A Phase 2a Study of Empasiprubart IV Monotherapy in Adults with AChR‑Ab Seropositive Generalized Myasthenia Gravis

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What is this study about?

Myasthenia Gravis is a rare autoimmune disorder in which the immune system mistakenly attacks the connection between nerves and muscles, leading to varying degrees of muscle weakness. A specific form called AChR-Ab seropositive Generalized Myasthenia Gravis is identified by the presence of antibodies that target the acetylcholine receptor. The study evaluates two investigational medicines: Vyvgart, a solution that contains the active substance efgartigimod alfa and is administered by subcutaneous injection (a shot given under the skin), and Empasiprubart, which is given through an IV infusion (the medicine is slowly delivered into a vein). A matching placebo that looks the same but contains no active drug is also included.

The purpose of the study is to determine the safety and tolerability of these regimens in people with this condition. Participants are randomly assigned to receive either the active medication or the placebo, and neither the participants nor the study staff know which treatment is given. Over a period of several weeks, participants attend regular visits where vital signs, laboratory tests, and symptom questionnaires such as the MG-ADL (a simple survey that asks about daily activities affected by muscle weakness) are collected to monitor any side effects and changes in disease symptoms.

1 enrollment confirmation

after joining the study, confirmation of participation is recorded in the trial database.

2 baseline assessments

a complete medical history is taken and a physical examination is performed.

measurements of vital signs (blood pressure, heart rate, temperature), an electrocardiogram (ecg), and laboratory tests are collected.

disease‑specific questionnaires, including the myasthenia gravis activities of daily living (mg‑adl) score and the quantitative myasthenia gravis (qmg) score, are completed to establish baseline severity.

3 randomization

the participant is assigned, in a blinded manner, to receive either empasiprubart or a matching placebo.

the assignment is concealed from both the participant and the study staff.

4 first iv infusion

the assigned product is administered by iv infusion (intravenous infusion).

the dose of empasiprubart is 0 mg/kg (milligrams per kilogram of body weight) or the equivalent volume of placebo.

the infusion is performed in a clinical setting by qualified personnel.

5 scheduled follow‑up visits

the participant returns for regular visits according to the study schedule.

at each visit, vital signs, ecg, and laboratory parameters are checked for safety.

the study team records any adverse events or serious adverse events that occur.

additional infusions of the assigned product are given as specified by the protocol.

6 efficacy assessments at week 12

at the end of the 12‑week treatment period, the participant completes the mg‑adl and qmg questionnaires again.

the same safety measurements (vital signs, ecg, laboratory tests) are repeated.

the data are used to evaluate changes in disease severity and to compare the active product with placebo.

7 final study visit

after the week‑12 assessments, a final visit is conducted to collect all remaining safety information.

the participant receives a summary of study procedures and any required post‑study instructions.

Who Can Join the Study?

  • Must be at least 18 years old and legally able to give consent for a clinical study.
  • Must have a doctor‑confirmed diagnosis of myasthenia gravis (a condition that causes muscle weakness) that meets the study’s severity requirements.
  • If you are already taking medicines for myasthenia gravis—such as nonsteroidal immunosuppressive drugs (medicines that lower immune activity without using steroids), corticosteroids (steroid medicines that reduce inflammation), or acetylcholinesterase inhibitors (drugs that improve nerve‑muscle communication)—your dose must have been stable (unchanged) for a set period before screening.
  • Must test positive for anti‑acetylcholine receptor antibodies (AChR‑Ab), meaning these specific antibodies are present in your blood.
  • Must have a confirmed case of generalized myasthenia gravis and be classified as Myasthenia Gravis Foundation of America (MGFA) Class II, III, IVa, or IVb (these classes describe the level of muscle weakness).
  • Must have received vaccination against the bacteria Neisseria meningitidis (which can cause meningitis) and Streptococcus pneumoniae (which can cause pneumonia) within the past five years, or be willing to receive these vaccines at least 14 days before the first dose of the study drug.
  • Both men and women are eligible to participate.

Who Cannot Join the Study?

  • You have another autoimmune disease or any other health problem that could interfere with measuring the study’s symptoms or make participation unsafe.
  • Your myasthenia gravis is classified as MGFA Class V, which means the disease is very severe and affects breathing.
  • You have been diagnosed with systemic lupus erythematosus (SLE), an autoimmune condition that can involve the skin, joints, kidneys and other organs.
  • You are currently taking complement inhibitors such as eculizumab, zilucoplan, ravulizumab, or similar drugs that block part of the immune system.
  • You have received an FcRn antagonist (a medicine that blocks the neonatal Fc receptor), for example efgartigimod, within the last 4 weeks.
  • You have previously been treated with the study drug empasiprubart.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Other Sites

Site Name City Country Status
University General Hospital Of Thessaloniki Ahepa Thessaloniki Greece
Eginitio Hospital Athens Greece
Centre Hospitalier Regional De La Citadelle Liege Belgium
Azienda Ospedaliero-Universitaria Sant Andre Rome Italy
Fondazione I.R.C.C.S. Istituto Neurologico Besta Milan Italy
Charite Universitaetsmedizin Berlin KöR Berlin Germany
Uniwersyteckie Centrum Kliniczne Warszawskiego Uniwersytetu Medycznego Warsaw Poland
Krakowska Akademia Neurologii Sp. z o.o. Cracow Poland
Hnieicoa Dt Lw Sthjd Chee I Scfs Pap Barcelona Spain
Awxkhng Ouuparpytcp Pjlb Gyfcezrk Xcrzj Bergamo Italy
Mswpkysbh Imlgobqshd Ctltxmwa Srxexqes Sqb z oluw Warsaw Poland
Ulkvecmdfjixyltdlsxwc Wtgzdnmfk Acr Wuerzburg Germany
Lbitq Uqivoxyvphew Mvtwmak Cdhcbwh (duvfr Leiden The Netherlands

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Belgium Belgium
Not yet recruiting
01.08.2026
Germany Germany
Not yet recruiting
01.08.2026
Greece Greece
Not yet recruiting
01.08.2026
Italy Italy
Not yet recruiting
01.08.2026
Poland Poland
Not yet recruiting
01.08.2026
Spain Spain
Not yet recruiting
01.08.2026
The Netherlands The Netherlands
Not yet recruiting
01.08.2026

Trial locations

Vyvgart is a medication given as a subcutaneous (under‑the‑skin) injection. It contains a protein that targets a part of the immune system that is thought to be involved in myasthenia gravis. In this study the drug is being tested to see if it is safe, how well patients can tolerate it, and whether it helps improve the muscle weakness that people with myasthenia gravis experience.

ARGX-117 (also called empasiprubart) is given as an intravenous (IV) infusion, meaning it is delivered directly into a vein. It is designed to block a specific immune pathway that contributes to the development of myasthenia gravis. In the trial this drug is being used alone (monotherapy) to evaluate its safety, tolerability, and effectiveness in reducing the symptoms of generalized myasthenia gravis that is positive for acetylcholine‑receptor antibodies.

Acetylcholine Receptor Antibody‑Positive Generalized Myasthenia Gravis – It is an autoimmune disorder where the immune system creates antibodies that block or destroy acetylcholine receptors at the nerve‑muscle junction. This interference reduces the ability of nerves to activate muscles, causing weakness that worsens with activity and improves with rest. The weakness often begins with the eyes, leading to drooping eyelids or double vision, and later spreads to the face, throat, and limbs. As it progresses, individuals may have difficulty chewing, swallowing, or holding up their arms for extended periods. Fatigue and fluctuating strength are characteristic features throughout the disease course.

Trial ID:
2025-522939-33-00
Protocol code:
ARGX-999-2-MG-20002
Trial Phase:
Therapeutic exploratory (Phase II)

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