ClinicalTrials.gg
RecruitingNCT07287982SparkleUpdated Oct 8, 2026

A Study to Assess the Safety, Tolerability, Efficacy, Pharmacokinetics, and Immunogenicity of Intravenous Administration of ARGX-119 in Pediatric Participants Aged 5 to Less Than 18 Years With Spinal Muscular Atrophy

A Phase 2 interventional study of ARGX-119 IV and Placebo IV in Spinal Muscular Atrophy (SMA), sponsored by argenx. Recruiting at 28 sites in 4 countries. Open to participants aged 5 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-10-08.

Sponsored by argenx · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2025; still recruiting 10 months later.
Updated Oct 8, 2026First sites in Australia and CanadaSite recruiting status changed+1 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
5 Years to 17 Years
Sex
All
01

Where this study stands

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

Among 121 studies in Muscular Atrophy, Spinal with a site in United States — 21 open to participants now, 39 under way, 7 of them phase 3. Muscular Atrophy, Spinal · United States.

Planned enrollment
21st of 76
60 · median 33
Started
2025
with 7 others
Phase 2
18 of 121
2 open now
Primary completion
2029-05
later than 26 of 38 live
Registered
112th of 121
by date

Among the 121 studies in Muscular Atrophy, Spinal with a site in United States, this one is the 21st largest by planned enrollment of the 76 interventional ones that give a count, is one of 8 that started in 2025, is one of 18 in phase 2, reaches primary completion later than 26 of the 38 other live ones, and was the 112th registered.

Muscular Atrophy, Spinal

282 studies on the registry are indexed under Muscular Atrophy, Spinal; 73 are open to participants now.

Browse Muscular Atrophy, Spinal studies →

Open to participants now

21 of the 121 studies in Muscular Atrophy, Spinal with a site in United States are open now. Recruiting first, the newest first:

15 more — sign in →

All 21 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 58 Muscular Atrophy, Spinal studies recruiting now, 28 (48%) set no upper age limit and 27 (47%) stop at 75 or younger; 46 take children under 18; 11 take healthy volunteers.

This study: 5 Years to 17 Years · all sexes · no healthy volunteers.

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02

Study summary

This study aims to find the correct dose of ARGX-119 for children with SMA. The study will also look at how safe the study drug is, how well it works, how it moves through the body, and how the immune system responds to it. The study consists of a double-blinded treatment period (DBTP) where participants will either receive ARGX-119 IV or placebo IV, in addition to disease-modifying therapy (DMT) for 24 weeks. Participants who complete the DBTP will enter the open-label active-treatment extension period (ATEP) during which all participants will receive ARGX-119 IV up to 100 weeks (approximately 2 years).

Read the detailed description

This phase 2 study aims to establish proof of concept with the age-appropriate dose of ARGX-119 in ambulant pediatric patients with spinal muscular atrophy (SMA). Despite available treatments, there remains an unmet medical need for patients with SMA. Neuromuscular junction (NMJ) dysfunction contributes to the pathophysiology of SMA, including muscle weakness and fatigability. Activation of muscle-specific kinase (MuSK) by ARGX-119 may stabilize and improve NMJ function in patients with SMA, reducing muscle weakness and fatigability, and improving quality of life.

03

Conditions studied

  • Spinal Muscular Atrophy (SMA)

Keywords

  • Spinal Muscular Atrophy
  • Pediatric
  • Muscle Function
  • Fatigability
  • SMA
  • ambulant
04

Who can participate

Ages eligible
5 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

  • Is aged ≥5 to \<18 years when completing the process, defined as providing informed assent according to local regulations and having a parent or guardian sign the ICF, and can comply with protocol
  • requirements.
  • Has documented historical genetic diagnosis of 5q-SMA.
  • Currently receiving a stable SMA treatment regimen (nusinersen or risdiplam) and/or have a history of onasemnogene abeparvovec treatment
  • Must be able to walk at least 50 meters without walking aids in the 6MWT at screening

Exclusion criteria

Exclusion Criteria:

  • Known medical condition that would interfere with an accurate assessment of SMA, confound the results of the study, or put the participant at undue risk, as assessed by the investigator
  • Recent major surgery, except spinal fusion, within 3 months of screening or intends to have major surgery during the study
  • Current or previous administration of antimyostatin therapies in the past 6 months
  • Severe scoliosis (defined as curvature >40°) and/or contractures at screening. o History of spinal fusion within 6 months before screening or planned during the study
  • Respiratory insufficiency, defined by the medical necessity for invasive or noninvasive ventilation for daytime treatment while awake. Ventilation used overnight or during daytime naps is acceptable.
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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    DBTP - ARGX-119 IV

    Participants receive ARGX-119 IV during the DBTP

    Biological: ARGX-119 IV

  • Placebo comparator
    DBTP - Placebo IV

    Participants receive placebo IV during the DBTP

    Other: Placebo IV

  • Placebo comparator
    ATEP - ARGX-119 IV

    Participants receive ARGX-119 IV during the ATEP. Participants from ARGX-119 IV arm in the DBTP will receive placebo once to maintain the DBTP blinding

    Biological: ARGX-119 IV · Other: Placebo IV

Interventions

06

What researchers measure

Primary outcomes

  1. Incidence of AEs

    Adverse Events

    Time frame: Up to 124 weeks

  2. Incidence of SAEs

    Serious Adverse Events

    Time frame: Up to 124 weeks

  3. Change in RHS total score from baseline to week 24 of the double blinded treatment period (DBTP)

    The RHS (Revised Hammersmith Scale) is a validated 36-item scale developed to evaluate the spectrum of gross motor function. Maximum total score; 69 (optimal motor function)

    Time frame: Up to 24 weeks

Secondary outcomes

  1. Change from baseline over time for the 6MWT - distance and fatigue index

    In the 6MWT (6-minute walk test) participants will be instructed to walk as fast as possible without jogging or running along a 25- meter linearly marked course for 6 minutes without using walking devices or assistance. Distance walked over the entire 6-minute period, and other parameters, will be determined

    Time frame: Up to 124 weeks

  2. ARGX-119 serum concentrations over time

    ARGX-119 serum concentrations over time

    Time frame: Up to 124 weeks

  3. Incidence of antidrug antibodies (ADA) against ARGX-119

    Incidence of antidrug antibodies (ADA) against ARGX-119

    Time frame: Up to 124 weeks

07

Study locations

18 of 28 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar 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 Dec 2025 (actual). Primary completion is estimated for May 2029, 41 months after the start.

Of 15 phase 2 interventional studies under Muscular Atrophy, Spinal, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 42. This study's planned 41 months is above that.

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

Registered
Dec 15, 2025
First posted
Dec 17, 2025
StartActual
Dec 19, 2025
Primary completionEst.
May 28, 2029
CompletionEst.
May 28, 2029
Last update
Oct 8, 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
5 sites added — first sites in Australia and Canada. 2 sites changed recruiting status (2 now recruiting)
Show 2 sites
  • Columbia University Herbert Irving Comprehensive Cancer Center · New York, United StatesNot yet recruiting→Recruiting
  • Great Ormond Street Hospital for Children · London, United KingdomNot yet recruiting→Recruiting
Show 5 added (3 Canada, 2 Australia)
  • Sydney Children's Hospital, Randwick · Randwick, Australia
  • Royal Children's Hospital · Parkville, Australia
  • University of Calgary - Alberta Children's Hospital · Calgary, Canada
  • BC Children's Hospital · Vancouver, Canada
  • The Hospital for Sick Children · Toronto, Canada
Oct 8, 2026
Show all 1 update
  1. Oct 8, 2026
    5 sites added — first sites in Australia and Canada. 2 sites changed recruiting status (2 now recruiting)
    Show 2 sites
    • Columbia University Herbert Irving Comprehensive Cancer Center · New York, United StatesNot yet recruiting→Recruiting
    • Great Ormond Street Hospital for Children · London, United KingdomNot yet recruiting→Recruiting
    Show 5 added (3 Canada, 2 Australia)
    • Sydney Children's Hospital, Randwick · Randwick, Australia
    • Royal Children's Hospital · Parkville, Australia
    • University of Calgary - Alberta Children's Hospital · Calgary, Canada
    • BC Children's Hospital · Vancouver, Canada
    • The Hospital for Sick Children · Toronto, Canada

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
NCT07287982
Lead sponsor
argenx
Responsible party
Sponsor
First posted
Dec 17, 2025
Start date
Dec 19, 2025
Primary completion
May 28, 2029 (estimated)
Completion
May 28, 2029 (estimated)
Last update
Oct 8, 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: Adimanebart · Anti-MuSK Agonistic Monoclonal Antibody ARGX-119

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