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Trial · NCT03669588

An Efficacy and Safety Study of ARGX-113 in Patients With Myasthenia Gravis Who Have Generalized Muscle Weakness

NCT03669588, Phase 3, Completed, argenx; results first posted 2022-02-08

3 sourcestrials-2026-11-12-0.4.0

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ConductScience Library. An Efficacy and Safety Study of ARGX-113 in Patients With Myasthenia Gravis Who Have Generalized Muscle Weakness. Trials, record NCT03669588. Release trials-2026-11-12-0.4.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03669588

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
An Efficacy and Safety Study of ARGX-113 in Patients With Myasthenia Gravis Who Have Generalized Muscle Weakness
NCT number
NCT03669588
Status
Completed
Phases
Phase 3
Enrollment
167 participants, actual
Lead sponsor
argenx
Conditions
Generalized Myasthenia Gravis
Interventions
ARGX-113, Placebo
First posted
2018-09-13
Last updated
2022-02-08
Other registries' IDs
eudract:2018-002132-25
Results first posted
2022-02-08

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of MG-ADL Responders During Cycle 1 (C1); Analyzed in the AChR-Ab Seropositive PopulationBaseline up to Day 63 (end of TC1)
The MG-ADL is an 8-item patient-reported scale to assess MG symptoms and their effects on daily activities. The scale comprises 2 items on daily life activities and 6 items on symptoms. The MG-ADL total score range is 0-24, with higher scores indicative of greater disease severity. A patient was considered an MG-ADL responder during C1 if there was a reduction of ≥2 points on the MG-ADL total score (compared to baseline of C1 \[C1B\]) for ≥4 consecutive weeks with the first reduction occurring no later than 1 week after the last infusion of IMP in C1.
SecondaryPercentage of Quantitative Myasthenia Gravis (QMG) Responders During C1; Analyzed in the AChR-Ab Seropositive PopulationBaseline up to Day 63 (end of TC1)
The QMG scale quantifies disease severity based on impairments of body functions and structures as defined by the International Classification of Disability and Health. The QMG scale consists of 13 items that measure endurance or fatigability, and accounts for fluctuations in disease state. The QMG total score range is 0-39, with higher scores indicative of greater disease severity. A patient was considered a QMG responder during C1 if there was a reduction of ≥3-points on the QMG total score (compared to C1B) for ≥4 consecutive weeks with the first reduction occurring no later than 1 week after the last infusion of IMP in C1.
SecondaryPercentage of MG-ADL Responders During C1; Analyzed in the Overall PopulationBaseline up to Day 63 (end of TC1)
The percentage of MG-ADL responders during C1 in the overall population is reported for this secondary end point; percentage of MG-ADL responders during C1 in the AChR-Ab seropositive population is reported previously as a primary end point.
SecondaryPercentage of Time That Patients Had a Clinically Meaningful Improvement (CMI) in MG-ADL Total Score up to and Including Day 126; Analyzed in the AChR-Ab Seropositive PopulationBaseline up to Day 126An MG-ADL CMI was defined as a reduction of ≥2 points on the total MG-ADL score compared to study entry baseline (SEB).
SecondaryTime From Week 4 to Qualify for Retreatment; Analyzed in the AChR-Ab Seropositive PopulationWeek 4 up to Day 182 (end of study [EoS])
Time to qualify for retreatment was defined as time from the Week 4 assessment until the first visit with a \<2-point reduction compared to SEB in the MG-ADL total score and MG-ADL total score ≥5 points with \>50% of the total score attributable to nonocular symptoms.
SecondaryPercentage of Early MG-ADL Responders During C1; Analyzed in the AChR-Ab Seropositive PopulationBaseline up to Day 63 (end of TC1)
A patient was considered an early MG-ADL responder during C1 if there was a reduction of ≥2 points on the MG-ADL total score (compared to C1B) for ≥4 consecutive weeks with the first reduction occurring no later than Week 2 (ie, after 1 or maximum 2 infusions of IMP in C1).

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of MG-ADL Responders During Cycle 1 (C1); Analyzed in the AChR-Ab Seropositive PopulationBaseline up to Day 63 (end of TC1)
Analysis was performed in the AChR-Ab seropositive population using the modified intention-to-treat (mITT) analysis set which included all randomized patients with a value for the MG-ADL total score at baseline and at least 1 postbaseline timepoint.
percentage of patientsNUMBER
SECONDARYPercentage of Quantitative Myasthenia Gravis (QMG) Responders During C1; Analyzed in the AChR-Ab Seropositive PopulationBaseline up to Day 63 (end of TC1)
Analysis was performed in the AChR-Ab seropositive population using the mITT analysis set which included all randomized patients with a value for the MG-ADL total score at baseline and at least 1 postbaseline timepoint.
percentage of patientsNUMBER
SECONDARYPercentage of MG-ADL Responders During C1; Analyzed in the Overall PopulationBaseline up to Day 63 (end of TC1)
Analysis was performed in the overall population (including both AChR-Ab seropositive and seronegative patients) using the mITT analysis set which included all randomized patients with a value for the MG-ADL total score at baseline and at least 1 postbaseline timepoint.
percentage of patientsNUMBER
SECONDARYPercentage of Time That Patients Had a Clinically Meaningful Improvement (CMI) in MG-ADL Total Score up to and Including Day 126; Analyzed in the AChR-Ab Seropositive PopulationBaseline up to Day 126
Analysis was performed in the AChR-Ab seropositive population using the mITT analysis set which included all randomized patients with a value for the MG-ADL total score at baseline and at least 1 postbaseline timepoint.
percentage of timeLEAST_SQUARES_MEAN
SECONDARYTime From Week 4 to Qualify for Retreatment; Analyzed in the AChR-Ab Seropositive PopulationWeek 4 up to Day 182 (end of study [EoS])
Analysis was performed in the AChR-Ab seropositive population using the mITT analysis set which included all randomized patients with a value for the MG-ADL total score at baseline and at least 1 postbaseline timepoint.
daysMEDIAN
SECONDARYPercentage of Early MG-ADL Responders During C1; Analyzed in the AChR-Ab Seropositive PopulationBaseline up to Day 63 (end of TC1)
Analysis was performed in the AChR-Ab seropositive population using the mITT analysis set which included all randomized patients with a value for the MG-ADL total score at baseline and at least 1 postbaseline timepoint.
percentage of patientsNUMBER

Results by group12

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of MG-ADL Responders During Cycle 1 (C1); Analyzed in the AChR-Ab Seropositive PopulationARGX-11367.7percentage of patients
Percentage of MG-ADL Responders During Cycle 1 (C1); Analyzed in the AChR-Ab Seropositive PopulationPlacebo29.7percentage of patients
Percentage of Quantitative Myasthenia Gravis (QMG) Responders During C1; Analyzed in the AChR-Ab Seropositive PopulationARGX-11363.1percentage of patients
Percentage of Quantitative Myasthenia Gravis (QMG) Responders During C1; Analyzed in the AChR-Ab Seropositive PopulationPlacebo14.1percentage of patients
Percentage of MG-ADL Responders During C1; Analyzed in the Overall PopulationARGX-11367.9percentage of patients
Percentage of MG-ADL Responders During C1; Analyzed in the Overall PopulationPlacebo37.3percentage of patients
Percentage of Time That Patients Had a Clinically Meaningful Improvement (CMI) in MG-ADL Total Score up to and Including Day 126; Analyzed in the AChR-Ab Seropositive PopulationARGX-11348.714Standard Error 6.163percentage of time
Percentage of Time That Patients Had a Clinically Meaningful Improvement (CMI) in MG-ADL Total Score up to and Including Day 126; Analyzed in the AChR-Ab Seropositive PopulationPlacebo26.649Standard Error 6.316percentage of time
Time From Week 4 to Qualify for Retreatment; Analyzed in the AChR-Ab Seropositive PopulationARGX-11335.095% Confidence Interval 29.0 to 43.0days
Time From Week 4 to Qualify for Retreatment; Analyzed in the AChR-Ab Seropositive PopulationPlacebo8.095% Confidence Interval 1.0 to 30.0days

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDARGX-11384
Overall StudySTARTEDPlacebo83
Overall StudyCOMPLETEDARGX-11380
Overall StudyCOMPLETEDPlacebo76
Overall StudyNOT COMPLETEDARGX-1134
Overall StudyNOT COMPLETEDPlacebo7

Adverse events48

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersARGX-1136846
otherDiarrhoeaGastrointestinal disordersPlacebo98314
otherNauseaGastrointestinal disordersARGX-1137847
otherNauseaGastrointestinal disordersPlacebo98315
otherBronchitisInfections and infestationsARGX-1135846
otherBronchitisInfections and infestationsPlacebo2832
otherNasopharyngitisInfections and infestationsARGX-113108412
otherNasopharyngitisInfections and infestationsPlacebo158317
otherMyalgiaMusculoskeletal and connective tissue disordersARGX-1135846
otherMyalgiaMusculoskeletal and connective tissue disordersPlacebo1833

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityARGX-113084
Total, all-cause mortalityPlacebo083
Total, other adverse eventsARGX-1134984
Total, other adverse eventsPlacebo4883
Total, serious adverse eventsARGX-113484
Total, serious adverse eventsPlacebo783

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
34146511DERIVEDPubMed
39068745DERIVEDPubMed
41517964DERIVEDPubMed
42234197DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
ARGX-113 vs Placebo: deaths from any causeTrial comparisons
ARGX-113 vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Source

Release
trials-2026-11-12-0.4.0
Release manifest SHA-256
0f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4
Registry capture
2026-11-12
Results copy, AACT
2026-03-23
NIH clinical studies file
2026-11-13

Source ClinicalTrials.gov

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNone stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03669588

GET https://conductscience.org/api/trials/v1/NCT03669588/events?page=2