123 Participants Needed

Efgartigimod for Thyroid Eye Disease

(UplighTED Trial)

Recruiting at 82 trial locations
Ss
Overseen BySabine s Coppieters, MD
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial
Approved in 4 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a treatment called efgartigimod PH20 SC for individuals with thyroid eye disease (TED), a condition often linked to thyroid issues that can cause the eyes to bulge or become irritated. The trial aims to evaluate the effectiveness and safety of efgartigimod PH20 SC compared to a placebo. Participants will receive either efgartigimod PH20 SC or a placebo to assess the treatment's effectiveness. This trial suits those with moderate-to-severe TED symptoms for less than a year and normal thyroid function or mild thyroid issues. As a Phase 3 trial, it represents the final step before FDA approval, offering participants a chance to contribute to a potentially groundbreaking treatment.

Do I have to stop taking my current medications for the trial?

The trial information does not specify if you need to stop taking your current medications, but it mentions that the use of some medications before screening is an exclusion criterion. It's best to discuss your current medications with the trial team to see if they affect your eligibility.

Is there any evidence suggesting that efgartigimod PH20 SC is likely to be safe for humans?

Research has shown that efgartigimod PH20 SC is generally well-tolerated. Previous patients demonstrated that this treatment usually does not cause serious side effects. In other studies with efgartigimod, most participants did not experience severe negative effects. Common side effects were mild, such as headaches or injection site reactions.

Since efgartigimod PH20 SC is now in a Phase 3 trial, earlier trials have already assessed its safety, suggesting it is safe for use in humans. Additionally, efgartigimod is approved for other conditions, which supports its safety profile. However, it is important to consult a doctor to understand the risks and benefits before joining a trial.12345

Why do researchers think this study treatment might be promising for TED?

Unlike the standard treatments for Thyroid Eye Disease, which often include corticosteroids or surgical interventions, Efgartigimod PH20 SC works by targeting a different pathway. This treatment is unique because it modulates the immune response by reducing the levels of pathogenic immunoglobulin G (IgG) antibodies, potentially leading to a more direct and precise approach to reduce inflammation and symptoms. Researchers are excited about Efgartigimod because it is administered subcutaneously, which can be more convenient and less invasive than other forms of treatment. This novel mechanism of action and delivery method could offer patients a new, effective option with potentially fewer side effects.

What evidence suggests that efgartigimod PH20 SC might be an effective treatment for thyroid eye disease?

Research has shown that efgartigimod PH20 SC, which participants in this trial may receive, might help treat Thyroid Eye Disease (TED). This treatment reduces certain antibodies that cause swelling and irritation around the eyes. In earlier studies, patients who used efgartigimod experienced improvements in symptoms, such as reduced eye bulging and discomfort. Administered as an injection just under the skin, the treatment might be easier to use. While more information is needed, these findings suggest efgartigimod could be a promising option for people with moderate-to-severe TED.23456

Are You a Good Fit for This Trial?

Adults with active, moderate-to-severe thyroid eye disease (TED) who've had symptoms start within the last year can join. They must be over 18, able to consent and follow the study plan, have their thyroid condition under control or only mildly off balance. Participants need to use birth control and women must test negative for pregnancy.

Inclusion Criteria

I can sign the consent form and follow the study rules.
Participant agrees to use birth control consistent with local regulations and individuals of child-bearing potential must have a negative blood pregnancy test at screening and a negative urine pregnancy test before receiving the study drug
My eye condition symptoms started less than a year ago.
See 2 more

Exclusion Criteria

Pregnant or lactating state or intention to become pregnant during the study
I had cancer but have been free of it for over 3 years or had certain cancers treated adequately.
I have taken specific medications as listed in the trial protocol.
See 9 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Double-Blinded Treatment Period

Participants receive efgartigimod PH20 SC or placebo PH20 SC in a double-blinded manner

24 weeks
Regular visits as per study protocol

Follow-up Observational Period

Participants are monitored for safety and effectiveness after treatment while off study drug

4-8 weeks

Open-label Treatment Period

Participants may opt into continuation of treatment with efgartigimod PH20 SC

Varies

What Are the Treatments Tested in This Trial?

Interventions

  • Efgartigimod PH20 SC
Trial Overview The trial is testing Efgartigimod PH20 SC against a placebo in people with TED. It's a randomized study where two-thirds get the real drug and one-third gets a fake drug (placebo), given by injection for 24 weeks. Responders are observed for another year without treatment; nonresponders get more of the real drug.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Efgartigimod armExperimental Treatment1 Intervention
Group II: Placebo armPlacebo Group1 Intervention

Efgartigimod PH20 SC is already approved in European Union, United States, Japan, China for the following indications:

🇪🇺
Approved in European Union as VYVGART for:
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Approved in United States as VYVGART Hytrulo for:
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Approved in Japan as VYVDURA for:
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Approved in China as Efgartigimod alfa injection (subcutaneous injection) for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

argenx

Lead Sponsor

Trials
76
Recruited
11,500+

Tim Van Hauwermeiren

argenx

Chief Executive Officer since 2008

B.Sc. and M.Sc. in Bioengineering from Ghent University, Executive MBA from The Vlerick School of Management

Dr. Peter Ulrichts

argenx

Chief Medical Officer since 2023

MD from Maastricht University, PhD in Molecular Immunology from Maastricht University

Published Research Related to This Trial

In a study of 418 patients with Graves' disease, those with myasthenia gravis (MG) showed a similar overall prevalence of thyroid-associated ophthalmopathy (TAO) compared to those without MG (61.2% vs. 56.4%).
However, patients with ocular MG had a significantly higher prevalence of euthyroid ophthalmopathy (12.9%) compared to those without MG (3.1%), suggesting a potential immunological link between the two conditions.
Increased frequency of euthyroid ophthalmopathy in patients with Graves' disease associated with myasthenia gravis.Marinò, M., Barbesino, G., Pinchera, A., et al.[2019]
In patients with Graves' hyperthyroidism, those with exophthalmos (eye bulging) showed significantly higher levels of TSH receptor antibodies compared to those without ophthalmopathy, indicating a stronger autoimmune response in the presence of eye symptoms.
The study found that antibody-dependent cell-mediated cytotoxicity (ADCC) and complement-mediated cytotoxicity (CMAC) were significantly higher in patients with euthyroid ophthalmopathy and thyrotoxic patients, suggesting that these immune mechanisms may play a role in the development of eye muscle involvement in Graves' disease.
Immunologically mediated cytotoxicity against human eye muscle and thyroid cells in euthyroid and thyrotoxic Graves' ophthalmopathy.Medeiros-Neto, G., Zhang, ZG., Lima, N., et al.[2019]
Pentoxifylline (PTX) significantly improved quality of life scores in patients with inactive Graves' ophthalmopathy (GO) after 6 months of treatment, indicating its potential efficacy in managing symptoms associated with this condition.
Proptosis measurements also showed significant improvement in patients treated with PTX, with reductions in eye protrusion observed after 3 and 6 months, supporting the conclusion that PTX may be an effective treatment option for inactive GO.
Pentoxifylline (PTX)--an alternative treatment in Graves' ophthalmopathy (inactive phase): assessment by a disease specific quality of life questionnaire and by exophthalmometry in a prospective randomized trial.Finamor, FE., Martins, JR., Nakanami, D., et al.[2017]

Citations

Clinical TrialsUPLIGHTED. Phase 3 Study to Evaluate the Safety and Efficacy of Self-administered efgartigimod SC injection for Adults with Thyroid Eye Disease (TED).
ARGX-113-2301 (UplighTED) - Clinical TrialThis study is trying to find out if a new medicine called efgartigimod can help people who have Thyroid Eye Disease, or TED. The study also wants to make sure ...
Study of Efgartigimod PH20 SC for Adults with Thyroid Eye ...This study tests the efficacy of Efgartigimod PH20 SC, a protein-based treatment, in managing symptoms of Thyroid Eye Disease in adult patients.
NCT06307613 | A Study of Efgartigimod PH20 SC Given ...This study aims to evaluate the efficacy, safety and tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of efgartigimod PH20 SC
NCT06307626 | A Study of Efgartigimod PH20 SC Given ...This study aims to evaluate the efficacy, safety and tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of efgartigimod PH20 SC
A Study of Efgartigimod PH20 SC Given by Prefilled ...This study aims to evaluate the efficacy, safety and tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of efgartigimod PH20 SC
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