ClinicalTrials.gg
RecruitingNCT07294170Updated Oct 26, 2026

ADAPT Forward - Master Protocol of a Platform Study to Evaluate the Safety and Efficacy of Multiple Regimens in Participants With Myasthenia Gravis

An observational study in Myasthenia Gravis, MG and gMG, sponsored by argenx. Recruiting at 37 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-26.

Sponsored by argenx · Observational

From the registry’s dates

  • Started Dec 2025; still recruiting 10 months later.
Updated Oct 16, 20261 site addedGo to Updates ↓
Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
70
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 18 studies in Myasthenia Gravis by argenx — 9 open to participants now, 12 under way, 5 of them phase 3. Myasthenia Gravis · argenx.

Started
2025
with 2 others
Observational
4 of 18
4 open now
Primary completion
2028-03
later than 7 of 11 live
Registered
15th of 18
by date

Among the 18 studies in Myasthenia Gravis by argenx, this one is one of 3 that started in 2025, is one of 4 observational ones, reaches primary completion later than 7 of the 11 other live ones, and was the 15th 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

9 of the 18 studies in Myasthenia Gravis by argenx are open now, in 12 countries. Recruiting first, the newest first:

3 more — sign in →

By country, each count listing its studies:

All 9 open studies →

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: 18 Years and older · 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 18 studies in Myasthenia Gravis by argenx, or all of them as a file.
02

Study summary

ADAPT Forward is a platform study with the aim to look at how safe different drugs are and how well they work for people with myasthenia gravis. The goal is to find the best therapeutic approach to reduce patients' side effects and improve their quality of life.

Read the detailed description

This is a platform study and is governed by a single master protocol that enables multiple regimens to be evaluated in separate intervention-specific appendixes (ISAs).

The key design structure of the platform study comprises: common master protocol screening period, ISA-specific screening period, ISA treatment period of variable duration and design and ISA safety follow-up/follow-up period of variable duration.

Details on each study period will be specified in the ISAs. Following ISAs are included in this platform study:

  • NCT07284420 - ADAPT Forward 1 - a study to evaluate empasiprubart IV as add-on therapy to efgartigimod IV in participants with AChR-Ab seropositive generalized myasthenia gravis with a partial clinical response to efgartigimod (https://www.clinicaltrials.gov/study/NCT07284420)
  • NCT07673627 - Adapt Forward 2 - a Study to Evaluate the Safety, Tolerability and Efficacy of Empasiprubart IV Monotherapy in Participants With AChR-Ab Seropositive Generalized Myasthenia Gravis (https://clinicaltrials.gov/study/NCT07673627)

More information can be found here: https://clinicaltrials.argenx.com/adaptforward

03

Conditions studied

  • Myasthenia Gravis
  • MG
  • gMG
  • Generalized Myasthenia Gravis
  • Generalized Myasthenia Gravis (gMG)
  • AChR-Ab Seropositive Generalized Myasthenia Gravis

Browse trials for

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Participants With AChR-Ab Seropositive Generalized Myasthenia Gravis With a Partial Clinical Response to Efgartigimod

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 at least 18 years of age and the local legal age of consent for clinical studies
  • Has been diagnosed with MG with consistent clinical features per the investigator's clinical judgment
  • If receiving MG therapy, including nonsteroidal drugs (NSIDs), , or acetylcholinesterase (AChE) inhibitors either in combination or alone, the participant should receive a stable dosage before master protocol screening

Exclusion criteria

Exclusion Criteria:

  • Known disease or any medical condition other than the indication under study that would interfere with an accurate assessment of clinical symptoms of MG or puts the participant at undue risk
  • Is MGFA (Myasthenia Gravis Foundation of America) Class V
Terms in these criteria, in plain language(3)

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.

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.

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

Observational model
Other
Time perspective
Prospective
Enrollment
70 participants (estimated)
Patient registry
No

Groups and cohorts

  • ISA1 participants

    Participants With AChR-Ab Seropositive Generalized Myasthenia Gravis With a Partial Clinical Response to Efgartigimod

    Biological: Efgartigimod IV · Biological: Empasiprubart IV

  • ISA2 participants

    Participants With AChR-Ab Seropositive Generalized Myasthenia Gravis

    Biological: Empasiprubart IV · Other: Placebo IV · Biological: Efgartigimod PH20 SC PFS

Interventions

  • BiologicalEfgartigimod IV

    Intravenous infusion of efgartigimod

  • Intravenous infusion of empasiprubart

  • OtherPlacebo IV

    Intravenous infusion of placebo

  • BiologicalEfgartigimod PH20 SC PFS

    Subcutaneous administration of Efgartigimod PH20 via pre-filled syringe (PFS)

06

What researchers measure

Primary outcomes

  1. To determine the safety and tolerability of multiple regimens (monotherapy or add-on therapy to backbone therapy) in MG subtypes

    Time frame: Up to approximately 7 years (the duration of each ISA will vary and be specified on the ISA records)

Secondary outcomes

  1. To evaluate the efficacy of multiple regimens (monotherapy or add-on therapy to backbone therapy) in MG subtypes

    Each ISA record will specify the correct scale and time point

    Time frame: Up to approximately 7 years (the duration of each ISA will vary and be specified on the ISA records)

07

Study locations

37 of 37 sites recruiting
08

References and documents

Related links

Individual participant data

Plan to share: No

09

Timeline

2 registry updates 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 Mar 2028, 26 months after the start.

Of 62 observational studies under Myasthenia Gravis, half reached primary completion within 52 months of starting (the median), counting those still running; a quarter within 24. This study's planned 26 months is below that.

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

Registered
Dec 8, 2025
First posted
Dec 19, 2025
StartActual
Dec 19, 2025
Primary completionEst.
Mar 7, 2028
CompletionEst.
Mar 7, 2028
Last update
Oct 26, 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
1 site added
Show site
  • Hôpital de la Citadelle · Liège, Belgium
Oct 16, 2026
Site contacts
Changed at 3 sites. See the sites
Show 3 sites
  • Profound Research LLC at Las Vegas Neurology Center · Las Vegas, United StatesContact P•••@profoundresearch.com · •••4834→P•••@profoundresearch.com · •••4834
  • Hospital Regional Universitario de Malaga - Hospital General · Málaga, SpainContact •••7115→•••4834Contact e•••@santpau.cat→c•••@argenx.com
  • Hospital de La Santa Creu i Sant Pau · Barcelona, SpainContact •••4834→•••7115Contact c•••@argenx.com→e•••@santpau.cat
Oct 26, 2026
Show all 2 updates
  1. Oct 26, 2026
    Site contacts Changed at 3 sites. See the sites
    Show 3 sites
    • Profound Research LLC at Las Vegas Neurology Center · Las Vegas, United StatesContact P•••@profoundresearch.com · •••4834→P•••@profoundresearch.com · •••4834
    • Hospital Regional Universitario de Malaga - Hospital General · Málaga, SpainContact •••7115→•••4834Contact e•••@santpau.cat→c•••@argenx.com
    • Hospital de La Santa Creu i Sant Pau · Barcelona, SpainContact •••4834→•••7115Contact c•••@argenx.com→e•••@santpau.cat
  2. Oct 16, 2026
    1 site added
    Show site
    • Hôpital de la Citadelle · Liège, Belgium

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
NCT07294170
Lead sponsor
argenx
Responsible party
Sponsor
First posted
Dec 19, 2025
Start date
Dec 19, 2025
Primary completion
Mar 7, 2028 (estimated)
Completion
Mar 7, 2028 (estimated)
Last update
Oct 26, 2026

Study contacts

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

Oversight

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

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