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항목
AntibodyCurated CoreFDAstaleApproved
efgartigimod (Vyvgart, ARGX-113, Vyvgart Hytrulo, efgartigimod alfa-fcab)
argenx·FcRn (neonatal Fc receptor)
48 trials
AntibodyCurated CoreFDAstaleApproved
nipocalimab (Imaavy, M281, nipocalimab-aahu)
Johnson & Johnson / Janssen·FcRn
27 trials·t½ Supports q2w maintenance after loading
Overview
Program
Vyvgart (efgartigimod)Imaavy (nipocalimab)
Overview
Company
argenxJohnson & Johnson / Janssen
Overview
Modality
ANTIBODYANTIBODY
Overview
Target
FcRn (neonatal Fc receptor)FcRn
Overview
Indication
Generalized myasthenia gravis (AChR antibody positive), chronic inflammatory demyelinating polyneuropathyGeneralized myasthenia gravis (AChR or MuSK antibody-positive, age ≥12); warm autoimmune hemolytic anemia
Overview
Phase
APPROVEDAPPROVED
Overview
Status
APPROVEDAPPROVED
Overview
Content status
Curated CoreCurated Core
Overview
Data Confidence
Editorial scope · Curated CoreEditorial scope · Curated Core
Overview
Development Signal
Development Signal · EstablishedDevelopment Signal · Established
Overview
Approval status
FDA approvedFDA approved
Positioning
Key differentiator
Selective IgG reduction without touching albumin, other immunoglobulin classes, or complement — so infection risk stays much lower than with broad immunosuppression.Continuous q2w maintenance after loading, MuSK coverage, and a wAIHA indication — not a CIDP or subcutaneous Hytrulo story.
Positioning
Known limitation
Seronegative or non-IgG-mediated disease does not respond; effect reverses on withdrawal.Non-IgG-mediated disease and incomplete FcRn occupancy.
Positioning
Development positioning
After acetylcholinesterase inhibitors and steroids/immunosuppressantsAfter or with steroids / conventional immunosuppressants per label
MoA
Mechanism
Binds FcRn and blocks IgG recycling, so pathogenic IgG autoantibodies are routed to lysosomal degradation; total IgG falls roughly 60–70% within a treatment cycle.Occupies FcRn and blocks IgG recycling, lowering total and pathogenic IgG. Autoantibody titers fall while dosing continues and recover when it stops.
MoA
Biomarker
Total IgG and anti-AChR antibody titer; MG-ADL and QMG scores.MG-ADL, QMG, AChR/MuSK serology; hemoglobin in wAIHA.
PK/PD
Half-life
—Supports q2w maintenance after loading
PK/PD
Species
—Total IgG reduction, MG-ADL, hemoglobin
PK/PD
Animal (cat.)
—Human
Toxicology
Species
Rat—
Toxicology
Major finding
Headache, respiratory and urinary tract infection, and injection-site reactions. IgG reduction is selective and reversible, so cumulative immunosuppression is limited compared with conventional agents.Infection risk tracks the reversible IgG drop. Infusion reactions and hypersensitivity are labeled; this is not B-cell depletion.
Toxicology
CRS
N/AN/A
Clinical
Safety signal
Headache, respiratory and urinary tract infection, and injection-site reactions. IgG reduction is selective and reversible, so cumulative immunosuppression is limited compared with conventional agents.Infection risk tracks the reversible IgG drop. Infusion reactions and hypersensitivity are labeled; this is not B-cell depletion.
Clinical
Program phase
APPROVEDAPPROVED
Clinical
Trial activity
No active/completed counts—