Phase 3
N=98
A Phase 2/3 Study of Efgartigimod PH20 SC in Adult Participants With Bullous Pemphigoid
Bullous Pemphigoid
Bottom Line
View on ClinicalTrials.gov: NCT05267600 ↗Enrolled (actual)
98
Serious AEs
24.5%
Results posted
Oct 2025
Primary outcome: Primary: Number of Participants With CRoff at Week 36 — 8; 2 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- efgartigimod PH20 SC (Biological); placebo (Other); Prednisone (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- argenx
- Primary completion
- Sep 2024
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With CRoff at Week 36 |
8; 2 | — |
| SECONDARY Cumulative OCS Dose |
0.242; 0.289 | — |
| SECONDARY Number of Participants Who Achieve an IGA-BP Score of 0 While Off OCS Therapy for ≥8 Weeks at Week 36 |
9; 3 | — |
| SECONDARY Number of Participants With CDA Who Remained Free of Relapse Through Week 36 |
7; 8 | — |
| SECONDARY Number of Participants With CRmin at Week 36 |
8; 3 | — |
| SECONDARY Change From Baseline to Week 36 in the 24-Hour Average Itch NRS Score |
-4.4; -2.4 | — |
| SECONDARY Changes From Baseline in the BPDAI Total Activity Score |
-43.13; -43.56 | — |
| SECONDARY Time to CDA |
16.0; 15.0 | — |
| SECONDARY Time to CR |
134.0; 99.0 | — |
| SECONDARY Time to CRmin |
NA; NA | — |
| SECONDARY Time to CRoff/PRoff |
NA; NA | — |
| SECONDARY Time to CRoff |
NA; NA | — |
| SECONDARY Time From CDA to Achieve Relapse |
114.0; 105.0 | — |
| SECONDARY Number of Participants Who Receive Rescue Therapy Before Week 36 |
19; 18 | — |
| SECONDARY The AIS From the GTI |
5.7; 10.9 | — |
| SECONDARY The CWS From the GTI |
56.1; 47.5 | — |
| SECONDARY EQ-5D-5L VAS Scores Over Time |
12.7; 4.5 | — |
| SECONDARY DLQI Scores Over Time |
-7.3; -6.7 | — |
| SECONDARY ABQoL Scores Over Time |
-12.3; -12.0 | — |
| SECONDARY Efgartigimod Serum Concentrations |
35.7; 96.4; 37.3; 26.0; 25.8; 24.4 | — |
| SECONDARY Percent Change of Total IgG Serum Levels From Baseline Over Time |
-46.91; -7.65 | — |
| SECONDARY Percent Change of Anti-BP180 and Anti-BP230 Antibodies From Baseline Over Time |
-58.58; -57.98; -46.72; -50.95 | — |
| SECONDARY Incidence of Antidrug Antibodies Against Efgartigimod and Antibodies Produced Against rHuPH20 |
2; 2; 9; 0 | — |
| SECONDARY Number of Participants (or Their Caregivers) Who Are Determined by Site Staff to be Sufficiently Competent in (Self-)Administering Efgartigimod PH20 SC |
5; 4; 2; 3 | — |
Summary
ARGX-113-2009 is an operationally seamless 2-part, phase 2/3, prospective, global, multicenter, randomized, double-blinded, placebo-controlled study to investigate the efficacy, safety, tolerability, immunogenicity, participant-reported outcome measures (including those assessing participant QoL), PK, and PD of efgartigimod PH20 SC administered via subcutaneous (SC) injection in adult participants with moderate to severe BP. This study intends to demonstrate that efgartigimod is an effective and safe treatment for BP, providing participants with control of disease activity (CDA) and eventually remission while reducing their cumulative exposure to OCS.
study will consist of 2 parts:
* Part A of the study is a phase 2 evaluation that intends to provide proof of concept for the therapeutic activity of efgartigimod PH20 SC in participants with BP.
* Part B of the study is a phase 3 evaluation that intends to confirm the results obtained from part A in a separate, larger group of participants with BP.
An interim analysis will be performed during part A (on data obtained through week 26 for all Part A participants) to assess the primary endpoint and several secondary endpoints, confirm the appropriate sample size for part B of the study, and determine whether the efficacy results observed through week 26 of part A warrant continued study of efgartigimod PH20 SC for the treatment of participants with BP (futility analysis).
Eligibility Criteria
Inclusion Criteria
- The participant is willing and able to do the following:
- understand the requirements of the study
- provide written informed consent
- comply with the study protocol procedures.
- The participant is male or female and has reached the age of consent at the time of signing the informed consent form (ICF).
- Participants have clinical signs of BP.
- Contraceptive use should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies and: Women of childbearing potential must have a negative serum pregnancy test at screening and a negative urine pregnancy test at baseline before study intervention can be administered.
The full list of inclusion criteria can be found in the protocol.
Exclusion Criteria
- Other forms of pemphigoid or other autoimmune bullous diseases (AIBDs).
- Received unstable dose of treatments known to cause or exacerbate BP for at least 4 weeks prior to the baseline visit
- Use of BP treatments other than oral corticosteroids (OCS), topical corticosteroids (TCS), conventional immunosuppressants or dapsone.
- Known contraindication to OCS therapy
- Active, chronic or latent infection at screening
- Positive COVID-19 test result at screening (testing performed if required per local regulations).
- History of malignancy unless deemed cured by adequate treatment with no evidence of recurrence for ≥3 years before the first administration of the IMP. Participants with the following cancers can be included at any time, provided they are adequately treated prior to their participation in the study: Basal cell or squamous cell skin cancer, Carcinoma in situ of the cervix, Carcinoma in situ of the breast, Incidental histological finding of prostate cancer
- Clinical evidence of other significant serious diseases, have had a recent surgery, or who have any other condition that, in the opinion of the investigator, could confound the results of the study or put the patient at undue risk or prevent participants from complying with protocol requirements
- Use of an investigational product within 3 months before the first dose of IMP
- Previously participated in a clinical study with efgartigimod or currently participating in another interventional clinical study
- Known hypersensitivity to any of the components of the administered treatments
- Positive serum test at screening for an active infection: HBV, HCV, HIV
- Current or history (ie, within 12 months of screening) of alcohol, drug, or medication abuse as assessed by the investigator
- Pregnant or lactating females and those who intend to become pregnant during the study
- Live or live-attenuated vaccine received <4 weeks before baseline visit
The full list of exclusion criteria can be found in the protocol.
Data sourced from ClinicalTrials.gov (NCT05267600). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.