Argenx Plans sBLA for Vyvgart in Myasthenia Gravis
Argenx says it will file a supplemental BLA for Vyvgart (efgartigimod alfa-fcab) to expand its label to include adults with acetylcholine receptor antibody (AChR-Ab) seronegative generalized myasthenia gravis (gMG) after reporting positive topline results from a Phase 3 trial of patients in this patient population. The company says the submission will seek approval for use in three subtypes : MuSK-positive, LRP4-positive, and triple seronegative.
The ADAPT SERON study met its primary endpoint, with patients receiving Vyvgart showing a statistically significant and clinically meaningful improvement in the Myasthenia Gravis Activities of Daily Living total score compared to placebo, according to Argenx. “The results of the ADAPT SERON study, the largest to date in AChR-Ab seronegative gMG, confirm that Vyvgart now has the potential to be a targeted, effective, safe, and necessary treatment for patients living with gMG, regardless of autoantibody status,” it adds.
Vyvgart was well tolerated across all patient subtypes, with a safety profile consistent with previous studies in seropositive gMG and other indications, Argenx says, adding that no new safety concerns were identified.
The company says gMG is a rare, chronic autoimmune neuromuscular disease that causes fluctuating muscle weakness and fatigue. While about 80% of patients test positive for AChR antibodies, the remaining 20% are considered seronegative. Within this group, some patients test positive for other autoantibodies, such as MuSK or LRP4, while approximately 10% are “triple seronegative,” lacking detectable antibodies altogether, it says.