ADAPT Forward - Master Protocol of a Platform Study to Evaluate the Safety and Efficacy of Multiple Regimens in Participants With Myasthenia Gravis
Start Date
12/19/2025
Completion Date
3/7/2028
Summary
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.
Detailed Description
This is a platform study and is governed by a single master protocol that enables multiple regimens to be evaluated in separate intervention-specific appendixes (ISAs). The key design structure of the platform study comprises: common master protocol screening period, ISA-specific screening period, ISA treatment period of variable duration and design and ISA safety follow-up/follow-up period of variable duration. Details on each study period will be specified in the ISAs. Following ISAs are included in this platform study: * NCT07284420 - ADAPT Forward 1 - a study to evaluate empasiprubart IV as add-on therapy to efgartigimod IV in participants with AChR-Ab seropositive generalized myasthenia gravis with a partial clinical response to efgartigimod (https://www.clinicaltrials.gov/study/NCT07284420) * NCT07673627 - Adapt Forward 2 - a Study to Evaluate the Safety, Tolerability and Efficacy of Empasiprubart IV Monotherapy in Participants With AChR-Ab Seropositive Generalized Myasthenia Gravis (https://clinicaltrials.gov/study/NCT07673627) More information can be found here: https://clinicaltrials.argenx.com/adaptforward
Eligibility Criteria
Age Range: 18 years to No maximum
Interventions
Efgartigimod IV
Empasiprubart IV
Placebo IV
Efgartigimod PH20 SC PFS
Conditions
Locations
Profound Research LLC - Carlsbad
Carlsbad, California 92011
United States
Visionary Investigators Network
Miami, Florida 33133
United States
Visionary Investigators Network
Miami, Florida 33180
United States
University of South Florida
Tampa, Florida 33620
United States
Erlanger Health System
Columbia, Maryland 21044
United States
Massachusetts General Hospital
Boston, Massachusetts 02114-2621
United States
Henry Ford Health System
Detroit, Michigan 48202-2608
United States
Dent Neurologic Institute - Amherst
Amherst, New York 14226
United States
Duke Early Phase Clinical Research Unit - PPDS
Durham, North Carolina 27710-0001
United States
Ohio State Martha Morehouse Outpatient Care
Columbus, Ohio 43221-3502
United States
Erlanger Health System
Chattanooga, Tennessee 37403-2136
United States
Erlanger Neuroscience Institute
Chattanooga, Tennessee 37403-2173
United States
National Neuromuscular Research Institute
Austin, Texas 78759
United States
University of Texas- San Antonio - Health Science Center - PPDS
San Antonio, Texas 78229
United States
UZ Leuven - PPDS
Leuven, 3000
Belgium
Charité - Universitätsmedizin Berlin
Berlin, 13353
Germany
Eginitio Hospital
Athens, 115 28
Greece
AHEPA University General Hospital of Thessaloniki
Thessaloniki, 546 36
Greece
ASST Papa Giovanni XXIII - Ospedale Papa Giovanni XXIII
Bergamo, Lombardy 24127
Italy
Fondazione IRCCS Istituto Neurologico Carlo Besta
Milan, Lombardy 20133
Italy
Fondazione IRCCS Istituto Neurologico Carlo Besta
Milan, 20133
Italy
AORN Antonio Cardarelli
Naples, 80131
Italy
IUHW Narita Hospital
Narita, 286-8520
Japan
MICS Centrum Medyczne Bydgoszcz
Bydgoszcz, Kuyavian-Pomeranian Voivodeship 85-065
Poland
Krakowska Akademia Neurologii Sp. z o.o.
Krakow, Lesser Poland Voivodeship 31-505
Poland
Centrum Medyczne Neurologia Slaska
Katowice, Silesian Voivodeship 40-689
Poland
Warszawski Uniwersytet Medyczny
Warsaw, 00-665
Poland
Hospital Regional Universitario de Malaga - Hospital General
Málaga, Malaga 340120
Spain
Hospital de La Santa Creu i Sant Pau
Barcelona, 8041
Spain