Evaluating nipocalimab for adults with chronic inflammatory demyelinating polyneuropathy
Phase 2/3, Multistage, Multicenter, Randomized, Double-Blind, Placebo-Controlled Parallel Group Withdrawal Study to Evaluate the Efficacy and Safety of Nipocalimab Administered to Adults With Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)
This study is testing a new treatment called nipocalimab to see if it can help adults with chronic inflammatory demyelinating polyneuropathy avoid relapses and feel better.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Enrollment | 201 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Janssen Research & Development, LLC Industry-sponsored |
| Drugs / interventions | nipocalimab |
| Locations | 113 sites (Centennial, Colorado and 112 other locations) |
| Trial ID | NCT05327114 on ClinicalTrials.gov |
What this trial studies
This study aims to assess the safety and efficacy of nipocalimab in delaying relapse in adults diagnosed with chronic inflammatory demyelinating polyneuropathy (CIDP). Participants who initially respond to nipocalimab will be compared to those receiving a placebo. The study includes adults aged 18 and older with specific disability scores related to their condition. The trial is structured in two phases, focusing on both the effectiveness and safety of the treatment.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and older diagnosed with progressing or relapsing forms of CIDP.
Not a fit: Patients with stable CIDP who do not meet the inclusion criteria or have a low INCAT disability score may not benefit from this study.
Why it matters
Potential benefit: If successful, this treatment could significantly improve the management of CIDP and enhance the quality of life for affected patients.
How similar studies have performed: Other studies have shown promise in treating CIDP with similar approaches, indicating potential for success.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults greater than or equal to (\>=) 18 years of age at the time of consent and as applicable, must also meet the legal age of consent in the jurisdiction in which the study is taking place * Diagnosed with Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) according to criteria of the European Academy of Neurology/Peripheral Nerve Society (EAN/PNS) 2021, progressing or relapsing forms. CIDP diagnosis to be adjudicated by independent committee during screening period * Inflammatory Neuropathy Cause and Treatment (INCAT) disability score between 2 and 9 at the Run-In Baseline visit for participants entering Run-In, or Stage A Baseline visit for participants directly entering Stage A. Participants with an INCAT score of 2 at trial entry must have this score exclusively from the leg disability score * Fulfilling any of the following treatment conditions: a) Currently treated with oral corticosteroids (CS) less than or equal to (\<=) 20 milligrams (mg)/day; or b) Currently treated with pulsed CS, and/or intravenous immunoglobulin (IVIg) or subcutaneous immunoglobulin (SCIg) and the participant is willing to discontinue no later than the run-in baseline visit; or c) Currently treated with oral CS greater than (\>) 20 mg/day and the participant is willing to taper to \<=20 mg/day during the run-in period; or d) Without previous treatment (treatment naive); or treatment with CS and/or IVIg or SCIg discontinued at least 3 months prior to screening (untreated) * Active disease as determined by CIDP Disease Activity Status (CDAS) score \>= 3 * Other protocol-defined inclusion criteria will apply Exclusion Criteria: * Has a history of severe and/or uncontrolled hepatic (example, viral/alcoholic/autoimmune hepatitis/cirrhosis and/or metabolic liver disease), gastrointestinal, renal, pulmonary, cardiovascular, psychiatric, neurological or musculoskeletal disorder, hypertension and/or any other medical or uncontrolled autoimmune disorder(s) (example, diabetes mellitus) or clinically significant abnormalities in screening laboratory that, might interfere with the participants full participation in the study, or might jeopardize the safety of the participant or the validity of the study results * Pure sensory CIDP or chronic immune sensory polyradiculopathy (CISP) (EAN/PNS definition) * Any other disease that could better explain the participant's signs and symptoms, such as significant persisting neurological deficits from stroke or central nervous system (CNS) trauma or peripheral neuropathy from another cause such as connective tissue disease or systemic lupus erythematosus * Polyneuropathy of other causes, including the following: Multifocal motor neuropathy (MMN); Monoclonal gammopathy of uncertain significance with antimyelin associated glycoprotein (anti-MAG) immunoglobulin M (IgM) antibodies; Hereditary motor neuropathy; Hereditary neuropathy with liability to pressure palsies (HNPP); Polyneuropathy, organomegaly, endocrinopathy, monoclonal protein and skin change syndromes; Lumbosacral radiculoplexus neuropathy; Polyneuropathy most likely due to diabetes mellitus; Polyneuropathy most likely due to systemic illnesses; Drug- or toxin-induced polyneuropathy Note: A concomitant polyneuropathy of other causes (example, a mild, stable diabetic polyneuropathy) is not necessarily exclusionary if chronic inflammatory demyelinating polyneuropathy (CIDP) is confirmed as the main diagnosis, as determined by the investigator and confirmed by the adjudication committee * Has known allergies, hypersensitivity, or intolerance to nipocalimab or its excipients * Other protocol-defined exclusion criteria will apply
Where this trial is running
Centennial, Colorado and 112 other locations
- IMMUNOe Health and Research Centers — Centennial, Colorado, United States (Recruiting)
- Healthcare Innovations Institute Inc — Coral Springs, Florida, United States (Recruiting)
- Neurology Associates PA — Maitland, Florida, United States (Completed)
- University of Kansas Medical Center — Kansas City, Kansas, United States (Recruiting)
- Johns Hopkins Hospital — Baltimore, Maryland, United States (Recruiting)
- Boston Clinical Trials — Boston, Massachusetts, United States (Recruiting)
- Beaumont Hospital Royal Oak — Royal Oak, Michigan, United States (Completed)
- Kansas City Veterans Affairs Medical Center — Kansas City, Missouri, United States (Recruiting)
- The Neurological Institute of New York — New York, New York, United States (Completed)
- South Shore Neurologic Associates - Patchogue — Patchogue, New York, United States (Recruiting)
- The Neurological Institute, PA — Charlotte, North Carolina, United States (Recruiting)
- Cleveland Clinic Main Campus — Cleveland, Ohio, United States (Recruiting)
- Austin Neuromuscular Center — Austin, Texas, United States (Recruiting)
- Advocate Health - Aurora St. Luke's Medical Center — Milwaukee, Wisconsin, United States (Recruiting)
- Hospital Italiano de Buenos Aires — Buenos Aires, Argentina (Recruiting)
- Hospital Gral Agudos Ignacio Pirovano — Buenos Aires, Argentina (Recruiting)
- The Alfred Hospital — Melbourne, Australia (Recruiting)
- Gold Coast University Hospital — Parkwood, Australia (Recruiting)
- The Ottawa Hospital Ottawa NeuroMuscular Centre — Ottawa, Canada (Recruiting)
- Peking University First Hospital — Beijing, China (Recruiting)
- Xuanwu Hospital ,Capital Medical University — Beijing, China (Recruiting)
- Beijing Tiantan Hospital, Capital Medical University — Beijing, China (Recruiting)
- Peking University Third Hospital — Beijing, China (Recruiting)
- The First Hospital of Jilin University — Changchun, China (Recruiting)
- The Third Xiangya Hospital of Central Sourth University — Changsha, China (Recruiting)
- Xiangya Hospital Central South University — Changsha, China (Recruiting)
- Sichuan Provincial Peoples Hospital — Chengdu, China (Recruiting)
- Chifeng Municipal Hospital — Chifeng, China (Recruiting)
- Fujian Medical University Union Hospital — Fuzhou, China (Recruiting)
- The First Affiliated Hospital Sun Yat sen University — Guangzhou, China (Recruiting)
- Qilu Hospital of Shandong University — Jinan, China (Recruiting)
- Qianfoshan hospital of Shandong Province — Jinan, China (Recruiting)
- The First Affiliated Hospital of NanChang University — Nanchang, China (Recruiting)
- Huashan Hospital Fudan University — Shanghai, China (Recruiting)
- Tong Ren Hospital Shanghai Jiao Tong University school of medicine — Shanghai, China (Completed)
- Renmin Hospital of Wuhan University — Wuhan, China (Recruiting)
- Tangdu hospital the Fourth Military Medical — Xi'an, China (Recruiting)
- Xi 'an GaoXin Hospital — Xi'an, China (Recruiting)
- Fundación Cardiovascular de Colombia - Instituto del Corazón Floridablanca — Floridablanca, Colombia (Recruiting)
- Instituto Neurológico de Colombia — Medellín, Colombia (Recruiting)
- Fakultni nemocnice Hradec Kralove — Hradec Králové, Czechia (Recruiting)
- Fakultni Nemocnice Ostrava — Ostrava, Czechia (Completed)
- Pardubicka krajska nemocnice a s — Pardubice, Czechia (Completed)
- CHU Bordeaux — Bordeaux, France (Recruiting)
- Hospices Civils de Lyon HCL — Bron, France (Recruiting)
- Hopital de Bicetre — Le Kremlin-Bicêtre, France (Recruiting)
- Hopital de la Timone — Marseille, France (Recruiting)
- Hopital PASTEUR — Nice, France (Recruiting)
- CHU Nimes Hopital Caremeau — Nîmes, France (Recruiting)
- Hopital de la Pitie Salpetriere — Paris, France (Recruiting)
+63 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Study Contact
- Email: Participate-In-This-Study1@its.jnj.com
- Phone: 844-434-4210
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.