New hope for nerve disease patients: drug may replace monthly IV treatments
NCT ID NCT06290141
First seen Jun 27, 2026 · Last updated Aug 27, 2026 · Updated 6 times
Summary
This study tests a new drug called riliprubart against standard IVIg treatment in 160 adults with chronic inflammatory demyelinating polyneuropathy (CIDP), a nerve disorder causing weakness and numbness. Participants currently on IVIg will be randomly assigned to receive either riliprubart or continue IVIg to see if the new drug can better control symptoms and maintain improvement over about two years.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 160 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2024
- Expected to finish
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Jan 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Participants are eligible to be included in the study only if all of the following criteria apply: * Participant must have CIDP or possible CIDP criteria, based on European Academy of Neurology (EAN)/Peripheral Nerve Society (PNS) Task Force CIDP guidelines, second revision (2021). * Participant must have either typical CIDP, or one of the following 2 CIDP variants: motor CIDP, multifocal CIDP (also known as Lewis Sumner Syndrome). Diagnosis must be confirmed by the study adjudication committee. * Participants must have responded to IVIg in the past 5 years. * Participant must be on a stable maintenance dosage of IVIg. * Participant must have residual disability, defined as an INCAT score of 2 to 9 at Screening that is confirmed at baseline (a score of 2 should be exclusively from leg disability component of INCAT). * Participant must be receiving treatment with IVIg within a standard maintenance dosing regimen, defined as per EAN/PNS 2021 CIDP guidelines. * Participants receiving IVIg infusions at home are eligible, as long as IVIg infusions are switched to a hospital or infusion center setting at least 1 cycle prior to baseline. * Participant must have active disease, defined by a CIDP disease activity score (CDAS) of ≥2 points at Screening. * Participant must have documented vaccinations against encapsulated bacterial pathogens given within 5 years prior to Day 1 or initiated a minimum of 14 days prior to first dose of study intervention. * Contraception for sexually active male or female participants; not pregnant or breastfeeding; no sperm donating for male participant * Participant must have a body weight at Screening of 35 kg to 154 kg (77 to 340 lbs) inclusive. * Evidence of at least one clinically meaningful deterioration within 2 years, or at least 2 clinically meaningful deteriorations within 5 years prior to screening which occurred during period of interrupted dosing, reduced dosage, or extended intervals between doses of immunoglobin therapy, as verified by clinical examination or medical records. Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: * Polyneuropathy of other causes, including but not limited to acute demyelinating polyneuropathies (eg, Guillain-Barré syndrome), hereditary demyelinating neuropathies, neuropathies secondary to infection or systemic disease, diabetic neuropathy, drug- or toxin-induced neuropathies, multifocal motor neuropathy, polyneuropathy related to IgM monoclonal gammopathy, POEMS syndrome, lumbosacral radiculoplexus neuropathy. * Sensory CIDP, distal CIDP and focal CIDP variants. * Any other neurological or systemic disease that can cause symptoms and signs interfering with treatment or outcome assessments. * Poorly controlled diabetes * Serious infections requiring hospitalization within 30 days prior to Screening, any active infection requiring antimicrobial treatment during Screening, or presence of a condition that may predispose the participant to increased risk of infection (eg, medical history such as known immunodeficiency or history of recurrent infections). * Clinical diagnosis of Systemic Lupus Erythematosus (SLE) or family history of SLE. For a participant with an antinuclear antibody (ANA) titer ≥1:160 and a positive anti double-stranded DNA (anti-dsDNA) at Screening, SLE diagnosis must be ruled out prior to enrollment. * Sensitivity to any of the study interventions, or components thereof, or drug or other allergy that, in the opinion of the Investigator, contraindicates participation in the study. Specifically, history of any hypersensitivity reaction to riliprubart or its components or of a severe allergic or anaphylactic reaction to any humanized or murine monoclonal antibody. * Any contraindication related to the administration of immunoglobulins (eg hypersensitivity, chronic kidney disease, thromboembolic diseases or recent thromboembolic event, known history of IgA deficiency at the time of Screening). * Any other clinically meaningful medical history or ongoing medical condition (as determined by the Investigator at Screening) that might impact the benefit-risk assessment, jeopardize the safety of the participant, or compromise the quality of the data collected in this study; or history or presence of other significant concomitant illness that would adversely affect participation in this study, per the Investigator's judgment. * Documented history of attempted suicide over the 6 months prior to the Screening visit, presence of suicidal ideation of category 4 or 5 on the C-SSRS during Screening, OR if in the Investigator's judgment, the participant is at risk for a suicide attempt. * Evidence of CIDP worsening within the 6 weeks following a prior vaccination that, in the opinion of the Investigator, constituted a relapse. * Recent or planned major surgery that could confound the results of the trial or put the participant at undue risk. * Recent treatment with plasma exchange * Treatment within 3 months prior to dosing with immunosuppressive/ immunomodulator medication, or corticosteroids (with exception of maintenance dose, which is allowed), or prior treatment (at any time) with highly immunosuppressive/ chemotherapeutic medications with sustained effects (eg, mitoxantrone, alemtuzumab, or cladribine). * Prior treatment with riliprubart. * Recent use of any specific complement system inhibitor (eg, eculizumab). * Prior treatment (any time) with total lymphoid irradiation or bone marrow transplantation. * Prior treatment with B-cell depleting agents such as rituximab within 6 months. * Any vaccination received within 28 days prior to dosing (with few exceptions to be confirmed at screening). * Participation in another clinical trial with an investigational drug or receipt of an investigational product within 12 weeks or 5 times the half-life of the product (whichever is longer) prior to Screening. * Any Screening laboratory values outside normal limits or abnormal ECG considered in the Investigator's judgment to be clinically significant in the context of this trial. * Positive result of any of the following tests: * hepatitis B surface antigen (HbsAg). * anti-hepatitis B core antibodies (anti-HBc Ab) (unless anti-hepatitis B surface antibodies \[anti-HBs Ab\] are also positive, indicating natural immunity). * anti-hepatitis C virus (anti-HCV) antibodies. Participants with positive hepatitis C antibody due to prior resolved disease can be enrolled, only if a confirmatory negative Hepatitis RNA test is obtained. * anti-human immunodeficiency virus 1 and 2 (anti-HIV1 and anti-HIV2) antibodies. * Pregnancy, defined as a positive result of a highly sensitive urine or serum pregnancy test, or lactation. * Accommodation in an institution because of regulatory or legal order; imprisoned or legally institutionalized. * Participant not suitable for participation, whatever the reason, as judged by the Investigator, including medical or clinical conditions, or participants potentially at risk of noncompliance to study procedures. * Participants are employees of the clinical study site or other individuals directly involved in the conduct of the study, or immediate family members of such individuals. * Any country-related specific regulation that would prevent the participant from entering the study as defined by the protocol. * Recent treatment with efgartigimod. The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
133 sites in 24 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
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Study contacts
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Contact
Email: •••••@•••••
Locations
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AdventHealth Orlando- Site Number : 8400006
RECRUITINGOrlando, Florida, 32803, United States
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AdventHealth Site Number : 8400006
RECRUITINGOrlando, Florida, 32804-5558, United States
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Alabama Neurology Associates- Site Number : 8400019
RECRUITINGHomewood, Alabama, 35209, United States
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Austin Neuromuscular Center- Site Number : 8400040
RECRUITINGAustin, Texas, 78756, United States
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Columbia University Irving Medical Center- Site Number : 8400003
RECRUITINGNew York, New York, 10032, United States
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Dent Neurologic Institute - Amherst- Site Number : 8400039
RECRUITINGAmherst, New York, 14226, United States
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Design Neuroscience Center- Site Number : 8400053
RECRUITINGMiami Lakes, Florida, 33016, United States
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Freire Pesquisa Clínica - Belo Horizonte - Rua Piauí- Site Number : 0760016
RECRUITINGBelo Horizonte, Minas Gerais, 30150-320, Brazil
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Gadolin Research - Beaumont- Site Number : 8400047
RECRUITINGBeaumont, Texas, 77702, United States
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Henry Ford Hospital- Site Number : 8400025
RECRUITINGDetroit, Michigan, 48202, United States
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Honor Health Scottsdale Osborn Medical Center- Site Number : 8400014
RECRUITINGScottsdale, Arizona, 85251, United States
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Hospital for Special Surgery - Site Number : 8400041
RECRUITINGNew York, New York, 10021, United States
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IMMUNOe International Research Centers - Centennial- Site Number : 8400049
RECRUITINGCentennial, Colorado, 80112, United States
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InsCer - Instituto do Cérebro da PUCRS- Site Number : 0760002
RECRUITINGPorto Alegre, Rio Grande do Sul, 90610-000, Brazil
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Instituto de Neurologia de Curitiba - Ecoville- Site Number : 0760007
RECRUITINGCuritiba, Paraná, 81210-310, Brazil
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Investigational Site Number : 0320001
RECRUITINGBuenos Aires, 1015, Argentina
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Investigational Site Number : 0320002
RECRUITINGBuenos Aires, 1181, Argentina
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Investigational Site Number : 0320003
RECRUITINGBuenos Aires, 1221, Argentina
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Investigational Site Number : 0560001
RECRUITINGLeuven, 3000, Belgium
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Investigational Site Number : 0560002
COMPLETEDGhent, 9000, Belgium
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Investigational Site Number : 1240001
RECRUITINGQuébec, Quebec, G1E 7G9, Canada
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Investigational Site Number : 1240003
RECRUITINGLondon, Ontario, N6A 5A5, Canada
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Investigational Site Number : 1240006
RECRUITINGMontreal, Quebec, H3a 2b4, Canada
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Investigational Site Number : 1560001
RECRUITINGShanghai, 200040, China
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Investigational Site Number : 1560002
RECRUITINGFuzhou, 350001, China
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Investigational Site Number : 1560003
RECRUITINGWuhan, 430030, China
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Investigational Site Number : 1560004
RECRUITINGXi'an, 710038, China
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Investigational Site Number : 1560005
RECRUITINGBeijing, 100053, China
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Investigational Site Number : 1560006
RECRUITINGWuhan, 430060, China
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Investigational Site Number : 1560007
RECRUITINGGuangzhou, 510080, China
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Investigational Site Number : 1560008
RECRUITINGJinan, 250014, China
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Investigational Site Number : 1560009
RECRUITINGChangsha, 410008, China
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Investigational Site Number : 1560010
RECRUITINGBeijing, 100050, China
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Investigational Site Number : 1560011
RECRUITINGChengdu, 610072, China
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Investigational Site Number : 1560012
RECRUITINGGuangzhou, 510000, China
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Investigational Site Number : 1560013
RECRUITINGBeijing, 100034, China
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Investigational Site Number : 1560014
RECRUITINGHangzhou, 310003, China
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Investigational Site Number : 1560015
RECRUITINGNanchang, 330006, China
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Investigational Site Number : 1560016
RECRUITINGJiazhuang, 050000, China
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Investigational Site Number : 1560017
RECRUITINGBeijing, 100730, China
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Investigational Site Number : 1580001
RECRUITINGTaipei, 100, Taiwan
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Investigational Site Number : 1580002
RECRUITINGTaipei, 112, Taiwan
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Investigational Site Number : 1580003
RECRUITINGKaohsiung City, 833, Taiwan
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Investigational Site Number : 2030001
RECRUITINGPrague, 128 08, Czechia
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Investigational Site Number : 2030002
COMPLETEDPardubice, 532 03, Czechia
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Investigational Site Number : 2030003
RECRUITINGHradec Králové, 500 05, Czechia
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Investigational Site Number : 2030004
RECRUITINGBrno, 625 00, Czechia
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Investigational Site Number : 2030005
RECRUITINGOstrava, 708 52, Czechia
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Investigational Site Number : 2080001
RECRUITINGCopenhagen, 2100, Denmark
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Investigational Site Number : 2080002
RECRUITINGAarhus, 8200, Denmark
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Investigational Site Number : 2500001
RECRUITINGLe Kremlin-Bicêtre, 94270, France
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Investigational Site Number : 2500002
RECRUITINGMarseille, 13885, France
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Investigational Site Number : 2500003
RECRUITINGParis, 75013, France
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Investigational Site Number : 2500005
RECRUITINGNice, 06001, France
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Investigational Site Number : 2500006
RECRUITINGLille, 59037, France
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Investigational Site Number : 2760001
RECRUITINGMünster, 48149, Germany
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Investigational Site Number : 2760003
RECRUITINGBerlin, 10117, Germany
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Investigational Site Number : 2760005
RECRUITINGHanover, 30625, Germany
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Investigational Site Number : 2760006
RECRUITINGGöttingen, 37075, Germany
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Investigational Site Number : 2760007
RECRUITINGEssen, 45147, Germany
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Investigational Site Number : 2760008
RECRUITINGBochum, 44791, Germany
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Investigational Site Number : 2760009
RECRUITINGHomburg, 66421, Germany
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Investigational Site Number : 2760011
RECRUITINGSchwäbisch Hall, 74523, Germany
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Investigational Site Number : 3000001
RECRUITINGAthens, 124 62, Greece
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Investigational Site Number : 3000002
RECRUITINGThessaloniki, 546 36, Greece
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Investigational Site Number : 3480001
RECRUITINGSzeged, 6720, Hungary
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Investigational Site Number : 3480003
RECRUITINGBudapest, 1085, Hungary
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Investigational Site Number : 3480004
RECRUITINGGyőr, 9024, Hungary
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Investigational Site Number : 3480005
RECRUITINGBudapest, 1125, Hungary
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Investigational Site Number : 3760001
RECRUITINGHaifa, 3109601, Israel
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Investigational Site Number : 3800001
RECRUITINGPadua, Padova, 35128, Italy
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Investigational Site Number : 3800002
RECRUITINGBologna, 40139, Italy
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Investigational Site Number : 3800003
RECRUITINGMilan, Milano, 20133, Italy
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Investigational Site Number : 3800004
RECRUITINGMilan, Milano, 20132, Italy
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Investigational Site Number : 3800005
RECRUITINGRozzano, Milano, 20089, Italy
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Investigational Site Number : 3920001
RECRUITINGChiba, 260-8677, Japan
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Investigational Site Number : 3920005
RECRUITINGKawagoe, Saitama, 350-8550, Japan
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Investigational Site Number : 3920007
RECRUITINGAmagasaki, Hyōgo, 660-8511, Japan
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Investigational Site Number : 3920008
RECRUITINGKodaira, Tokyo, 187-8551, Japan
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Investigational Site Number : 3920009
RECRUITINGSaga, 849-0937, Japan
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Investigational Site Number : 3920010
RECRUITINGŌta-ku, Tokyo, 143-8541, Japan
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Investigational Site Number : 3920012
RECRUITINGHigashi-Matsuyama, Saitama, 355-0005, Japan
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Investigational Site Number : 3920014
RECRUITINGYaizu, Shizuoka, 425-8505, Japan
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Investigational Site Number : 3920015
RECRUITINGYokohama, Kanagawa, 222-0036, Japan
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Investigational Site Number : 4840001
RECRUITINGTlalnepantla, 54055, Mexico
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Investigational Site Number : 4840002
RECRUITINGChihuahua City, 31000, Mexico
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Investigational Site Number : 5780001
RECRUITINGOslo, 0450, Norway
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Investigational Site Number : 6200001
RECRUITINGLisbon, 1349-019, Portugal
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Investigational Site Number : 6200002
RECRUITINGLisbon, 1150-199, Portugal
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Investigational Site Number : 6200003
RECRUITINGBraga, 4710-243, Portugal
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Investigational Site Number : 6200005
RECRUITINGCoimbra, 3000-075, Portugal
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Investigational Site Number : 6200006
RECRUITINGLisbon, 1649-035, Portugal
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Investigational Site Number : 7240001
RECRUITINGBarcelona, Catalunya [Cataluña], 08041, Spain
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Investigational Site Number : 7240002
RECRUITINGPamplona, Navarre, 31008, Spain
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Investigational Site Number : 7240003
RECRUITINGOviedo, Principality of Asturias, 33011, Spain
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Investigational Site Number : 7240004
RECRUITINGValencia, 46026, Spain
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Investigational Site Number : 7240006
RECRUITINGSabadell, Barcelona [Barcelona], 08208, Spain
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Investigational Site Number : 7240007
RECRUITINGMálaga, 29010, Spain
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Investigational Site Number : 7240008
RECRUITINGMajadahonda, Madrid, 28222, Spain
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Investigational Site Number : 7240009
RECRUITINGBarcelona, Barcelona [Barcelona], 08035, Spain
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Investigational Site Number : 7240010
RECRUITINGSanta Cruz de Tenerife, 38010, Spain
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Investigational Site Number : 7240012
RECRUITINGSantiago de Compostela, A Coruña [La Coruña], 15706, Spain
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Investigational Site Number : 7520001
RECRUITINGStockholm, 113 65, Sweden
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Investigational Site Number : 7560001
RECRUITINGBasel, 4056, Switzerland
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Investigational Site Number : 7560003
RECRUITINGBern, 3010, Switzerland
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Investigational Site Number : 7920001
RECRUITINGIstanbul, 34093, Turkey (Türkiye)
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Investigational Site Number : 7920002
RECRUITINGIstanbul, 34785, Turkey (Türkiye)
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Investigational Site Number : 7920003
RECRUITINGKonya, 42075, Turkey (Türkiye)
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Investigational Site Number : 7920004
RECRUITINGBursa, 16059, Turkey (Türkiye)
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Investigational Site Number : 8260001
RECRUITINGOxford, Oxfordshire, OX3 9DU, United Kingdom
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Investigational Site Number : 8260003
RECRUITINGInverness, Highland, IV2 3UJ, United Kingdom
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Investigational Site Number : 8260007
RECRUITINGLondon, England, E1 1BB, United Kingdom
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Johns Hopkins Hospital- Site Number : 8400015
RECRUITINGBaltimore, Maryland, 21287, United States
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Keck School of Medicine of University of Southern California- Site Number : 8400002
RECRUITINGLos Angeles, California, 90033, United States
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L2IP - Instituto de Pesquisas Clínicas- Site Number : 0760006
RECRUITINGBrasília, Federal District, 70200-730, Brazil
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Lenox Hill Hospital- Site Number : 8400051
RECRUITINGNew York, New York, 10075, United States
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Massachusetts General Hospital- Site Number : 8400009
RECRUITINGBoston, Massachusetts, 02114, United States
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Michigan State University- Site Number : 8400038
RECRUITINGEast Lansing, Michigan, 48824, United States
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NorthShore University Health System - Glenbrook Hospital- Site Number : 8400024
RECRUITINGGlenview, Illinois, 60026, United States
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Nova Clinical Research - Bradenton- Site Number : 8400044
RECRUITINGBradenton, Florida, 34209, United States
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Ochsner Medical Center - Jefferson Highway- Site Number : 8400030
RECRUITINGNew Orleans, Louisiana, 70121, United States
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PSEG Centro de Pesquisa Clínica- Site Number : 0760009
RECRUITINGSão Paulo, 04038-002, Brazil
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Penn Medicine: University of Pennsylvania Health System- Site Number : 8400022
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Penn State Health Milton South Hershey Medical Center- Site Number : 8400042
RECRUITINGHershey, Pennsylvania, 17033, United States
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Profound Research- Site Number : 8400052
RECRUITINGLas Vegas, Nevada, 89106, United States
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Raleigh Neurology Associates- Site Number : 8400043
RECRUITINGRaleigh, North Carolina, 27607, United States
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UTHealth - The University of Texas Health Sciences Center at Houston- Site Number : 8400050
RECRUITINGHouston, Texas, 77054, United States
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University Hospitals Cleveland Medical Center- Site Number : 8400033
RECRUITINGCleveland, Ohio, 44106, United States
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University of California Irvine Medical Center- Site Number : 8400007
RECRUITINGOrange, California, 92868, United States
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University of Cincinnati Medical Center- Site Number : 8400020
RECRUITINGCincinnati, Ohio, 45219, United States
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University of Kansas Medical Center- Site Number : 8400010
RECRUITINGKansas City, Kansas, 66160, United States
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University of Vermont Medical Center- Site Number : 8400012
RECRUITINGBurlington, Vermont, 05401, United States
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University of Virginia- Site Number : 8400023
RECRUITINGCharlottesville, Virginia, 22908, United States
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Washington University School of Medicine - Siteman Cancer Center- Site Number : 8400037
RECRUITINGSt Louis, Missouri, 63110, United States
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Yale University School of Medicine- Site Number : 8400018
RECRUITINGNew Haven, Connecticut, 06510, United States
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