- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05581199
To Assess Efficacy and Safety of Batoclimab in Adult Participants With Active CIDP
A Phase 2b, Multi-center, Randomized, Quadruple-blind, Placebo-controlled Study of Batoclimab Treatment in Adult Participants With Active Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Central Study Contact
- Phone Number: 18007970414
- Email: clinicaltrials@immunovant.com
Study Locations
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Santa Fe
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Rosario, Santa Fe, Argentina, S2000DTP
- Recruiting
- Site Number - 7751
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Tucuman
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Tucumán, Tucuman, Argentina, T4000AXL
- Recruiting
- Site Number - 7752
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Oost-Vlaanderen
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Gent, Oost-Vlaanderen, Belgium, 09000
- Recruiting
- Site Number - 4681
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Vlaams Brabant
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Leuven, Vlaams Brabant, Belgium, 03000
- Recruiting
- Site Number - 4680
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Sofia-Grad
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Sofia, Sofia-Grad, Bulgaria, 01606
- Recruiting
- Site Number - 9110
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Copenhagen, Denmark, 02100
- Recruiting
- Site Number - 4740
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Varsinais-Suomi
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Turku, Varsinais-Suomi, Finland, 20520
- Recruiting
- Site Number - 3241
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Bayern
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München, Bayern, Germany, 80337
- Recruiting
- Site Number - 6704
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Nordrhein-Westfalen
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Bochum, Nordrhein-Westfalen, Germany, 44791
- Recruiting
- Site Number - 6705
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Sachsen
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Dresden, Sachsen, Germany, 01307
- Recruiting
- Site Number - 6700
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Leipzig, Sachsen, Germany, 04103
- Recruiting
- Site Number - 6702
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Achaïa
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Patras, Achaïa, Greece, 265 04
- Recruiting
- Site Number -6341
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Attiki
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Athens, Attiki, Greece, 11528
- Recruiting
- Site Number - 6345
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Athens, Attiki, Greece, 11525
- Recruiting
- Site Number - 6344
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Evros
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Alexandroupolis, Evros, Greece, 68100
- Recruiting
- Site Number - 6343
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Irakleio
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Heraklion, Irakleio, Greece, 71500
- Recruiting
- Site Number - 6342
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Pavia, Italy, 27100
- Recruiting
- Site Number - 6300
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Brescia
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Gussago, Brescia, Italy, 25084
- Recruiting
- Site Number -6302
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Emilia-Romagna
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Bologna, Emilia-Romagna, Italy, 40139
- Recruiting
- Site Number -6305
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Friuli-Venezia Giulia
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Udine, Friuli-Venezia Giulia, Italy, 33100
- Recruiting
- Site Number - 6304
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Lazio
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Roma, Lazio, Italy, 00189
- Recruiting
- Site Number -6306
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Roma, Lazio, Italy, 00133
- Recruiting
- Site Number - 6309
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Lombardia
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Bergamo, Lombardia, Italy, 24127
- Recruiting
- Site Number - 6301
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Toscana
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Pisa, Toscana, Italy, 56126
- Recruiting
- Site Number - 6303
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Siena, Toscana, Italy, 53100
- Recruiting
- Site Number - 6308
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Seoul, Korea, Republic of, 06351
- Recruiting
- Site Number - 9900
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Oslo, Norway, 00424
- Recruiting
- Site Number -6491
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Dolnoslaskie
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Wroclaw, Dolnoslaskie, Poland, 50-556
- Recruiting
- Site Number - 3204
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Kujawsko-pomorskie
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Bydgoszcz, Kujawsko-pomorskie, Poland, 85-065
- Recruiting
- Site Number - 3211
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Lubelskie
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Lublin, Lubelskie, Poland, 20-064
- Recruiting
- Site Number - 3210
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Lublin, Lubelskie, Poland, 20-701
- Recruiting
- Site Number -3206
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Mazurki, Lubelskie, Poland, 20-093
- Recruiting
- Site Number -3202
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Malopolskie
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Krakow, Malopolskie, Poland, 31-426
- Recruiting
- Site Number -3200
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Krakow, Malopolskie, Poland, 31-202
- Recruiting
- Site Number - 3209
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Pomorskie
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Gdańsk, Pomorskie, Poland, 80-803
- Recruiting
- Site Number - 3205
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Slaskie
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Katowice, Slaskie, Poland, 40-123
- Recruiting
- Site Number -3201
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Wielkopolskie
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Poznan, Wielkopolskie, Poland, 61-731
- Recruiting
- Site Number - 3207
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Województwo Kujawsko-pomorskie
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Bydgoszcz, Województwo Kujawsko-pomorskie, Poland, 85-796
- Recruiting
- Site Number -3203
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Lisboa, Portugal, 1300-344
- Recruiting
- Site Number - 3741
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Porto, Portugal, 4099-001
- Recruiting
- Site Number - 3744
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Porto
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Senhora Da Hora, Porto, Portugal, 4464-513
- Recruiting
- Site Number - 3742
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Vila Nova De Gaia, Porto, Portugal, 4434-502
- Recruiting
- Site Number - 3745
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Setubal
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Almada, Setubal, Portugal, 2805-267
- Recruiting
- Site Number - 3743
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Constanta, Romania, 900591
- Recruiting
- SIte Number - 8400
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Mures
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Targu Mures, Mures, Romania, 540136
- Recruiting
- Site Number - 8401
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Timis
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Timişoara, Timis, Romania, 300736
- Recruiting
- Site Number - 8403
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Liptovský Mikuláš, Slovakia, 03123
- Recruiting
- Site Number - 8600
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Martin, Slovakia, 036 01
- Recruiting
- Site Number - 8601
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Trnava, Slovakia, 91775
- Recruiting
- Site Number - 8602
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Barcelona
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Hospitalet de Llobregat, Barcelona, Spain, 08907
- Recruiting
- Site Number - 3701
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Sant Cugat Del Vallès, Barcelona, Spain, 08190
- Recruiting
- Site Number - 3704
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Gipuzkoa
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San Sebastián, Gipuzkoa, Spain, 20014
- Recruiting
- Site Number -3700
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Vastra Gotalands Lan
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Göteborg, Vastra Gotalands Lan, Sweden, 413 45
- Recruiting
- Site Number -4891
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Manchester, United Kingdom, M6 8HD
- Recruiting
- Site Number - 7400
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Cambridgeshire
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Cambridge, Cambridgeshire, United Kingdom, CB2 0QQ
- Recruiting
- Site Number - 7405
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Lancashire
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Preston, Lancashire, United Kingdom, PR2 9HT
- Recruiting
- Site Number - 7403
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Arizona
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Scottsdale, Arizona, United States, 85028
- Recruiting
- Site Number - 1603
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California
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Carlsbad, California, United States, 92011
- Recruiting
- Site Number -1618
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Orange, California, United States, 92868
- Recruiting
- Site Number - 1619
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San Francisco, California, United States, 94109
- Recruiting
- Site Number - 1608
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Connecticut
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New Haven, Connecticut, United States, 06510
- Recruiting
- Site Number - 1621
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District of Columbia
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Washington, District of Columbia, United States, 20010
- Recruiting
- Site Number - 1630
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Florida
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Boca Raton, Florida, United States, 33487
- Recruiting
- Site Number -1600
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Jacksonville, Florida, United States, 32224
- Recruiting
- Site Number - 1609
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Orlando, Florida, United States, 32806-5411
- Recruiting
- Site Number - 1629
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Ormond Beach, Florida, United States, 32174
- Recruiting
- Site Number -1617
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Port Charlotte, Florida, United States, 33952
- Recruiting
- Site Number -1620
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Rockledge, Florida, United States, 32955
- Recruiting
- Site Number - 1633
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Saint Petersburg, Florida, United States, 33713
- Recruiting
- Site Number - 1604
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Illinois
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O'Fallon, Illinois, United States, 62269
- Recruiting
- Site Number -1607
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Kansas
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Kansas City, Kansas, United States, 66160
- Recruiting
- Site Number - 1602
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Kentucky
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Nicholasville, Kentucky, United States, 40356
- Recruiting
- Site Number - 1611
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New York
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New York, New York, United States, 10032
- Recruiting
- Site Number - 1605
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Texas
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Austin, Texas, United States, 78759
- Recruiting
- Site Number -1601
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Virginia
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Richmond, Virginia, United States, 23298
- Recruiting
- Site Number - 1627
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion criteria:
All Cohorts:
- Are >= 18 years at the Screening Visit.
Have met clinical diagnostic criteria for typical CIDP, or one of the following CIDP variants: multifocal CIDP, focal CIDP, or motor CIDP in accordance with the EAN/PNS Guideline on Diagnosis and Treatment of CIDP. Clinical criteria for typical CIDP and variants are as follows (either criterion must be met):
Typical CIDP: All the following:
- Progressive or relapsing, symmetric, proximal, and distal muscle weakness of upper and lower limbs, and sensory involvement of at least two limbs (at any point in the disease course)
- Developing over at least 8 weeks
- Absent or reduced tendon reflexes in all limbs
CIDP variants: One of the following, but otherwise as in typical CIDP (tendon reflexes may be normal in unaffected limbs):
- Multifocal CIDP: documented sensory loss and muscle weakness in a multifocal pattern, usually asymmetric, upper limb predominant
- Focal CIDP: sensory loss and muscle weakness in only one limb
- Motor CIDP: motor symptoms and signs without sensory involvement
Cohorts A and B:
Have electrodiagnostic test results supporting the diagnosis of CIDP in accordance with the EAN/PNS Guideline on Diagnosis and Treatment of CIDP; for Cohorts A and B, either criterion must be met:
- Motor nerve conduction criteria strongly supportive of demyelination.
Motor nerve conduction criteria weakly supportive of demyelination and 2 or more of the following additional diagnostic criteria:
- Objective improvement to an empiric trial of therapy with immunoglobulin treatment, plasma exchange (PLEX), or corticosteroids.
- Diagnostic imaging by ultrasound or magnetic resonance imaging (MRI) supporting the diagnosis of CIDP by demonstrating nerve enlargement.
- Cerebrospinal fluid (CSF) demonstrating albuminocytologic dissociation (i.e., elevated CSF protein level [defined as > 70 milligrams per deciliter {mg/dL} or > 10 mg/dL greater than years of age for those aged 60 years and over] with normal CSF white blood cell [WBC] level).
- Nerve biopsy demonstrating features supporting the diagnosis of CIDP, such as edema, demyelination, and/or onion bulb formation.
Cohort C only:
Have a diagnosis of CIDP in accordance with the EAN/PNS Guideline on Diagnosis and Treatment of CIDP based on clinical criteria and motor nerve conduction criteria strongly supportive of demyelination (i.e., motor nerve conduction criteria weakly supportive of demyelination is insufficient diagnostic evidence for admission to Cohort C).
Cohort D only:
- Have met only clinical diagnostic criteria for typical CIDP, or one of the following CIDP variants: multifocal CIDP, focal CIDP, or motor CIDP in accordance with the EAN/PNS Guideline on Diagnosis and Treatment of CIDP. Either inclusion criterion 2(a) or 2(b) must be met.
Additional inclusion criteria are defined in the protocol.
Exclusion Criteria:
All Cohorts:
- Have current or prior history of immunoglobulin M (IgM) paraproteinemia with or without anti-myelin-associated-glycoprotein antibodies.
- Have Distal CIDP, Sensory CIDP or are suspected of having a diagnosis of auto-immune nodopathy in accordance with the EAN/PNS Guideline on Diagnosis and Treatment of CIDP.
Have polyneuropathy of causes other than CIDP including but not limited to:
- Multifocal motor neuropathy
- Hereditary demyelinating neuropathy
- Polyneuropathy, organomegaly, endocrinopathy, monoclonal protein and skin change syndromes (i.e., POEMS)
- Lumbosacral radiculoplexus neuropathy
- Systemic illnesses including vitamin deficiency syndromes and paraneoplastic neuropathies
- Drug- or toxin-induced
Have diabetes mellitus (DM) and meets any of the following criteria:
- Does not meet inclusion criteria 2(a) and 3(a).
- In the opinion of the Investigator, there is evidence of poorly controlled DM preceding the diagnosis of CIDP.
- In the opinion of the Investigator, there is evidence of poorly controlled DM at screening.
- Have a history of myelopathy or evidence of central demyelination.
- Are receiving chronic oral corticosteroids monotherapy at a dose > 40 mg/day prednisolone/prednisone or its equivalent at the Screening Visit.
- Are receiving chronic oral corticosteroid at a dose > 10 mg/day prednisolone/prednisone or equivalent in combination with immunoglobulin therapy or PLEX at the Screening Visit.
Additional exclusion criteria are defined in the protocol.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Treatment Period 1: Cohort A, Dose 1
|
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Other Names:
|
Experimental: Treatment Period 1: Cohort A, Dose 2
|
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Other Names:
|
Experimental: Treatment Period 1: Cohort B, Dose 1
|
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Other Names:
|
Experimental: Treatment Period 1: Cohort B, Dose 2
|
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Other Names:
|
Experimental: Treatment Period 1: Cohort C, Dose 1
|
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Other Names:
|
Experimental: Treatment Period 1: Cohort C, Dose 2
|
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Other Names:
|
Experimental: Withdrawal Period 2: Cohort A, Dose 2
|
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Other Names:
|
Experimental: Withdrawal Period 2: Cohort B, Dose 2
|
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Other Names:
|
Experimental: Withdrawal Period 2: Cohort C, Dose 2
|
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Other Names:
|
Experimental: Treatment Period 1: Cohort D, Dose 1
|
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Other Names:
|
Experimental: Treatment Period 1: Cohort D, Dose 2
|
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Other Names:
|
Experimental: Withdrawal Period 2: Cohort A, Placebo
|
Matching placebo SC
|
Experimental: Withdrawal Period 2: Cohort B, Placebo
|
Matching placebo SC
|
Experimental: Withdrawal Period 2: Cohort C, Placebo
|
Matching placebo SC
|
Experimental: Withdrawal Period 2: Cohort D, Dose 2
|
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Other Names:
|
Experimental: Withdrawal Period 2: Cohort D, Placebo
|
Matching placebo SC
|
Experimental: LTE Period: With Relapse in Period 2: Dose 1 and Dose 2
Participants will receive Dose 1 for the initial 4 weeks only and Dose 2 for the remaining 48 weeks.
|
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Other Names:
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Other Names:
|
Experimental: LTE Period: Without Relapse in Period 2: Dose 2
Participants will receive Dose 2 for all 52 weeks.
|
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Period 2, Cohort A: Proportion of participants who remain relapse-free at Week 36
Time Frame: Week 36
|
Relapse is defined as a worsening (increase) of >=1 point on adjusted inflammatory neuropathy cause and treatment (AdjINCAT) score at any time point during Period 2 relative to Period 2 Baseline which is sustained at a Follow-Up visit 1 week later.
The INCAT disability scale is a widely used and validated efficacy assessment of neurologic dysfunction in CIDP.
Upper and lower limb dysfunction are each separately assessed on a scale of 0-5 and results are summed together for a total composite score of 0-10.
Higher scores represent greater disability.
The Adj INCAT disability score is identical to INCAT disability score with exception that changes in upper limb function from 0 (normal) to 1 (minor symptoms) and vice versa are excluded since minor symptoms in the fingers, which are implied by an upper limb score of 1, are not considered clinically significant in all participants.
The Adj INCAT disability score will be used for participant selection and measurement of clinical response.
|
Week 36
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Period 2, Cohort A: Time to first relapse relative to Period 2 Baseline
Time Frame: Baseline (Week 12) to Week 36
|
Baseline (Week 12) to Week 36
|
|
Period 2, Cohort A: Change from Period 2 Baseline in Adj INCAT score
Time Frame: Baseline (Week 12) and up to Week 36
|
Baseline (Week 12) and up to Week 36
|
|
Period 2, Cohort A: Change from Period 2 Baseline in Inflammatory Rasch-built Overall Disability Scale (I-RODS)
Time Frame: Baseline (Week 12) and up to Week 36
|
The I-RODS for immune-mediated peripheral neuropathies is a patient-based linearly weighted scale that captures activity and social participation limitations in patients with CIDP.
The assessment consists of a 24-question instrument that addresses upper and lower limb tasks that range in difficulty from reading a book and eating to standing and running.
Answers are scored on a scale of 0-2 (complete disability to no disability) and the raw scores are then transformed into a final score ranging from 0-100.
|
Baseline (Week 12) and up to Week 36
|
Period 2, Cohort A: Change from Period 2 Baseline in Mean grip strength
Time Frame: Baseline (Week 12) and up to Week 36
|
Mean Grip strength provides an objective, quantitative and immediate assessment of strength impairment.
The Jamar dynamometer and the Martin vigorimeter are both commonly used to assess mean grip strength.
|
Baseline (Week 12) and up to Week 36
|
Period 2, Cohort A: Change from Period 2 Baseline in Medical Research Council (MRC) Sum Score
Time Frame: Baseline (Week 12) and up to Week 36
|
The MRC sum score is a standardized methodology for objectively assessing and reporting muscle function.
Six muscle groups are assessed bilaterally, and each scored on a scale of 0 (no visible contraction) to 5 (normal) yielding a sum ranging from 0 (paralysis) to 60 (normal strength).
Higher scores indicate normal muscle strength.
|
Baseline (Week 12) and up to Week 36
|
Period 2, Cohort A: Change from Period 2 Baseline in Overall Neuropathy Limitations Scale (ONLS)
Time Frame: Baseline (Week 12) and up to Week 36
|
The ONLS is a scale that focuses on upper and lower limb functions and was designed to assess the limitations of participants with immune-mediated peripheral neuropathies.
This scale is completed by adding the total of the arm grade from zero point (less limitation) to 5 points (most limitation) and leg grade from zero point (less limitation) to 7 points (more limitation) yielding a total score of 0 (no disability) to 12 (maximum disability).
Lower values in the ONLS indicate a better clinical condition.
|
Baseline (Week 12) and up to Week 36
|
Period 2, Cohorts A and B combined: Change from Period 2 Baseline in Adj INCAT score
Time Frame: Baseline (Week 12) and up to Week 36
|
Baseline (Week 12) and up to Week 36
|
|
Period 2, Cohorts A and B combined: Change from Period 2 Baseline in I-RODS
Time Frame: Baseline (Week 12) and up to Week 36
|
Baseline (Week 12) and up to Week 36
|
|
Period 2, Cohorts A and B combined: Change from Period 2 Baseline in Mean Grip Strength
Time Frame: Baseline (Week 12) and up to Week 36
|
Baseline (Week 12) and up to Week 36
|
|
Period 2, Cohorts A and B combined: Change from Period 2 Baseline in MRC sum score
Time Frame: Baseline (Week 12) and up to Week 36
|
Baseline (Week 12) and up to Week 36
|
|
Period 2, Cohorts A and B combined: Change from Period 2 Baseline in ONLS
Time Frame: Baseline (Week 12) and up to Week 36
|
Baseline (Week 12) and up to Week 36
|
|
Period 2, Cohorts A, B, and C: Proportion of participants who remain relapse-free at Week 36
Time Frame: Week 36
|
Week 36
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Nervous System Diseases
- Immune System Diseases
- Autoimmune Diseases of the Nervous System
- Demyelinating Diseases
- Autoimmune Diseases
- Disease Attributes
- Neuromuscular Diseases
- Peripheral Nervous System Diseases
- Polyradiculoneuropathy
- Chronic Disease
- Polyneuropathies
- Polyradiculoneuropathy, Chronic Inflammatory Demyelinating
Other Study ID Numbers
- IMVT-1401-2401
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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