活動性特発性炎症性筋症成人におけるエフガルチギモド皮下製剤の長期安全性と有効性を評価する研究 (ALKIVIA+)
活動性特発性炎症性筋症を患う18歳以上の参加者におけるエフガルチギモドPH20 SCの長期安全性、忍容性、有効性を調査するためのARGX-113-2007試験のフェーズ3、単群、多施設、非盲検延長
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.
調査の概要
状態
状態
条件
条件
介入・治療
介入・治療
研究の種類
研究の種類
入学 (推定)
入学
段階
段階
- フェーズ 3
連絡先と場所
研究場所
-
-
-
Dublin、アイルランド、D04 T6F4
- University College Dublin (UCD) - St. Vincent's University Hospital (SVUH)
-
-
-
-
Arizona
-
Phoenix、Arizona、アメリカ、85028
- Neuromuscular Clinical and Research Center - Neurology
-
-
California
-
Beverly Hills、California、アメリカ、90039
- Attune Health Research, Inc
-
Orange、California、アメリカ、92868
- UCI Health - ALS and Neuromuscular Center - Neurology
-
San Francisco、California、アメリカ、94143
- UCSF Health - ALS and Neurodegenerative Disease Center - Dermatology
-
-
Connecticut
-
New Haven、Connecticut、アメリカ、06520
- Yale Cancer Center-Yale University School Of Medicine
-
-
Florida
-
Gainesville、Florida、アメリカ、32610
- UF Health - Rheumatology Medical Specialties Medical Plaza
-
Jacksonville、Florida、アメリカ、32224
- Mayo Clinic - Florida - Neurology
-
Tampa、Florida、アメリカ、33616
- University of South Florida (USF) - Morsani Center (USF Health Carol and Frank Morsani Center for Advanced Healthcare)
-
-
Georgia
-
Atlanta、Georgia、アメリカ、30322
- Emory Healthcare - Emory Clinic - Rheumatology
-
-
Illinois
-
Chicago、Illinois、アメリカ、60611
- Northwestern Medicine - Northwestern Memorial Hospital
-
-
Maryland
-
Baltimore、Maryland、アメリカ、21224-2734
- John Hopkins Medicine - Johns Hopkins Myositis Center
-
-
New York
-
Great Neck、New York、アメリカ、11021
- Northwell Health Physician Partners Rheumatology
-
-
North Carolina
-
Chapel Hill、North Carolina、アメリカ、27514
- University of North Carolina (UNC) School of Medicine
-
-
Ohio
-
Columbus、Ohio、アメリカ、43201
- The Ohio State University
-
-
Oregon
-
Portland、Oregon、アメリカ、97239
- Oregon Health and Science University
-
-
Pennsylvania
-
Pittsburgh、Pennsylvania、アメリカ、15261
- University of Pittsburgh Medical Center
-
-
Texas
-
Austin、Texas、アメリカ、78759
- Austin Neuromuscular Center (National Neuromuscular Research Institute, PLLC)
-
Houston、Texas、アメリカ、77030
- Nerve And Muscle Center Of Texas
-
-
-
-
-
La Plata、アルゼンチン、B1902COS
- Framingham Centro Medico
-
San Miguel、アルゼンチン、B1663GKT
- Centro Dermatologico Schejtman
-
San Miguel de Tucumán、アルゼンチン、4000
- Centro Medico Privado de Reumatologia
-
-
-
-
-
Liverpool、イギリス、L9 7AL
- Aintree University Hospital - Liverpool University Hospitals NHS Foundation Trust
-
London、イギリス、NW3 2QG
- The Royal Free Hospital
-
Salford、イギリス、M6 8HD
- Northern Care Allicance NHS Foundation Trust - Salford Royal - Rheumatology
-
-
-
-
-
Bari、イタリア、70124
- Azienda Ospedaliero Universitaria Consorziale Policlinico
-
Milan、イタリア、20132
- Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale San Raffaele Hospital
-
Pisa、イタリア、56126
- Azienda Ospedaliero Universitaria Pisana - Ospedale Santa Chiara - Rheumatology
-
Roma、イタリア、00189
- Ospedale Sant'Andrea Hospital
-
Roma、イタリア、168
- Fondazione Policlinico Universitario Agostino Gemelli - Neurology
-
Rozzano、イタリア、20089
- IRCCS Istituto Clinico Humanitas
-
Udine、イタリア、33100
- Azienda sanitaria universitaria Friuli Centrale - ASUFC
-
-
-
-
-
Amsterdam、オランダ、1105 AZ
- Amsterdam UMC Research BV
-
-
-
-
-
Innsbruck、オーストリア、6020
- Tirol Kliniken - A.o. Landeskrankenhaus Innsbruck - Neurology
-
-
-
-
-
Nicosia、キプロス、2371
- Cyprus Institute of Neurology and Genetics
-
-
-
-
-
Athens、ギリシャ、115 27
- National and Kapodistrian University of Athens - School of Health Sciences - Faculty of Medicine
-
Athens、ギリシャ、115 28
- National and Kapodistrian University of Athens - Eginition Hospital
-
Athens、ギリシャ、12462
- ATTIKON University General Hospital - Neurology
-
-
-
-
-
Tbilisi、グルジア、0160
- Aversi Clinic
-
Tbilisi、グルジア、0180
- The First Medical Center
-
Tbilisi、グルジア、0160
- LLC MediClub Georgia
-
Tbilisi、グルジア、0162
- New Hospitals
-
-
-
-
-
Solna、スウェーデン、17176
- Karolinska Universitestssjukhus Solna
-
-
-
-
-
Barcelona、スペイン、08041
- Hospital de la Santa Creu i Sant Pau
-
Madrid、スペイン、28041
- Hospital Universitario 12 de Octubre
-
Valencia、スペイン、46026
- Hospital Universitari i Politecnic La Fe de Valencia - Neurology
-
-
-
-
-
Belgrade、セルビア、11000
- Clinical Center of Serbia
-
Belgrade、セルビア、11000
- Institute of Rheumatology
-
-
-
-
-
Bangkok、タイ、10400
- Phramongkutklao Hospital
-
Bangkok、タイ、10330
- King Chulalongkorn Memorial Hospital - Neurology
-
Bangkok、タイ、10700
- Siriraj Hospital, Mahidol University of Internal medicine
-
Bangkok、タイ、10400
- Ramathibodi hospital
-
Khon Kaen、タイ、40002
- Faculty Of Medicine, Khon Kaen University
-
-
-
-
-
Prague、チェコ、12850
- Revmatologicky Ustav
-
-
-
-
-
Copenhagen、デンマーク、2100
- Copenhagen University Hospital-Rigshospitalet University Hospital
-
-
-
-
-
Berlin、ドイツ、10117
- Charite Universitaetsmedizin Berlin - Campus Charite Mitte (CCM) - Rheumatology
-
Hamburg、ドイツ、20246
- Universitaetsklinikum Hamburg-Eppendorf
-
Herne、ドイツ、44649
- Rheumazentrum Ruhrgebiet
-
Mannheim、ドイツ、68167
- Universitatsmedizin Mannheim GmbH
-
Tübingen、ドイツ、72076
- Universitaetsklinikum Tuebingen (UKT)
-
Ulm、ドイツ、89081
- Klinikum der Universitaet Ulm
-
-
-
-
-
Paris、フランス、75013
- Reference Center Neuro-Muscular Diseases - CHU Paris Group Hospitalier La Pitie Salpetriere-Charles Foix
-
-
-
-
-
Plovdiv、ブルガリア、4002
- Multiprofile hospital for active treatment Kaspela EOOD
-
Plovdiv、ブルガリア、4002
- Medical Centre Artmed
-
-
-
-
-
Ghent、ベルギー、9000
- AZ Sint-Lucas - Campus Sint-Lucas - Neurology
-
Leuven、ベルギー、3000
- Universitair Ziekenhuis Leuven Gasthuisberg Campus
-
-
-
-
-
Arequipa、ペルー、4000
- Clinica San Juan de Dios - sede Arequipa - Rheumatology
-
Lima、ペルー、33
- Investigaciones Clinicas S.A.C.
-
Lima、ペルー、27
- Instituto Peruano Del Hueso Y La Articulacion Sac-Privado-Lima,Centro De Investigacion Iphar
-
-
-
-
-
Porto、ポルトガル、4099-001
- Centro Hospitalar do Porto - Hospital Santo Antonio
-
-
-
-
-
Lodz、ポーランド、90-549
- USK-WAM Centralny Szpital Weteranow - Szpital Kniniczny ul. Zeromskiego 113 - Rheumatology
-
Szczecin、ポーランド、71-252
- Centrum Wsparcia Badan Klinicznych Pomorskiego Uniwersytetu Medycznego w Szczecinie (CWBK PUM) - Rheumatology
-
-
-
-
-
Mexico City、メキシコ、06700
- Hospital Angeles Clinica Londres
-
-
-
-
-
Vilnius、リトアニア、08410
- Santaros University Clinic
-
-
-
-
-
Beijing、中国、100730
- Peking Union Medical College Hospital
-
Beijing、中国、100191
- Peking University Third Hospital
-
Chengdu、中国、610072
- Sichuan Provincial Academy of Medical Sciences and Sichuan Provincial People's Hospital
-
Shanghai、中国、200040
- Huashan Hospital Affiliated to Fudan University
-
Shanghai、中国、200001
- Shanghai Jiao Tong University School of Medicine - Renji Hospital - Shanghai Institute of Digestive Disease (SIDD)
-
Shenyang、中国、110001
- China Medical University (CMU) - First Affiliated Hospital
-
Zhengzhou、中国、450052
- First Affiliated Hospital (Henan Medical University - First Affiliated Hospital)-Zhengzhou University
-
-
Guangdong
-
Guangzhou、Guangdong、中国、510515
- Nanfang Hospital, Southern Medical University
-
-
Jingsu
-
Nanjing、Jingsu、中国、210000
- Nanjing University Medical School - Taikang Xianlin Drum Tower Hospital (Nanjing Drum Tower Hospital)
-
-
-
-
-
Taichung、台湾、402
- Chung Shan Medical University Hospital
-
Taichung、台湾
- Taichung Veterans General Hospital
-
-
-
-
-
Bunkyō City、日本、113-8431
- Juntendo University Hospital
-
Bunkyō City、日本、113-8655
- The University of Tokyo Hospital
-
Nagoya、日本、457-8510
- Japan Community Healthcare Organization Chukyo Hospital
-
Tokyo、日本、113-8519
- Institute of Science Tokyo Hospital
-
Wakayama、日本、641-8510
- Wakayama Medical University Hospital
-
Yamaguchi、日本、755-8505
- Yamaguchi University Hospital
-
-
-
-
-
Seoul、韓国、03080
- Seoul National University Hospital
-
-
参加基準
適格基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
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
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:なし
- 介入モデル:単一グループの割り当て
- マスキング:なし(オープンラベル)
アーム数
武器と介入
参加者グループ / アーム参加者グループ / アーム |
介入・治療介入・治療 |
|---|---|
|
実験的:Efgartigimod PH20 SC
Participants receiving efgartigimod PH20 subcutaneously |
Subcutaneous injection of Efgartigimod PH20 given by vials or prefilled syringe (PFS) |
この研究は何を測定していますか?
主要な結果の測定
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Incidence of AEs, SAEs and AESIs over time
時間枠:Up to 53 months
|
AE : adverse event ; SAE : serious adverse event ; AESI : adverse event of special interest. |
Up to 53 months
|
二次結果の測定
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
時間経過に伴うプレドニゾン用量の減少(平均月間投与量)
時間枠:最大51ヶ月
|
最大51ヶ月
|
|
|
血清中の総IgGレベルのベースラインからの経時的な変化率
時間枠:最大53ヶ月
|
最大53ヶ月
|
|
|
2週間ごとの投与期間
時間枠:最大51か月
|
最大51か月
|
|
|
C-GTI comprising the AIS over time
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
|
協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
研究開始
一次修了 (推定)
一次修了
研究の完了 (推定)
研究の完了
試験登録日
最初に提出
最初に提出
QC基準を満たした最初の提出物
QC基準を満たした最初の提出物
最初の投稿 (実際)
最初の投稿
学習記録の更新
投稿された最後の更新 (実際)
投稿された最後の更新
QC基準を満たした最後の更新が送信されました
QC基準を満たした最後の更新が送信されました
最終確認日
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
その他の研究ID番号
- ARGX-113-2011
- 2022-502851-79-00 (Ctis)
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。