Empasiprubart versus IVIg for treating CIDP in adults
A Phase 3, Randomized, Double-Blinded, Double-Dummy Study Evaluating the Efficacy and Safety of Intravenous Empasiprubart Versus Intravenous Immunoglobulin in Adults With Chronic Inflammatory Demyelinating Polyneuropathy
This trial tests whether empasiprubart works as well as IVIg and is safe for adults with CIDP who currently benefit from IVIg.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Enrollment | 218 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | argenx Industry-sponsored |
| Locations | 73 sites (Rancho Mirage, California and 72 other locations) |
| Trial ID | NCT06920004 on ClinicalTrials.gov |
What this trial studies
This Phase 3 trial randomizes adults with CIDP who are on maintenance IVIg to receive either empasiprubart with an IVIg-matching placebo or IVIg with an empasiprubart-matching placebo for 24 weeks (Part A). After Part A, all participants enter an open-label extension (Part B) in which everyone receives empasiprubart for 96 weeks. Eligible participants must meet the 2021 EAN/PNS CIDP diagnostic criteria, have active disease with residual disability, and have responded to IVIg within the past five years. The trial compares clinical efficacy and safety during the blinded period and monitors longer-term outcomes during the open-label phase.
Who should consider this trial
Good fit: Adults with typical CIDP or specified CIDP variants who meet the 2021 EAN/PNS criteria, have active disease with residual disability, and have responded to IVIg within the past five years on a stable maintenance regimen are ideal candidates.
Not a fit: Patients with possible or purely sensory CIDP, other causes of polyneuropathy, coexisting autoimmune conditions that would confound assessment, or those on other long-acting immunomodulatory treatments are unlikely to benefit or be eligible.
Why it matters
Potential benefit: If successful, empasiprubart could become an effective alternative to IVIg and reduce reliance on plasma-derived therapy for some people with CIDP.
How similar studies have performed: Other immune-targeting therapies and alternative agents to IVIg have shown promise in CIDP in prior trials, but empasiprubart itself is still being tested in this phase 3 program.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Meets criteria for CIDP based on EAN/PNS Task Force CIDP guidelines, second revision (2021) * Has either typical CIDP or 1 of the following CIDP variants: motor CIDP, multifocal CIDP (also known as Lewis-Sumner syndrome), focal CIDP, or distal CIDP * Has responded to IVIg in the past 5 years * Receiving treatment with IVIg within a standard optimal maintenance dosing regimen, with a minimum weekly IVIg dose of at least 0.125 g/kg * Has residual disability and active disease Exclusion Criteria: * Besides the indication under study, known autoimmune disease or any medical condition that would interfere with an accurate assessment of clinical symptoms of CIDP or puts the participant at undue risk, including polyneuropathy of other causes * Meets the criteria for possible or sensory CIDP based on EAN/PNS Task Force CIDP guidelines, second revision (2021) * Use of other long-acting immunomodulatory treatment
Where this trial is running
Rancho Mirage, California and 72 other locations
- Samir Macwan, M.D., Inc. — Rancho Mirage, California, United States (Recruiting)
- Colorado Springs Neurological Associates — Colorado Springs, Colorado, United States (Recruiting)
- MedStar Washington Hospital Center — Washington D.C., District of Columbia, United States (Recruiting)
- Homestead Associates in Research Inc — Homestead, Florida, United States (Recruiting)
- Visionary Investigators Network — Miami, Florida, United States (Recruiting)
- University of South Florida — Tampa, Florida, United States (Recruiting)
- Paradigm Health System — Slidell, Louisiana, United States (Recruiting)
- Erlanger Health System — Columbia, Maryland, United States (Recruiting)
- University of Michigan Hospital — Ann Arbor, Michigan, United States (Recruiting)
- NeuroCarePlus — Houston, Texas, United States (Recruiting)
- National Neuromuscular Research Institute — Irving, Texas, United States (Recruiting)
- INECO Neurociencias Oroño — Rosario, Argentina (Recruiting)
- Universitätsklinikum AKH Wien — Vienna, Austria (Recruiting)
- Fakultni nemocnice Brno — Brno, Czechia (Recruiting)
- Astra Kliinik — Tallinn, Estonia (Recruiting)
- Tartu University Hospital — Tartu, Estonia (Recruiting)
- CHU de Bordeaux - Hôpital Pellegrin — Bordeaux, France (Recruiting)
- AP-HP - Hôpital Bicêtre — Le Kremlin-Bicêtre, France (Recruiting)
- CHU de Nice-Hôpital Pasteur — Nice, France (Recruiting)
- CHU de Strasbourg - Hôpital de Hautepierre — Strasbourg, France (Recruiting)
- CHU de Toulouse-Hôpital Pierre-Paul Riquet-Site de Purpan — Toulouse, France (Recruiting)
- Charité - Universitätsmedizin Berlin — Berlin, Germany (Recruiting)
- Universitätsklinikum Schleswig-Holstein - Campus Kiel — Kiel, Germany (Recruiting)
- University General Hospital of Alexandroupolis — Athens, Greece (Recruiting)
- University General Hospital ''ATTIKON'' - General Hospital of West Attica H AGIA VARVARA — Chaïdári, Greece (Recruiting)
- The Barzilai University Medical Center — Ashkelon, Israel (Recruiting)
- Hadassah Medical Center- Ein Kerem — Jerusalem, Israel (Recruiting)
- The Chaim Sheba Medical Center — Tel Litwinsky, Israel (Recruiting)
- AUSL di Bologna - Ospedale Bellaria — Bologna, Italy (Recruiting)
- Fondazione Istituto Neurologico Nazionale Casimiro Mondino IRCCS — Pavia, Italy (Recruiting)
- Azienda Ospedaliero-Universitaria Sant'Andrea — Roma, Italy (Recruiting)
- Azienda Ospedaliero-Universitaria Policlinico Umberto I — Roma, Italy (Recruiting)
- Aomori Prefectural Central Hospital — Aomori, Japan (Recruiting)
- Juntendo University Hospital — Bunkyō City, Japan (Recruiting)
- Chiba University Hospital — Chūōku, Japan (Recruiting)
- Juntendo Shizuoka University Hospital — Izunokuni, Japan (Recruiting)
- Osaka Metropolitan University Hospital — Osaka, Japan (Recruiting)
- Saga University Hospital — Saga, Japan (Recruiting)
- General Hospital Tsuchiura Kyodo Hospital — Tsuchiura, Japan (Recruiting)
- Yamaguchi University Hospital — Ube, Japan (Recruiting)
- Universitair Medisch Centrum Utrecht — Utrecht, Netherlands (Recruiting)
- Oslo Universitetssykehus HF, Ullevål — Oslo, Norway (Recruiting)
- MICS Centrum Medyczne Bydgoszcz — Bydgoszcz, Poland (Recruiting)
- Neurocentrum Bydgoszcz — Bydgoszcz, Poland (Recruiting)
- Centrum Medyczne Neurologia Slaska — Katowice, Poland (Recruiting)
- SP ZOZ Szpital Uniwersytecki w Krakowie — Krakow, Poland (Recruiting)
- Centrum Medyczne Linden — Krakow, Poland (Recruiting)
- Galen Clinic - Lublin — Lublin, Poland (Recruiting)
- Clinical Research Center Sp. z o.o. Medic-R sp.k. — Poznan, Poland (Recruiting)
- Centrum Medyczne Medyk — Rzeszów, Poland (Recruiting)
+23 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Sabine Coppieters, MD
- Email: clinicaltrials@argenx.com
- Phone: 857-350-4834
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.