Abstract

Bullous pemphigoid (BP) is an autoimmune blistering disease, characterized by subepidermal blisters and mediated by IgG autoantibodies against BP180 (type XVII collagen) and BP230 structural proteins of the dermal-epidermal junction. Efgartigimod, an engineered Fc fragment, inhibits FcRn activity, thereby decreasing serum IgG and autoantibodies. This pre-registration report describes a Phase 2/3 randomized, double-blind, placebo-controlled trial of efgartigimod in patients with moderate to severe (by PDAI) BP.

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