Pemphigus VulgarisPhase 3ADDRESSNCT04598451
A Study to Assess the Efficacy and Safety of a Subcutaneous Formulation of Efgartigimod PH20 SC in Adults With Pemphigus (Vulgaris or Foliaceus)
A Phase 3 study testing efgartigimod PH20 SC and prednisone in people with Pemphigus Vulgaris and Pemphigus Foliaceus, run by argenx at 134 sites in 21 countries.
Trial summary
This is a prospective, multicenter, randomized, double-blinded, placebo-controlled trial to investigate the efficacy, safety, patient outcome measures, tolerability, immunogenicity, PK, and PD of efgartigimod PH20 SC in adult participants aged from 18 years with PV or PF. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Pemphigus Vulgaris, Pemphigus Foliaceus
- What is being tested?
- efgartigimod PH20 SC and prednisone
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 222 participants
- Where
- 134 sitesin 21 countries
- Study dates
- 1 Dec 2020to 22 Aug 2023
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 understand the requirements of the trial, to provide written informed consent (including consent for the use and disclosure of research-related health information), willingness and ability to comply with the trial protocol procedures (including required trial visits).
- The participant is male or female, and aged from 18 years at the time of signing the informed consent form (ICF).
- The participant has a clinical diagnosis of PV (mucosal, cutaneous, mucocutaneous) or PF which has been confirmed by cutaneous histology, positive direct immunofluorescence (IF), and positive indirect IF and/or enzyme-linked immunosorbent assay (ELISA).
- The participant meets one of the following profiles:
- Newly diagnosed disease with PDAI ≥15 at baseline and naïve to treatment
- Newly diagnosed disease with PDAI ≥15 while receiving a first course of oral prednisone (or equivalent). According to clinical judgment, the participant has shown no significant improvement of PV or PF signs for at least 2 weeks before baseline and is considered fit to start prednisone treatment at 0.5 mg/kg qd at baseline.
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- Experiencing flare with PDAI ≥15, a maximum of 4 years since diagnosis, and off prednisone therapy ± a conventional immunosuppressant (e.g., azathioprine, cyclophosphamide, methotrexate, mycophenolate mofetil) or dapsone. Note: conventional immunosuppressants and dapsone must be discontinued before baseline.
- Experiencing flare with PDAI ≥15, a maximum of 4 years since diagnosis, and receiving a tapered dose of oral prednisone (or the equivalent), provided that prednisone has been given at stable dose ± a conventional immunosuppressant for at least 2 weeks and patients are fit to start prednisone treatment at 0.5 mg/kg qd at baseline.
- Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating clinical trials and:
- Male participants: Male participants must agree to use acceptable method of contraception, and not donate sperm from signing the ICF until the end of the study.
- Female participants: Women of childbearing potential must:
- have a negative serum pregnancy test at screening and negative urine pregnancy test at baseline before the IMP can be administered.
- agree to use a highly effective or acceptable contraception method, which should be maintained at minimum until after the last dose of IMP
- For Japanese participants enrolled in sites in Japan only: A Japanese participant is defined as a participant whose parents and 4 grandparents are Japanese, and who has Japanese nationality, was born in Japan, has not lived outside of Japan for a total of >10 years, and currently lives in Japan.
Who cannot join
- Participant has a confirmed diagnosis of paraneoplastic pemphigus, drug-induced pemphigus, pemphigus vegetans, pemphigus erythematosus, or any other non-PV/non-PF autoimmune blistering disease.
- Participants with mild disease severity as defined by PDAI <15 at baseline.
- Participants who show a significant improvement of PV or PF in the period from screening to baseline according to clinical judgment (eg, the patient has achieved DC or a substantial reduction in PDAI activity score during screening period).
- The participant has been administered therapy(ies) other than oral prednisone or conventional immunosuppressants (e.g., azathioprine, cyclophosphamide, methotrexate, mycophenolate mofetil) or dapsone within 2 months before the baseline visit and that can affect clinical disease activity. For example, excluded medications are intravenous methylprednisolone, dapsone, sulfasalazine, tetracyclines, nicotinamide at doses above the recommended daily allowance (RDA)/dietary reference intake (DRI), plasmapheresis/ plasma exchange, immunoadsorption, and IVIg.
- Use of any monoclonal antibody (including rituximab or another anti-CD20 biologic) within 6 months before the baseline visit.
- Known hypersensitivity to any of the components of the administered treatments.
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- The participant has a known contraindication to oral prednisone.
- The participant has a history of refractory disease, as defined by a failure to respond to first-line and second-line therapies
- Participants who have a history of malignancy unless deemed cured by adequate treatment with no evidence of recurrence for ≥3 years before first IMP administration. Participants with any of the following cancers can be included at any time, provided they are adequately treated prior to their participation in the study:
- 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
- Participants with clinical evidence of other significant serious disease or participants who recently underwent or have planned a major surgery during the period of the trial, or any other condition in the opinion of the investigator, that could confound the results of the trial or put the patient at undue risk.
- Pregnant and lactating women and those intending to become pregnant during the trial.
- Current or history (i.e. within 12 months of screening) of alcohol, drug, or medication abuse.
- Any other known autoimmune disease that, in the opinion of the investigator, would interfere with an accurate assessment of clinical symptoms of PV or PF or put the participant at undue risk.
- The participant has a Karnofsky Performance score <60%.
- Vaccination with live viral vaccines within 28 days prior to randomization.
- The participant has clinically significant uncontrolled active or chronic bacterial, viral, or fungal infection.
- Positive serum test at screening for an active viral infection with any of the following conditions: Hepatitis B Virus, Hepatitis C Virus , HIV.
- The participant has total immunoglobulin G (IgG) <6 g/L at screening.
- The participant has previously participated in a trial with efgartigimod and has received at least one administration of IMP.
- Use of an investigational drug within 3 months or 5 half-lives of the drug (whichever is longer) prior to first IMP administration
Trial locations and contacts
134 sites in 21 countries.
134 sites in 21 countries
United States21 sites
Investigator site 77 - US0010086
Birmingham, Alabama, 35233
Investigator site 2 - US0010087
Boca Raton, Florida, 33428
Investigator site 19 - US0010088
Buffalo, New York, 14203-1070
Investigator site 125 - US0010153
Castle Rock, Colorado, 80109
Investigator site 20 - US0010094
Cleveland, Ohio, 44106-1716
Investigator site 98 - US0010107
Dallas, Texas, 75246
Investigator site 1 - US0010084
Dripping Springs, Texas, 78620
Investigator site 60 - US0010096
Durham, North Carolina, 27710
Investigator site 126 - US0010182
Houston, Texas, 77004
Investigator site 88 - US0010114
Houston, Texas, 77008
Investigator site 99 - US0010117
Miami, Florida, 33173
Investigator site 61 - US0010090
Minneapolis, Minnesota, 55455
Investigator site 136 - US0010196
New York, New York, 10128
Investigator site 59 - US0010106
Norfolk, Virginia, 23502
Investigator site 78 - US0010109
Orlando, Florida, 32827
Investigator site 73 - US00100
Philadelphia, Pennsylvania, 19104
Investigator site 101 - US0010097
Philadelphia, Pennsylvania, 19140
Investigator site 121 - US0010092
Redwood City, California, 94063
Investigator site 97 - US0010091
Scottsdale, Arizona, 85259
Investigator site 102 - US0010098
St Louis, Missouri, 63110
Investigator site 127 - US0010155
West Lafayette, Indiana, 47906
China13 sites
Investigator site 110 - CN0860017
Beijing, 100034
Investigator site 111 - CN0860018
Chendu, 610000
Investigator site 131 - CH0860027
Chongqing, 400042
Investigator site 118 - CN0860023
Fujian, 350005
Investigator site 120 - CN0860022
Guangzhou, 510000
Investigator site 128 - CH0860053
Guangzhou, 51000
Investigator site 109 - CN0860021
Guanzhou, 510000
Investigator site 119 - CN0860024
Nanjing
Investigator site 112 - CN0860020
Shanghai, 200025
Investigator site 108 - CN0860016
Shanghai, 200040
Investigator site 113 - CN0860025
Wuhan, 430022
Investigator site 123 - CN0860019
Wuhan, 430022
Investigator site 129 - CH0860026
Zhengzhou, 450008
Germany10 sites
Investigator site 64 - DE0490029
Berlin, 10117
Investigator site 48 - DE0490030
Dresden, 01307
Investigator site 49 - DE0490024
Frankfurt am Main, 60590
Investigator site 47 - DE0490023
Freiburg im Breisgau, 79104
Investigator site 38 - DE0490028
Kiel, 24105
Investigator site 37 - DE0490002
Lübeck, 23538
Investigator site 68 - DE0490001
Marburg, 35043
Investigator site 25 - DE0490025
Tübingen, 72076
Investigator site 79 - DE0490027
Ulm, 89081
Investigator site 21 - DE0490026
Würzburg, 97080
Japan10 sites
Investigator site 94 - JP0810046
Aichi, 480-1195
Investigator site 81 - JP0810040
Hiroshima, 734-8551
Investigator site 82 - JP0810042
Kofu, 400-8506
Investigator site 85 - JP0810050
Kurume, 830-001
Investigator site 84 - JP0810047
Okayama, 700-8558
Investigator site 93 - JP0810041
Okayama, 701-0192
Investigator site 86 - JP0810049
Osaka, 545-8586
Investigator site 74 - JP0810045
Sapporo, 060-8648
Investigator site 124 - JP0810067
Sendai, 980-8574
Investigator site 83 - JP0810043
Tokyo, 113-8431
Spain10 sites
Investigator site 29 - ES0340026
Barcelona, 08907
Investigator site 15 - ES0340032
Barcelona, 8036
Investigator site 130 - ES0340053
Granada, 18016
Investigator site 67 - ES0340034
Madrid, 28007
Investigator site 10 - ES0340025
Madrid, 28034
Invetistigator site 8 - ES0340029
Madrid, 28041
Investigator site 6 - ES0340027
Madrid, 28046
Investigator site 134 - ES0340057
Málaga, 28009
Investigator site 23 - ES0340031
Pamplona, 31008
Investigator site 7 - ES0340028
Seville, 41013
Russia8 sites
Investigator site 54 - RU0070035
Chelyabinsk, 454092
Investigator site 57 - RU0070029
Kazan', 420111
Investigator site 55 - RU0070030
Krasnodar, 350020
Investigator site 53 - RU0070032
Rostov-on-Don, 344002
Investigator site 56 - RU0070031
Saint Petersburg, 191123
Investigator site 65 - RU0070034
Saint Petersburg, 197022
Investigator site 66 - RU0070028
Saratov, 410012/410028
Investigator site 58 - RU0070033
Yekaterinburg, 620076
Italy7 sites
Investigator site 104 - IT0390039
Catania, 95123
Investigator site 52 - IT0390031
Florence, 50125
Investigator site 92 - IT0390030
Genova, 16132
Investigator site 70 - IT0390038
Perugia, 06129
Investigator site 43 - IT390005
Roma, 00168
Investigator site 11 - IT0390006
Rome, Lazio, 00167
Investigator site 71 - IT0390040
Siena, 53100
Greece6 sites
Investigator site 40 - GR0300004
Athens, 11525
Investigator site 51 - GR0300006
Athens, 16121
Investigator site 69 - GR0300001
Athens, 16121
Investigator site 39 - GR0300003
Chaïdári, 12462
Investigator site 50 - GR0300002
Thessaloniki, 54643
Investigator site 41 - GR0300005
Thessaloniki, 56429
Ukraine6 sites
Investigator site 89 - UA3800017
Dnipro, 49074
Investigator site 45 - UA3800023
Ivano-Frankivsk, 76018
Investigator site 16 - UA3800020
Kyiv, 4050
Investigator site 18 - UA3800019
Kyiv, 4209
Investigator site 62 - UA3800021
Lviv, 79013
Investigator site 17 - UA3800018
Zaporizhzhya, 69063
Bulgaria5 sites
Investigator site 30 - BG350012
Pleven, 5800
Investigator site 31 - BG3590013
Plovdiv, 4000
Investigator site 4 - BG3590010
Sofia, 1431
Investigator site 2 - BG3590009
Sofia, 1510
Investigator site 13 - BG3590011
Sofia, 1606
Poland5 sites
Investigator site 26 - PL0480027
Katowice, 40-081
Investigator site 72 - PL0480032
Lodz, 90-647
Investigator site 95 - PL0480036
Poznan, 60-369
Investigator site 27 - PL0480025
Rzeszów, 35-055
Investigator site 28 - PL0480028
Wroclaw, 50-566
France4 sites
Investigator site 34 - FR0330028
Bobigny, 93000
Investigator site 33 - FR0330027
La Tronche, 38700
Investigator site 46 - FR0330029
Rouen, 76031
Investigator site 32 - FR0330026
Saint-Etienne, 42055
Georgia4 sites
Investigator site 63 - GE9950014
Tbilisi, 0159
Investigator site 132 - GE9950030
Tbilisi, 0160
Investigator site 35 - GE9950013
Tbilisi, 0162
Investigator site 36 - GE9950015
Tbilisi, 0179
Hungary4 sites
Investigator site 133 - HU0360023
Budapest, 1085
Investigator site 22 - HU0360003
Debrecen, 4032
Investigator site 14 - HU0360001
Pécs, 7632
Investigator site 42 - HU0360002
Szeged, 6720
India4 sites
Investigator site 80 - IN0910002
Ahmedabad, 380016
Investigator site 100 - IN0910001
Chandigarh, 160012
Investigator site 90 - IN0910004
Lucknow, 226005
Investigator site 91 - IN0910003
Nagpur, 440003
Serbia4 sites
Investigator site 116 - RS3810011
Belgrade, 11000
Investigator site 122 - RS3810010
Belgrade, 11000
Investigator site 115 - RS3810012
Niš, 18000
Investigator site 114 - RS3810009
Novi Sad, 21000
Australia3 sites
Investigator site 103 - AU0610013
Melbourne, 3065
Investigator site 5 - AU0610007
Parkville, Victoria, 3050
Investigator site 24 - AU0610006
Sydney, New South Wales, 2217
Romania3 sites
Investigator site 106 - RO0400013
Bucharest, 011216
Investigator site 105 - RO0400014
Cluj-Napoca, 400006
Investigator site 107 - RO0400015
Iași, 700111
Turkey (Türkiye)3 sites
Investigator site 76 - TR0900020
Gaziantep, 27310
Investigator site 75 - TR0900012
Istanbul, 34098
Investigator site 87 - TR0900011
Istanbul, 34722
United Kingdom3 sites
Investigator site 117 - UK0440021
Birmingham, B15 2GW
Investigator site 96 - UK0440022
Bristol, BS2 8HW
Investigator site 135 - GB0440037
Southampton, SO16 6YD
About this study
Official title: A Randomized, Double-Blinded, Placebo-Controlled Trial to Investigate the Efficacy, Safety, and Tolerability of Efgartigimod PH20 SC in Adult Patients With Pemphigus (Vulgaris or Foliaceus)
This is a prospective, multicenter, randomized, double-blinded, placebo-controlled trial to investigate the efficacy, safety, patient outcome measures, tolerability, immunogenicity, PK, and PD of efgartigimod PH20 SC in adult participants aged from 18 years with PV or PF. The trial comprises a screening period of up to 3 weeks, a treatment period of up to 30 weeks, and an 8-week follow-up period for participants who do not enroll into the open-label extension (OLE) trial ARGX-113-1905. The primary objective of the ARGX-113-1904 trial is to demonstrate the efficacy of subcutaneous administration of efgartigimod co-formulated with recombinant human hyaluronidase PH20 (Efgartigimod PH20 SC) compared to placebo in the treatment of participants with Pemphigus Vulgaris (PV). Secondary objectives are to also demonstrate the efficacy of efgartigimod PH20 SC in the treatment of participants with Pemphigus Foliaceus (PF), and to demonstrate early onset of action and a prednisone-sparing effect. After confirmation of eligibility, participants will be randomized in a 2: 1 ratio to receive efgartigimod PH20 SC or placebo
- Conditions
- Pemphigus Vulgaris, Pemphigus Foliaceus
- Being tested
- efgartigimod PH20 SC, Placebo, prednisone
- Medical subject headings
- Pemphigus
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
efgartigimod PH20 SCBiological
Subcutaneous injection of efgartigimod using rHuPH20 (PH20) as a permeation enhancer
PlaceboOther
Subcutaneous injection of placebo
prednisoneDrug
Oral prednisone tablets
| Study group | Role | What they receive |
|---|---|---|
| efgartigimod PH20 SC | Experimental | patients receiving efgartigimod PH20 SC on top of prednisone Receives: Biological: efgartigimod PH20 SC; Drug: prednisone |
| placebo | Experimental | patients receiving placebo on top of prednisone Receives: Other: Placebo; Drug: prednisone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Pemphigus Vulgaris (PV) Participants Who Achieve Complete Clinical Remission (CR) on Minimal Prednisone Therapy
Proportion of participants with pemphigus vulgaris who had CRmin within 30 weeks, defined as the absence of new lesions and complete healing of established lesions while the participant was receiving prednisone at ≤10 mg/day for at least 8 weeks.
Measured: up to 30 weeks treatment period
Secondary outcomes (7)
Number of Pemphigus Vulgaris (PV) and Pemphigus Foliaceus (PF) Participants Who Achieve Complete Clinical Remission (CR) on Minimal Prednisone Therapy Within 30 Weeks
Proportion of participants with pemphigus vulgaris and pemphigus foliaceus who had CRmin within 30 weeks, defined as the absence of new lesions and complete healing of established lesions while the participant was receiving prednisone at ≤10 mg/day for at least 8 weeks.
Measured: up to 30 weeks treatment period
Normalized Cumulative Prednisone Dose During the Treatment Period in Pemphigus Vulgaris Participants
Normalized Cumulative prednisone dose (NCPD, mg/kg/day) is the average daily intake of all weight-adjusted prednisone doses received during the study, taking into account the number of days in study
Measured: Up to 30 weeks
Time to Complete Clinical Remission (CR) in Pemphigus Vulgaris Participants
Time to complete remission (absence of new lesions and complete healing of established lesions) in participants with pemphigus vulgaris
Measured: Up to 30 weeks
Time to Disease Control (DC) in Pemphigus Vulgaris (PV) Participants
Time to disease control in participants with pemphigus vulgaris (Absence of new lesions and the start of healing of established lesions)
Measured: Up to 30 weeks
Normalized Cumulative Prednisone Dose During the Treatment Period in Pemphigus Vulgaris and Pemphigus Foliaceus Participants
Normalized Cumulative prednisone dose (NCPD, mg/kg/day) is the average daily intake of all weight-adjusted prednisone doses received during the study, taking into account the number of days in study
Measured: Up to 30 weeks
Time to Complete Clinical Remission (CR) in Pemphigus Vulgaris and Pemphigus Foliaceus Participants
Time to complete remission (absence of new lesions and complete healing of established lesions) in participants with pemphigus vulgaris and pemphigus foliaceus
Measured: Up to 30 weeks
Time to Disease Control in Pemphigus Vulgaris and Pemphigus Foliaceus Participants
Time to disease control in participants with pemphigus vulgaris and pemphigus foliaceus (Absence of new lesions and the start of healing of established lesions)
Measured: Up to 30 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Oct 2020
- Study start1 Dec 2020
- Primary completion22 Aug 2023
- Study completion22 Aug 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Pemphigus VulgarisStudies of the same condition, open and under way.
- More trials run by argenxThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 222 participants (actual)
Sponsor and investigators
- Lead sponsor
- argenx
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04598451
- Sponsor's protocol ID
- ARGX-113-1904
- Acronym
- ADDRESS
- Status last verified
- Sep 2024
- First submitted
- 8 Oct 2020
- Last updated
- 1 Oct 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Joly P, Murrell DF, Aoyama Y, Caux F, De D, Flouri M, Goebeler M, Ji C, Kiritsi D, Pan M, Patsatsi A, Schmidt E, Vassileva S, Vandersarren L, Stoykov I, Verheesen P, Werth VP, Hall RP; ADDRESS Investigator Study Group. Efficacy and safety of subcutaneous efgartigimod with prednisone in moderate-to-severe pemphigus (ADDRESS): a global, phase III, randomised controlled, double-blind trial. Br J Dermatol. 2026 Oct 19;195(5):750-762. doi: 10.1093/bjd/ljag199.
PubMed 42723554
Study at a glance
From the registry record, last updated by the sponsor on 1 Oct 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blinded, Placebo-Controlled Trial to Investigate the Efficacy, Safety, and Tolerability of Efgartigimod PH20 SC in Adult Patients With Pemphigus (Vulgaris or Foliaceus)
- ClinicalTrials.gov ID
- NCT04598451
- Acronym / sponsor ID
- ADDRESS / ARGX-113-1904
- Conditions
- Pemphigus Vulgaris, Pemphigus Foliaceus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 222 participants (actual)
- Lead sponsor
- argenxIndustry (pharma, biotech, devices)
- Study start
- 1 Dec 2020 (actual)
- Primary completion
- 22 Aug 2023 (actual)
- Study completion
- 22 Aug 2023 (actual)
- First posted
- 22 Oct 2020 (actual)
- Results
- Posted 1 Oct 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a prospective, multicenter, randomized, double-blinded, placebo-controlled trial to investigate the efficacy, safety, patient outcome measures, tolerability, immunogenicity, PK, and PD of efgartigimod PH20 SC in adult participants aged from 18 years with PV or PF. The trial comprises a screening period of up to 3 weeks, a treatment period of up to 30 weeks, and an 8-week follow-up period for participants who do not enroll into the open-label extension (OLE) trial ARGX-113-1905. The primary objective of the ARGX-113-1904 trial is to demonstrate the efficacy of subcutaneous administration of efgartigimod co-formulated with recombinant human hyaluronidase PH20 (Efgartigimod PH20 SC) compared to placebo in the treatment of participants with Pemphigus Vulgaris (PV). Secondary objectives are to also demonstrate the efficacy of efgartigimod PH20 SC in the treatment of participants with Pemphigus Foliaceus (PF), and to demonstrate early onset of action and a prednisone-sparing effect. After confirmation of eligibility, participants will be randomized in a 2: 1 ratio to receive efgartigimod PH20 SC or placebo
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| efgartigimod PH20 SC | Experimental | Biological: efgartigimod PH20 SC, Drug: prednisonepatients receiving efgartigimod PH20 SC on top of prednisone |
| placebo | Experimental | Other: Placebo, Drug: prednisonepatients receiving placebo on top of prednisone |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Ability to understand the requirements of the trial, to provide written informed consent (including consent for the use and disclosure of research-related health information), willingness and ability to comply with the trial protocol procedures (including required trial visits).
- The participant is male or female, and aged from 18 years at the time of signing the informed consent form (ICF).
- The participant has a clinical diagnosis of PV (mucosal, cutaneous, mucocutaneous) or PF which has been confirmed by cutaneous histology, positive direct immunofluorescence (IF), and positive indirect IF and/or enzyme-linked immunosorbent assay (ELISA).
- The participant meets one of the following profiles:
- Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating clinical trials and:
Key exclusion criteria (24 listed)
- Participant has a confirmed diagnosis of paraneoplastic pemphigus, drug-induced pemphigus, pemphigus vegetans, pemphigus erythematosus, or any other non-PV/non-PF autoimmune blistering disease.
- Participants with mild disease severity as defined by PDAI <15 at baseline.
- Participants who show a significant improvement of PV or PF in the period from screening to baseline according to clinical judgment (eg, the patient has achieved DC or a substantial reduction in PDAI activity score during screening period).
- The participant has been administered therapy(ies) other than oral prednisone or conventional immunosuppressants (e.g., azathioprine, cyclophosphamide, methotrexate, mycophenolate mofetil) or dapsone within 2 months before the baseline visit and that can affect clinical disease activity. For example, excluded medications are intravenous methylprednisolone, dapsone, sulfasalazine, tetracyclines, nicotinamide at doses above the recommended daily allowance (RDA)/dietary reference intake (DRI), plasmapheresis/ plasma exchange, immunoadsorption, and IVIg.
- Use of any monoclonal antibody (including rituximab or another anti-CD20 biologic) within 6 months before the baseline visit.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| efgartigimod PH20 SCSubcutaneous injection of efgartigimod using rHuPH20 (PH20) as a permeation enhancer | Biological | efgartigimod PH20 SC |
| PlaceboSubcutaneous injection of placebo | Other | placebo |
| prednisoneOral prednisone tablets | Drug | efgartigimod PH20 SC, placebo |
Primary outcome
Number of Pemphigus Vulgaris (PV) Participants Who Achieve Complete Clinical Remission (CR) on Minimal Prednisone Therapy
Time frame: up to 30 weeks treatment period
Proportion of participants with pemphigus vulgaris who had CRmin within 30 weeks, defined as the absence of new lesions and complete healing of established lesions while the participant was receiving prednisone at ≤10 mg/day for at least 8 weeks.
7 secondary outcomes
Number of Pemphigus Vulgaris (PV) and Pemphigus Foliaceus (PF) Participants Who Achieve Complete Clinical Remission (CR) on Minimal Prednisone Therapy Within 30 Weeks
Time frame: up to 30 weeks treatment period
Normalized Cumulative Prednisone Dose During the Treatment Period in Pemphigus Vulgaris Participants
Time frame: Up to 30 weeks
Time to Complete Clinical Remission (CR) in Pemphigus Vulgaris Participants
Time frame: Up to 30 weeks
Time to Disease Control (DC) in Pemphigus Vulgaris (PV) Participants
Time frame: Up to 30 weeks
Normalized Cumulative Prednisone Dose During the Treatment Period in Pemphigus Vulgaris and Pemphigus Foliaceus Participants
Time frame: Up to 30 weeks
Time to Complete Clinical Remission (CR) in Pemphigus Vulgaris and Pemphigus Foliaceus Participants
Time frame: Up to 30 weeks
Time to Disease Control in Pemphigus Vulgaris and Pemphigus Foliaceus Participants
Time frame: Up to 30 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Oct 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42723554Joly P, Murrell DF, Aoyama Y, Caux F, De D, Flouri M, Goebeler M, Ji C, Kiritsi D, Pan M, Patsatsi A, Schmidt E, Vassileva S, Vandersarren L, Stoykov I, Verheesen P, Werth VP, Hall RP; ADDRESS Investigator Study Group. Efficacy and safety of subcutaneous efgartigimod with prednisone in moderate-to-severe pemphigus (ADDRESS): a global, phase III, randomised controlled, double-blind trial. Br J Dermatol. 2026 Oct 19;195(5):750-762. doi: 10.1093/bjd/ljag199.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
134 sites in 21 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing efgartigimod PH20 SC and prednisone in people with Pemphigus Vulgaris and Pemphigus Foliaceus, run by argenx at 134 sites in 21 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 14 inclusion and 24 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 134 sites in United States, China, Germany, Japan, Spain and 16 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 1 Oct 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Pemphigus Vulgaris (PV) Participants Who Achieve Complete Clinical Remission (CR) on Minimal Prednisone Therapy (time frame: up to 30 weeks treatment period). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04598451, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Oct 2024.