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Trial · NCT06203457

Open-Label Extension Study to Evaluate the Safety of Efgartigimod in Adult Patients With Primary Sjögren's Syndrome

NCT06203457, Phase 2, Completed, argenx; results first posted 2026-02-20

3 sourcestrials-2026-11-12-0.4.0

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ConductScience Library. Open-Label Extension Study to Evaluate the Safety of Efgartigimod in Adult Patients With Primary Sjögren's Syndrome. Trials, record NCT06203457. Release trials-2026-11-12-0.4.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT06203457

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Trial

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

Title
Open-Label Extension Study to Evaluate the Safety of Efgartigimod in Adult Patients With Primary Sjögren's Syndrome
NCT number
NCT06203457
Status
Completed
Phases
Phase 2
Enrollment
24 participants, actual
Lead sponsor
argenx
Conditions
Primary Sjögren's Syndrome
Interventions
Efgartigimod
First posted
2024-01-12
Last updated
2026-02-20
Results first posted
2026-02-20

Source ClinicalTrials.gov

Registered outcomes15

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

ListOutcomeTime frameDescription
PrimaryNumber of Participants With TEAEs, TESAEs and TEAESIsFrom the first dose of study drug (Day 1) up to 60 days post last study drug, approximately 56 weeks
An adverse event (AE) was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. A serious adverse event (SAE) was any untoward medical occurrence that, at any dose: resulted in death, was life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or any other medically important event. Treatment-emergent adverse events (TEAEs) were defined as AEs with onset on or after the first administration of study drug up to and including 60 days after the last study drug administration. Adverse events in the 'Infections and infestations' SOC were defined as AE of Special Interest (AESIs) because efgartigimod causes a transient reduction in total IgG levels.
SecondaryNumber of CRESS Responders at Weeks 24 and 48Weeks 24 and 48
A composite of relevant endpoints for Sjögren's syndrome (CRESS) measures systemic disease activity, patient-reported symptoms, tear gland function, salivary gland function, and serology, developed to assess treatment efficacy in participants with SjD. A responder is defined as improvement in at least 3 of the above mentioned 5 items of CRESS. The score ranges from 0 to 9 (higher score = worse symptoms). Responder rates for the efgartigimod-efgartigimod group in the follow-up study are supplemental to those in the antecedent study (ARGX-113-2106). Because responders from the ARGX-113-2106 study (mainly in the efgartigimod-efgartigimod group) potentially started the ARGX-113-2211 with lower baseline scores, further improvement on this efficacy measure is inherently challenging due to clinical and biological limitations.
SecondaryNumber of Participants With Minimal Clinically Important Improvement From Baseline in ESSDAI at Weeks 24 and 48Baseline (Day 1) and Weeks 24 and 48
European alliance of associations for rheumatology (EULAR) SjD activity index (ESSDAI) measures systemic disease activity in 12 domains. The activity levels of each domain are multiplied by their respective weights to obtain the total score between 0 and 123 (higher score = worse symptoms). Minimally clinically important improvement in ESSDAI was defined as improvement of at least 3 points in ESSDAI score at Weeks 24 and 48. Baseline was defined as the last available non-missing measurement from the parent study ARGX-113-2106. Responder rates for the efg-efg group in the follow-up study are supplemental to those in the ARGX-113-2106 study. Because responders from the ARGX-113-2106 study (mainly in the efg-efg group) potentially started the ARGX-113-2211 with lower baseline scores, further improvement on this efficacy measure is inherently challenging due to clinical and biological limitations.
SecondaryNumber of Participants With Low Disease Activity in ESSDAI at Weeks 24 and 48Weeks 24 and 48
ESSDAI measures systemic disease activity in participants with SjD and consists of 12 domains. The activity levels of each domain (range: 0-3 points) are multiplied by their respective weights (range: 1-6 points) to obtain the total score between 0 and 123 (higher score = worse symptoms). Low disease activity in ESSDAI was defined as ESSDAI score of less than 5 at Weeks 24 and 48. Responder rates for the efgartigimod-efgartigimod group in the follow-up study are supplemental to those in the antecedent study (ARGX-113-2106). Because responders from the ARGX-113-2106 study (mainly in the efgartigimod-efgartigimod group) potentially started the ARGX-113-2211 with lower baseline scores, further improvement on this efficacy measure is inherently challenging due to clinical and biological limitations.
SecondaryNumber of Participants With Minimal Clinically Important Improvement From Baseline in clinESSDAI at Weeks 24 and 48Baseline (Day 1) and Weeks 24 and 48
Clinical EULAR Sjögren's syndrome disease activity index (clinESSDAI) includes same 11 organ-specific domains as ESSDAI but with different domain weighting and this scale does not have biological domain.This way any change in clinESSDAI score reflects disease specific features irrespective of B-cell activity. clinESSDAI score ranges between 0-135 (higher score=worse symptoms).Minimal clinically important improvement in clinESSDAI was defined as improvement of at least 3 points in clinESSDAI score at Weeks 24 and 48.Baseline=last available non-missing measurement from parent study ARGX-113-2106.Responder rates for efgartigimod-efgartigimod group in follow-up study are supplemental to those in antecedent study (ARGX-113-2106).Because responders from ARGX-113-2106 study (mainly in efgartigimod-efgartigimod group) potentially started ARGX-113-2211 with lower baseline scores,further improvement on this efficacy measure is inherently challenging due to clinical and biological limitations.
SecondaryNumber of Participants With Low Disease Activity in clinESSDAI at Weeks 24 and 48Weeks 24 and 48
clinESSDAI includes the same 11 organ-specific domains as ESSDAI but with different domain weighting and this scale does not have the biological domain. This way any change in clinESSDAI score reflects disease specific features irrespective of B-cell activity. The clinESSDAI score ranges between 0-135 (higher score = worse symptoms). Low disease activity in clinESSDAI was defined as clinESSDAI score of less than 5 at Weeks 24 and 48. Responder rates for the efgartigimod-efgartigimod group in the follow-up study are supplemental to those in the antecedent study (ARGX-113-2106). Because responders from the ARGX-113-2106 study (mainly in the efgartigimod-efgartigimod group) potentially started the ARGX-113-2211 with lower baseline scores, further improvement on this efficacy measure is inherently challenging due to clinical and biological limitations.
SecondaryNumber of Participants With Minimal Clinically Important Improvement From Baseline in ESSPRI at Weeks 24 and 48Baseline (Day 1) and Weeks 24 and 48
EULAR Sjögren's syndrome patient-reported index (ESSPRI) is a questionnaire developed to measure self-reported symptoms in participants with SjD and consists of 3 items that measure dryness, fatigue, and pain. The total global score ranges from 0 to 10 by averaging the numeric scores for pain, fatigue, and dryness, with higher scores indicating more symptoms. Minimal clinically important improvement in ESSPRI was defined as decrease of 1 point or at least \>=15% at Weeks 24 and 48. Baseline was defined as the last available non-missing measurement from the study ARGX-113-2106. Responder rates for the efg-efg group in the follow-up study are supplemental to those in the ARGX-113-2106 study. Because responders from the ARGX-113-2106 study (mainly in the efg-efg group) potentially started the ARGX-113-2211 with lower baseline scores, further improvement on this measure is inherently challenging due to biological and clinical limitations.
SecondaryChange From Baseline in ESSDAI Score at Weeks 24 and 48Baseline (Day 1) and Weeks 24 and 48
ESSDAI measures systemic disease activity in participants with SjD and consists of 12 domains: 11 organ-specific domains (cutaneous, pulmonary, renal, articular, muscular, peripheral nervous system, central nervous system, hematological, glandular, constitutional, and lymphadenopathic) and 1 biological domain reflecting B-cell activity that contributes to disease activity level scoring. The activity levels of each domain (range: 0-3 points) are multiplied by their respective weights (range: 1-6 points) to obtain the total score between 0 and 123 (higher score = worse symptoms). Baseline was defined as the last available non-missing measurement from the parent study ARGX-113-2106.
SecondaryChange From Baseline in clinESSDAI Score at Weeks 24 and 48Baseline (Day 1) and Weeks 24 and 48
clinESSDAI includes the same 11 organ-specific domains as ESSDAI but with different domain weighting and this scale does not have the biological domain. This way any change in clinESSDAI score reflects disease specific features irrespective of B-cell activity. The clinESSDAI score ranges between 0-135 (higher score = worse symptoms). Baseline was defined as the last available non-missing measurement from the parent study ARGX-113-2106.
SecondaryChange From Baseline in ESSPRI Score at Weeks 24 and 48Baseline (Day 1) and Weeks 24 and 48
ESSPRI is a questionnaire developed to measure self-reported symptoms in participants with SjD and consists of 3 items that measure dryness, fatigue, and pain. Each item includes a numeric rating scale ranging from 0: no symptoms (dryness, fatigue, or pain) to 10: maximal imaginable (dryness, fatigue, or pain). The total global score ranges from 0 to 10 and the ESSPRI is calculated by averaging the numeric scores for pain, fatigue, and dryness, with higher scores indicating more symptoms. Baseline was defined as the last available non-missing measurement from the parent study ARGX-113-2106.

Outcomes15

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With TEAEs, TESAEs and TEAESIsFrom the first dose of study drug (Day 1) up to 60 days post last study drug, approximately 56 weeksThe safety analysis set (SAF) included all FAS participants who had been administered at least 1 dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of CRESS Responders at Weeks 24 and 48Weeks 24 and 48The FAS included all enrolled participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Minimal Clinically Important Improvement From Baseline in ESSDAI at Weeks 24 and 48Baseline (Day 1) and Weeks 24 and 48The FAS included all enrolled participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Low Disease Activity in ESSDAI at Weeks 24 and 48Weeks 24 and 48The FAS included all enrolled participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Minimal Clinically Important Improvement From Baseline in clinESSDAI at Weeks 24 and 48Baseline (Day 1) and Weeks 24 and 48The FAS included all enrolled participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Low Disease Activity in clinESSDAI at Weeks 24 and 48Weeks 24 and 48The FAS included all enrolled participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Minimal Clinically Important Improvement From Baseline in ESSPRI at Weeks 24 and 48Baseline (Day 1) and Weeks 24 and 48The FAS included all enrolled participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange From Baseline in ESSDAI Score at Weeks 24 and 48Baseline (Day 1) and Weeks 24 and 48The FAS included all enrolled participants. Only those participants with data collected at Baseline, Weeks 24 and 48 are reported.score on a scaleMEDIAN
SECONDARYChange From Baseline in clinESSDAI Score at Weeks 24 and 48Baseline (Day 1) and Weeks 24 and 48The FAS included all enrolled participants. Only those participants with data collected at Baseline, Weeks 24 and 48 are reported.score on a scaleMEDIAN
SECONDARYChange From Baseline in ESSPRI Score at Weeks 24 and 48Baseline (Day 1) and Weeks 24 and 48The FAS included all enrolled participants. Only those participants with data collected at Baseline, Weeks 24 and 48 are reported.score on a scaleMEDIAN

Results by group61

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

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With TEAEs, TESAEs and TEAESIsEfgartigimod-EfgartigimodTEAEs15Participants
Number of Participants With TEAEs, TESAEs and TEAESIsPlacebo-EfgartigimodTEAEs6Participants
Number of Participants With TEAEs, TESAEs and TEAESIsEfgartigimod-EfgartigimodTESAEs0Participants
Number of Participants With TEAEs, TESAEs and TEAESIsPlacebo-EfgartigimodTESAEs2Participants
Number of Participants With TEAEs, TESAEs and TEAESIsEfgartigimod-EfgartigimodTEAESIs10Participants
Number of Participants With TEAEs, TESAEs and TEAESIsPlacebo-EfgartigimodTEAESIs5Participants
Number of CRESS Responders at Weeks 24 and 48Efgartigimod-EfgartigimodWeek 2410.30 to 25.01Participants
Number of CRESS Responders at Weeks 24 and 48Placebo-EfgartigimodWeek 24422.53 to 87.12Participants
Number of CRESS Responders at Weeks 24 and 48Efgartigimod-EfgartigimodWeek 4822.13 to 32.62Participants
Number of CRESS Responders at Weeks 24 and 48Placebo-EfgartigimodWeek 4825.34 to 65.87Participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDEfgartigimod-Efgartigimod17
Overall StudySTARTEDPlacebo-Efgartigimod7
Overall StudyCOMPLETEDEfgartigimod-Efgartigimod12
Overall StudyCOMPLETEDPlacebo-Efgartigimod3
Overall StudyNOT COMPLETEDEfgartigimod-Efgartigimod5
Overall StudyNOT COMPLETEDPlacebo-Efgartigimod4

Adverse events154

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherIron deficiency anaemiaBlood and lymphatic system disordersEfgartigimod-Efgartigimod1171
otherIron deficiency anaemiaBlood and lymphatic system disordersPlacebo-Efgartigimod070
otherEye irritationEye disordersEfgartigimod-Efgartigimod1171
otherEye irritationEye disordersPlacebo-Efgartigimod070
otherGlaucomaEye disordersEfgartigimod-Efgartigimod1171
otherGlaucomaEye disordersPlacebo-Efgartigimod070
otherVision blurredEye disordersEfgartigimod-Efgartigimod1171
otherVision blurredEye disordersPlacebo-Efgartigimod070
otherAbdominal pain upperGastrointestinal disordersEfgartigimod-Efgartigimod1171
otherAbdominal pain upperGastrointestinal disordersPlacebo-Efgartigimod070

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityEfgartigimod-Efgartigimod017
Total, all-cause mortalityPlacebo-Efgartigimod07
Total, other adverse eventsEfgartigimod-Efgartigimod1517
Total, other adverse eventsPlacebo-Efgartigimod67
Total, serious adverse eventsEfgartigimod-Efgartigimod017
Total, serious adverse eventsPlacebo-Efgartigimod27

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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 comparisons3

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

ComparisonSource
Efgartigimod-Efgartigimod vs Placebo-Efgartigimod: Number of Participants With ADA Against Efgartigimod Over the 48-week Treatment PeriodTrial comparisons
Efgartigimod-Efgartigimod vs Placebo-Efgartigimod: deaths from any causeTrial comparisons
Efgartigimod-Efgartigimod vs Placebo-Efgartigimod: 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/NCT06203457

GET https://conductscience.org/api/trials/v1/NCT06203457/results?page=2