New weekly shot could replace IV drips for nerve disease
NCT ID NCT07540221
First seen Jun 27, 2026 · Last updated Sep 04, 2026 · Updated 3 times
Summary
This study tests whether a weekly under-the-skin antibody treatment (XEMBIFY) provides similar blood levels as a standard IV infusion (Gamunex-C) given every 3 weeks in people with CIDP, a chronic nerve disorder. About 40 adults who are stable on IVIG will first receive Gamunex-C for 19 weeks, then switch to XEMBIFY for 16 weeks. The goal is to see if the weekly shot can match the IV treatment in maintaining antibody levels.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Immune globulin (antibodies) given as XEMBIFY under the skin or Gamunex-C into a vein
- What this could lead to
- If successful, this could show that a weekly under-skin shot works as well as a once-every-3-weeks IV infusion for managing CIDP, offering more convenience.
- What could go wrong
- This is a small, early-phase study focused on drug levels, not on whether symptoms improve. It may not prove that XEMBIFY controls CIDP long-term.
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
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Apr 2026
- Expected to finish
-
Dec 2027
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Have typical CIDP or a CIDP variant according to the 2021 criteria established by the European Academy of Neurology/Peripheral Nerve Society (EAN/PNS). The level of diagnostic certainty may be CIDP or possible CIDP. * Participants ≤ 90 kg in body weight and requiring an IGIV dose equivalent to 0.3-1.0 g/kg every three weeks (Q3W) inclusive and between 20-90 g of IGIV Q3W inclusive. * Clinically stable on IGIV, defined as no recent change in CIDP treatment or experienced a CIDP relapse requiring treatment, within 12 weeks prior to Screening and through baseline visit. Exclusion Criteria: * Diagnosis of polyneuropathy of any other cause (including multifocal motor neuropathy; monoclonal gammopathy of uncertain significance with anti-myelin-associated glycoprotein IgM antibodies; hereditary demyelinating neuropathy; polyneuropathy, organomegaly, endocrinopathy, monoclonal protein and skin changes syndrome; lumbosacral radiculoplexus neuropathy; polyneuropathy associated with diabetes mellitus; polyneuropathy associated with systemic illnesses; or drug or toxin induced polyneuropathy). * Severe diseases and conditions that are likely to interfere with evaluation of the study product or satisfactory conduct of the study such as the following: 1. current malignancy or history of allogeneic bone marrow/stem cell transplant, 2. cardiac insufficiency (New York Heart Association classes III/IV), cardiomyopathy, significant cardiac arrhythmia requiring treatment, unstable or advanced ischemic heart disease, congestive heart failure or severe hypertension 3. chronic kidney disease stage IV or V 4. an acquired medical condition that is known to cause secondary immune deficiency, such as chronic lymphocytic leukemia, lymphoma, multiple myeloma, chronic or recurrent neutropenia (absolute neutrophil count less than 1000/µL \[1.0 × 10\^9/L\]), or human immunodeficiency virus (HIV) infection/acquired immune deficiency syndrome 5. known bleeding disorders 6. severe skin disease at the planned injection sites 7. alcohol, drug or medication abuse, or 8. other disorders where IGSC therapy would be contraindicated during the study. * History of a thrombotic episode (including deep vein thrombosis, known hypercoagulable state, myocardial infarction, pulmonary embolism, or thromboembolic stroke) * Known allergic or other severe adverse reactions to blood products including intolerability to previous IVIG up to 1 g/kg Q3W, history of hemolysis after IVIG infusion, aseptic meningitis, recurrent severe headache, hypersensitivity, or severe generalized skin reaction * Has had a CIDP relapse requiring treatment modification within 12 weeks prior to Screening or between Screening and baseline visit * Treatment with any of the following: 1. alemtuzumab or rituximab within 12 months of Screening. 2. cyclophosphamide, interferon, tumor necrosis factor-alpha inhibitors, fingolimod, or fragment crystallizable receptor (FCRn) blockers, within six months of Screening 3. plasma exchange or complement inhibitors within three months of Screening. 4. changes to the following treatment within three months of Screening: methotrexate, azathioprine, or mycophenolate or any other immunosuppressants within six months of Screening 5. participants on corticosteroids ≥ 20 mg/day prednisone equivalent. Participants on low dose corticosteroids (\< 20 mg/day prednisone equivalent) may be enrolled if dose has been stable over the last three months prior to Screening and the dosage is not likely to be adjusted during the duration of the trial (inhaled or topical corticosteroids are allowed). * Participants requiring an IGIV dose equivalent to: 1. greater than 1.0 g/kg every three weeks (Q3W) or 2. less than 0.3 g/kg Q3W or 3. greater than 90 g of IGIV Q3W or 4. less than 20 g of IGIV Q3W. * Known IgA deficient patients with known antibodies against IgA * Known significant proteinuria (≥ 3+ or known urinary protein loss \>1 g/24 hours or nephrotic syndrome), acute renal failure, are on dialysis, and/or have severe renal impairment on Screening laboratory testing (blood urea nitrogen \[BUN\] \> 3 times the upper limit of normal \[ULN\] or creatinine more than 1.5 times ULN). * Screening values of aspartate aminotransferase (AST) or alanine aminotransferase (ALT) levels exceeding ≥ 2.5 times the ULN for the expected normal range for the testing laboratory. * Hemoglobin levels \< 10 g/dL at Screening. * Current administration of anti-coagulation therapy which would make IGSC administration inadvisable per investigator judgement (i.e., vitamin K antagonists, nonvitamin K antagonist oral anticoagulants \[e.g., dabigatran etexilate targeting Factor IIa, rivaroxaban, edoxaban, and apixaban targeting Factor Xa\], and parenteral anticoagulants \[e.g., fondaparinux\]). * Known hyperviscosity syndrome. * Known HIV, chronic hepatitis B virus (HBV), or chronic hepatitis C virus (HCV) infection. * Participation in another clinical trial within 30 days or if known, 5 half-lives of the interventional product prior to Screening (observational studies without investigative treatments \[non-interventional\] are permitted).
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Cidp (chronic inflammatory demyelinating polyradiculoneuropathy) are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
9 sites in 3 countries. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
Locations
-
GC2402 Study Site 103
RECRUITINGPort Charlotte, Florida, 33952, United States
-
GC2402 Study Site 104
RECRUITINGRancho Mirage, California, 92270, United States
-
GC2402 Study Site 105
WITHDRAWNMiami, Florida, 33067, United States
-
GC2402 Study Site 106
RECRUITINGSherman, Texas, 75092, United States
-
GC2402 Study Site 109
RECRUITINGCoral Springs, Florida, 33155, United States
-
GC2402 Study Site 110
RECRUITINGNew York, New York, 10003, United States
-
GC2402 Study Site 111
RECRUITINGCordova, Tennessee, 38018, United States
-
GC2402 Study Site 203
RECRUITINGKatowice, 40-123, Poland
-
GC2402 Study Site 206
RECRUITINGBydgoszcz, 85-065, Poland
-
GC2402 Study Site 401
RECRUITINGHradec Králové, 50002, Czechia
More trials for these conditions
Other studies related to the condition(s) this trial covers.