Tanruprubart (ANX005) treatment for Guillain-Barré syndrome (FORWARD)
Official title: An Open-Label Study to Evaluate the Pharmacokinetics, Pharmacodynamics, Efficacy, and Safety of a Single Dose of ANX005 in Participants With Guillain-Barré Syndrome
Run by Annexon, Inc. · NCT07020819 · Data updated 2026-11-12
This study will test tanruprubart (ANX005) in adults and children with recent-onset Guillain-Barré syndrome to see if it is safe, how the drug behaves in the body, and whether it helps recovery.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 8 Years to 85 Years |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Annexon, Inc. Industry-sponsored |
| Locations | 30 sites (Phoenix, Arizona and 29 other locations) |
| Status | Recruiting |
| Started | September 12, 2025 |
| Main results expected | May 31, 2027 |
| Study ends | June 30, 2028 |
| Registry record updated | October 26, 2026 |
| Trial ID | NCT07020819 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults and children diagnosed with GBS per NINDS criteria who have weakness onset within the past 10 days, a GBS disability score of 3–5, and who have not received IVIG or plasma exchange are ideal candidates.
✕Probably not a fit
Patients who have already received or plan to receive standard treatments like IVIG or plasma exchange, or those diagnosed with GBS variants (for example Miller Fisher syndrome), are not eligible and are unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is an open-label Phase 3 trial of tanruprubart (ANX005) in adult and pediatric participants with Guillain-Barré syndrome, measuring pharmacokinetics, pharmacodynamics, early efficacy signals, and safety. Participants must have symptom onset within 10 days and a GBS disability score of 3, 4, or 5, and those who have received or plan to receive IV immunoglobulin or plasma exchange are excluded. The protocol enrolls patients across sites in the United States, Canada, and Europe, with infusions initiated on Day 1 and follow-up assessments to capture clinical course and laboratory markers. The design is open-label without a blinded control, focusing on drug behavior and safety in a population early in disease.
Why it matters
Potential benefit: If successful, the drug could provide a targeted therapy that limits immune-mediated nerve damage and speeds recovery from Guillain-Barré syndrome.
How similar studies have gone: Complement-targeting approaches such as ANX005 have shown promise in preclinical studies and early-phase trials for immune neuropathies, but large-scale definitive success in GBS has not yet been established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: * Diagnosis of GBS according to the National Institute of Neurological Disorders and Stroke Diagnostic Criteria for GBS. * Onset of GBS-related weakness ≤10 days before start of infusion on Day 1 * GBS-disability score (DS) score of 3, 4, or 5 at screening and before start of infusion on Day 1. Key Exclusion Criteria: * Previous or planned treatment with either plasma exchange or IV immunoglobulin within 90 days of Day 1. * Diagnosis of any form of GBS that does not involve weakness of the extremities. Other protocol-defined criteria may apply.
Where it's running
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St. Joseph's Hospital & Medical Center - Barrow Neurological Institute (Dignity Health)
Phoenix, Arizona, United States Recruiting -
HonorHealth Bob Bové Neuroscience Institute
Scottsdale, Arizona, United States Recruiting -
Profound Research LLC
Carlsbad, California, United States Recruiting -
Loma Linda
Loma Linda, California, United States Recruiting -
Children's Hospital of Orange County
Orange, California, United States Recruiting -
University of California Irvine
Orange, California, United States Recruiting
Show 24 more locations
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Stanford University
Palo Alto, California, United States Recruiting -
University of Colorado Hospital
Aurora, Colorado, United States Recruiting -
Georgetown
Washington D.C., District of Columbia, United States Recruiting -
Mayo Clinic Florida
Jacksonville, Florida, United States Recruiting -
University of Kansas Medical Center
Kansas City, Kansas, United States Recruiting -
Ochsner LSU Health
Shreveport, Louisiana, United States Recruiting -
University Massachusetts Chan Medical School
Worcester, Massachusetts, United States Recruiting -
University of Michigan
Ann Arbor, Michigan, United States Recruiting -
Henry Ford Health
Detroit, Michigan, United States Recruiting -
Mayo Rochester
Rochester, Minnesota, United States Recruiting -
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, United States Recruiting -
Albany Medical Center
Albany, New York, United States Recruiting -
Duke University
Durham, North Carolina, United States Recruiting -
Cleveland Clinic
Cleveland, Ohio, United States Recruiting -
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States Recruiting -
University of Virginia Department of Neurology
Charlottesville, Virginia, United States Recruiting -
Aarhus University Hospital
Aarhus, Aarhus N, Denmark Recruiting -
Righospitalet - Copenhagen Neuromuscular Center
Østerbro, Copenhagen, Denmark Recruiting -
Hospital Bicêtre
Le Kremlin-Bicêtre, Cedex, France Recruiting -
Hospital Universitario de Bellvitge
L'Hospitalet de Llobregat, Barcelona, Spain Recruiting -
Hospital Universitario Infanta Sofia
San Sebastián de los Reyes, Madrid, Spain Recruiting -
Queen Elizabeth Hospital
Edgbaston, Birmingham, United Kingdom Recruiting -
Queen Elizabeth University Hospital
Glasgow, United Kingdom Recruiting -
University of Oxford - West Wing John Radcliffe Hospital
Oxford, United Kingdom Recruiting
Study contacts
- Study coordinator: Study Coordinator
- Email: clinicaltrials@annexonbio.com
- Phone: 1-650-822-5500
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.