Has a modified Rodnan Skin Score (mRSS) score between 15 and 35
  • The participant is anti-RNA polymerase III autoantibody negative at central laboratory and had the first non-Raynaud's phenomenon manifestation less than 5 years before screening or the participant is anti-RNA polymerase III autoantibody positive at central laboratory and had the first non-Raynaud's phenomenon manifestation less than 2 years before screening
  • Has uninvolved or mildly thickened skin area in at least 1 injection site

Exclusion criteria

Exclusion Criteria:

  • Isolated anticentromere antibodies (ACA) seropositivity at the central laboratory
  • Significant Pulmonary Arterial Hypertension
  • Severe digital vasculopathy within the past 3 months
  • Skin thickening due to scleroderma mimics or localized scleroderma
  • Scleroderma renal crisis within the past 6 months of participating to the study
  • Another rheumatic disease, except for secondary Sjögren's syndrome or fibromyalgia
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
87 participants (actual)

Study arms

  • Experimental
    Efgartigimod PH20 SC

    Participants receiving efgartigimod PH20 SC

    Combination Product: Efgartigimod PH20 SC

  • Placebo comparator
    Placebo PH20 SC

    Participants receiving placebo PH20 SC

    Other: Placebo PH20 SC

Interventions

06

What researchers measure

Primary outcomes

  1. Change from baseline in mRSS at week 24

    The Modified Rodnan Skin Score is a scoring tool to assess skin thickness in 17 cutaneous sites across the body. Each site is rated on a semiquantitative score ranging from 0 (normal) to 3 (severe). The total score is the sum of the individual skin scores and can range from 0 to 51.

    Time frame: Up to 24 weeks

Secondary outcomes

  1. Change from baseline in mRSS at week 48

    The Modified Rodnan Skin Score is a scoring tool to assess skin thickness in 17 cutaneous sites across the body. Each site is rated on a semiquantitative score ranging from 0 (normal) to 3 (severe). The total score is the sum of the individual skin scores and can range from 0 to 51.

    Time frame: Up to 48 weeks

  2. Incidence of treatment-emergent (serious) adverse events

    Time frame: Up to 55 weeks

  3. Proportion of participants who improve in at least 2 or at least 3 of the 5 core items of CRISS-25 at weeks 24 and 48 and do not have worsening in >1 component and have no significant SSc-related event(s)

    Revised Composite Response Index in Systemic Sclerosis (CRISS-25) is a global composite outcome assessment that provides a holistic perspective of the disease. It includes 5 core items: the Modified Rodnan Skin Score, the Clinician's global assessment, the Forced Vital Capacity, the Patient global assessment, and the Health Assessment Questionnaire-Disability Index.

    Time frame: Up to 48 weeks

  4. Change from baseline in HAQ-DI at weeks 24 and 48

    Health Assessment Questionnaire-Disability Index is a tool to assess physical function and disability. It consists of 8 categories with each question scored from 0 (without any difficulty) to 3 (unable to do).

    Time frame: Up to 48 weeks

  5. Change from baseline in PGA at weeks 24 and 48

    Patient's Global Assessment is a tool that measures a participant's global evaluation of their overall health during the previous week using a 10-point numerical scale. The score varies between 0 (excellent overall health) and 10 (extremely poor overall health).

    Time frame: Up to 48 weeks

  6. Change from baseline in CGA at weeks 24 and 48

    Clinician's Global Assessment is a tool that measures a clinician's assessment of the overall health of a participant during the previous week using a 10-point numerical scale. The score varies between 0 (excellent overall health) and 10 (extremely poor overall health).

    Time frame: Up to 48 weeks

  7. Annualized rate of decline in FVC (in mL) in participants with interstitial lung disease

    Forced Vital Capacity is a tool to assess lung function

    Time frame: Up to 48 weeks

  8. Efgartigimod serum concentrations over time

    Time frame: Up to 48 weeks

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

    Time frame: Up to 55 weeks

  10. Incidence of anti-drug antibodies against efgartigimod in serum over time

    Time frame: Up to 55 weeks

  11. Incidence of antibodies against rHuPH20 in plasma over time

    Time frame: Up to 55 weeks

07

Study locations

79 sites
08

References and documents

Related links

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2024 (actual). Primary completion is estimated for Mar 2027, 28 months after the start.

Of 48 phase 2 interventional studies under Scleroderma, Systemic, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 83. This study's planned 28 months is below that.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 16, 2026: primary completion Feb 2027 → Mar 2027 and completion Sep 2027 → Oct 2027.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Oct 22, 2024
First posted
Oct 23, 2024
StartActual
Nov 11, 2024
Primary completionEst.
Mar 2027was Feb 2027
CompletionEst.
Oct 2027was Sep 2027
Last update
Oct 16, 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.
Status
Recruiting→Active, not recruiting
changed Oct 16, 2026
Primary completion
Feb 2027→Mar 2027
Oct 16, 2026
Study completion
Sep 2027→Oct 2027
Oct 16, 2026
Enrollment
81 (estimated)→87 (actual)
Oct 16, 2026
Show all 1 update
  1. Oct 16, 2026
    Recruiting→Active, not recruiting
    Primary completion Feb 2027→Mar 2027
    Study completion Sep 2027→Oct 2027
    Enrollment 81 (estimated)→87 (actual)
    + 3 other changes: verification date, contact details and site details

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 ↗

10

Registry details

Key details

Study ID
NCT06655155
Lead sponsor
argenx
Responsible party
Sponsor
First posted
Oct 23, 2024
Start date
Nov 11, 2024
Primary completion
Mar 2027 (estimated)
Completion
Oct 2027 (estimated)
Last update
Oct 16, 2026

Oversight

Data monitoring committee
No
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 Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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

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