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ADAPT Forward 2 - ISA2 - a Study to Evaluate the Safety, Tolerability and Efficacy of Empasiprubart IV Monotherapy in Participants With AChR-Ab Seropositive Generalized Myasthenia Gravis

RECRUITINGPhase 2Sponsored by argenx
Actively Recruiting
PhasePhase 2
Sponsorargenx
Started2026-07-10
Est. completion2027-10
Eligibility
Age18 Years+
Healthy vol.Accepted
Locations2 sites

Summary

This study is part of the ADAPT Forward platform study (NCT07294170). ADAPT Forward is a platform study with the aim to look at how safe different drugs are and how well they work for people with myasthenia gravis. The goal is to find the best therapeutic approach to reduce patients' side effects and improve their quality of life. The aim of this ISA2 is to investigate the effects of empasiprubart in participants with AChR-Ab seropositive generalized myasthenia gravis (gMG). The ADAPT Forward master protocol is registered on https://clinicaltrials.gov/study/NCT07294170 More information can be found here: https://clinicaltrials.argenx.com/adaptforward2

Eligibility

Age: 18 Years+Healthy volunteers accepted
Inclusion Criteria:

* Is seropositive for anti-acetylcholine receptor antibodies (AChR-Ab).
* Has confirmed diagnosis of gMG and is Myasthenia Gravis Foundation of America (MGFA) Class II, III, IVa, or IVb.
* Has documented immunization against encapsulated bacterial pathogens (Neisseria meningitidis and Streptococcus pneumoniae) within 5 years before ISA screening or will complete immunization at least 14 days before the first IMP administration.

Exclusion Criteria:

* Clinical diagnosis of systemic lupus erythematosus (SLE).
* Is receiving concurrent complement inhibitors (eg, eculizumab, zilucoplan, ravulizumab, or others). Participants who received zilucoplan or eculizumab \>2 months or ravulizumab \>6 months before baseline are allowed to participate.
* Has received an FcRn antagonist, including efgartigimod, within 4 weeks before baseline.
* Had prior empasiprubart exposure.

Conditions5

AChR-Ab Seropositive Generalized Myasthenia GravisCancerMG - Myasthenia GravisMyasthenia Gravis (MG)gMG

Interventions1

Locations2 sites

Florida

1 site
Visionary Investigators Network
Miami, Florida, 33176-2148
Andrew Lerman, MD786-655-8010alerman@fcneurology.net

Tennessee

1 site
Erlanger Health System
Chattanooga, Tennessee, 37403-2136
Joshua Alpers, MD423-778-3900Joshua.Alpers@erlanger.org

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Trial data from ClinicalTrials.gov. Trial status and eligibility can change — verify directly with the study contact or on ClinicalTrials.gov.

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