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Efgartigimod alfa + hyaluronidase-qvfc is a fixed-dose combination biologic drug administered as a subcutaneous injection for the treatment of generalized myasthenia gravis (gMG) and chronic inflammatory demyelinating polyneuropathy (CIDP) in adults[2][6][10]. The combination consists of two components: - Efgartigimod alfa, a human IgG1 antibody fragment engineered to bind with high affinity to the neonatal Fc receptor (FcRn), thereby blocking FcRn-mediated recycling of IgG. This results in accelerated degradation and reduced levels of circulating IgG antibodies, including pathogenic autoantibodies implicated in gMG and CIDP[5][7]. - Hyaluronidase (human recombinant), which transiently increases subcutaneous tissue permeability by depolymerizing hyaluronan, facilitating rapid absorption of co-administered drugs[5]. The reduction in pathogenic IgG autoantibodies leads to clinical improvement in diseases where such antibodies play a central role. The product is marketed under the brand name Vyvgart Hytrulo and was developed by Argenx. It represents the first approved neonatal Fc receptor blocker for CIDP.
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