RecruitingPhase 2NCT06503731

A Study to Evaluate the Safety and Tolerability of Efgartigimod PH20 SC Given by Prefilled Syringe in Kidney Transplant Recipients With Antibody-Mediated Rejection (AMR)

A Global, Multicenter, Randomized, Double-Blinded, Placebo-Controlled, Phase 2 Study to Evaluate the Safety, Tolerability, and Efficacy of Efgartigimod PH20 SC Administered by a Prefilled Syringe in Kidney Transplant Recipients With Antibody-Mediated Rejection


Sponsor

argenx

Enrollment

30 participants

Start Date

Aug 30, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to assess the safety, tolerability, and efficacy of efgartigimod PH20 SC given by a prefilled syringe in participants with Antibody-Mediated Rejection (AMR) after kidney transplantation. After a screening period of up to 6 weeks, eligible participants will be randomized in a 1:1:1 ratio. The study drug will be administered subcutaneously while patients remain on their standard background immunosuppression therapy (tacrolimus, mycophenolate mofetil, steroids) during the treatment period (48 weeks). At the end of the treatment period, the participants will enter an observational/follow-up period (approximately 24 weeks). The participants will be in the study for up to 78 weeks.


Eligibility

Min Age: 18 YearsMax Age: 80 Years

Inclusion Criteria8

  • The participant is within the ages of 18 and 80 years old
  • The participant had a kidney transplant (living or deceased donor) at least 6 months before the study
  • The participant has received a diagnosis of active or chronic active antibody-mediated rejection (AMR) with detectable donor-specific antibodies at time of the study
  • A participant may be allowed into the study if they receive the following medications:
  • Received mycophenolate mofetil for at least 20 weeks before the study
  • Has remained on a stable dose of mycophenolate mofetil and tacrolimus for at least 4 weeks before being allowed to participate in the study
  • Has remained on tacrolimus doses between 5 to 10 ng/mL at least 4 weeks before being allowed to participate in the study
  • Steroid dose was between 0 to 10 mg per day of prednisone (or dose equivalent) for at least 4 weeks before being allowed to participate in the study

Exclusion Criteria5

  • Confirmed T-cell or mixed rejection at time of the study
  • Recent change in immunosuppressive therapy agents
  • Any other medical condition that, in the investigator's opinion, would interfere with the results of the study or put the participant at undue risk
  • Pregnant or lactating state or intention to become pregnant during the study
  • The complete list of criteria can be found in the protocol

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Interventions

COMBINATION_PRODUCTEfgartigimod PH20 SC - prefilled syringe

Subcutaneous efgartigimod PH20 SC given by prefilled syringe

OTHERPlacebo PH20 SC - prefilled syringe

Subcutaneous placebo PH20 SC given by prefilled syringe


Locations(23)

University of Alabama at Birmingham (UAB) Hospital

Birmingham, Alabama, United States

Cedars-Sinai Medical Center

Los Angeles, California, United States

University of Chicago Medical Center

Chicago, Illinois, United States

University of Nebraska Medical Center

Omaha, Nebraska, United States

Duke University Hospital

Durham, North Carolina, United States

The Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Virginia Commonwealth University (VCU) Medical Center Hume-Lee Transplant Center

Richmond, Virginia, United States

University of Washington Medical Center

Seattle, Washington, United States

Allgemeines Krankenhaus der Stadt Wien (AKH Wien) - Medizinischer Universitätscampus

Vienna, Austria

Universitair Ziekenhuis (UZ) Gent

Ghent, Belgium

Universitair Ziekenhuis Leuven (UZ Leuven) - Campus Gasthuisberg

Leuven, Belgium

London Health Sciences Centre

London, Canada

Institut klinicke a experimentalni mediciny (IKEM)

Prague, Czechia

Centre Hospitalier Universitaire (CHU) de Bordeaux - Hôpital Pellegrin

Bordeaux, France

Centre Hospitalier Universitaire (CHU) de Grenoble Alpes - Hôpital Michallon

La Tronche, France

Centre Hospitalier Universitaire (CHU) de Toulouse - Hôpital de Rangueil

Toulouse, France

Charité - Universitätsmedizin Berlin

Berlin, Germany

Universitaetsklinikum Carl Gustav Carus Dresden

Dresden, Germany

Universitätsklinikum Hamburg-Eppendorf

Hamburg, Germany

Hospital Del Mar

Barcelona, Spain

Hospital Universitario Vall d'Hebron

Barcelona, Spain

Hospital Universitario de Bellvitge

Barcelona, Spain

Hospital Universitario Miguel Servet

Zaragoza, Spain

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NCT06503731


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