Authorised Phase II and Phase III (Integrated) Active Idiopathic Inflammatory Myopathy (IIM)

A study to investigate the efficacy and safety of efgartigimod PH20 SC in adult participants with active idiopathic inflammatory myopathy

EU CTIS ID: 2024-512785-33-00

What this study is testing

To evaluate the clinical improvement of efgartigimod PH20 SC treatment compared with placebo, in addition to standard-of-care immunomodulatory therapy

  • Phase II and Phase III (Integrated)

A plain-language read of the study's public EU CTIS listing. The study team confirms the details.

Who can take part

You may be able to join if

  • Ability to consent in the jurisdiction in which the study is taking place and capable of giving signed informed consent
  • A definite or probable clinical diagnosis of idiopathic inflammatory myopathy (IIM)
  • One of the following medical histories: (a) Diagnosis of dermatomyositis (DM) or juvenile dermatomyositis (JDM), (age of disease onset <18 years of age). The diagnosis date for JDM should not be >5 years from the screening date; (b) Diagnosis of polymyositis (PM) (including antisynthetase syndrome (ASyS)); (c) Diagnosis of immune-mediated necrotizing myopathy (IMNM)
  • Diagnosed with active disease as defined by the presence of at least 1 of the following criteria: (a) Abnormal levels of at least 1 of the following enzymes: creatine kinase (CK), aldolase, lactate dehydrogenase, aspartate aminotransaminase (AST), alanine aminotransferase (ALT), based on central laboratory results; (b) Electromyography demonstrating active disease performed within the past 3 months; (c) Active dermatomyositis (DM) skin rash; (d) Muscle biopsy indicative of active idiopathic inflammatory myopathy (IIM) (in the past 3 months); (e) Magnetic resonance imaging within the past 3 months indicative of active inflammation
  • Muscle weakness
  • Receiving a permitted background treatment for IIM

You likely can't join if

  • A clinically significant active infection at screening
  • Clinically significant disease, recent major surgery or intends to have surgery during the study, or has any other condition in the opinion of the investigator that could confound the results of the trial or put the patient at undue risk
  • Known hypersensitivity reaction to investigational medicinal product (IMP) or 1 of its excipients
  • Received a live or live-attenuated vaccine less than 4 weeks before screening.
  • Positive serum test at screening for active viral infection with any of the following conditions: a. Hepatitis B virus (HBV); b. Hepatitis C virus (HCV); c. HIV
  • Participant has previously participated in an efgartigimod clinical trial and received at least 1 dose of investigational medicinal product (IMP).
See the full eligibility criteria
Who can join
  • Ability to consent in the jurisdiction in which the study is taking place and capable of giving signed informed consent
  • A definite or probable clinical diagnosis of idiopathic inflammatory myopathy (IIM)
  • One of the following medical histories: (a) Diagnosis of dermatomyositis (DM) or juvenile dermatomyositis (JDM), (age of disease onset <18 years of age). The diagnosis date for JDM should not be >5 years from the screening date; (b) Diagnosis of polymyositis (PM) (including antisynthetase syndrome (ASyS)); (c) Diagnosis of immune-mediated necrotizing myopathy (IMNM)
  • Diagnosed with active disease as defined by the presence of at least 1 of the following criteria: (a) Abnormal levels of at least 1 of the following enzymes: creatine kinase (CK), aldolase, lactate dehydrogenase, aspartate aminotransaminase (AST), alanine aminotransferase (ALT), based on central laboratory results; (b) Electromyography demonstrating active disease performed within the past 3 months; (c) Active dermatomyositis (DM) skin rash; (d) Muscle biopsy indicative of active idiopathic inflammatory myopathy (IIM) (in the past 3 months); (e) Magnetic resonance imaging within the past 3 months indicative of active inflammation
  • Muscle weakness
  • Receiving a permitted background treatment for IIM
  • Contraceptive use consistent with local regulations, where available, for individuals participating in clinical studies. Women of childbearing potential must have a negative serum pregnancy test during screening and a negative urine pregnancy test at baseline before receiving investigational medicinal product (IMP)
What rules you out
  • A clinically significant active infection at screening
  • Clinically significant disease, recent major surgery or intends to have surgery during the study, or has any other condition in the opinion of the investigator that could confound the results of the trial or put the patient at undue risk
  • Known hypersensitivity reaction to investigational medicinal product (IMP) or 1 of its excipients
  • Received a live or live-attenuated vaccine less than 4 weeks before screening.
  • Positive serum test at screening for active viral infection with any of the following conditions: a. Hepatitis B virus (HBV); b. Hepatitis C virus (HCV); c. HIV
  • Participant has previously participated in an efgartigimod clinical trial and received at least 1 dose of investigational medicinal product (IMP).
  • Participant is concurrently participating in any other clinical study, including a noninterventional study.
  • Participant has a current or history (ie, within 12 months of screening) of alcohol, drug, or medication abuse.
  • Participant is pregnant or lactating or intends to become pregnant during the study.
  • Participant has severe renal impairment.
  • Participant is institutionalized by a court or other governmental order or is in a dependent relationship with the sponsor or investigator.
  • A COVID-19 polymerase chain reaction (PCR)-positive test before enrollment
  • Any other known autoimmune disease that, in the investigator's opinion, would interfere with an accurate assessment of clinical symptoms of idiopathic inflammatory myopathy (IIM) or put the patient at undue risk
  • A history of malignancy unless considered cured by adequate treatment, with no evidence of recurrence for ≥ 3 years before the first administration of the investigational medicinal product (IMP). Adequately treated participants with the following cancers can be included at any time: (a) Basal cell or squamous cell skin cancer; (b) Carcinoma in situ of the cervix; (c) Carcinoma in situ of the breast; (d) Incidental histological finding of prostate cancer
  • Severe muscle damage
  • Glucocorticoid-induced myopathy that the investigator considers the primary cause of muscle weakness or permanent weakness linked to a non-idiopathic inflammatory myopathy (IIM) cause
  • Juvenile myositis (JDM) diagnosed > 5 years from screening or juvenile myositis with extensive calcinosis or severe calcinosis.
  • Uncontrolled interstitial lung disease or any other uncontrolled idiopathic inflammatory myopathy (IIM) manifestation that, in the opinion of the investigator, would be likely to require treatment with prohibited medication during the study
  • Other inflammatory and noninflammatory myopathies: inclusion body myositis, infectious myopathy, overlap myositis, metabolic myopathies, muscle dystrophies or a family history of muscle dystrophy, druginduced or endocrine-induced myositis, and juvenile myositis (other than juvenile dermatomyositis (JDM))

The study team makes the final eligibility decision.

Where it's taking place

  • Serbia
  • Japan
  • Israel
  • Georgia
  • United Kingdom
  • Peru
  • Switzerland
  • Taiwan
  • Turkey
  • Thailand
  • China
  • United States
  • Australia
  • Korea, Republic of
  • Mexico
  • Canada
  • Argentina

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 65+ years, 18-64 years. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Serbia; Japan; Israel; Georgia; United Kingdom; Peru and 11 more location(s). Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from EU CTIS; the study team decides eligibility.