Side effects were similar for both treatments


VYVGART for IV infusion and VYVGART Hytrulo for subcutaneous injection were safe in treating most patients. Patients on VYVGART Hytrulo for subcutaneous injection experienced more injection site reactions.

IV=intravenous

Side effects in the VYVGART for IV infusion study

The following side effects were reported in at least 5% of patients on VYVGART for intravenous (IV) infusion plus their current oral generalized myasthenia gravis (gMG) treatment and more frequently than in patients on placebo plus their current oral gMG treatment.

SIDE EFFECTVYVGART for IV infusion
+ current oral gMG treatment

84 patients
Placebo
+ current oral gMG treatment

83 patients
Respiratory tract infection33%29%
Headache32%29%
Urinary tract infection10%5%
Tingling sensation7%5%
Muscle pain6%1%

Most infections in patients on VYVGART for IV infusion were mild to moderate. Additionally, more patients on VYVGART for IV infusion compared to placebo plus current oral gMG treatment had lower white blood cell counts that were mild to moderate in severity.

gMG=generalized myasthenia gravis

Information about allergic and infusion‑related reactions

VYVGART for IV infusion can cause allergic reactions such as rashes, swelling under the skin, and shortness of breath. It can also increase the risk of serious allergic reactions such as trouble breathing and decrease in blood pressure leading to fainting, as well as infusion-related reactions including increase in blood pressure, chills, shivering, and chest, abdominal, and back pain. These reactions can occur during or after treatment and can cause doctors to pause or, in some cases, stop treatment.

Side effects in the VYVGART Hytrulo study

The overall safety of VYVGART Hytrulo for subcutaneous injection was consistent with the safety profile of VYVGART for IV infusion above, except patients on VYVGART Hytrulo for subcutaneous injection experienced more injection site reactions.

The safety of VYVGART Hytrulo was established through 2 studies

In the VYVGART for IV infusion study, the most common side effects of VYVGART for IV infusion-treated patients were respiratory tract infection, headache, and urinary tract infection. More patients had lower white blood cell counts that were mild to moderate in severity vs placebo.

Butterfly needle
headache

In the VYVGART Hytrulo study, the most common side effects of VYVGART Hytrulo-treated patients were injection site reactions 38% (21 of 55) and headache. Injection site reactions included injection site rash, redness of the skin, itching sensation, bruising, pain, and hives.

In the VYVGART Hytrulo study and its long-term safety study:

    • All injection site reactions were mild to moderate and didn’t lead to treatment discontinuation
    • The majority of injection site reactions occurred within 24 hours of injection and resolved on their own
    • The majority of injection site reactions occurred during the first treatment cycle and decreased with each subsequent cycle

    Information about allergic and infusion-related reactions

    VYVGART Hytrulo can cause allergic reactions such as rashes, swelling under the skin, shortness of breath, and hives. It can also increase the risk of serious allergic reactions such as trouble breathing and decrease in blood pressure leading to fainting, as well as infusion-related reactions including increase in blood pressure, chills, shivering, and chest, abdominal, and back pain. These reactions can occur during or after treatment and can cause doctors to pause or, in some cases, stop treatment.

    Taking VYVGART during pregnancy?

    Consider sharing your experience with argenx by participating in the Pregnancy Registry. It’s a way to provide information about your health and your baby’s health during your pregnancy. Learn more by calling 1-855-272-6524, visiting VYVGARTpregnancy.com, or talking to your healthcare provider.

    Things to discuss with your doctor before starting VYVGART

    vaccine

    No specific vaccines required to start treatment

    Talk to your doctor about age-appropriate vaccines before you start treatment.

    drop

    No routine lab monitoring required

    Routine lab monitoring isn’t required, but your doctor will still monitor your response to treatment and look out for possible side effects.

    mg-adl

    Your MG-ADL score

    Find out what your current score is and talk to your doctor about how to track it consistently.

    safety

    Safety

    Ask your doctor about the side effects you may experience on VYVGART.

    location

    Treatment location

    Talk through your needs, preferences, coverage, and other factors to understand your options.

    What’s your MG-ADL score?

    Use the interactive tool to get your current Myasthenia Gravis Activities of Daily Living (MG-ADL) symptom score. Tracking your symptoms regularly—like once a week—can help you and your doctor understand how your symptoms change over time.

    MG-ADL=Myasthenia Gravis Activities of Daily Living

    Doctor Discussion Guide Doctor Discussion Guide Doctor Discussion Guide

    Talk to your neurologist to see if VYVGART is right for you


    Use this guide to talk to your doctor about your current generalized myasthenia gravis (gMG) symptoms, your treatment goals, and whether VYVGART Hytrulo for subcutaneous injection or VYVGART for intravenous (IV) infusion could be a fit for you.

    Get the latest VYVGART updates

    Sign up to get the latest information about VYVGART sent straight to your inbox.

    VYVGART Hytrulo (efgartigimod alfa and hyaluronidase-qvfc) Subcutaneous Injection 180 mg/mL and 2000 U/mL vial; VYVGART (efgartigimod alfa-fcab) Injection for Intravenous Use 400 mg/20 mL vial
    VYVGART Hytrulo (efgartigimod alfa and hyaluronidase-qvfc) Subcutaneous Injection 180 mg/mL and 2000 U/mL vial; VYVGART (efgartigimod alfa-fcab) Injection for Intravenous Use 400 mg/20 mL vial

    Still have questions? Call 1-833-VYVGART (1-833-898-4278) to speak with an educator about gMG, how VYVGART works, study data, cost and coverage, and more.

    Do not use VYVGART if you have a serious allergy to efgartigimod alfa or any of the other ingredients in VYVGART. Do not use VYVGART HYTRULO if you have a serious allergy to efgartigimod alfa, hyaluronidase, or any of the other ingredients in VYVGART HYTRULO. VYVGART and VYVGART HYTRULO can cause serious allergic reactions and a decrease in blood pressure leading to fainting.

    VYVGART and VYVGART HYTRULO may cause serious side effects, including:

    • Infection. VYVGART and VYVGART HYTRULO may increase the risk of infection. The most common infections for efgartigimod alfa-fcab-treated patients were urinary tract and respiratory tract infections. Signs or symptoms of an infection may include fever, chills, frequent and/or painful urination, cough, pain and blockage of nasal passages/sinus, wheezing, shortness of breath, fatigue, sore throat, excess phlegm, nasal discharge, back pain, and/or chest pain.
    • Allergic Reactions (hypersensitivity reactions). VYVGART and VYVGART HYTRULO can cause allergic reactions such as rashes, swelling under the skin, and shortness of breath. Hives were also observed in patients treated with VYVGART HYTRULO. Serious allergic reactions, such as trouble breathing and decrease in blood pressure leading to fainting have been reported with efgartigimod alfa-fcab.
    • Infusion-Related Reactions. VYVGART and VYVGART HYTRULO can cause infusion-related reactions. The most frequent symptoms and signs reported with efgartigimod alfa-fcab were high blood pressure, chills, shivering, and chest, abdominal, and back pain.

    Tell your doctor if you have signs or symptoms of an infection, allergic reaction, or infusion-related reaction. These can happen while you are receiving your VYVGART or VYVGART HYTRULO treatment or afterward. Your doctor may need to pause or stop your treatment. Contact your doctor immediately if you have signs or symptoms of a serious allergic reaction.

    Before taking VYVGART or VYVGART HYTRULO, tell your doctor if you:

    • take any medicines, including prescription and non-prescription medicines, supplements, or herbal medicines,
    • have received or are scheduled to receive a vaccine (immunization), or
    • have any allergies or medical conditions, including if you are pregnant or planning to become pregnant, or are breastfeeding.

    What are the common side effects of VYVGART and VYVGART HYTRULO?

    The most common side effects in efgartigimod-alfa-fcab-treated patients were respiratory tract infection, headache, and urinary tract infection. Additional common side effects with VYVGART HYTRULO are injection site reactions, including rash, redness of the skin, itching sensation, bruising, pain, and hives.

    These are not all the possible side effects of VYVGART and VYVGART HYTRULO. Call your doctor for medical advice about side effects. You may report side effects to the US Food and Drug Administration at 1-800-FDA-1088.

    What is VYVGART® (efgartigimod alfa-fcab) for intravenous (IV) infusion and what is VYVGART® HYTRULO (efgartigimod alfa and hyaluronidase-qvfc) for subcutaneous injection?

    VYVGART and VYVGART HYTRULO are both prescription medicines, each used to treat a condition called generalized myasthenia gravis, which causes muscles to tire and weaken easily throughout the body, in adults who are positive for antibodies directed toward a protein called acetylcholine receptor (anti-AChR antibody positive).

    Please see the full Prescribing Information for VYVGART and the full Prescribing Information for VYVGART HYTRULO, and talk to your doctor.

    Do not use VYVGART if you have a serious allergy to efgartigimod alfa or any of the other ingredients in VYVGART. Do not use VYVGART HYTRULO if you have a serious allergy to efgartigimod alfa, hyaluronidase, or any of the other ingredients in VYVGART HYTRULO. VYVGART and VYVGART HYTRULO can cause serious allergic reactions and a decrease in blood pressure leading to fainting.

    VYVGART and VYVGART HYTRULO may cause serious side effects, including:

    • Infection. VYVGART and VYVGART HYTRULO may increase the risk of infection. The most common infections for efgartigimod alfa-fcab-treated patients were urinary tract and respiratory tract infections. Signs or symptoms of an infection may include fever, chills, frequent and/or painful urination, cough, pain and blockage of nasal passages/sinus, wheezing, shortness of breath, fatigue, sore throat, excess phlegm, nasal discharge, back pain, and/or chest pain.
    • Allergic Reactions (hypersensitivity reactions). VYVGART and VYVGART HYTRULO can cause allergic reactions such as rashes, swelling under the skin, and shortness of breath. Hives were also observed in patients treated with VYVGART HYTRULO. Serious allergic reactions, such as trouble breathing and decrease in blood pressure leading to fainting have been reported with efgartigimod alfa-fcab.
    • Infusion-Related Reactions. VYVGART and VYVGART HYTRULO can cause infusion-related reactions. The most frequent symptoms and signs reported with efgartigimod alfa-fcab were high blood pressure, chills, shivering, and chest, abdominal, and back pain.

    Tell your doctor if you have signs or symptoms of an infection, allergic reaction, or infusion-related reaction. These can happen while you are receiving your VYVGART or VYVGART HYTRULO treatment or afterward. Your doctor may need to pause or stop your treatment. Contact your doctor immediately if you have signs or symptoms of a serious allergic reaction.

    Before taking VYVGART or VYVGART HYTRULO, tell your doctor if you:

    • take any medicines, including prescription and non-prescription medicines, supplements, or herbal medicines,
    • have received or are scheduled to receive a vaccine (immunization), or
    • have any allergies or medical conditions, including if you are pregnant or planning to become pregnant, or are breastfeeding.

    What are the common side effects of VYVGART and VYVGART HYTRULO?

    The most common side effects in efgartigimod-alfa-fcab-treated patients were respiratory tract infection, headache, and urinary tract infection. Additional common side effects with VYVGART HYTRULO are injection site reactions, including rash, redness of the skin, itching sensation, bruising, pain, and hives.

    These are not all the possible side effects of VYVGART and VYVGART HYTRULO. Call your doctor for medical advice about side effects. You may report side effects to the US Food and Drug Administration at 1-800-FDA-1088.

    What is VYVGART® (efgartigimod alfa-fcab) for intravenous (IV) infusion and what is VYVGART® HYTRULO (efgartigimod alfa and hyaluronidase-qvfc) for subcutaneous injection?

    VYVGART and VYVGART HYTRULO are both prescription medicines, each used to treat a condition called generalized myasthenia gravis, which causes muscles to tire and weaken easily throughout the body, in adults who are positive for antibodies directed toward a protein called acetylcholine receptor (anti-AChR antibody positive).

    Please see the full Prescribing Information for VYVGART and the full Prescribing Information for VYVGART HYTRULO, and talk to your doctor.