AzTrials
AzTrials

Active Idiopathic Inflammatory MyopathyPhase 2/3ALKIVIANCT05523167

A Study to Investigate the Efficacy and Safety of Efgartigimod PH20 SC in Adult Participants With Active Idiopathic Inflammatory Myopathy.

A Phase 2/3 study testing EFG PH20 SC and PBO in people with Active Idiopathic Inflammatory Myopathy and Myositis, run by argenx at 202 sites in 36 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

This study's purpose is to measure the treatment response from efgartigimod PH20 SC compared with placebo in participants with Idiopathic Inflammatory Myopathy (IIM). Participants with the IIM subtypes of dermatomyositis (DM), immune-mediated necrotizing myopathy (IMNM), or certain other subtypes of polymyositis (PM… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
EFG PH20 SC and PBO
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
265 participants
Where
202 sitesin 36 countries
Study dates
12 Oct 2022to 2 Jul 2026
Phase
Phase 2/3

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to 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: Diagnosis of dermatomyositis (DM) or juvenile dermatomyositis (JDM), Diagnosis of polymyositis (PM) (including antisynthetase syndrome (ASyS)), Diagnosis of immune-mediated necrotizing myopathy (IMNM)
  • Diagnosed with active disease as defined by the presence of at least 1 of the following criteria: 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; Electromyography demonstrating active disease within the past 3 months; Active dermatomyositis (DM) skin rash; Muscle biopsy indicative of active idiopathic inflammatory myopathy (IIM) in the past 3 months; Magnetic resonance imaging within the past 3 months indicative of active inflammation
  • Muscle weakness
  • Receiving a permitted background treatment for idiopathic inflammatory myopathy.
  • 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).

Who cannot join

  • 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: Basal cell or squamous cell skin cancer ; Carcinoma in situ of the cervix; Carcinoma in situ of the breast; 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
  • 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
  • Participant is pregnant or lactating or intends to become pregnant during the study.

Trial locations and contacts

202 sites in 36 countries.

202 sites in 36 countries

United States40 sites
  • Emory University Hospital, The Emory Clinic

    Atlanta, Georgia, 30322

  • Augusta University

    Augusta, Georgia, 30312

  • Austin Neuromuscular Center

    Austin, Texas, 78759

  • Johns Hopkins Medicine - Johns Hopkins Myositis Center

    Baltimore, Maryland, 21224

  • Attune Health Research, Inc

    Beverly Hills, California, 90039

  • Harvard Medical School - Brigham and Women's Hospital (BWH) - The Schuster Family Transplantation Research Center (TRC)

    Boston, Massachusetts, 02115-6110

  • University of Vermont Medical Center - Main Campus

    Burlington, Vermont, 05401

  • University of North Carolina (UNC) School of Medicine

    Chapel Hill, North Carolina, 27514-4220

  • Northwestern Memorial Hospital

    Chicago, Illinois, 60611

  • Cleveland Clinic - Main Campus

    Cleveland, Ohio, 44195

  • The Ohio State University

    Columbus, Ohio, 43201

  • Denver Arthritis Clinic

    Denver, Colorado, 80230

  • Michigan State University - Neurology

    East Lansing, Michigan, 48824

  • UF Health Rheumatology

    Gainesville, Florida, 32610-3008

  • Northwell Health

    Great Neck, New York, 11021

  • McGovern Medical School -The University of Texas Health Science Center at Houston

    Houston, Texas, 77030

  • Nerve And Muscle Center Of Texas

    Houston, Texas, 77030

  • Mayo Clinic

    Jacksonville, Florida, 32224

  • University Of Kansas Medical Center

    Kansas City, Kansas, 66160

  • University of Southern California Norris Comprehensive Cancer Center

    Los Angeles, California, 90033

  • Vanderbilt University Medical Center (VUMC) - Vanderbilt Rheumatology Clinic

    Nashville, Tennessee, 37232-0028

  • Yale Cancer Center-Yale University School Of Medicine

    New Haven, Connecticut, 06520

  • Hospital for Special Surgery

    New York, New York, 10021

  • Profound Research LLC - Oceanside

    Oceanside, California, 92056

  • Mercy Hospital - Mercy Clinic Neurology Oklahoma City - Neurology

    Oklahoma City, Oklahoma, 73120

  • University of California, Irvine

    Orange, California, 92868

  • Neuromuscular Research Center

    Phoenix, Arizona, 85028

  • University of Pittsburg Medical Center

    Pittsburgh, Pennsylvania, 15261

  • Oregon Health and Science University

    Portland, Oregon, 97239

  • Eisenhower Medical Center

    Rancho Mirage, California, 92270

  • Stanford Medicine Outpatient Center - Stanford Dermatology Clinic-Stanford University School of Medicine

    Redwood City, California, 94063-3132

  • St. Paul Rheumatology, PA

    Saint Paul, Minnesota, 55121

  • California Pacific Medical Center - Sutter Health

    San Francisco, California, 94109

  • Amyotrophic Lateral Sclerosis (ALS) Treatment Center,University of California San Francisco (UCSF)

    San Francisco, California, 94143-2202

  • HonorHealth Neurology - Bob Bove Neuroscience Institute - Neurology

    Scottsdale, Arizona, 85251

  • University of Washington Medical Center

    Seattle, Washington, 98195

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • University of South Florida (USF) - Morsani Center (USF Health Carol and Frank Morsani Center for Advanced Healthcare)

    Tampa, Florida, 33616

  • Georgetown University Hospital

    Washington D.C., District of Columbia, 20007

  • Carolina Arthritis Associates

    Wilmington, North Carolina, 28401

Other trials in United States

China20 sites
  • Peking University First Hospital

    Beijing, 100034

  • Peking University Third Hospital

    Beijing, 100191

  • Peking Union Medical College Hospital

    Beijing, 100730

  • The First Hospital of Jilin University

    Changchun, 130021

  • Xiangya Hospital Central South University

    Changsha, 410008

  • The Second Xiangya Hospital of Central South University

    Changsha, 410011

  • Sichuan Provincial Peoples Hospital

    Chengdu, 610072

  • Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University

    Guangzhou, 510000

  • Nanfang Hospital, Southern Medical University

    Guangzhou, 510515

  • The First Affiliated Hospital - School of Medicine - ZheJiang University

    Hangzhou, 310003

  • Anhui Provincial Hospital

    Hefei, 230001

  • The Second Affiliated Hospital Of Nanchang University

    Nanchang, 330000

  • Nanjing Drum Tower Hospital

    Nanjing, 210008

  • Huashan Hospital Affiliated to Fudan University

    Shanghai, 200000

  • Ruijin Hospital, Shanghai Jiaotong University School of Medicine

    Shanghai, 200025

  • Shanghai Renji Hospital

    Shanghai, 200127

  • First Affiliated Hospital of Shanxi Medical College

    Shanxi, 30001

  • China Medical University (CMU) - First Affiliated Hospital

    Shenyang, 110001

  • Huazhong University of Science and Technology - Tongji Medical College - Tongji Hospital

    Wuhan, 430030

  • First Affiliated Hospital (Henan Medical University - First Affiliated Hospital)-Zhengzhou University

    Zhengzhou, 450052

Other trials in China

Japan18 sites
  • Tokyo Medical And Dental University Hospital, Faculty of Medicine

    Bunkyō City, 113-8519

  • Nippon Medical School - Nippon Medical School Hospital

    Bunkyō City, 113-8603

  • St. Marianna University School of Medicine Hospital

    Kawasaki, 216-8511

  • Kurume University Hospital

    Kurume, 830-0011

  • Chiba-Nishi General Hospital

    Matsudo-shi, 270-2251

  • Japan Community Healthcare Organization Chukyo Hospital

    Nagoya, 457-8510

  • Kitasato University Hospital (KUH)

    Sagamihara-shi, 252-0375

  • Sapporo City Hospital

    Sapporo, 060-8604

  • Hokkaido University Hospital - Rheumatology

    Sapporo, 060-8648

  • Sasebo Chuo Hospital

    Sasebo-shi, 857-1165

  • Tohoku University Hospital

    Sendai, 980-8574

  • Tokushima University Hospital

    Tokushima, 770-8503

  • Juntendo University Hospital - Rheumatology

    Tokyo, 113-8431

  • The University of Tokyo Hospital

    Tokyo, 113-8655

  • Keio University Hospital

    Tokyo, 160-8582

  • University of Tsukuba Hospital - Rheumatology

    Tsukuba, 305-8576

  • Yamaguchi University Hospital

    Ube-shi, 755-8505

  • Wakayama Medical University Hospital - Dermatology

    Wakayama, 641-8509

Other trials in Japan

Italy12 sites
  • Azienda Ospedaliera Universitaria Policlinico Consorziale Di Bari - Rheumatology

    Bari, 70124

  • Azienda Ospedaliero Universitaria Careggi

    Florence, 50139

  • Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale San Raffaele Hospital

    Milan, 20132

  • San Matteo Hospital

    Pavia, 27100

  • A.O. Universitaria Pisana

    Pisa, 56126

  • IRCCS Arcispedale Santa Maria Nuova

    Reggio Emilia, 42123

  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Universita Cattolica del Sacro Cuore

    Roma, 00168

  • Azienda Ospedaliero Universitaria Sant'Andrea

    Roma, 00189

  • IRCCS Istituto Clinico Humanitas - Rheumatology

    Rozzano, 20089

  • Azienda Ospedaliero Universitaria Citta della Salute e della Scienza di Torino - Presidio Molinette

    Torino, 10126

  • ASU FC - Presidio Ospedaliero Universitario Santa Maria della Misericordia

    Udine, 33100

  • Azienda Ospedaliera Universitaria Integrata di Verona - Ospedale Borgo Roma

    Verona, 37134

Other trials in Italy

Germany10 sites
  • Charite - Universitaetsmedizin Berlin

    Berlin, 10117

  • Universitaetsklinikum Duesseldorf

    Düsseldorf, 40225

  • Universitatsmedizin Gottingen - Georg-August-Universitat

    Göttingen, 37075

  • Universitaetsklinikum Hamburg-Eppendorf

    Hamburg, 20246

  • Rheumazentrum Ruhrgebiet

    Herne, 44649

  • Universitatsmedizin Mannheim

    Mannheim, 68167

  • Ludwig-Maximilians-Universitat Munchen Friedrich-Baur-Institut Neurologische Klinik und Poliklinik

    München, 80336

  • St. Josef-Stift Sendenhorst

    Sendenhorst, 48324

  • Universitaetsklinikum Tuebingen (UKT)

    Tübingen, 72076

  • Universitatsklinikum Ulm - Standort Oberer Eselsberg

    Ulm, 89081

Other trials in Germany

Spain9 sites
  • Hospital General Universitario de Alicante

    Alicante, 03010

  • Hospital Clinic de Barcelona - Sede Villarroel - Rheumatology

    Barcelona, 08036

  • Hospital de la Santa Creu i Sant Pau

    Barcelona, 08041

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034

  • Universidad Autonoma de Madrid (UAM) - Hospital Universitario La Paz

    Madrid, 28046

  • Hospital Universitario 12 de Octubre

    Madrid, 451086

  • Hospital De Valme

    Seville, 9-41014

  • Hospital Universitario y Politecnico La Fe

    Valencia, 46026

  • Hospital Do Meixoeiro

    Vigo, 36200

Other trials in Spain

United Kingdom9 sites
  • Royal National Hospital for Rheumatic Diseases - Royal United Hospitals Bath NHS Foundation Trust

    Bath, BA1 3NG

  • Doncaster Royal Infirmary - Doncaster And Bassetlaw Hospitals Nhs Foundation Trust

    Doncaster, DN2 5LT

  • Leeds Institute of Rheumatic & Musculoskeletal Medicine - University of Leeds

    Leeds, LS7 4SA

  • Aintree University Hospital - Liverpool University Hospitals NHS Foundation Trust

    Liverpool, L9 7AL

  • The Royal Free Hospital - Royal Free London NHS Foundation Trust

    London, NW3 2QG

  • Kings College Hospital NHS Foundation Trust

    London, SE5 9RS

  • The National Hospital for Neurology and Neurosurgery

    London, WC1N 3BG

  • James Cook University Hospital - South Tees Hospitals NHS Foundation Trust

    Middlesbrough, TS4 3BW

  • Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust

    Salford, M6 8HD

Other trials in United Kingdom

Thailand7 sites
  • Chulalongkorn University - Faculty of Medicine - King Chulalongkorn Memorial Hospital (KCMH)

    Bangkok, 10300

  • Phramongkutklao Hospital

    Bangkok, 10400

  • Ramathibodi hospital

    Bangkok, 10400

  • Siriraj Hospital, Mahidol University of Internal medicine

    Bangkok, 10700

  • Maharaj Nakorn Chiang Mai Hospital, Chiang Mai University

    Chiang Mai, 50200

  • Khon Kaen University

    Khon Kaen, 40000

  • Thammasat University Hospital

    Pathum Thani, 12120

Other trials in Thailand

Georgia6 sites
  • American Hospital Network

    Tbilisi, 0102

  • LTD New Hospitals

    Tbilisi, 0114

  • Aversi Clinic

    Tbilisi, 0160

  • LLC MediClub Georgia

    Tbilisi, 0179

  • The First Medical Center

    Tbilisi, 0180

  • LTD Tbilisi Heart Center

    Tbilisi, 0186

Other trials in Georgia

South Korea6 sites
  • Chungnam National University Hospital (CNUH)

    Daejeon, 35015

  • Gachon University Gil Medical Center

    Incheon, 21565

  • Kyung Hee University Medical Center

    Seoul, 02447

  • Seoul National University Hospital

    Seoul, 03080

  • Hanyang University Seoul Hospital

    Seoul, 04763

  • Ajou University Hospital

    Suwon, 16499

Other trials in South Korea

Argentina5 sites
  • Consultora Integral de Salud

    Córdoba, 5000

  • Framingham Centro Medico

    La Plata, B1902COS

  • Dim Clinica Privada

    Ramos Mejía, B1704ETD

  • Centro Dermatologico Schejtman

    San Miguel, B1663GKT

  • Centro de Investigaciones Medicas Tucuman

    San Miguel de Tucumán, T4000AXL

Other trials in Argentina

Greece5 sites
  • National and Kapodistrian University of Athens - School of Health Sciences - Faculty of Medicine

    Athens, 115 27

  • National and Kapodistrian University of Athens - Eginition Hospital

    Athens, 115 28

  • Attikon General University Hospital

    Athens, 12462

  • Athens Medical Center

    Athens, 151 25

  • University of Ioannina Medical School

    Ioannina, 45110

Other trials in Greece

Israel5 sites
  • Bnai Zion Medical Center

    Haifa, 31048

  • Rambam Health Care Campus

    Haifa, 3109601

  • Meir Medical Center

    Kfar Saba, 44281

  • Rabin Medical Center - Beilinson Campus (Beilinson and Hasharon Hospital)

    Petah Tikva, 49100

  • Sheba Medical Center - Rheumatology

    Ramat Gan, 52621

Other trials in Israel

Belgium4 sites
  • Centre Hospitalier Universitaire de Charleroi

    Charleroi, 6042

  • AZ Sint Lucas Gent-Campus Sint Lucas

    Ghent, 9000

  • Universitair Ziekenhuis Leuven Gasthuisberg Campus

    Leuven, 3000

  • Centre Hospitalier Universitaire Sart Tilman

    Liège, 4000

Other trials in Belgium

France4 sites
  • Hopital Edouard Herriot

    Lyon, 69003

  • Reference Center Neuro-Muscular Diseases - CHU Paris Group Hospitalier La Pitie Salpetriere-Charles Foix

    Paris, 75013

  • Centre Hospitalier Universitaire (CHU) Hopitaux de Rouen

    Rouen, 76031

  • Hopitaux Universitaire de Strasbourg-Centre de References des Maladies Autoimmunes

    Strasbourg, 67098

Other trials in France

Peru4 sites
  • Hogar Clinica San Juan de Dios

    Arequipa, 4018

  • Investigaciones Clinicas S.A.C.

    Lima, 15023

  • Instituto Peruano Del Hueso Y La Articulacion Sac-Privado-Lima, Centro De Investigacion Iphar

    Lima, 27

  • Hospital Nacional Cayetano Heredia

    Lima, 31

Other trials in Peru

Ireland3 sites
  • St. Vincents University Hospital

    Dublin, D04 T6F4

  • Connolly Hospital Blanchardstown

    Dublin, D15 X40D

  • North West Rheumatology Unit - Our Lady's Hospital

    Manorhamilton, F91 X012

Other trials in Ireland

Poland3 sites
  • Szpital Uniwersytecki nr 2 im. Dr Jana Biziela w Bydgoszczy

    Bydgoszcz, 85-168

  • USK-WAM Centralny Szpital Weteranow - Szpital Kniniczny ul. Zeromskiego 113

    Lodz, 90-549

  • Centrum Wsparcia Badan Klinicznych Pomorski Uniwersytet Medyczny w Szczecinie

    Szczecin, 71-252

Other trials in Poland

Taiwan3 sites
  • Chung Shan Medical University Hospital

    Taichung, 402

  • China Medical University and Hospital

    Taichung, 40402

  • Taichung Veterans General Hospital

    Taichung, 40705

Other trials in Taiwan

Turkey (Türkiye)3 sites
  • Ankara University Medical Faculty

    Ankara, 06230

  • Ankara City Hospital

    Ankara, 06800

  • Necmettin Erbakan University Meram Medical Faculty

    Konya, 42090

Other trials in Turkey (Türkiye)

Australia2 sites
  • The Wesley Medical Research

    Auchenflower, 4066

  • Fiona Stanley Hospital

    Murdoch, 6150

Other trials in Australia

Austria2 sites
  • Medical University Innsbruck

    Innsbruck, 6020

  • Allgemeines Krankenhaus der Stadt Wien (AKH Wien)

    Vienna, 1090

Other trials in Austria

Bulgaria2 sites
  • Medical Centre Artmed

    Plovdiv, 4002

  • Multiprofile hospital for active treatment Kaspela EOOD

    Plovdiv, 4002

Other trials in Bulgaria

Canada2 sites
  • Genge Partners

    Montreal, H4A 3T2

  • Ottawa Hospital Research Institute-Civic Campus

    Ottawa, K1Y 4E9

Other trials in Canada

Hungary2 sites
  • Semmelweis Egyetem, Institute of Genomic Medicine and Rare Disorders

    Budapest, 1083

  • Debreceni Egyetem - University of Debrecen

    Debrecen, 4032

Other trials in Hungary

Lithuania2 sites
  • Hospital of Lithuanian University of Health Sciences Kauno klinikos

    Kaunas, 50161

  • Vilnius University Hospital Santaros Klinikos

    Vilnius, 08661

Other trials in Lithuania

Mexico2 sites
  • Centro Peninsular De Investigacion Clinica

    Mérida, 97000

  • CITER - Centro de Investigacion y Tratamiento de las Enfermedades Reumaticas S.A. de C.V.

    Mexico City, 06700

Other trials in Mexico

Netherlands2 sites
  • Amsterdam University Medical Center (Amsterdam UMC), Academic Medical Center (AMC)

    Amsterdam, 1105 AZ

  • Universitair Medisch Centrum Utrecht (UMC Utrecht)

    Utrecht, 3584 CX

Other trials in Netherlands

Portugal2 sites
  • Centro Hospitalar Lisboa Norte, E.P.E- Hospital Santa Maria

    Lisbon, 1649-035

  • Centro Hospitalar Universitario de Santo Antonio

    Porto, 4099-001

Other trials in Portugal

Serbia2 sites
  • Clinical Center of Serbia

    Belgrade, 11000

  • Institute of Rheumatology

    Belgrade, 11000

Other trials in Serbia

Cyprus1 site
  • Cyprus Institute of Neurology and Genetics

    Nicosia, 2371

Other trials in Cyprus

Czechia1 site
  • Revmatologicky ustav

    Prague, 128 00

Other trials in Czechia

Denmark1 site
  • Copenhagen University Hospital-Rigshospitalet University Hospital

    Copenhagen, 2100

Other trials in Denmark

Slovakia1 site
  • Narodny ustav reumatickych chorob

    Piešťany, 92112

Other trials in Slovakia

Sweden1 site
  • Karolinska Universitestssjukhus Solna

    Stockholm, 17164

Other trials in Sweden

Switzerland1 site
  • Neurocenter of Southern Switzerland

    Lugano, 6900

Other trials in Switzerland

About this study

Official title: A Phase 2/3, Randomized, Double-Blinded, Placebo-Controlled, Parallel-Group, 2-Arm, Multicenter, Operationally Seamless Study to Evaluate the Efficacy, Safety, Tolerability, Pharmacodynamics, Pharmacokinetics, and Immunogenicity of Efgartigimod PH20 SC in Participants Aged 18 Years and Older With Active Idiopathic Inflammatory Myopathy

This study's purpose is to measure the treatment response from efgartigimod PH20 SC compared with placebo in participants with Idiopathic Inflammatory Myopathy (IIM). Participants with the IIM subtypes of dermatomyositis (DM), immune-mediated necrotizing myopathy (IMNM), or certain other subtypes of polymyositis (PM; including antisynthetase syndrome [ASyS]) will be included in the study. Treatment response will be measured by Total improvement score (TIS).

Being tested
EFG PH20 SC, PBO
Medical subject headings
Myositis, Dermatomyositis, Polymyositis, Antisynthetase syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EFG PH20 SCBiological

    Subcutaneous injection of efgartigimod coformulated with rHuPH20, a permeation enhancer

  • PBOOther

    Subcutaneous injection of placebo coformulated with rHuPH20, a permeation enhancer

Study groups in NCT05523167
Study groupRoleWhat they receive
EFG PH20 SCExperimentalparticipants receiving efgartigimod PH20 SC on top of background treatment
Receives: Biological: EFG PH20 SC
PBO PH20 SCPlacebo comparatorparticipants receiving placebo PH20 SC on top of background treatment
Receives: Other: PBO

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean TIS

    The Total improvement score (TIS) assesses minimal, moderate, and major clinical response, and is assessed using the ACR/EULAR criteria. It is measured on a 0 to 100 scale. Higher scores represent improvement; zero indicates no improvement or worsening (from baseline).

    Measured: phase 2: 24 weeks; phase 3: 52 weeks

Secondary outcomes (10)
  1. Time to reach TIS ≥ 20 (first "minimal clinical improvement")

    The Total improvement score (TIS) assesses minimal, moderate, and major clinical response, and is assessed using the ACR/EULAR criteria. It is measured on a 0 to 100 scale. Higher scores represent improvement; zero indicates no improvement or worsening (from baseline).

    Measured: phase 2: up to 24 weeks; phase 3: up to 52 weeks

  2. Percentage of participants with TIS ≥ 20

    The Total improvement score (TIS) assesses minimal, moderate, and major clinical response, and is assessed using the ACR/EULAR criteria. It is measured on a 0 to 100 scale. Higher scores represent improvement; zero indicates no improvement or worsening (from baseline).

    Measured: phase 2: up to 24 weeks; phase 3: up to 52 weeks

  3. Time to reach TIS ≥ 40 (first "moderate clinical improvement")

    The Total improvement score (TIS) assesses minimal, moderate, and major clinical response, and is assessed using the ACR/EULAR criteria. It is measured on a 0 to 100 scale. Higher scores represent improvement; zero indicates no improvement or worsening (from baseline).

    Measured: phase 2: up to 24 weeks; phase 3: up to 52 weeks

  4. Percentage of participants with TIS ≥ 40

    The Total improvement score (TIS) assesses minimal, moderate, and major clinical response, and is assessed using the ACR/EULAR criteria. It is measured on a 0 to 100 scale. Higher scores represent improvement; zero indicates no improvement or worsening (from baseline).

    Measured: phase 2: up to 24 weeks; phase 3: up to 52 weeks

  5. Change in MMT8 score

    The manual muscle testing-8 (MMT8) is a physician assessment of muscle strength in a set of 8 designated muscles tested bilaterally and axially. The highest total potential MMT8 score is 150

    Measured: phase 2: up to 24 weeks; phase 3: up to 52 weeks

  6. Change in Patient Global Assessment of Disease Activity (PGA)

    The Patient Global Assessment of Disease Activity (PGA) is a tool that measures a patient's global evaluation of their overall disease activity at the time of assessment using a 10-cm VAS. The participant rates their overall disease activity by drawing a vertical mark on a 10-cm VAS from the left end of the line (no evidence of disease activity) to the right end of the line (extremely active or severe disease activity).

    Measured: phase 2: up to 24 weeks; phase 3: up to 52 weeks

  7. Change in Physician Global Assessment of Disease Activity (MDGA)

    The Physician Global Assessment of Disease Activity (MDGA) is a tool that measures the physician's global evaluation of the participant's overall disease activity, defined as potentially reversible pathology or physiology resulting from IIM. The physician rates disease activity on the MDGA using a 10-cm VAS. Overall disease activity is rated by drawing a vertical mark on a 10-cm VAS from the left end of the line (no evidence of disease activity), midpoint of the line (moderate disease activity), and the right end of the line (extremely active or severe disease activity).

    Measured: phase 2: up to 24 weeks; phase 3: up to 52 weeks

  8. Proportion of participants who have at least moderate improvement (≥40) in TIS at week 52 and adhere to an oral prednisone dosage of ≤5 mg/day (or equivalent) from week 44 onward

    The Total improvement score (TIS) assesses minimal, moderate, and major clinical response, and is assessed using the ACR/EULAR criteria. It is measured on a 0 to 100 scale. Higher scores represent improvement; zero indicates no improvement or worsening (from baseline).

    Measured: Phase 3: up to 52 weeks

  9. Change in CK abnormality grades at week 52

    CK: creatine kinase

    Measured: Phase 3: up to 52 weeks

  10. Change in CDASI activity score at week 52

    The Cutaneous Dermatomyositis Disease Area and Severity Index (CDASI) is a skin-specific outcome measure used to assess disease in patients with Dermatomyositis (DM). Disease in 15 different anatomical locations is rated using 3 activity measures (erythema, scale, erosion/ulceration) and 2 damage measures (poikiloderma, calcinosis). The resulting activity and damage scores range from 0 to 100 and 0 to 32, respectively. Higher scores indicate greater disease severity.

    Measured: Phase 3: up to 52 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Aug 2022
  2. Study start12 Oct 2022
  3. Primary completion2 Jul 2026
  4. Study completion2 Jul 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
265 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05523167
Sponsor's protocol ID
ARGX-113-2007
Other IDs
2024-512785-33-00
Acronym
ALKIVIA
Status last verified
Jul 2026
First submitted
30 Aug 2022
Last updated
21 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

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