Drugs / Efgartigimod Alfa
last change Aug 2026 re-read 2 minutes ago

Efgartigimod Alfa

Protein / enzyme biologic targets FCGRT via inhibition

Developed for
generalized myasthenia gravis · autoimmune thrombocytopenia · pemphigus foliaceus · pemphigus vulgaris · polyneuropathy, inflammatory demyelinating, chronic · Sjogren syndrome · AChR+ myasthenia gravis · antisynthetase syndrome
+24 more · bullous pemphigoid · dermatomyositis · Graves disease · Guillain-Barre syndrome · immune-mediated necrotizing myopathy · myasthenia gravis · postural orthostatic tachycardia syndrome · primary thrombocytopenia · acquired epidermolysis bullosa · acquired thrombotic thrombocytopenic purpura · autoimmune encephalitis · autoimmune thrombocytopenic purpura · disease of orbital part of eye adnexa · endocrine exophthalmos · immunoglobulin G4-related sclerosing disease · lupus nephritis · membranous glomerulonephritis · neuromyelitis optica spectrum disorder with anti-AQP4 antibodies · ocular myasthenia gravis · recessive dystrophic epidermolysis bullosa · stiff-person syndrome · systemic sclerosis · transplant rejection · optic neuritis
Investigated by
argenx · IQVIA Pty Ltd · First Affiliated Hospital of Wenzhou Medical University · Shanghai Zhongshan Hospital · Centre Hospitalier Universitaire de Nice · Chafic Karam
+26 more · Clinique Neuro-Outaouais · Huashan Hospital · M. Peter Marinkovich · Ningbo Medical Center Lihuili Hospital · Quintiles, Inc. · Rambam Health Care Campus · Second Affiliated Hospital of Soochow University · Second Affiliated Hospital, School of Medicine, Zhejiang University · Sir Run Run Shaw Hospital · Stanford University · Tang-Du Hospital · The Affiliated Brain Hospital of Nanjing Medical University · The Affiliated Hospital of Xuzhou Medical University · The First Affiliated Hospital, Guangzhou University of Traditional Chinese Medicine · Tianjin Medical University General Hospital · Union Hospital, Tongji Medical College, Huazhong University of Science and Technology · University Health Network, Toronto · University of Colorado, Denver · University of Minnesota · University of South Florida · West China Hospital · Wuhan TongJi Hospital · Zai Lab (Shanghai) Co., Ltd. · Zai Lab Pty. Ltd. · Zhejiang Provincial People's Hospital · Zhongming Qiu

Regulatory milestones approvals, filings & regulatory actions · 5 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (3) US (FDA) VYVGART 2024-08-08 – 2026-05-08 fda.gov
Approved EU (EMA) Vyvgart 2022-08-10 europa.eu
Approved US (FDA) VYVGART 2021-12-17 fda.gov

Trials 63 · started per year

today
US approved 2021
EU approved 2022
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1
3
7
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4
9
13
12
4
20172018201920202021202220232024202520262027
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 15 trials
Phase 1 NCT05927415 Jul 2023 → Jun 2024 impaired renal function disease argenx Completed No outcome recorded
Phase 1 NCT05163834 Nov 2021 → Mar 2022 argenx Completed No outcome recorded
Phase 1 NCT04564066 Aug → Dec 2020 argenx Completed No outcome recorded
Phase 1 NCT04073589 Jul → Sep 2019 argenx Completed No outcome recorded
Phase 1 NCT03334084 Oct 2017 → Sep 2018 argenx Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT07011589 Jul 2026 → Jan 2028 expected acquired epidermolysis bullosa, recessive dystrophic epidermolysis bullosa M. Peter Marinkovich Not yet recruiting No outcome recorded
Phase 219 trials
Phase 2 NCT07583641 Jul 2026 → Jan 2029 expected autoimmune encephalitis argenx Not yet recruiting No outcome recorded
Phase 2 NCT07025330 Nov 2025 → Mar 2028 expected immunoglobulin G4-related sclerosing disease Stanford University Recruiting No outcome recorded
Phase 2 NCT06831058 May 2025 → May 2028 expected acquired thrombotic thrombocytopenic purpura University of Minnesota Recruiting No outcome recorded
Phase 2 NCT06528392 Apr 2025 → Dec 2026 expected stiff-person syndrome University of South Florida Not yet recruiting No outcome recorded
Phase 2 NCT06655155 Nov 2024 → Feb 2027 expected systemic sclerosis argenx Recruiting No outcome recorded
Phase 2 NCT05701189 Sep 2024 → Jan 2026 Guillain-Barre syndrome Chafic Karam Withdrawn No outcome recorded
Phase 2 NCT06503731 Aug 2024 → Nov 2027 expected transplant rejection argenx Active not recruiting No outcome recorded
Phase 2 NCT06497374 Jul 2024 → Dec 2025 overdue neuromyelitis optica spectrum disorder with anti-AQP4 antibodies Tianjin Medical University General Hospital Not yet recruiting No outcome recorded
Phase 2 NCT06221501 Feb 2024 → Dec 2026 expected myasthenia gravis Shanghai Zhongshan Hospital Not yet recruiting No outcome recorded
Phase 2 NCT06203457 Nov 2023 → Feb 2025 Sjogren syndrome argenx Completed No outcome recorded
Phase 2/37 trials
Phase 2/3 NCT07194850 Oct 2025 → Oct 2028 expected autoimmune thrombocytopenic purpura argenx Recruiting No outcome recorded
Phase 2/3 NCT06885762 Apr 2025 → Jun 2026 overdue Guillain-Barre syndrome Zhongming Qiu Not yet recruiting No outcome recorded
Phase 2/3 NCT06392386 Jun 2024 → Sep 2026 expected generalized myasthenia gravis argenx Recruiting No outcome recorded
Phase 2/3 NCT05523167 Oct 2022 → Dec 2026 expected antisynthetase syndrome, dermatomyositis, immune-mediated necrotizing myopathy argenx Active not recruiting No outcome recorded
Phase 2/3 NCT05374590 Aug 2022 → Sep 2029 expected generalized myasthenia gravis argenx Enrolling by invitation No outcome recorded
Phase 2/3 NCT05267600 Jun 2022 → Sep 2024 bullous pemphigoid argenx Completed No outcome recorded
Phase 2/3 NCT04833894 Oct 2021 → Mar 2027 expected generalized myasthenia gravis argenx Recruiting No outcome recorded
Phase 325 trials
Phase 3 NCT07596849 Jun 2026 → Jun 2028 expected Graves disease argenx Recruiting No outcome recorded
Phase 3 NCT07570316 Jun 2026 → Jun 2028 expected Graves disease argenx Recruiting No outcome recorded
Phase 3 NCT07231523 Dec 2025 → Jun 2027 expected AChR+ myasthenia gravis Shanghai Zhongshan Hospital Not yet recruiting No outcome recorded
Phase 3 NCT06765161 Feb 2025 → Jan 2027 expected myasthenia gravis Clinique Neuro-Outaouais Recruiting No outcome recorded
Phase 3 NCT06684847 Jan 2025 → Jul 2027 expected Sjogren syndrome argenx Active not recruiting No outcome recorded
Phase 3 NCT06544499 Oct 2024 → Jun 2028 expected primary thrombocytopenia argenx Recruiting No outcome recorded
Phase 3 NCT06558279 Sep 2024 → Jan 2026 overdue ocular myasthenia gravis argenx Active not recruiting No outcome recorded
Phase 3 NCT06298552 Apr 2024 → Jun 2025 overdue generalized myasthenia gravis argenx Active not recruiting No outcome recorded
Phase 3 NCT06307626 Mar 2024 → Dec 2025 disease of orbital part of eye adnexa argenx Terminated No outcome recorded
Phase 3 NCT06307613 Mar 2024 → Dec 2025 endocrine exophthalmos argenx Terminated No outcome recorded
Phase 45 trials
Phase 4 NCT07072988 Sep 2025 → Oct 2027 expected generalized myasthenia gravis Centre Hospitalier Universitaire de Nice Recruiting No outcome recorded
Phase 4 NCT06909214 Apr 2025 → Aug 2026 overdue generalized myasthenia gravis argenx Recruiting No outcome recorded
Phase 4 NCT06860633 Mar 2025 → Dec 2026 expected AChR+ myasthenia gravis University of Colorado, Denver Recruiting No outcome recorded
Phase 4 NCT06637072 Dec 2024 → Feb 2026 polyneuropathy, inflammatory demyelinating, chronic argenx Completed No outcome recorded
Phase 4 NCT06688253 Nov 2024 → Jan 2025 overdue generalized myasthenia gravis Rambam Health Care Campus Not yet recruiting No outcome recorded
Phase not applicable1 trial
NCT06827587 Feb 2025 → Feb 2026 overdue generalized myasthenia gravis, neuromuscular disease First Affiliated Hospital of Wenzhou Medical University Not yet recruiting No outcome recorded
Also used as a comparator or background therapy in 5 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT03457649 Comparator Sep 2015 → Nov 2016 argenx Completed No outcome recorded
Phase 23 trials
Phase 2 NCT07284420 Background Dec 2025 → Mar 2028 expected AChR+ myasthenia gravis, generalized myasthenia gravis argenx Recruiting No outcome recorded
Phase 2 NCT06453694 Comparator Aug 2025 → Dec 2026 expected optic neuritis Anastasia Vishnevetsky, MD, MPH Recruiting No outcome recorded
Phase 2 NCT02965573 Comparator Dec 2016 → Oct 2017 generalized myasthenia gravis argenx Completed No outcome recorded
Phase 31 trial
Phase 3 NCT07217587 Comparator Jan 2026 → Sep 2027 expected generalized myasthenia gravis Janssen Research & Development, LLC Recruiting No outcome recorded

Evidence & citations 13 cited values

Every value below carries the sentence it was read from. 70 sources stand behind the page.

FieldValueCited text
Known as efgartigimod alfa Efgartigimod alfa, a human IgG1 antibody Fc fragment, has demonstrated efficacy and safety in patients with generalised myasthenia gravis.” PMID 39304241 Oct 2024
1

NCT06453694

Known as ARGX-113 “Efgartigimod PH20 (ARGX-113) SC” NCT07583641
5

NCT03669588

NCT02965573

NCT03770403

NCT03334084

NCT03334058

Known as EFG “This study is a prospective, multi-center, randomized controlled study to evaluate the efficacy and safety of efgartigimod (EFG) and intravenous immunoglobulin (IVIG) in the...” NCT07231523
Known as efgartigimod “METHODS: A randomized, double-blind, placebo-controlled first-in-human study was conducted in 62 healthy volunteers to explore single and multiple ascending intravenous doses...” PMID 30040076 Jul 2018
61

Efgartigimod is a human IgG1 antibody Fc-fragment, a natural ligand of the neonatal Fc receptor (FcRn), engineered for increased affinity to FcRn, while preserving its...” PMID 31821591 Dec 2019

“subcutaneous administration of efgartigimod with recombinant human hyaluronidase PH20 (rHuPH20)” NCT04073589

“Subcutaneous injection of efgartigimod coformulated with rHuPH20, a permeation enhancer” NCT05523167

NCT04598477

NCT06558279

NCT06909214

NCT04188379

NCT04225156

NCT04687072

NCT07231523

NCT07217587

NCT04280718

NCT06831058

NCT07570316

NCT06503731

NCT06587867

NCT05817669

NCT05979441

NCT06392386

NCT06298552

NCT07284420

NCT04812925

NCT06655155

NCT05810948

NCT07025330

NCT06528392

NCT06637072

NCT04598451

NCT04980495

NCT05810961

NCT06307626

NCT06688253

NCT04818671

NCT06221501

NCT06765161

NCT06544499

NCT05918978

NCT04274452

NCT04564066

NCT06684847

NCT07011589

NCT04735432

NCT05163834

NCT05701189

NCT06885762

NCT07072988

NCT06827587

NCT06860633

NCT05927415

NCT06307613

NCT05267600

NCT07194850

NCT04833894

NCT05681481

NCT07583641

NCT06203457

NCT07596849

NCT05633407

NCT04281472

NCT06497374

NCT05374590

Known as Efgartigimod alfa component of vyvgart hytrulo ChEMBL registry synonym — accepted as the source's own label CHEMBL4297551
Known as Efgartigimod Alfa-Fcab “Drug: Efgartigimod Alfa-FcabNCT05701189
Known as Efgartigimod alfa-qvfc ChEMBL registry synonym — accepted as the source's own label CHEMBL4297551
Known as efgartigimod alpha “Patients will receive efgartigimod alpha via intravenous infusion at a dose of 10 mg/kg, each infusion lasting approximately 2 hours, on Week 0, 1, 2 and 3.” NCT06497374
Known as Vyvgart ChEMBL registry synonym — accepted as the source's own label CHEMBL4297551
Action Inhibit “Efgartigimod blocks FcRn, preventing IgG recycling, and causing targeted IgG degradation.” PMID 31821591 Dec 2019
1

“IgG receptor FcRn large subunit p51 antagonist” CHEMBL4297551

Modality Protein / enzyme biologic “Efgartigimod is a human IgG1 antibody Fc-fragment” PMID 31821591 Dec 2019
Route Intravenous “four weekly intravenous infusions of either placebo (N = 12) or efgartigimod” PMID 31821591 Dec 2019
Target FCGRT “IgG receptor FcRn large subunit p51 antagonist” CHEMBL4297551