A Study Investigating Intravenous Human Normal Immune Globulin (IGIV) 10% KIg10 (QIVIGY) in Subjects With Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorKedrion S.p.A.

About this trial

The current study is being conducted to assess the efficacy and safety of KIg10 (Intravenous Human Immune globulin 10%) at two different dosages as maintenance therapy for Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) following 21 weeks of treatment.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female, aged ≥18 years.

Written informed consent and authorization to access personal health information obtained independently from participants indicating that they understand the purpose of, and procedures required for, the study and are willing to participate.

Documented diagnosis of CIDP consistent with the 2021 European Academy of Neurology/Peripheral Nerve Society (EAN/PNS) criteria.

Current or documented history of significant disability, as defined by an overall INCAT disability score between 2 and 9. A score of 2 must be exclusively from the lower extremities.

Disqualifiers

Patients' incapable of giving informed consent.

Pure sensory and other CIDP variants.

Females who are pregnant, breastfeeding, unwilling to practice effective birth control methods as defined in Appendix C throughout the study, or planning a pregnancy during the study.

IG-experienced participants requiring an IGIV dosage of more than 1.4 g/kg/month OR SCIG pre-treated participants requiring a SCIG dosage of more than 1.6 g/kg/month.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Immune globulin (human) 10% solution for intravenous administration

    Biological/Vaccine

    Kedrion intravenous immunoglobulin (IVIg) 10%

Treatment groups

161 Participants
are divided into 2 treatment groups
Group A: 1.0 g/kg dose group for 24 weeksExperimental treatment 1 intervention
Group B: 0.5 g/kg dose group for 24 weeksExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Efficacy of 1.0 g/kg KIg10 in the treatment of adult subjects with active CIDP

The proportion of responders in the 1.0 g/kg KIg10 arm, at week 24 relative to Randomization Baseline week 0, based on the adjusted INCAT disability score. A responder is defined as having a ≥1 point decrease (improvement) in the adjusted INCAT score at week 24 relative to adjusted INCAT score at randomization baseline.

Time frame
From Baseline upto 24 weeks of treatment

Secondary outcomes

1

Efficacy of 0.5 g/kg KIg10 in the treatment of adult subjects with active CIDP

The proportion of responders in the 0.5 g/kg KIg10 arm at week 24 relative to randomization baseline, based on the adjusted INCAT disability score. A responder is defined as having a ≥1 point decrease (improvement) in the adjusted INCAT score at week 24 relative to adjusted INCAT score at randomization baseline.

Time frame
From Baseline upto 24 weeks of treatment
2

Proportion of responders (Week 24 vs Baseline) in both dose groups

Proportion of responders in both dose groups based on Grip Strength and I-RODs

Time frame
From Baseline upto 24 weeks of treatment
3

Proportion of responders in rescued subjects

Proportion of responders in rescued subjects based on grip strength, I-RODS scores, adjusted INCAT disability score

Time frame
End of Treatment vs onset of rescue treatment
4

Improvers based on the MRC-sumscore

Improvers by a change of 4 points in both dose groups (week 24 versus baseline) based on MRC-sumscore

Time frame
From Baseline upto 24 weeks of treatment

Other outcomes

1

Number of adverse events

Assess Safety and Tolerability of KIg10

Time frame
From Baseline upto 25 weeks
2

The proportion of patients experiencing at least one adverse event.

Assess Safety and Tolerability of KIg10

Time frame
From Baseline upto 25 weeks

Sponsors and contacts

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