Badanie mające na celu ocenę długoterminowego bezpieczeństwa i skuteczności efgartigimodu w postaci podskórnej u dorosłych z czynną idiopatyczną miopatią zapalną (ALKIVIA+)
Faza 3, jednoramienne, wieloośrodkowe, otwarte rozszerzenie badania ARGX-113-2007 w celu zbadania długoterminowego bezpieczeństwa, tolerancji i skuteczności Efgartigimodu PH20 sc. u uczestników w wieku 18 lat i starszych z aktywną idiopatyczną miopatią zapalną
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.
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Faza 3
Kontakty i lokalizacje
Lokalizacje studiów
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La Plata, Argentyna, B1902COS
- Framingham Centro Medico
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San Miguel, Argentyna, B1663GKT
- Centro Dermatologico Schejtman
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San Miguel de Tucumán, Argentyna, 4000
- Centro Medico Privado de Reumatologia
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Innsbruck, Austria, 6020
- Tirol Kliniken - A.o. Landeskrankenhaus Innsbruck - Neurology
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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, Bułgaria, 4002
- Multiprofile hospital for active treatment Kaspela EOOD
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Plovdiv, Bułgaria, 4002
- Medical Centre Artmed
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Beijing, Chiny, 100730
- Peking Union Medical College Hospital
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Beijing, Chiny, 100191
- Peking University Third Hospital
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Chengdu, Chiny, 610072
- Sichuan Provincial Academy of Medical Sciences and Sichuan Provincial People's Hospital
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Shanghai, Chiny, 200040
- Huashan Hospital Affiliated to Fudan University
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Shanghai, Chiny, 200001
- Shanghai Jiao Tong University School of Medicine - Renji Hospital - Shanghai Institute of Digestive Disease (SIDD)
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Shenyang, Chiny, 110001
- China Medical University (CMU) - First Affiliated Hospital
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Zhengzhou, Chiny, 450052
- First Affiliated Hospital (Henan Medical University - First Affiliated Hospital)-Zhengzhou University
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Guangdong
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Guangzhou, Guangdong, Chiny, 510515
- Nanfang Hospital, Southern Medical University
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Jingsu
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Nanjing, Jingsu, Chiny, 210000
- Nanjing University Medical School - Taikang Xianlin Drum Tower Hospital (Nanjing Drum Tower Hospital)
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Nicosia, Cypr, 2371
- Cyprus Institute of Neurology and Genetics
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Prague, Czechy, 12850
- Revmatologicky Ustav
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Copenhagen, Dania, 2100
- Copenhagen University Hospital-Rigshospitalet University Hospital
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Paris, Francja, 75013
- Reference Center Neuro-Muscular Diseases - CHU Paris Group Hospitalier La Pitie Salpetriere-Charles Foix
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Athens, Grecja, 115 27
- National and Kapodistrian University of Athens - School of Health Sciences - Faculty of Medicine
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Athens, Grecja, 115 28
- National and Kapodistrian University of Athens - Eginition Hospital
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Athens, Grecja, 12462
- ATTIKON University General Hospital - Neurology
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Tbilisi, Gruzja, 0160
- Aversi Clinic
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Tbilisi, Gruzja, 0180
- The First Medical Center
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Tbilisi, Gruzja, 0160
- LLC MediClub Georgia
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Tbilisi, Gruzja, 0162
- New Hospitals
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Barcelona, Hiszpania, 08041
- Hospital de la Santa Creu i Sant Pau
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Madrid, Hiszpania, 28041
- Hospital Universitario 12 de Octubre
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Valencia, Hiszpania, 46026
- Hospital Universitari i Politecnic La Fe de Valencia - Neurology
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Amsterdam, Holandia, 1105 AZ
- Amsterdam UMC Research BV
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Dublin, Irlandia, D04 T6F4
- University College Dublin (UCD) - St. Vincent's University Hospital (SVUH)
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Bunkyō City, Japonia, 113-8431
- Juntendo University Hospital
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Bunkyō City, Japonia, 113-8655
- The University of Tokyo Hospital
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Nagoya, Japonia, 457-8510
- Japan Community Healthcare Organization Chukyo Hospital
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Tokyo, Japonia, 113-8519
- Institute of Science Tokyo Hospital
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Wakayama, Japonia, 641-8510
- Wakayama Medical University Hospital
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Yamaguchi, Japonia, 755-8505
- Yamaguchi University Hospital
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Seoul, Korea Południowa, 03080
- Seoul National University Hospital
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Vilnius, Litwa, 08410
- Santaros University Clinic
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Mexico City, Meksyk, 06700
- Hospital Angeles Clinica Londres
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Berlin, Niemcy, 10117
- Charite Universitaetsmedizin Berlin - Campus Charite Mitte (CCM) - Rheumatology
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Hamburg, Niemcy, 20246
- Universitaetsklinikum Hamburg-Eppendorf
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Herne, Niemcy, 44649
- Rheumazentrum Ruhrgebiet
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Mannheim, Niemcy, 68167
- Universitatsmedizin Mannheim GmbH
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Tübingen, Niemcy, 72076
- Universitaetsklinikum Tuebingen (UKT)
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Ulm, Niemcy, 89081
- Klinikum der Universitaet Ulm
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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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Lodz, Polska, 90-549
- USK-WAM Centralny Szpital Weteranow - Szpital Kniniczny ul. Zeromskiego 113 - Rheumatology
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Szczecin, Polska, 71-252
- Centrum Wsparcia Badan Klinicznych Pomorskiego Uniwersytetu Medycznego w Szczecinie (CWBK PUM) - Rheumatology
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Porto, Portugalia, 4099-001
- Centro Hospitalar do Porto - Hospital Santo Antonio
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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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Arizona
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Phoenix, Arizona, Stany Zjednoczone, 85028
- Neuromuscular Clinical and Research Center - Neurology
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California
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Beverly Hills, California, Stany Zjednoczone, 90039
- Attune Health Research, Inc
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Orange, California, Stany Zjednoczone, 92868
- UCI Health - ALS and Neuromuscular Center - Neurology
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San Francisco, California, Stany Zjednoczone, 94143
- UCSF Health - ALS and Neurodegenerative Disease Center - Dermatology
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Connecticut
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New Haven, Connecticut, Stany Zjednoczone, 06520
- Yale Cancer Center-Yale University School Of Medicine
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Florida
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Gainesville, Florida, Stany Zjednoczone, 32610
- UF Health - Rheumatology Medical Specialties Medical Plaza
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Jacksonville, Florida, Stany Zjednoczone, 32224
- Mayo Clinic - Florida - Neurology
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Tampa, Florida, Stany Zjednoczone, 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, Stany Zjednoczone, 30322
- Emory Healthcare - Emory Clinic - Rheumatology
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Illinois
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Chicago, Illinois, Stany Zjednoczone, 60611
- Northwestern Medicine - Northwestern Memorial Hospital
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Maryland
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Baltimore, Maryland, Stany Zjednoczone, 21224-2734
- John Hopkins Medicine - Johns Hopkins Myositis Center
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New York
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Great Neck, New York, Stany Zjednoczone, 11021
- Northwell Health Physician Partners Rheumatology
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North Carolina
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Chapel Hill, North Carolina, Stany Zjednoczone, 27514
- University of North Carolina (UNC) School of Medicine
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Ohio
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Columbus, Ohio, Stany Zjednoczone, 43201
- The Ohio State University
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Oregon
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Portland, Oregon, Stany Zjednoczone, 97239
- Oregon Health and Science University
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Pennsylvania
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Pittsburgh, Pennsylvania, Stany Zjednoczone, 15261
- University of Pittsburgh Medical Center
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Texas
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Austin, Texas, Stany Zjednoczone, 78759
- Austin Neuromuscular Center (National Neuromuscular Research Institute, PLLC)
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Houston, Texas, Stany Zjednoczone, 77030
- Nerve And Muscle Center Of Texas
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Solna, Szwecja, 17176
- Karolinska Universitestssjukhus Solna
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Bangkok, Tajlandia, 10400
- Phramongkutklao Hospital
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Bangkok, Tajlandia, 10330
- King Chulalongkorn Memorial Hospital - Neurology
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Bangkok, Tajlandia, 10700
- Siriraj Hospital, Mahidol University of Internal medicine
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Bangkok, Tajlandia, 10400
- Ramathibodi hospital
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Khon Kaen, Tajlandia, 40002
- Faculty Of Medicine, Khon Kaen University
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Taichung, Tajwan, 402
- Chung Shan Medical University Hospital
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Taichung, Tajwan
- Taichung Veterans General Hospital
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Bari, Włochy, 70124
- Azienda Ospedaliero Universitaria Consorziale Policlinico
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Milan, Włochy, 20132
- Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale San Raffaele Hospital
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Pisa, Włochy, 56126
- Azienda Ospedaliero Universitaria Pisana - Ospedale Santa Chiara - Rheumatology
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Roma, Włochy, 00189
- Ospedale Sant'Andrea Hospital
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Roma, Włochy, 168
- Fondazione Policlinico Universitario Agostino Gemelli - Neurology
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Rozzano, Włochy, 20089
- IRCCS Istituto Clinico Humanitas
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Udine, Włochy, 33100
- Azienda sanitaria universitaria Friuli Centrale - ASUFC
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Liverpool, Zjednoczone Królestwo, L9 7AL
- Aintree University Hospital - Liverpool University Hospitals NHS Foundation Trust
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London, Zjednoczone Królestwo, NW3 2QG
- The Royal Free Hospital
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Salford, Zjednoczone Królestwo, M6 8HD
- Northern Care Allicance NHS Foundation Trust - Salford Royal - Rheumatology
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Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
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
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Nie dotyczy
- Model interwencyjny: Zadanie dla jednej grupy
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
|
Eksperymentalny: Efgartigimod PH20 SC
Participants receiving efgartigimod PH20 subcutaneously |
Subcutaneous injection of Efgartigimod PH20 given by vials or prefilled syringe (PFS) |
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Incidence of AEs, SAEs and AESIs over time
Ramy czasowe: Up to 53 months
|
AE : adverse event ; SAE : serious adverse event ; AESI : adverse event of special interest. |
Up to 53 months
|
Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Zmniejszenie dawki prednizonu (średnia miesięczna dawka) w czasie
Ramy czasowe: Do 51 miesięcy
|
Do 51 miesięcy
|
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Procentowa zmiana w stosunku do wartości wyjściowej całkowitego poziomu IgG w surowicy w czasie
Ramy czasowe: Do 53 miesięcy
|
Do 53 miesięcy
|
|
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Czas trwania podawania co 2 tygodnie
Ramy czasowe: Do 51 miesięcy
|
Do 51 miesięcy
|
|
|
C-GTI comprising the AIS over time
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
|
Współpracownicy i badacze
Sponsor
Sponsor
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- ARGX-113-2011
- 2022-502851-79-00 (Ctis)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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