Intermediate data confirm good results for efgartigimod in myasthenia gravis

An open-label extension of the international Adapt trial, Adapt+ involved 151 adults with generalized autoimmune myasthenia gravis treated with cycles of four weekly infusions of Vyvgart® (efgartigimod) over three years, according to a dosage schedule adapted to the course of the disease. After an average of 18 months of treatment and follow-up, the investigators noted :

  • a clinically significant improvement in MG-ADL and QMG scores, as early as one week after the first infusion;
  • at least one treatment-related adverse event in 84.8% of participants, most commonly headache (24.8%), Covid-19 (15.2%) or nasopharyngitis (13.8%).

 

Long-term safety, tolerability, and efficacy of efgartigimod (ADAPT+): interim results from a phase 3 open-label extension study in participants with generalized myasthenia gravis. Howard JF Jr, Bril V, Vu T et al. Front Neurol. 2024 Jan 17;14:1284444.