Clinical trial Recruiting at 30 sites Phase 3 Interventional Ages 8 to 85

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.

More Guillain-Barre Syndrome trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages8 Years to 85 Years
SexAll
Enrollment30 (estimated)
SponsorAnnexon, Inc.
Industry-sponsored
Locations30 sites (Phoenix, Arizona and 29 other locations)
StatusRecruiting
StartedSeptember 12, 2025
Main results expectedMay 31, 2027
Study endsJune 30, 2028
Registry record updatedOctober 26, 2026
Trial IDNCT07020819 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

  • 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
  • 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

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Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.