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

Purpose

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.

Condition

  • Multifocal Motor Neuropathy (MMN)

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • 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

Exclusion Criteria

  • 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)

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Part A - empasiprubart + IVIg-placebo
During the double blinded - double dummy part A, participants receive empasiprubart and a placebo resembling the IVIg treatment in this arm
  • Biological: Empasiprubart
    Intravenous infusion of empasiprubart
  • Other: IVIg-placebo
    A placebo resembling the IVIg treatment
Active Comparator
Part A - IVIg + empasiprubart-placebo
During the double blinded - double dummy part A, participants receive IVIg and a placebo resembling the empasiprubart treatment in this arm
  • Biological: IVIG (Intravenous Immunoglobulin)
    Intravenous infusion of IVIg
  • Other: Empasiprubart-placebo
    A placebo resembling the empasiprubart treatment
Experimental
Part B - empasiprubart
After completion of part A, participants can proceed to part B where they receive empasiprubart (no IVIg)
  • Biological: Empasiprubart
    Intravenous infusion of empasiprubart

Recruiting Locations

Medstar Health Research Institute
Washington, District of Columbia 20010
Contact:
Nicholas Samuel Streicher, MD
857-350-4834
clinicaltrials@argenx.com

More Details

Status
Recruiting
Sponsor
argenx

Study Contact

Sabine Coppieters, MD
857-350-4834
clinicaltrials@argenx.com