- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT05979441
Tutkimus ihonalaisen efgartigimod-formulaation pitkäaikaisen turvallisuuden ja tehon arvioimiseksi aikuisilla, joilla on aktiivinen idiopaattinen tulehduksellinen myopatia (ALKIVIA+)
Vaihe 3, yksihaarainen, monikeskus, avoin tutkimus ARGX-113-2007, jossa tutkitaan Efgartigimod PH20 SC:n pitkäaikaisturvallisuutta, siedettävyyttä ja tehoa 18-vuotiailla ja sitä vanhemmilla osallistujilla, joilla on aktiivinen idiopaattinen tulehdus
The main purpose of this study is to measure the long-term safety and tolerability of efgartigimod PH20 SC in adult participants with Idiopathic Inflammatory Myopathy (IIM) who previously participated in ARGX-113-2007.
The study consists of a treatment period where participants will receive efgartigimod PH20 SC for up to 51 months. The treatment period will be followed by a treatment-free safety follow-up period of 56 days.
Tutkimuksen yleiskatsaus
Tila
Ehdot
Interventio / Hoito
Opintotyyppi
Ilmoittautuminen (Arvioitu)
Vaihe
- Vaihe 3
Yhteystiedot ja paikat
Opiskelupaikat
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Amsterdam, Alankomaat, 1105 AZ
- Amsterdam UMC Research BV
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La Plata, Argentiina, B1902COS
- Framingham Centro Medico
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San Miguel, Argentiina, B1663GKT
- Centro Dermatologico Schejtman
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San Miguel de Tucumán, Argentiina, 4000
- Centro Medico Privado de Reumatologia
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Ghent, Belgia, 9000
- AZ Sint-Lucas - Campus Sint-Lucas - Neurology
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Leuven, Belgia, 3000
- Universitair Ziekenhuis Leuven Gasthuisberg Campus
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Plovdiv, Bulgaria, 4002
- Multiprofile hospital for active treatment Kaspela EOOD
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Plovdiv, Bulgaria, 4002
- Medical Centre Artmed
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Barcelona, Espanja, 08041
- Hospital de la Santa Creu i Sant Pau
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Madrid, Espanja, 28041
- Hospital Universitario 12 de Octubre
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Valencia, Espanja, 46026
- Hospital Universitari i Politecnic La Fe de Valencia - Neurology
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Seoul, Etelä -Korea, 03080
- Seoul National University Hospital
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Tbilisi, Georgia, 0160
- Aversi Clinic
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Tbilisi, Georgia, 0180
- The First Medical Center
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Tbilisi, Georgia, 0160
- LLC MediClub Georgia
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Tbilisi, Georgia, 0162
- New Hospitals
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Dublin, Irlanti, D04 T6F4
- University College Dublin (UCD) - St. Vincent's University Hospital (SVUH)
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Bari, Italia, 70124
- Azienda Ospedaliero Universitaria Consorziale Policlinico
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Milan, Italia, 20132
- Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale San Raffaele Hospital
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Pisa, Italia, 56126
- Azienda Ospedaliero Universitaria Pisana - Ospedale Santa Chiara - Rheumatology
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Roma, Italia, 00189
- Ospedale Sant'Andrea Hospital
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Roma, Italia, 168
- Fondazione Policlinico Universitario Agostino Gemelli - Neurology
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Rozzano, Italia, 20089
- IRCCS Istituto Clinico Humanitas
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Udine, Italia, 33100
- Azienda sanitaria universitaria Friuli Centrale - ASUFC
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Innsbruck, Itävalta, 6020
- Tirol Kliniken - A.o. Landeskrankenhaus Innsbruck - Neurology
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Bunkyō City, Japani, 113-8431
- Juntendo University Hospital
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Bunkyō City, Japani, 113-8655
- The University of Tokyo Hospital
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Nagoya, Japani, 457-8510
- Japan Community Healthcare Organization Chukyo Hospital
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Tokyo, Japani, 113-8519
- Institute of Science Tokyo Hospital
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Wakayama, Japani, 641-8510
- Wakayama Medical University Hospital
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Yamaguchi, Japani, 755-8505
- Yamaguchi University Hospital
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Beijing, Kiina, 100730
- Peking Union Medical College Hospital
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Beijing, Kiina, 100191
- Peking University Third Hospital
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Chengdu, Kiina, 610072
- Sichuan Provincial Academy of Medical Sciences and Sichuan Provincial People's Hospital
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Shanghai, Kiina, 200040
- Huashan Hospital Affiliated to Fudan University
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Shanghai, Kiina, 200001
- Shanghai Jiao Tong University School of Medicine - Renji Hospital - Shanghai Institute of Digestive Disease (SIDD)
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Shenyang, Kiina, 110001
- China Medical University (CMU) - First Affiliated Hospital
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Zhengzhou, Kiina, 450052
- First Affiliated Hospital (Henan Medical University - First Affiliated Hospital)-Zhengzhou University
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Guangdong
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Guangzhou, Guangdong, Kiina, 510515
- Nanfang Hospital, Southern Medical University
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Jingsu
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Nanjing, Jingsu, Kiina, 210000
- Nanjing University Medical School - Taikang Xianlin Drum Tower Hospital (Nanjing Drum Tower Hospital)
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Athens, Kreikka, 115 27
- National and Kapodistrian University of Athens - School of Health Sciences - Faculty of Medicine
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Athens, Kreikka, 115 28
- National and Kapodistrian University of Athens - Eginition Hospital
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Athens, Kreikka, 12462
- ATTIKON University General Hospital - Neurology
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Nicosia, Kypros, 2371
- Cyprus Institute of Neurology and Genetics
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Vilnius, Liettua, 08410
- Santaros University Clinic
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Mexico City, Meksiko, 06700
- Hospital Angeles Clinica Londres
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Arequipa, Peru, 4000
- Clinica San Juan de Dios - sede Arequipa - Rheumatology
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Lima, Peru, 33
- Investigaciones Clinicas S.A.C.
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Lima, Peru, 27
- Instituto Peruano Del Hueso Y La Articulacion Sac-Privado-Lima,Centro De Investigacion Iphar
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Porto, Portugali, 4099-001
- Centro Hospitalar do Porto - Hospital Santo Antonio
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Lodz, Puola, 90-549
- USK-WAM Centralny Szpital Weteranow - Szpital Kniniczny ul. Zeromskiego 113 - Rheumatology
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Szczecin, Puola, 71-252
- Centrum Wsparcia Badan Klinicznych Pomorskiego Uniwersytetu Medycznego w Szczecinie (CWBK PUM) - Rheumatology
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Paris, Ranska, 75013
- Reference Center Neuro-Muscular Diseases - CHU Paris Group Hospitalier La Pitie Salpetriere-Charles Foix
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Solna, Ruotsi, 17176
- Karolinska Universitestssjukhus Solna
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Berlin, Saksa, 10117
- Charite Universitaetsmedizin Berlin - Campus Charite Mitte (CCM) - Rheumatology
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Hamburg, Saksa, 20246
- Universitaetsklinikum Hamburg-Eppendorf
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Herne, Saksa, 44649
- Rheumazentrum Ruhrgebiet
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Mannheim, Saksa, 68167
- Universitatsmedizin Mannheim GmbH
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Tübingen, Saksa, 72076
- Universitaetsklinikum Tuebingen (UKT)
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Ulm, Saksa, 89081
- Klinikum der Universitaet Ulm
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Belgrade, Serbia, 11000
- Clinical Center of Serbia
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Belgrade, Serbia, 11000
- Institute of Rheumatology
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Taichung, Taiwan, 402
- Chung Shan Medical University Hospital
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Taichung, Taiwan
- Taichung Veterans General Hospital
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Copenhagen, Tanska, 2100
- Copenhagen University Hospital-Rigshospitalet University Hospital
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Bangkok, Thaimaa, 10400
- Phramongkutklao Hospital
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Bangkok, Thaimaa, 10330
- King Chulalongkorn Memorial Hospital - Neurology
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Bangkok, Thaimaa, 10700
- Siriraj Hospital, Mahidol University of Internal medicine
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Bangkok, Thaimaa, 10400
- Ramathibodi hospital
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Khon Kaen, Thaimaa, 40002
- Faculty Of Medicine, Khon Kaen University
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Prague, Tšekki, 12850
- Revmatologicky Ustav
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Liverpool, Yhdistynyt kuningaskunta, L9 7AL
- Aintree University Hospital - Liverpool University Hospitals NHS Foundation Trust
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London, Yhdistynyt kuningaskunta, NW3 2QG
- The Royal Free Hospital
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Salford, Yhdistynyt kuningaskunta, M6 8HD
- Northern Care Allicance NHS Foundation Trust - Salford Royal - Rheumatology
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Arizona
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Phoenix, Arizona, Yhdysvallat, 85028
- Neuromuscular Clinical and Research Center - Neurology
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California
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Beverly Hills, California, Yhdysvallat, 90039
- Attune Health Research, Inc
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Orange, California, Yhdysvallat, 92868
- UCI Health - ALS and Neuromuscular Center - Neurology
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San Francisco, California, Yhdysvallat, 94143
- UCSF Health - ALS and Neurodegenerative Disease Center - Dermatology
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Connecticut
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New Haven, Connecticut, Yhdysvallat, 06520
- Yale Cancer Center-Yale University School Of Medicine
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Florida
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Gainesville, Florida, Yhdysvallat, 32610
- UF Health - Rheumatology Medical Specialties Medical Plaza
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Jacksonville, Florida, Yhdysvallat, 32224
- Mayo Clinic - Florida - Neurology
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Tampa, Florida, Yhdysvallat, 33616
- University of South Florida (USF) - Morsani Center (USF Health Carol and Frank Morsani Center for Advanced Healthcare)
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Georgia
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Atlanta, Georgia, Yhdysvallat, 30322
- Emory Healthcare - Emory Clinic - Rheumatology
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Illinois
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Chicago, Illinois, Yhdysvallat, 60611
- Northwestern Medicine - Northwestern Memorial Hospital
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Maryland
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Baltimore, Maryland, Yhdysvallat, 21224-2734
- John Hopkins Medicine - Johns Hopkins Myositis Center
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New York
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Great Neck, New York, Yhdysvallat, 11021
- Northwell Health Physician Partners Rheumatology
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North Carolina
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Chapel Hill, North Carolina, Yhdysvallat, 27514
- University of North Carolina (UNC) School of Medicine
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Ohio
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Columbus, Ohio, Yhdysvallat, 43201
- The Ohio State University
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Oregon
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Portland, Oregon, Yhdysvallat, 97239
- Oregon Health and Science University
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Pennsylvania
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Pittsburgh, Pennsylvania, Yhdysvallat, 15261
- University of Pittsburgh Medical Center
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Texas
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Austin, Texas, Yhdysvallat, 78759
- Austin Neuromuscular Center (National Neuromuscular Research Institute, PLLC)
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Houston, Texas, Yhdysvallat, 77030
- Nerve And Muscle Center Of Texas
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Inclusion Criteria:
- Has completed trial ARGX-113-2007
- Being capable of providing signed informed consent and complying with protocol requirements
- Agrees to use contraceptive measures consistent with local regulations and women of childbearing potential must have a negative urine pregnancy test at baseline before receiving the study drug
Exclusion Criteria:
- Intention to have major surgery during the study period or any other medical condition that has arisen since enrollment in study ARGX-113-2007, that in the investigator's opinion, would confound the results of the study or put the participant at undue risk
- Known hypersensitivity reaction to the study drug or 1 of its excipients
- Development of any malignancy, either new or recurrent, other than basal cell carcinoma of the skin, regardless of relatedness
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Ei käytössä
- Inventiomalli: Yksittäinen ryhmätehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Kokeellinen: Efgartigimod PH20 SC
Participants receiving efgartigimod PH20 subcutaneously |
Subcutaneous injection of Efgartigimod PH20 given by vials or prefilled syringe (PFS) |
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Incidence of AEs, SAEs and AESIs over time
Aikaikkuna: Up to 53 months
|
AE : adverse event ; SAE : serious adverse event ; AESI : adverse event of special interest. |
Up to 53 months
|
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Prednisonian annoksen vähentäminen (keskimääräinen kuukausittainen annos) ajan kuluessa
Aikaikkuna: Enintään 51 kuukautta
|
Enintään 51 kuukautta
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|
Prosentuaalinen muutos perustasosta kokonais-IgG-pitoisuuksissa seerumissa ajan kuluessa
Aikaikkuna: Enintään 53 kuukautta
|
Enintään 53 kuukautta
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Annostelun kesto kahden viikon välein
Aikaikkuna: Enintään 51 kuukautta
|
Enintään 51 kuukautta
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|
C-GTI comprising the AIS over time
Aikaikkuna: Up to 51 months
|
The Composite Glucocorticoid Toxicity Index (C-GTI) serves as a primary instrument to capture toxicities likely caused by glucocorticoid exposure and enables monitoring of long-term tolerability of glucocorticoids during prolonged use. The Aggregate Improvement Score (AIS) is an analytical scores generated from the weighted C-GTI. The AIS can be used to assess whether a new therapy is effective in reducing glucocorticoid toxicity over time; higher AIS scores are associated with less toxicity. |
Up to 51 months
|
|
C-GTI comprising the CWS over time
Aikaikkuna: Up to 51 months
|
The Composite Glucocorticoid Toxicity Index (C-GTI) serves as a primary instrument to capture toxicities likely caused by glucocorticoid exposure and enables monitoring of long-term tolerability of glucocorticoids during prolonged use. The Cumulative Worsening Score (CWS) is an analytical score generated from the weighted C-GTI. The CWS is designed to assess cumulative glucocorticoid toxicity; higher scores indicate increased steroid toxicity. |
Up to 51 months
|
|
C-GTI comprising the GTI-MD over time
Aikaikkuna: Up to 51 months
|
The Composite Glucocorticoid Toxicity Index (C-GTI) serves as a primary instrument to capture toxicities likely caused by glucocorticoid exposure and enables monitoring of long-term tolerability of glucocorticoids during prolonged use. The Glucocorticoid Toxicity Index-Metabolic Domains (GTI-MD) is an abbreviated GTI version limited to the 4 metabolic domains. A GTI-MD score of 0 indicates a low likelihood of toxicity in the assessed metabolic domains. |
Up to 51 months
|
|
TIS over time
Aikaikkuna: Up to 51 months
|
The total improvement score (TIS) assesses minimal, moderate, and major clinical response, and it is assessed using the ACR/EULAR criteria. The total score varies between 0 and 100, with higher scores indicating greater improvement. |
Up to 51 months
|
|
Proportion of TIS responders (minimal, moderate, major) over time
Aikaikkuna: Up to 51 months
|
The total improvement score (TIS) assesses minimal, moderate, and major clinical response, and it is assessed using the ACR/EULAR criteria. The total score varies between 0 and 100, with higher scores indicating greater improvement |
Up to 51 months
|
|
Individual CSMs of the TIS over time
Aikaikkuna: Up to 51 months
|
The total improvement score (TIS) assesses minimal, moderate, and major clinical response, and it is assessed using the ACR/EULAR criteria. The ACR/EULAR criteria calculate TIS using the 6 core set measure (CSMs): MDGA, PGA, MMT8, HAQ-DI, muscle enzymes, and extramuscular global assessment (assessed by the MDAAT). |
Up to 51 months
|
|
Percentage of participants with clinically inactive disease
Aikaikkuna: Up to 51 months
|
Clinically inactive disease is defined as no evidence of disease activity, based on an Physician Global Assessment of Disease Activity (MDGA) and Extramuscular Global Assessment of the Myositis Disease Activity Assessment Tool (MDAAT) of 0 and normal creatine kinase (CK) values for at least 12 weeks (at week 28 and every 24 weeks thereafter). |
Up to 51 months
|
|
Percentage of participants with remission during the study
Aikaikkuna: Up to 51 months
|
Remission is defined as a clinically inactive disease for at least 24 weeks |
Up to 51 months
|
|
PGI-S over time
Aikaikkuna: Up to 51 months
|
The Patient Global Impression of Severity (PGI-S) asks participants to rate the severity of their disease symptoms over the past 7 days on a 4-point Likert scale, where scores range from "no symptoms" to "severe." |
Up to 51 months
|
|
CGI-S over time
Aikaikkuna: Up to 51 months
|
The Clinical Global Impression of Severity (CGI-S) asks the physician to rate the severity of the participant's disease on a 4-point Likert scale, where scores range from "no activity" to "severe". |
Up to 51 months
|
|
Physical Functioning subscale and Physical Component Summary scores of the SF-36v2 over time
Aikaikkuna: Up to 51 months
|
The 36-Item Short Form Survey version 2 (SF-36v2) is a 36-item scale constructed to survey health-related quality of life in 8 domains. |
Up to 51 months
|
|
EQ-5D-5L utilities over time
Aikaikkuna: Up to 51 months
|
The EQ-5D-5L questionnaire is a standardized test recognized by many health authorities as a generic measure of health status for clinical and economic appraisal. The descriptive system comprises 5 dimensions, each having 5 levels ranging from "No problem" to "Extreme problem". |
Up to 51 months
|
|
EQ-5D-5L VAS over time
Aikaikkuna: Up to 51 months
|
The EQ-5D-5L questionnaire is a standardized test recognized by many health authorities as a generic measure of health status for clinical and economic appraisal. A visual analog scale (VAS) is included in the EQ-5D-5L, where participants will mark their health status from 0 (the worst health you can imagine) to 100 (the best health you can imagine). |
Up to 51 months
|
|
Incidence of ADA against efgartigimod (serum levels) over time
Aikaikkuna: Up to 53 months
|
ADA : anti-drug antibodies. |
Up to 53 months
|
|
Proportion of participants achieving sustained low disease activity while on IMP, over time
Aikaikkuna: Up to 51 months
|
Sustained low disease activity is defined as a CGI-S score of "mild" or "no activity" and a PGI-S score of "mild" or "no symptoms" for at least 12 weeks. |
Up to 51 months
|
|
Proportion of participants with low disease activity over time, while on IMP
Aikaikkuna: Up to 51 months
|
Low disease activity is defined as a CGI-S score of "mild" or "no activity" and a PGI-S score of "mild" or "no symptoms" |
Up to 51 months
|
|
Proportion of participants with low disease activity who continue dosing every 2 weeks at week 52 and every 24 weeks thereafter
Aikaikkuna: Up to 51 months
|
Low disease activity is defined as a CGI-S score of "mild" or "no activity" and a PGI-S score of "mild" or "no symptoms" |
Up to 51 months
|
|
Proportion of participants who have marked worsening during the period of dosing every 2 weeks
Aikaikkuna: Up to 51 months
|
Marked worsening is defined as a CGI-S score of "moderate" or "severe" and a PGI-S score of "moderate" or "severe" |
Up to 51 months
|
Yhteistyökumppanit ja tutkijat
Sponsori
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Arvioitu)
Opintojen valmistuminen (Arvioitu)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muita asiaankuuluvia MeSH-ehtoja
Muut tutkimustunnusnumerot
- ARGX-113-2011
- 2022-502851-79-00 (Ctis)
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
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