Intravenous Immunoglobulin (IVIG) Versus Plasma Exchange (PE) for Ventilated Children With Guillain Barre Syndrome (GBS)

NCT ID: NCT01306578

Last Updated: 2011-03-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

41 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-01-31

Study Completion Date

2010-02-28

Brief Summary

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Comparing whether intravenous immune globulin or plasma exchange is superior in treating mechanically ventilated children with Guillain Barre syndrome.

Detailed Description

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Children with Guillain Barre syndrome (GBS) admitted to PICU at Mansoura University Children Hospital, Mansoura, Egypt with the need for mechanical ventilation were prospectively enrolled in the study.

Cases were diagnosed according to clinical criteria. The decisions to initiate, wean and terminate mechanical ventilation were made independently by the attending consultant in accordance with the unit guidelines.

Outcome variables measured were duration of mechanical ventilation, length of PICU stay and ability to walk unaided 4 weeks after PICU discharge.

Conditions

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Guillain Barre Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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IVIG group

20 children randomized to receive IVIG for 5 days at a dose of 0.4 g/kg/day

Group Type ACTIVE_COMPARATOR

IVIG

Intervention Type DRUG

Intravenous Immune Globulin at a dose 0f 0.4 g/kg/day for 5 consecutive days

Plasma Exchange

21 children randomized to receive 5 sessions of 1 volume plasma exchange per day for 5 consecutive days

Group Type ACTIVE_COMPARATOR

Plasma Exchange

Intervention Type PROCEDURE

Five sessions of plasma exchange, single plasma volume each, for 5 consecutive days

Interventions

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IVIG

Intravenous Immune Globulin at a dose 0f 0.4 g/kg/day for 5 consecutive days

Intervention Type DRUG

Plasma Exchange

Five sessions of plasma exchange, single plasma volume each, for 5 consecutive days

Intervention Type PROCEDURE

Other Intervention Names

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Sandglobin Plasmapheresis

Eligibility Criteria

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Inclusion Criteria

* Age: children from 1 month - 18 years old
* Clinical diagnosis of Guillain Barre syndrome
* Requirement of mechanical ventilation

Exclusion Criteria

* Need for mechanical ventilation beyond 14 days from disease onset
* Child receiving IVIG or PE prior to enrollment
Minimum Eligible Age

1 Month

Maximum Eligible Age

18 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mansoura University Children Hospital

OTHER

Sponsor Role lead

Responsible Party

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Head of PICU - Mansoura University Children Hospital

Principal Investigators

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Mohammed A El-Bayoumi, MD, FRCPCH

Role: PRINCIPAL_INVESTIGATOR

Head of PICU, Mansoura University Children Hospital

Locations

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Mansoura University Children Hospital

Al Mansurah, Dakahlia Governorate, Egypt

Site Status

Countries

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Egypt

References

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Saleh M, Boukhdoud M, Boukhdoud H, Al Zein M, Salameh P. Landscape of Guillain-Barre Syndrome Interventional Clinical Trials. J Clin Neuromuscul Dis. 2023 Mar 1;24(3):119-129. doi: 10.1097/CND.0000000000000441.

Reference Type DERIVED
PMID: 36809199 (View on PubMed)

El-Bayoumi MA, El-Refaey AM, Abdelkader AM, El-Assmy MM, Alwakeel AA, El-Tahan HM. Comparison of intravenous immunoglobulin and plasma exchange in treatment of mechanically ventilated children with Guillain Barre syndrome: a randomized study. Crit Care. 2011 Jul 11;15(4):R164. doi: 10.1186/cc10305.

Reference Type DERIVED
PMID: 21745374 (View on PubMed)

Other Identifiers

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MUCH-GBS

Identifier Type: -

Identifier Source: org_study_id

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