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Trial · NCT04188379

A Study to Assess the Efficacy and Safety of Efgartigimod in Adult Patients With Primary Immune Thrombocytopenia (ITP).

NCT04188379, Phase 3, Completed, argenx; results first posted 2025-03-13

3 sourcestrials-2026-11-12-0.4.0

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ConductScience Library. A Study to Assess the Efficacy and Safety of Efgartigimod in Adult Patients With Primary Immune Thrombocytopenia (ITP). Trials, record NCT04188379. Release trials-2026-11-12-0.4.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04188379

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Trial

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

Title
A Study to Assess the Efficacy and Safety of Efgartigimod in Adult Patients With Primary Immune Thrombocytopenia (ITP).
NCT number
NCT04188379
Status
Completed
Phases
Phase 3
Enrollment
131 participants, actual
Lead sponsor
argenx
Conditions
Primary Immune Thrombocytopenia
Interventions
efgartigimod, Placebo
First posted
2019-12-05
Last updated
2025-03-13
Other registries' IDs
eudract:2019-002100-41
Results first posted
2025-03-13
Limitations and caveats
No limitations reported for the study.

Source ClinicalTrials.gov

Registered outcomes5

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

ListOutcomeTime frameDescription
Primary
Percentage of Participants With Chronic ITP With a Sustained Platelet Count Response Defined as Achieving Platelet Counts of at Least 50×10^9/L for at Least 4 of the 6 Visits Between Week 19 and 24 of the Trial.
From Week 19 up to Week 24
Percentage of participants with chronic ITP with a sustained platelet count response was defined as achieving platelet counts of at least 50 × 10\^9/L for at least 4 of the 6 visits between Week 19 and 24 of the study.
SecondaryExtent of Disease Control Defined as the Number of Cumulative Weeks Over the Planned 24-week Treatment Period With Platelet Counts of ≥50×10^9/L in the Chronic ITP PopulationFrom Week 1 up to Week 24Extent of disease control, defined as the cumulative number of weeks over the planned 24-week treatment period with platelet counts of ≥50 × 10\^9/L in the chronic ITP population.
SecondaryPercentage of Participants With a Sustained Platelet Count Response for at Least 4 of the 6 Visits Between Week 19 and 24 of the StudyFrom Week 19 up to Week 24
Percentage of participants in the overall population (chronic and persistent ITP) with a sustained platelet count response, defined as achieving platelet counts of at least 50 × 10\^9/L for at least 4 of the 6 visits between weeks 19 and 24 of the study.
SecondaryIncidence and Severity of the WHO-classified Bleeding EventsFrom Week 1 to Week 24
Incidence of the World Health Organization (WHO)-classified bleeding events in the overall population. This secondary endpoint used the WHO-classified bleeding scale. Bleeding was the predominant clinical manifestation of ITP and was typically related to platelet count. Accordingly, measuring bleeding was important for monitoring this participant population.
SecondaryPercentage of Participants in the Overall Population Achieving Platelet Counts of at Least 50×10^9/L for at Least 6 of the 8 Visits Between Week 17 and Week 24From Week 17 up to Week 24Percentage of participants in the overall population achieving platelet counts of at least 50 × 10\^9/L for at least 6 of the 8 visits between Week 17 and 24 of the study.

Outcomes5

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARY
Percentage of Participants With Chronic ITP With a Sustained Platelet Count Response Defined as Achieving Platelet Counts of at Least 50×10^9/L for at Least 4 of the 6 Visits Between Week 19 and 24 of the Trial.
From Week 19 up to Week 24Full Analysis Set-Chronic population: all randomized participants with chronic ITP.Percentage of participantsNUMBER
SECONDARYExtent of Disease Control Defined as the Number of Cumulative Weeks Over the Planned 24-week Treatment Period With Platelet Counts of ≥50×10^9/L in the Chronic ITP PopulationFrom Week 1 up to Week 24Full Analysis Set-Chronic population: all randomized participants with chronic ITP.WeeksMEDIAN
SECONDARYPercentage of Participants With a Sustained Platelet Count Response for at Least 4 of the 6 Visits Between Week 19 and 24 of the StudyFrom Week 19 up to Week 24Full Analysis Set: all randomized participants.Percentage of participantsNUMBER
SECONDARYIncidence and Severity of the WHO-classified Bleeding EventsFrom Week 1 to Week 24Full Analysis Set: all randomized participants.bleeding eventsMEDIAN
SECONDARYPercentage of Participants in the Overall Population Achieving Platelet Counts of at Least 50×10^9/L for at Least 6 of the 8 Visits Between Week 17 and Week 24From Week 17 up to Week 24Full Analysis Set: all randomized participants.Percentage of participantsNUMBER

Results by group10

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Chronic ITP With a Sustained Platelet Count Response Defined as Achieving Platelet Counts of at Least 50×10^9/L for at Least 4 of the 6 Visits Between Week 19 and 24 of the Trial.
Efgartigimod21.8Percentage of participants
Percentage of Participants With Chronic ITP With a Sustained Platelet Count Response Defined as Achieving Platelet Counts of at Least 50×10^9/L for at Least 4 of the 6 Visits Between Week 19 and 24 of the Trial.
Placebo5.0Percentage of participants
Extent of Disease Control Defined as the Number of Cumulative Weeks Over the Planned 24-week Treatment Period With Platelet Counts of ≥50×10^9/L in the Chronic ITP PopulationEfgartigimod2.00Inter-Quartile Range 0.00 to 11.00Weeks
Extent of Disease Control Defined as the Number of Cumulative Weeks Over the Planned 24-week Treatment Period With Platelet Counts of ≥50×10^9/L in the Chronic ITP PopulationPlacebo0.00Inter-Quartile Range 0.00 to 1.00Weeks
Percentage of Participants With a Sustained Platelet Count Response for at Least 4 of the 6 Visits Between Week 19 and 24 of the StudyEfgartigimod25.6Percentage of participants
Percentage of Participants With a Sustained Platelet Count Response for at Least 4 of the 6 Visits Between Week 19 and 24 of the StudyPlacebo6.7Percentage of participants
Incidence and Severity of the WHO-classified Bleeding EventsEfgartigimod4.0Inter-Quartile Range 1.0 to 10.0bleeding events
Incidence and Severity of the WHO-classified Bleeding EventsPlacebo5.0Inter-Quartile Range 2.0 to 14.0bleeding events
Percentage of Participants in the Overall Population Achieving Platelet Counts of at Least 50×10^9/L for at Least 6 of the 8 Visits Between Week 17 and Week 24Efgartigimod22.1Percentage of participants
Percentage of Participants in the Overall Population Achieving Platelet Counts of at Least 50×10^9/L for at Least 6 of the 8 Visits Between Week 17 and Week 24Placebo6.7Percentage of participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDEfgartigimod86
Overall StudySTARTEDPlacebo45
Overall StudyCOMPLETEDEfgartigimod64
Overall StudyCOMPLETEDPlacebo32
Overall StudyNOT COMPLETEDEfgartigimod22
Overall StudyNOT COMPLETEDPlacebo13

Adverse events76

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHaematomaVascular disordersEfgartigimod88617
otherHaematomaVascular disordersPlacebo114534
otherHypertensionVascular disordersEfgartigimod5866
otherHypertensionVascular disordersPlacebo0450
otherAstheniaGeneral disordersEfgartigimod6868
otherAstheniaGeneral disordersPlacebo0450
otherHeavy menstrual bleedingReproductive system and breast disordersEfgartigimod5869
otherHeavy menstrual bleedingReproductive system and breast disordersPlacebo3454
otherEpistaxisRespiratory, thoracic and mediastinal disordersEfgartigimod88624
otherEpistaxisRespiratory, thoracic and mediastinal disordersPlacebo84512

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityEfgartigimod086
Total, all-cause mortalityPlacebo045
Total, other adverse eventsEfgartigimod8086
Total, other adverse eventsPlacebo4345
Total, serious adverse eventsEfgartigimod786
Total, serious adverse eventsPlacebo745

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
37778358DERIVED

Source PubMed

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
Efgartigimod vs Placebo: deaths from any causeTrial comparisons
Efgartigimod 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/NCT04188379

GET https://conductscience.org/api/trials/v1/NCT04188379/events?page=2