NCIt definition : A human immunoglobulin G1 (IgG1)-derived Fc fragment that targets the neonatal Fc
receptor (FcRn), with potential FcRn blocking activity. Upon administration, efgartigimod
alfa targets, binds to and blocks FcRn, thereby preventing FcRn from recycling IgG
back into the systemic circulation. This causes a reduction in IgG blood levels, including
the abnormal acetylcholine receptor (AChR) antibodies that are present in myasthenia
gravis. FcRn binds to IgGs and prevents their lysosomal degradation, thereby extending
IgG half-life and increases the availability of pathogenic IgG antibodies that are
present in certain severe autoimmune diseases.;