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Completed

NCT Number: NCT04035135

A Clinical Study of ANX005 and IVIG in Subjects With Guillain Barré Syndrome (GBS)

This study is a multi center, open-label, study of ANX005 in combination with IVIg in subjects diagnosed with GBS.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

National Institute of Neurosciences and Hospital, Dhaka, Bangladesh

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About this study

The study will enroll approximately 12 subjects into one cohort, with subjects receiving 75 mg/kg of ANX005, a dose shown to be safe and well-tolerated as monotherapy and that provides a meaningful level of exposure to be tested in combination with IVIg. Dosing of IVIg will be administered as is the current standard of care (0.4 g/kg/day x 5 days) and ANX005 will be administered concurrently, beginning on Day 1 or 2 of the treatment period. Subjects will be followed for 6 months after treatment for observation and evaluation.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosis of GBS according to the National Institute of Neurological Disorders and Stroke Diagnostic Criteria for Guillain Barré Syndrome
  • Onset of GBS-related weakness ≤14 days prior to infusion
  • GBS-DS score of 3, 4, or 5

Exclusion criteria

  • Clinically significant findings that may interfere with the conduct of the study or the interpretation of the data
  • Be at risk of suicide or self-harm
  • Received previous treatment with plasma exchange for GBS
  • Any diagnosis of a variant of GBS
  • Have a history of anaphylaxis or severe systemic response to immunoglobulin
  • Documented, clinically significant, pre-existing polyneuropathy from another cause
  • Clinically significant intercurrent illness, medical condition, or medical history
  • History of chronic use of steroid or immunosuppressant medication
  • Active alcohol, drug, or substance abuse
  • Females who are pregnant, breast feeding, or unable or unwilling to use highly effective methods of contraception throughout the study

Treatment and study plan

ANX005

Drug

investigational drug

Other names: Anti C1q Antibody

intravenous immunoglobulin

Drug

investigational drug

Other names: IVIg

Primary outcomes

  1. Safety and tolerability of ANX005 when administered in combination with IVIg: incidence of TEAEs, SAEs, AE's

    Time frame: 6 months

    As measured by incidence of TEAEs, SAEs, AE's related to ANX005, SAE's related to ANX005, Grade 3 or higher AEs, Grade 3 or higher AEs related to ANX005, AEs leading to study or treatment discontinuation.

Secondary outcomes

  1. Pharmacokinetics of ANX005 when administered in combination with IVIg

    Time frame: 3 months

    As measured by ANX005 serum concentrations

  2. Pharmacodynamics of ANX005 when administered in combination with IVIg

    Time frame: 4 months

    As measured by CH50 and C1q serum concentrations

  3. Values and change from baseline in Guillain-Barré Syndrome Disability Score (GBS-DS) by visit

    Time frame: 6 months

    The 6-point Guillain-Barré Syndrme Disability Score (GBS-DS) is a widely accepted and easily obtainable scoring system used to assess functional status of GBS subjects. The score is as follows: 0 = Healthy, 1 = Minor symptoms and capable of running, 2 = Able to walk independently 10 meters or more but unable to run, 3=Able to walk more than 10 meters across an open space with help, 4 = Bedridden or chair bound, 5 = Needing mechanical ventilation, 6 = death

Sponsors and collaborators

Lead sponsor

Annexon, Inc.

Industry

Collaborators

  • International Centre for Diarrhoeal Disease Research, Bangladesh
  • ResearchPoint Global

Registry information

Official study title

A Phase 1b Study to Evaluate the Safety, Tolerability and Drug-Drug Interactions of ANX005 and Intravenous Immunoglobulin (IVIg) in Subjects With Guillain Barré Syndrome

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Jul 29, 2019
Registry last updated
Aug 11, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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