argenx SE(ARGX)宣布Efgartigimod治疗自身免疫性肌炎的3期ALKIVIA试验取得积极结果

金吾财讯
Aug 17

金吾财讯 | 全球创新免疫学企业argenx SE(ARGX)公布了其三期ALKIVIA临床试验的积极顶线数据。该试验评估了皮下注射药物VYVGART Hytrulo在成人自身免疫性肌炎中的疗效,包括免疫介导的坏死性肌病(IMNM)和皮肌炎(DM)。

数据披露,在IMNM与DM的合并研究人群中,经过52周治疗,Vyvgart Hytrulo组的平均总改善评分(TIS)较安慰剂组显著高出15.4分(47.95分vs32.56分,p=0.0011),达到主要终点。在IMNM亚组分析中,治疗组同样展现出14.8分的显著改善(p=0.0048)。这是全球首个在没有任何批准疗法的IMNM领域取得统计学显著与临床意义改善的三期临床试验。患者在治疗第4周即出现显著改善,且在伴随糖皮质激素减量的过程中,疗效持续稳定保持了一整年。药物耐受性良好,安全性特征与已知安全数据一致。自身免疫性肌炎属于罕见且高度致残的疾病,长久以来临床严重依赖大剂量激素和广谱免疫抑制剂。医学专家指出,通过精确定向阻断新生儿Fc受体(FcRn)来降低致病性IgG自身抗体,为该类疾病开辟了靶向治疗的新路径。

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