Efgartigimod for Graves' Disease

(VitaliThy Trial)

Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: argenx
Must be taking: Methimazole, Carbimazole

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called efgartigimod, an experimental therapy for people with Graves' Disease, which causes the thyroid to become overactive. The study aims to understand how the treatment affects thyroid function and evaluates its safety. Participants will receive either the treatment or a placebo (inactive substance) in different stages. As a Phase 3 trial, this study represents the final step before potential FDA approval, offering participants a chance to contribute to the development of a new treatment.

Do I need to stop my current medications for the trial?

The trial requires participants to be taking antithyroid drugs (ATD) and prohibits the use of certain medications like levothyroxine within 6 weeks prior to screening. You will be able to discuss your current medications with the study team.

Is there any evidence suggesting that efgartigimod is likely to be safe for humans?

Previous research has shown that efgartigimod is generally well-tolerated. It is approved for use in other auto-immune diseases.

Why do researchers think this study treatment might be promising for Graves' disease?

In Graves' disease, the body's immune system makes antibodies that overstimulate the thyroid, causing it to produce too much thyroid hormone. Efgartigimod is designed to lower the levels of these antibodies. This approach is different from current antithyroid medicines, which work by reducing thyroid hormone production rather than targeting the antibodies themselves.

Are You a Good Fit for This Trial?

Adults aged 18+ with Graves' disease can join this study if they've signed the consent form and can follow the study plan.

Inclusion Criteria

Are you currently taking the antithyroid drug methimazole (Tapazole)?

Exclusion Criteria

Have you taken the antithyroid drug propylthiouracil (PTU) in the last 3 months?
Have you had Radioactive Iodine Therapy (RAI)?
Have you had complete removal of your thyroid (total thyroidectomy)?

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial.

Up to 5 weeks
One clinic visit

Treatment

Participants will receive either Efgartigimod or a placebo treatment. Thyroid results will determine the participant's path and visit schedule.

50-122 weeks
19-32 visits

Follow-up

Participants are monitored for safety after treatment.

8 weeks
One clinic visit

What Are the Treatments Tested in This Trial?

Interventions

  • Efgartigimod PH20 SC

Trial Overview

The study compares efgartigimod PH20 SC (given by prefilled syringe under the skin) to a placebo in adults with Graves' Disease. The trial has several phases, including double-blind treatment period and open-label treatment periods plus observation periods, lasting up to about 2.5 years depending on response.

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