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

April 22, 2026 updated by: argenx

A Randomized, Double-Blinded, Placebo-Controlled, Phase 2, Parallel-Group Study to Evaluate the Efficacy, Safety, Tolerability, Pharmacodynamics, Pharmacokinetics, and Immunogenicity of Efgartigimod PH20 SC in Adult Participants With Systemic Sclerosis

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

Study Overview

Study Type

Interventional

Enrollment (Estimated)

81

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Buenos Aires, Argentina, C1405BFN
        • Recruiting
        • Instituto de Investigación Clínica TyT
        • Contact:
      • Buenos Aires, Argentina, C1046AAQ
        • Recruiting
        • APRILLUS Asistencia e Investigacion
        • Contact:
      • Buenos Aires, Argentina, C1426ABP
        • Recruiting
        • Consultorios Medicos Dr. Doreski - Fundacion Respirar
        • Contact:
      • Buenos Aires, Argentina
        • Recruiting
        • Hospital General de Agudos Dr. José María Ramos Mejia
        • Contact:
      • Córdoba, Argentina, 5000
      • San Miguel de Tucumán, Argentina, T4000IHE
      • San Miguel de Tucumán, Argentina, T4000IKJ
        • Recruiting
        • Centro de Investigaciones Medicas Tucuman
        • Contact:
        • Contact:
      • Ghent, Belgium, 9000
      • Jette, Belgium, 1090
      • Plovdiv, Bulgaria, 4002
        • Recruiting
        • Medical Center Artmed OOD
        • Contact:
      • Sofia, Bulgaria, 1680
        • Recruiting
        • Diagnostic Consultative Center Convex EOOD
        • Contact:
      • Santiago, Chile, 8330034
        • Recruiting
        • Centro de Investigaciones Clinicas UC (CICUC)
        • Contact:
      • Santiago, Chile, 8320000
        • Recruiting
        • BIOCINETIC Ltda
        • Contact:
      • Temuco, Chile, 4810345
        • Recruiting
        • Centro de especialidades médicas Vanguardia
        • Contact:
      • Osijek, Croatia, 31000
        • Recruiting
        • Clinical Hospital Centre Osijek
        • Contact:
      • Split, Croatia, 21000
        • Recruiting
        • University Hospital of Split
        • Contact:
      • Zadar, Croatia, 23000
      • Prague, Czechia, 140 59
        • Recruiting
        • Revmatologicky ustav
        • Contact:
      • Copenhagen, Denmark, 2100
      • Bordeaux, France, 33000
      • Lille, France, 59000
      • Marseille, France, 13274
      • Montpellier, France, 34090
        • Recruiting
        • CHU de Montpellier- Hôpital Saint Eloi
        • Contact:
      • Paris, France, 75014
        • Recruiting
        • AP-HP - Hôpital Cochin - Port-Royal, site Cochin
        • Contact:
      • Lübeck, Germany, 23562
        • Recruiting
        • Universitätsklinikum Schleswig-Holstein - Campus Lübeck
        • Contact:
      • Minden, Germany, 32429
      • Tübingen, Germany, 72076
      • Pátrai, Greece, 265 04
        • Recruiting
        • University General Hospital of Patras
        • Contact:
      • Pátrai, Greece, 264 43
        • Recruiting
        • Olympion General Clinic
        • Contact:
      • Thessaloniki, Greece, 546 36
        • Recruiting
        • Euromedica Kianous Stavros
        • Contact:
      • Pécs, Hungary, 7632
        • Recruiting
        • Pecsi Tudomanyegyetem, Klinika Kozpont, Bor, Nemikortani es Onkodermatologiai Klinika
        • Contact:
      • Florence, Italy, 50134
        • Recruiting
        • Azienda Ospedaliera Universitaria Careggi
        • Contact:
      • Milan, Italy, 20132
        • Recruiting
        • Ospedale San Raffaele S.r.l.
        • Contact:
      • Naples, Italy, 80131
        • Recruiting
        • Azienda Ospedaliera Universitaria Luigi Vanvitelli
        • Contact:
      • Roma, Italy, 00168
      • Roma, Italy, 128
        • Recruiting
        • Fondazione Policlinico Universitario Campus Bio-Medico
        • Contact:
      • Rozzano, Italy, 20089
        • Recruiting
        • IRCCS Istituto Clinico Humanitas
        • Contact:
      • Kaunas, Lithuania, 50161
        • Recruiting
        • Hospital of Lithuanian University of Health Sciences Kauno klinikos
        • Contact:
      • Klaipėda, Lithuania, LT-92288
        • Recruiting
        • Klaipeda Hospital, Affiliate of Klaipeda University Hospital
        • Contact:
      • Chihuahua City, Mexico, 31203
      • Guadalajara, Mexico, 44160
        • Recruiting
        • Centro Integral Reumatologia SA de CV
        • Contact:
      • Mexico City, Mexico, 11850
        • Recruiting
        • Centro de Investigación y Tratamiento Reumatológico S.C
        • Contact:
      • Mérida, Mexico, 97070
        • Recruiting
        • Medical Care and Research S.A. de C.V.
        • Contact:
      • Leiden, Netherlands, 2333 ZA
        • Recruiting
        • Leids Universitair Medisch Centrum
        • Contact:
      • Krakow, Poland, 30-002
        • Recruiting
        • Malopolskie Badania Kliniczne
        • Contact:
      • Lublin, Poland, 20-607
        • Recruiting
        • Zespol Poradni Specjalistycznych REUMED
        • Contact:
          • Robert Zwolak, MD
          • Phone Number: +48815243333
          • Email: zwolakr@wp.pl
      • Nowa Sól, Poland, 67-100
      • Warsaw, Poland, 00-874
        • Recruiting
        • MICS Centrum Medyczne Warszawa
        • Contact:
      • Wroclaw, Poland, 53-224
        • Recruiting
        • Niepubliczny Zaklad Opieki Zdrowotnej Biogenes
        • Contact:
      • Lisbon, Portugal, 1349-019
        • Recruiting
        • ULS de Lisboa Ocidental, EPE - Hospital Egas Moniz
        • Contact:
      • Lisbon, Portugal, 1649-035
        • Recruiting
        • ULS de Santa Maria,EPE - Hospital de Santa Maria
        • Contact:
      • Vila Nova de Gaia, Portugal, 4434-502
      • San Juan, Puerto Rico, 00936
        • Recruiting
        • The Alliance Medical Sciences Campus
        • Contact:
      • Bucharest, Romania, 20475
        • Recruiting
        • Dr I Cantacuzino Clinical Hospital
        • Contact:
      • Bucharest, Romania, 11172
        • Recruiting
        • Sf.Maria Clinical Hospital
        • Contact:
      • Belgrade, Serbia, 11000
      • Belgrade, Serbia, 11152
      • Barcelona, Spain, 8023
      • Córdoba, Spain, 14004
        • Recruiting
        • C.H. Regional Reina Sofia
        • Contact:
      • Sabadell, Spain, 08208
        • Recruiting
        • Corporacio Sanitaria Parc Tauli
        • Contact:
      • Sankt Gallen, Switzerland, 9000
      • Zurich, Switzerland, 8090
      • Leeds, United Kingdom, LS7 4SA
        • Recruiting
        • Chapel Allerton Hospital
        • Contact:
      • London, United Kingdom, NW3 2QG
      • Luton, United Kingdom, LU4 0DZ
    • Arizona
      • Phoenix, Arizona, United States, 85032-9306
        • Recruiting
        • Arizona Arthritis and Rheumatology Associates
        • Contact:
    • California
      • Los Angeles, California, United States, 90095
        • Recruiting
        • UCLA Ronald Reagan University of California Los Angeles Medical Center
        • Contact:
    • Florida
      • Plantation, Florida, United States, 33324
        • Recruiting
        • IRIS Research and Development LLC
        • Contact:
    • Illinois
      • Chicago, Illinois, United States, 60612
        • Recruiting
        • University of Illinois Health Outpatient Care Center
        • Contact:
    • Louisiana
      • New Orleans, Louisiana, United States, 70112
    • Maryland
      • Baltimore, Maryland, United States, 21224
        • Recruiting
        • Johns Hopkins Asthma and Allergy Center
        • Contact:
      • Columbia, Maryland, United States, 21044
    • Michigan
      • Ann Arbor, Michigan, United States, 48109
        • Recruiting
        • University of Michigan Hospital
        • Contact:
    • Pennsylvania
      • Philadelphia, Pennsylvania, United States, 19104

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

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:

  • 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 autoimmune disease, except for secondary Sjögren's syndrome or fibromyalgia

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Efgartigimod PH20 SC
Participants receiving efgartigimod PH20 SC
Subcutaneous efgartigimod PH20 SC given by prefilled syringe
Placebo Comparator: Placebo PH20 SC
Participants receiving placebo PH20 SC
Subcutaneous placebo PH20 SC given by prefilled syringe

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from baseline in mRSS at week 24
Time Frame: Up to 24 weeks
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.
Up to 24 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from baseline in mRSS at week 48
Time Frame: Up to 48 weeks
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.
Up to 48 weeks
Incidence of treatment-emergent (serious) adverse events
Time Frame: Up to 55 weeks
Up to 55 weeks
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)
Time Frame: Up to 48 weeks
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.
Up to 48 weeks
Change from baseline in HAQ-DI at weeks 24 and 48
Time Frame: Up to 48 weeks
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).
Up to 48 weeks
Change from baseline in PGA at weeks 24 and 48
Time Frame: Up to 48 weeks
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).
Up to 48 weeks
Change from baseline in CGA at weeks 24 and 48
Time Frame: Up to 48 weeks
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).
Up to 48 weeks
Annualized rate of decline in FVC (in mL) in participants with interstitial lung disease
Time Frame: Up to 48 weeks
Forced Vital Capacity is a tool to assess lung function
Up to 48 weeks
Efgartigimod serum concentrations over time
Time Frame: Up to 48 weeks
Up to 48 weeks
Percent change from baseline in total IgG levels in serum over time
Time Frame: Up to 55 weeks
Up to 55 weeks
Incidence of anti-drug antibodies against efgartigimod in serum over time
Time Frame: Up to 55 weeks
Up to 55 weeks
Incidence of antibodies against rHuPH20 in plasma over time
Time Frame: Up to 55 weeks
Up to 55 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 11, 2024

Primary Completion (Estimated)

February 1, 2027

Study Completion (Estimated)

September 1, 2027

Study Registration Dates

First Submitted

October 22, 2024

First Submitted That Met QC Criteria

October 22, 2024

First Posted (Actual)

October 23, 2024

Study Record Updates

Last Update Posted (Actual)

April 23, 2026

Last Update Submitted That Met QC Criteria

April 22, 2026

Last Verified

April 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • ARGX-113-2317
  • 2024-514539-67-00 (Ctis)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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