| Eligibility |
Inclusion Criteria:
- Participant is at least 18 and =80 years of age when signing the informed consent
form, and willing and able to understand and comply with the requirements of the study
- Participant has BMI =18.0 and =38.0 kg/m2
- Female participant of childbearing potential agrees to contraceptive use consistent
with local regulations for clinical studies and has a negative serum pregnancy test
- Participant has a stable diagnosis of RI, without any significant change in overall
disease status in the 3 months before screening
- At screening, the participant has eGFR (mL/min) calculated using the CKD-EPI equation
that is within the following ranges: 60 to <90 (mild RI); 30 to <60 (moderate RI); <30
(severe RI not requiring dialysis); =90 (normal renal function)
- Participant has normal or not clinically significant findings in physical examination,
vital signs, ECG, and clinical laboratory evaluations; exceptions may be granted for
findings consistent with the participant's RI or other related stable diseases
- Absence of clinically significant illness and surgery during the 4 weeks before the
infusion and absence of clinically significant history of hematologic, renal,
endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric,
neurologic, and immunologic disease
- Participant with RI is receiving a stable medical regimen for 14 days before the
efgartigimod infusion, except for routine daily management of electrolytes (eg,
potassium), acid-base, or other electrolyte abnormalities associated with RI. Control
participant agrees to not receive any medications, except contraceptives and
occasional paracetamol use
Exclusion Criteria:
- Participant has previously participated in an efgartigimod clinical study and received
at least 1 dose
- Participant has a known hypersensitivity to 1 of the components in efgartigimod IV or
a history of severe allergic or anaphylactic reactions
- Participant has a condition except for RI that could affect efgartigimod PK
- Participant has a clinically significant unstable medical condition or history of any
illness that can increase the risk associated with study participation or efgartigimod
administration or can interfere with the interpretation of study results and make the
participant inappropriate for this study.
- Participant has a positive nasopharyngeal swab test for SARS-CoV-2 on day -1
- Participant has supine 12-lead ECG abnormalities at screening considered clinically
significant and clinically significant vital sign abnormalities
- Participant has a history of significant drug or alcohol abuse within 6 months before
screening, or positive urine drug screen or alcohol test at screening
- Participant has a history of malignancy unless considered to be cured by adequate
treatment with no evidence of recurrence for =3 years before the efgartigimod
infusion. Participants with the following cancers can be included at any time,
provided they are adequately treated before they participate in the study: Basal cell
or squamous cell skin cancer, Carcinoma in situ of the cervix, Incidental histological
finding of prostate cancer
- Participant has a clinically significant active or chronic, bacterial, viral, or
fungal infection at screening, including a positive serum test at screening for active
infection with any of the following conditions: HBV indicative of an acute or chronic
infection unless associated with a negative HBsAg or negative HBV DNA test, HCV based
on HCV antibody assay unless an RNA test indicates the participant is HCV negative,
HIV based on CD4 count <200 cells/mm3 associated with an AIDS-defining condition, HIV
based on CD4 count greater than 200 cells/mm3 not adequately treated with
antiretroviral therapy
- Participant has participated in a clinical study involving the administration of an
IMP or marketed drug or device within 30 days of the infusion, administration of a
biological product in the context of a clinical study within 90 days of the infusion,
or concurrent participation in an investigational study involving no drug or device
administration
- Participant is an employee of the investigator or study site with direct involvement
in this clinical study or other studies under the direction of the investigator or
study site or a family member of an employee of the investigator
- Female participant has a positive pregnancy test before dosing or is pregnant or
breastfeeding
- Participant has had a renal transplant
- Participant has received any new prescription medication before the efgartigimod
infusion or other medication, except those approved by the investigator
|
