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Multifocal Motor Neuropathy (MMN)Phase 3EmpassionNCT06742190

A Study to Assess the Efficacy and Safety of Empasiprubart Versus IVIg in Adults With Multifocal Motor Neuropathy

A Phase 3 study testing Empasiprubart and IVIG (Intravenous Immunoglobulin) in people with Multifocal Motor Neuropathy (MMN) and MMN, run by argenx at 109 sites in 26 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

The main purpose of this study is to compare empasiprubart and IVIg in adult patients with MMN. The study consists of a double-blinded part A (empasiprubart, IVIg) and an open-label part B (empasiprubart). The maximum study duration for participants is up to 49 months. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Multifocal Motor Neuropathy (MMN), MMN
What is being tested?
Empasiprubart and IVIG (Intravenous Immunoglobulin)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
154 participants
Where
109 sitesin 26 countries
Study dates
18 Dec 2024to Dec 2029
Phase
Phase 3
Are there results?
Not yet: the study is under way

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

  • Is at least 18 years of age and the local legal age of consent for clinical studies
  • Has a confirmed diagnosis of definite or probable MMN at screening according to the EFNS/PNS 2010 guidelines
  • Has responded to IVIg in the past 5 years.
  • Is receiving IVIg at a treatment interval of once every 2, 3, 4, or 5 weeks, and a dose of 0.4 to 2.0 g/kg body weight per cycle
  • Is receiving a maintenance regimen (no change in frequency, and no change in dose >10%) of IVIg for at least 8 weeks before screening (or at least 10 weeks for participants receiving IVIg once every 5 weeks)
  • Minimum converted weekly IVIg dose of ≥0.125 g/kg
  • Has documented immunization against encapsulated bacterial pathogens (N meningitidis and S pneumoniae) within 5 years of screening or is willing to receive immunization at least 14 days before first study drug administration

Who cannot join

  • Besides the indication under study, known autoimmune disease (eg, SLE) or any other medical condition that would confound the study results or put the participant at undue risk
  • Clinical signs or symptoms suggestive of neuropathies other than MMN, such as motor neuron disease (eg, bulbar signs, brisk reflexes) or other inflammatory neuropathies (eg, sensory neuropathy)

Trial locations and contacts

109 sites in 26 countries.

109 sites in 26 countries

United States24 sites
  • Dent Neurologic Institute Amherst

    Amherst, New York, 14226

  • University of Colorado - Anschutz Cancer Pavilion (Neuro Onc Clinic)

    Aurora, Colorado, 80045

  • National Neuromuscular Research Institute

    Austin, Texas, 78759-8402

  • EZR Research LLC

    Boca Raton, Florida, 33486

  • Northwestern University

    Chicago, Illinois, 60611

  • The Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

  • Perelman Center for Advanced Medicine

    Columbia, Maryland, 21044

  • UC Irvine - MDA ALS and Neuromuscular Center

    Columbia, Maryland, 21044

  • Healthcare Innovations Institute, LLC

    Coral Springs, Florida, 33067

  • University of Kansas Medical Center

    Fairway, Kansas, 66205

  • NeuroCarePlus

    Houston, Texas, 77094

  • Indiana University Health Neuroscience Center

    Indianapolis, Indiana, 46202

  • University of Miami Miller School of Medicine

    Miami, Florida, 33136

  • University of Minnesota

    Minneapolis, Minnesota, 55414

  • University of North Carolina at Chapel Hill

    Morrisville, North Carolina, 27560

  • Yale University School of Medicine

    New Haven, Connecticut, 06511

  • Columbia University Medical Center

    New York, New York, 10032

  • The Neurology Group

    Pomona, California, 91767

  • Oregon Health and Science University

    Portland, Oregon, 97239

  • Samir Macwan, M.D., Inc.

    Rancho Mirage, California, 92270

  • University of California San Francisco

    San Francisco, California, 94143

  • HonorHealth Neurology - Bob Bove Neuroscience Institute - Neurology

    Scottsdale, Arizona, 85251

  • University of South Florida

    Tampa, Florida, 33612

  • Medstar Health Research Institute

    Washington D.C., District of Columbia, 20010

Other trials in United States

France11 sites
  • CHU de Bordeaux - Hôpital Pellegrin

    Bordeaux, 33000

  • CHU de Brest - Hôpital La Cavale Blanche

    Brest, 29609

  • Hospices Civils de Lyon - Hôpital Pierre Wertheimer

    Bron, 69500

  • AP-HP - Hôpital Bicêtre

    Le Kremlin-Bicêtre, 94270

  • Hôpital Roger Salengro

    Lille, 59000

  • CHU Limoges - Dupuytren 1

    Limoges, 87042

  • AP-HM- Hôpital de La Timone

    Marseille, 13005

  • AP-HM- Hôpital de La Timone

    Marseille, 13385

  • CHU de Nice-Hôpital Pasteur

    Nice, 6001

  • AP-HP - Hôpital de la Pitié Salpétrière

    Paris, 75013

  • CHU de Strasbourg - Hôpital de Hautepierre

    Strasbourg, 67200

Other trials in France

Italy9 sites
  • Azienda Ospedaliera Universitaria Careggi

    Florence, 50134

  • Ospedale Policlinico San Martino IRCCS

    Genova, 16132

  • Fondazione Serena Onlus - Centro Clinico NeMO Brescia

    Gussago, 25064

  • Az. Ospedaliera Universitaria Policlinico G. Martino

    Messina, 98124

  • Ospedale San Raffaele S.r.l.

    Milan, 20132

  • Azienda Ospedaliero-Universitaria San Luigi Gonzaga

    Milan, 20133

  • Azienda Ospedaliero-Universitaria Sant'Andrea

    Roma, 00189

  • Fondazione PTV Policlinico Tor Vergata

    Roma, 133

  • IRCCS Istituto Clinico Humanitas

    Rozzano, 20089

Other trials in Italy

Spain9 sites
  • Hospital General Universitario Dr. Balmis

    Alicante, 03010

  • Hospital Universitario Germans Trias i Pujol

    Badalona, 08916

  • Hospital Universitario Vall d'Hebron

    Barcelona, 08035

  • Hospital de La Santa Creu i Sant Pau

    Barcelona, 08041

  • Hospital Universitario de Bellvitge

    Barcelona, 08907

  • Hospital Clinico San Carlos

    Madrid, 28039

  • Hospital Universitario de Basurto

    Madrid, 48013

  • Hospital Quironsalud Malaga

    Málaga, 29004

  • Hospital Universitario de Donostia

    San Sebastián, 8035

Other trials in Spain

Japan7 sites
  • Juntendo University Hospital

    Bunkyō City, 113-8431

  • Institute of Science Tokyo Hospital

    Bunkyō City, 113-8519

  • Chiba University Hospital

    Chūōku, 260-8677

  • National Center of Neurology and Psychiatry

    Kodaira, 187-8502

  • Nagoya University Hospital

    Nagoya, 4668560

  • Teikyo University Hospital

    tabashi City, 173-8606

  • Yamaguchi University Hospital

    Ube, 755-0067

Other trials in Japan

Germany6 sites
  • Universitätsklinikum Essen

    Essen, 45147

  • Universität Georg August

    Göttingen, 37075

  • Universitätsklinikum Schleswig-Holstein - Campus Lübeck

    Lübeck, 23538

  • Universitätsklinikum Münster

    Münster, 48149

  • Alexianer - MVZ St. Josefs-Krankenhaus Potsdam GmbH

    Potsdam, 14471

  • Universitätsklinikum Würzburg

    Würzburg, 97080

Other trials in Germany

Poland5 sites
  • MICS Centrum Medyczne Bydgoszcz

    Bydgoszcz, 85-065

  • Centrum Medyczne Neurologia Slaska

    Katowice, 40-689

  • SP ZOZ Szpital Uniwersytecki w Krakowie

    Krakow, 30-688

  • Galen Clinic -- Lublin

    Lublin, 20--64

  • UCK WUM, Centralny Szpital Kliniczny

    Warsaw, 02-097

Other trials in Poland

United Kingdom5 sites
  • Queen Elizabeth University Hospital

    Glasgow, G51 4TF

  • John Radcliffe Hospital

    Oxford, OX3 7LE

  • Salford Royal Hospital

    Salford, M6 8HD

  • Royal Hallamshire Hospital

    Sheffield, S10 2JF

  • Musgrove Park Hospital

    Taunton, TA1 5DA

Other trials in United Kingdom

Australia4 sites
  • Royal Melbourne Hospital

    Parkville, 3050

  • Gold Coast University Hospital

    Southport, 4215

  • Brain and Mind Center

    Sydney, 2609

  • Princess Alexandra Hospital

    Woolloongabba, 4102

Other trials in Australia

Brazil4 sites
  • Hospital Das Clinicas da Faculdade de Medicina de Ribeirão Preto

    Ribeirão Preto, 14051

  • Sociedade de Ensino Superior Estacio de Sa Ltda

    Rio de Janeiro, 22620-172

  • Escola Bahiana de Medicina e Saude Publica

    Salvador, 40290-000

  • PSEG Centro de Pesquisa Clínica

    São Paulo, 04038-002

Other trials in Brazil

Belgium3 sites
  • UZ Antwerpen

    Edegem, 2650

  • UZ Leuven

    Leuven, 3000

  • Hôpital de la Citadelle

    Liège, 4000

Other trials in Belgium

Canada3 sites
  • Neuro-Outaouais Clinic

    Gatineau, J8Y 1W2

  • London Health Sciences Centre

    London, N6A 5A5

  • St. Paul's Neurology Associates

    Vancouver, V6Z 2H2

Other trials in Canada

Czechia3 sites
  • Fakultni nemocnice Brno

    Brno, 625 00

  • Fakultni nemocnice Hradec Kralove

    Hradec Králové, 500 05

  • Vseobecna Fakultni Nemocnice V Praze

    Prague, 128 08

Other trials in Czechia

Denmark2 sites
  • Aarhus Universitetshospital

    Aarhus, 8200

  • Rigshospitalet-Inge Lehmanns Vej 8

    Copenhagen, 2100

Other trials in Denmark

Greece2 sites
  • University General Hospital ''ATTIKON'' - General Hospital of West Attica H AGIA VARVARA

    Chaïdári, 124 62

  • AHEPA University General Hospital of Thessaloniki

    Thessaloniki, 546 36

Other trials in Greece

Slovakia2 sites
  • Univerzitna nemocnica Bratislava

    Bratislava, 821 01

  • Univerzitna nemocnica MARTIN

    Martin, 036 59

Other trials in Slovakia

Austria1 site
  • Universitätsklinikum AKH Wien

    Vienna, 1090

Other trials in Austria

China1 site
  • Huashan Hospital Fudan University

    Shanghai, 200040

Other trials in China

Latvia1 site
  • Pauls Stradins Clinical University Hospital

    Riga, LV-1002

Other trials in Latvia

Lithuania1 site
  • Hospital of Lithuanian University of Health Sciences Kauno klinikos

    Kaunas, 50161

Other trials in Lithuania

Netherlands1 site
  • Amsterdam UMC

    Amsterdam, 1105 AZ

Other trials in Netherlands

Norway1 site
  • Oslo Universitetssykehus HF, Ullevål

    Oslo, 0450

Other trials in Norway

Portugal1 site
  • ULS de Santo António, EPE - Hospital de Santo António

    Porto, 4099-001

Other trials in Portugal

Serbia1 site
  • University Clinical Center of Serbia

    Belgrade, 11000

Other trials in Serbia

Slovenia1 site
  • University Medical Centre Ljubljana

    Ljubljana, 1000

Other trials in Slovenia

Switzerland1 site
  • Inselspital - Universitätsspital Bern

    Bern, 3010

Other trials in Switzerland

About this study

Official title: A Phase 3, Randomized, Double-Blinded, Double-Dummy Study Evaluating the Efficacy and Safety of Empasiprubart Versus Intravenous Immunoglobulin in Adults With Multifocal Motor Neuropathy

The main purpose of this study is to compare empasiprubart and IVIg in adult patients with MMN. The study consists of a double-blinded part A (empasiprubart, IVIg) and an open-label part B (empasiprubart). The maximum study duration for participants is up to 49 months.

More information can be found here: https://clinicaltrials.argenx.com/empassion

Being tested
Empasiprubart, IVIG (Intravenous Immunoglobulin), Empasiprubart-placebo, IVIg-placebo

What participants receive

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

  • EmpasiprubartBiological

    Intravenous infusion of empasiprubart

  • IVIG (Intravenous Immunoglobulin)Biological

    Intravenous infusion of IVIg

  • Empasiprubart-placeboOther

    A placebo resembling the empasiprubart treatment

  • IVIg-placeboOther

    A placebo resembling the IVIg treatment

Study groups in NCT06742190
Study groupRoleWhat they receive
Part A - empasiprubart + IVIg-placeboExperimentalDuring the double blinded - double dummy part A, participants receive empasiprubart and a placebo resembling the IVIg treatment in this arm
Receives: Biological: Empasiprubart; Other: IVIg-placebo
Part A - IVIg + empasiprubart-placeboActive comparatorDuring the double blinded - double dummy part A, participants receive IVIg and a placebo resembling the empasiprubart treatment in this arm
Receives: Biological: IVIG (Intravenous Immunoglobulin); Other: Empasiprubart-placebo
Part B - empasiprubartExperimentalAfter completion of part A, participants can proceed to part B where they receive empasiprubart (no IVIg)
Receives: Biological: Empasiprubart

What is being measured

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

  1. Change from baseline in grip strength (4-week average) in the most affected hand at week 24

    Measured: Up to 24 weeks

Secondary outcomes (22)
  1. Change from baseline in MMN-RODS centile score at week 24

    The 25-Item Rasch-Built Overall Disability Scale for MMN (MMN-RODS) is a questionnaire about the relationship between daily activities and the participants' health

    Measured: Up to 24 weeks

  2. Change from baseline in mMRC-14 sum score

    The modified Medical Research Council (mMRC)-14 is a questionnaire where each muscle group is scored from 0 (paralysis) to 5 (normal strength). A higher value indicates better muscle strength. The total score is based on the sum of both the left and right side of the body.

    Measured: Up to 24 weeks (Part A), Up to 120 weeks (Part B)

  3. PGI-C actual value

    The Patient Global Impression of Change (PGI-C) is a 7-point scale depicting a participant's rating of overall improvement. The lower the score, the better the improvement.

    Measured: Up to 24 weeks (Part A), Up to 120 weeks (Part B)

  4. Change from baseline in CAP-PRI total score

    The Chronic Acquired Polyneuropathy Patient-Reported Index (CAP-PRI) includes the assessment of 15 items. Items will be scored 0 (not at all), 1 (a little bit), or 2 (a lot), yielding a total score that ranges from 0 to 30.

    Measured: Up to 24 weeks (Part A), Up to 120 weeks (Part B)

  5. Percentage change from baseline in time to complete the 9-HPT with the dominant hand

    The 9-Hole Peg Test (9-HPT) is a quantitative measure of upper extremity (arm and hand) function. Both the dominant and nondominant hands will be tested twice (2 consecutive trials of the dominant hand, followed immediately by 2 consecutive trials of the nondominant hand).

    Measured: Up to 24 weeks (Part A), Up to 120 weeks (Part B)

  6. Incidence of AEs, AESIs and SAEs

    Measured: Up to 24 weeks (Part A), Up to 120 weeks (Part B)

  7. Serum concentrations over time of empasiprubart

    Measured: Up to 24 weeks (Part A), Up to 120 weeks (Part B)

  8. Percent changes from baseline in free C2 and total C2 over time

    Measured: Up to 24 weeks (Part A), Up to 120 weeks (Part B)

  9. Incidence of anti-drug antibodies (ADA) against empasiprubart in serum

    Measured: Up to 24 weeks (Part A), Up to 120 weeks (Part B)

  10. Incidence of NAb against empasiprubart in serum

    Measured: Up to 24 weeks (Part A), Up to 120 weeks (Part B)

  11. Change from baseline in grip strength (3-day moving average) of the least affected hand over time

    Measured: Up to 24 weeks

  12. AUC of change from baseline in grip strength (3-day moving average) for the most and least affected hands

    Measured: Up to 24 weeks

  13. Percentage change from baseline in time to complete the 9-HPT with the nondominant hand over time

    The 9-Hole Peg Test (9-HPT) is a quantitative measure of upper extremity (arm and hand) function. Both the dominant and nondominant hands will be tested twice (2 consecutive trials of the dominant hand, followed immediately by 2 consecutive trials of the nondominant hand).

    Measured: Up to 24 weeks (Part A), Up to 120 weeks (Part B)

  14. Change from baseline in sum scores for mMRC-10 and mMRC-14 restricted to the 2 most affected muscle groups over time

    The modified Medical Research Council (mMRC) is a questionnaire where each muscle group is scored from 0 (paralysis) to 5 (normal strength). A higher value indicates better muscle strength. The total score is based on the sum of both the left and right side of the body.

    Measured: Up to 24 weeks (Part A), Up to 120 weeks (Part B)

  15. Proportion of participants and shift from baseline over time by level of severity on PGI-S

    Patient Global Impression of Severity (PGIS) is a 7-point scale depicting a participant's rating of overall illness severity. Higher scores mean a higher severity.

    Measured: Up to 24 weeks

  16. Change from baseline in Rasch-Transformed Fatigue Severity Scale (RT-FSS) score over time

    Measured: Up to 24 weeks (Part A), Up to 120 weeks (Part B)

  17. Change from baseline in physical component and mental component scores of 12-Item Short Form Survey (SF-12) over time

    Measured: Up to 24 weeks (Part A), Up to 120 weeks (Part B)

  18. Proportion of participants and shift from baseline by each dimension of the EQ-5D-5L scale

    Measured: Up to 24 weeks (Part A), Up to 120 weeks (Part B)

  19. Changes from baseline in MMN-RODS centile score

    The 25-Item Rasch-Built Overall Disability Scale for MMN (MMN-RODS) is a questionnaire about the relationship between daily activities and the participants' health

    Measured: Up to 120 weeks (part B)

  20. Changes from baseline in grip strength (3-day moving average; both hands)

    Measured: Up to 120 weeks (part B)

  21. Actual values of PGI-S over time

    Patient Global Impression of Severity (PGIS) is a 7-point scale depicting a participant's rating of overall illness severity. Higher scores mean a higher severity.

    Measured: Up to 120 weeks (part B)

  22. Change from baseline in grip strength (3-day moving average) in the most affected hand at week 24

    Measured: Up to 24 weeks

Timeline

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

  1. First posted19 Dec 2024
  2. Study start18 Dec 2024
  3. Primary completionSep 2026 (estimated)
  4. Study completionDec 2029 (estimated)

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
154 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06742190
Sponsor's protocol ID
ARGX-117-2302
Other IDs
2024-516473-72-00
Acronym
Empassion
Status last verified
Apr 2026
First submitted
16 Dec 2024
Last updated
22 Sep 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Empasiprubart and IVIG (Intravenous Immunoglobulin) in people with Multifocal Motor Neuropathy (MMN) and MMN, run by argenx at 109 sites in 26 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 7 inclusion and 2 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: under way, not looking for participants, as of the sponsor's last update on 22 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 109 sites in United States, France, Italy, Spain, Japan and 21 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?

This study is still under way. Results are not available in the source record yet.

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?

Change from baseline in grip strength (4-week average) in the most affected hand at week 24 (time frame: Up to 24 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 22 Sep 2026.

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