Evaluating Efgartigimod in Patients with Guillain-Barré Syndrome

Last updated: March 24, 2025
Sponsor: Chafic Karam
Overall Status: Active - Recruiting

Phase

2

Condition

Peripheral Neuropathy

Neuropathy

Neurologic Disorders

Treatment

Intravenous Immunoglobulin (IVIg)

Efgartigimod Alfa-Fcab

Clinical Study ID

NCT05701189
852292
  • Ages > 18
  • All Genders

Study Summary

The goal of this clinical trial is to evaluate the safety and effectiveness of Efgartigimod in patients with Guillain-Barre syndrome (GBS). The main questions it aims to answer are:

  • Is Efgartigimod a safe treatment option for GBS patients?

  • Does treatment with Efgartigimod improve patient outcomes?

In addition to standard-of-care procedures and assessments, participants will:

  • Undergo seven blood draws during hospitalization and in four follow-up study visits to evaluate the concentration of neurofilament light chain, a protein that is elevated in patients with Guillain-Barré syndrome. The presence of neurofilament light chain is believed to be indicative of damage to the nervous system, with higher levels resulting from greater damage.

  • Complete the Columbia Suicide Severity Rating Scale (C-SSRS) to monitor any suicidal ideation or behaviors during the course of the study.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Provision of signed and dated informed consent form

  • Stated willingness to comply with all study procedures and availability for theduration of the study

  • Male or female, aged 18 years or older

  • Have a diagnosis of GBS according to the National Institute of NeurologicalDisorders and Stroke Diagnostic Criteria for Guillain-Barré Syndrome

  • Onset of GBS-related weakness ≤14 days prior to infusion

  • GBS-DS score of 3, 4, or 5

Exclusion

Exclusion Criteria:

  • Pregnant and lactating women, and those intending to become pregnant during thetrial or within 90 days after the last dosing. Women of childbearing potentialshould have a negative serum pregnancy test at Screening and a negative urinepregnancy test at Baseline prior to administration of IMP. Note: Women ofchildbearing potential should use a highly effective method of contraception (i.e.,pregnancy rate of less than 1% per year) during the trial and for 90 days after thelast administration of the IMP. They must be on a stable regimen, for at least 1month, of combined estrogen and progestogen hormonal contraception with inhibitionof ovulation, progestogen-only hormonal contraception associated with inhibition ofovulation, intrauterine device (IUD), intrauterine hormone-releasing system,bilateral tubal occlusion, vasectomized partner, or agree upon continuous abstinencefrom heterosexual sexual contact.

  • Male patients who are sexually active and do not intend to use effective methods ofcontraception (as mentioned above) during the trial or within 90 days after the lastdosing or male patients who plan to donate sperm during the trial or within 90 daysafter the last dosing. Note: Sterilized male patients who have had vasectomy withdocumented aspermia post-procedure, or male patients who have a partner ofnon-childbearing potential, can be included.

  • GBS DS of 2 or less.

  • Patients with any known severe bacterial, viral or fungal infection or any majorepisode of infection that required hospitalization or injectable antimicrobialtherapy in the last 8 weeks prior to Screening.

  • Patients with more than 14 days after onset of symptoms.

  • Patients with known IgG deficiency.

  • Patients with recurrent GBS.

  • Use of investigational drug within 3 months or 5 half-lives of the drug (whicheveris longer) prior to Screening.

  • Patients who have a history of malignancy, including malignant thymoma, ormyeloproliferative or lymphoproliferative disorders, unless deemed cured by adequatetreatment with no evidence of recurrence for ≥ 3 years before Screening. Patientswith completely excised non-melanoma skin cancer (such as basal cell carcinoma orsquamous cell carcinoma) or cervical carcinoma in situ would be permitted at anytime.

  • Patients with clinical evidence of other significant serious disease or patients whounderwent a recent major surgery, which could confound the results of the trial orput the patient at undue risk. Patients with renal/hepatic function impairment canbe included.

Study Design

Total Participants: 30
Treatment Group(s): 2
Primary Treatment: Intravenous Immunoglobulin (IVIg)
Phase: 2
Study Start date:
September 10, 2024
Estimated Completion Date:
May 31, 2027

Study Description

The following procedures/assessments are standard-of-care for Guillain-Barré syndrome. They will not be performed solely for research purposes in this study, but the study team will use select results from them to draw conclusions related to this research:

  • The study doctor or study staff will ask you about your medical history and any changes to your medications

  • You will have a physical examination

  • Your vital signs, including blood pressure, pulse rate, breathing rate, body temperature, and weight will be measured

  • You will have an electrocardiogram (ECG)

  • Pulmonary function testing, including forced vital capacity (FVC), maximal inspiratory pressure (MIP), and maximal expiratory pressure (MEP) will be performed

  • Blood samples will be drawn to evaluate disease progression and safety/efficacy of treatment

  • You will undergo a lumbar puncture, commonly referred to as a spinal tap, to collect cerebrospinal fluid (CSF) for analysis

  • Nerve conduction studies (NCS) will be performed

  • Outcome assessments including the GBS Disability Scale (GBS-DS), MRC Sum Score, and Inflammatory Rasch-built Overall Disability Scale (I-RODS) will be performed

Connect with a study center

  • Hospital of University of Pennsylvania

    Philadelphia, Pennsylvania 19104
    United States

    Active - Recruiting

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