Actively Recruiting

Phase 3
Age: 18Years +
All Genders
ID06752356

A Double-blind, Randomized Study Comparing Two Dosages of Intravenous Human Immune Globulin (IGIV) 10% in Adults With Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)

Led by Kedrion S.p.A. · Updated on 2026-04-14

161

Participants Needed

2

Research Sites

1 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the efficacy and safety of KIg10, an intravenous human immune globulin 10%, as maintenance therapy for adults with Chronic Inflammatory Demyelinating Polyneuropathy (CIDP). This phase 3, double-blind, randomized study aims to compare two dosages of KIg10 following an initial treatment period, focusing on adults diagnosed with active CIDP who meet specific clinical criteria. Participants will first enter a wash-out phase lasting up to 12 weeks or until their condition shows functional worsening. Those eligible will then be randomly assigned in a 1:2 ratio to receive either 0.5 g/kg or 1.0 g/kg of KIg10 every three weeks for 21 weeks. Should a participant experience a relapse, they will receive a rescue treatment with 2.0 g/kg of KIg10 at the same interval and duration. Initial loading doses of 2.0 g/kg KIg10 are given before maintenance dosing in both groups. Throughout the study, participants will undergo evaluations including the adjusted INCAT disability score to monitor functional status. Researchers will measure treatment efficacy using changes in disability scores and muscle strength, quality of life assessments, and responder rates over 24 weeks. Safety and disease progression will be closely monitored, with follow-up visits scheduled at regular intervals. The total participation duration varies according to treatment and response.

CONDITIONS

Brief Title

A Study Investigating Intravenous Human Normal Immune Globulin (IGIV) 10% in Subjects With Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Male or female, aged 18 years or older
  • Written informed consent and permission to access personal health information
  • Documented diagnosis of CIDP according to 2021 EAN/PNS criteria
  • Significant disability with adjusted INCAT disability score between 2 and 9 (score of 2 only from lower limbs)
  • Currently dependent on immunoglobulins, corticosteroids, or standard CIDP treatments
  • Weakness in at least two limbs
  • Clinically stable for 12 weeks before screening without worsening INCAT score or significant symptom changes
Not Eligible

You will not qualify if you...

  • Pure sensory atypical and multivariant CIDP
  • Pregnant, breastfeeding, unwilling to use contraception, or planning pregnancy during the study
  • Prior immunoglobulin treatment exceeding specified monthly dosages
  • Previous failure to respond to IGIV or SCIG
  • Body mass index over 35 kg/m2 or risk of fluid overload from IGIV dose
  • Non-CIDP neuropathies inconsistent with 2021 EAN/PNS criteria
  • IgM paraproteinemia or certain monoclonal gammopathies
  • Central demyelinating disorders or severe myopathy
  • Chronic or debilitating diseases affecting neurological assessment
  • Severe heart conditions or uncontrolled hypertension
  • Recent history of thromboembolic events within 12 months
  • Conditions affecting protein metabolism or IgG use
  • Chronic kidney disease or low estimated glomerular filtration rate
  • Active malignancy requiring treatment or recent remission under 2 years
  • Hypersensitivity to human blood products
  • Known IgA deficiency or autoimmune nodo-paranodopathies causing treatment resistance
  • Abnormal liver enzymes, blood counts, or clinically significant anemia
  • Active hepatitis B, C, or HIV infection without undetectable viral load
  • Recent use of certain immunosuppressive or immunomodulating treatments
  • History of hematopoietic stem cell transplant
  • Recent corticosteroid use for CIDP beyond allowed maintenance doses
  • Participation in another investigational study within 30 days
  • History of thrombophilic disorders
  • Previous participation in this clinical study
  • Any condition that increases risk or affects study compliance as judged by the investigator

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Run-in Period

Duration - Up to 12 weeks

Participants enter a wash-out phase of up to 12 weeks or until functional deterioration is observed.

Visits as needed until functional deterioration

Treatment

Duration - 21 weeks

Participants receive intravenous human immune globulin (IGIV) 10% at assigned doses every 3 weeks for 21 weeks. Participants who relapse may receive rescue treatment with a higher dose.

Infusions every 3 weeks during treatment

Trial Site Locations

Total: 2 locations

1

USF Health - Morsani Center for Advanced Healthcare

Tampa, Florida, United States, 33613

Actively Recruiting

2

Advanced Neurology Epilepsy and Sleep Center/ANESC Research

El Paso, Texas, United States, 79912

Actively Recruiting

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Research Team

A

Anna Lotti Suffredini

E

Esra Cinar-Jones

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Intravenous immune globulin (10% caprylate-chromatography purified) for the treatment of chronic inflammatory demyelinating polyradiculoneuropathy (ICE study): a randomised placebo-controlled trial.

Richard A C Hughes, Peter Donofrio, Vera Bril...

https://pubmed.ncbi.nlm.nih.gov/18178525