Hizentra® in Inflammatory Neuropathies - pHeNIx Study (pHeNIx)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is a neurological and rare type of autoimmune disorder. Intravenous immunoglobulin (IVIg) is the first-line treatment for CIDP which has been proven to be effective. For several years, published cases have suggested that the Sub-Cutaneous Ig (SCIg) may be an alternative treatment to IVIg in the treatment of CIDP. Compared to IVIg treatment, the SCIg can achieve more stable plasma IgG concentrations, suggesting a potential reduction in the dose exhaustion effect at the end of the cycle, but also fewer systemic effects. SC administration also enables more straightforward treatment to be given for ambulatory patients.
Based on the PATH study (NCT01545076), a double blind placebo-controlled, randomised, prospective, international multicentre phase III study, Hizentra® obtained an extension of its marketing authorization for the CIDP indication as maintenance treatment after stabilisation with IVIg.
However, in the "real-life" situation, the literature is still based at present on small series of patient or short-term follow-up periods.
However, the methods for switching from the IV to the SC route and the characteristics of patients receiving this treatment are not known. In addition, SCIg administration remote from a specialist centre without assistance from a health professional no longer enables a more regular assessment of the patient in terms of tolerability and efficacy.
The pHeNIx study, a national multicentre prospective non-interventional study, should help to describe the conditions of use for Hizentra® and the methods for switching from the IV to SC route in everyday practice, together with the tolerability and efficacy of treatment, which is monitored using a patient application (PRO: Patient-Reported Outcomes). The study duration is estimated to be 36 months in view of: a 24-month inclusion period and a 12-month follow-up period.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Trial Registration Coordinator
- Phone Number: +1 610-878-4697
- Email: clinicaltrials@cslbehring.com
Study Locations
-
-
-
Amiens, France, 80054
- Not yet recruiting
- CHU Amiens Picardie 1
-
Angers, France
- Recruiting
- CHU Angers
-
Aubagne, France
- Recruiting
- Hopital Privé de La Casamance
-
Bayonne, France
- Recruiting
- CH Bayonne
-
Bordeaux, France
- Recruiting
- Hôpital Pellegrin
-
Brest, France
- Recruiting
- CHRU Brest
-
Créteil, France
- Recruiting
- Hôpital Henri Mondor
-
Le Kremlin-Bicêtre, France
- Recruiting
- Hôpital Bicêtre
-
Libourne, France
- Recruiting
- CH Libourne
-
Lille, France
- Recruiting
- Hôpital Roger Salengro, CHU Lille
-
Limoges, France
- Recruiting
- Hopital Dupuytren
-
Lyon, France
- Recruiting
- Hôpital Pierre Wertheimer,HCL
-
Marseille, France
- Recruiting
- Hôpital de la timone
-
Montpellier, France
- Recruiting
- CHU Montpellier
-
Nancy, France
- Recruiting
- CHRU Nancy
-
Nantes, France
- Recruiting
- CHU Nantes
-
Nice, France
- Recruiting
- Hopital Pasteur
-
Paris, France
- Recruiting
- Hôpital Lariboisiere
-
Paris, France
- Recruiting
- La Pitié-Salpétrière
-
Poitiers, France, 86000
- Recruiting
- Chu Poitiers
-
Rennes, France, 35760
- Recruiting
- Centre Hospitalier Privé Saint Grégoire
-
Rouen, France
- Recruiting
- Hôpital Charles Nicolle
-
Saint-Étienne, France
- Recruiting
- CHU Saint-étienne
-
Strasbourg, France, 67091
- Not yet recruiting
- CHU de Strasbourg
-
Toulouse, France
- Not yet recruiting
- CHU Toulouse
-
Tours, France
- Recruiting
- CHR Tours
-
Valence, France, 26000
- Recruiting
- CH de Valence
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Adult patient (aged ≥18 years)
- Patients suffering from CIDP according to EAN/PNS 2021 criteria
- Planned switch from IVIg to Hizentra®
- Patient treated with at least 3 courses of IV immunoglobulin and deemed by the investigator to be dependent on immunoglobulins
- Patient deemed to be stable, with no change in their treatment for the disease during the 3 months prior to inclusion
- Patients who have a smartphone, a tablet or a computer
- Patients who have been informed verbally and in writing of the purposes of the study
Exclusion Criteria:
- Concomitant participation in an interventional clinical study
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Length of time of Continuation of treatment
Time Frame: up to 12 months
|
Non-continuation is defined by:
|
up to 12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
The time between the last dose of IVIg and starting Hizentra®
Time Frame: At Baseline
|
At Baseline
|
|
The total dose of the last course of IVIg
Time Frame: At Baseline
|
At Baseline
|
|
The interval between courses of IVIg
Time Frame: At Baseline
|
At Baseline
|
|
The total dose of the first course of Hizentra
Time Frame: At Baseline
|
At Baseline
|
|
The number of days of the first course of Hizentra
Time Frame: At Baseline
|
At Baseline
|
|
Number of Self-administrations or administrations by a state-registered nurse
Time Frame: Up to 12 months
|
Up to 12 months
|
|
The daily dose of Hizentra
Time Frame: Up to 12 months
|
Up to 12 months
|
|
The daily volume of Hizentra
Time Frame: Up to 12 months
|
Up to 12 months
|
|
Duration of the infusion
Time Frame: Up to 12 months
|
Up to 12 months
|
|
Number of infusion sites
Time Frame: Up to 12 months
|
Up to 12 months
|
|
Number of Patients completing the Patient Reported Outcome (PRO) tests at home
Time Frame: Up to 12 months
|
Up to 12 months
|
|
Rasch-built Overall Disability Scale (RODS) incapacity scale score by patient
Time Frame: Up to 12 months
|
Up to 12 months
|
|
10-metre walking test score by patient
Time Frame: Up to 12 months
|
Up to 12 months
|
|
Rasch-built Overall Disability Scale (RODS) incapacity scale score by doctor
Time Frame: Up to 12 months
|
Up to 12 months
|
|
10-metre walking test score by doctor
Time Frame: Up to 12 months
|
Up to 12 months
|
|
Time since the diagnosis of CIDP
Time Frame: At baseline
|
At baseline
|
|
EuroQol-5D (EQ-5D) quality of life score
Time Frame: Up to 12 months
|
Up to 12 months
|
|
Pictorial Representation of Illness and Self Measure (PRISM) score
Time Frame: Up to 12 months
|
Up to 12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Study Director, CSL Behring SA
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Nervous System Diseases
- Pathologic Processes
- Neuromuscular Diseases
- Chronic Disease
- Disease Attributes
- Autoimmune Diseases
- Immune System Diseases
- Peripheral Nervous System Diseases
- Autoimmune Diseases of the Nervous System
- Demyelinating Diseases
- Polyradiculoneuropathy
- Polyneuropathies
- Polyradiculoneuropathy, Chronic Inflammatory Demyelinating
Other Study ID Numbers
Other Study ID Numbers
- pHeNIx study
- 2019-A01803-54 (Other Identifier: ANSM)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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