A Study to Test the Efficacy and Safety of Riliprubart Against the Usual Treatment of Intravenous Immunoglobulin (IVIg) in People With Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)

NCT ID: NCT06290141

Last Updated: 2026-01-06

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-21

Study Completion Date

2029-01-12

Brief Summary

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The purpose of the study is to evaluate efficacy of riliprubart compared to IVIg in adult participants with CIDP who are receiving maintenance treatment with IVIg. The study duration will be for a maximum of 109 weeks including screening, treatment phases, and follow-up.

Detailed Description

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Conditions

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Chronic Inflammatory Demyelinating Polyneuropathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Part A is a double-blind treatment period and Part B is an open-label period.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Riliprubart Arm

Riliprubart + Placebo IVIg for 24 weeks followed by open-label extension phase with riliprubart for 24 weeks

Group Type EXPERIMENTAL

riliprubart

Intervention Type DRUG

Pharmaceutical form: Solution Route of administration: IV solution

riliprubart

Intervention Type DRUG

Pharmaceutical form: Solution Route of administration: SC solution

Placebo

Intervention Type DRUG

Pharmaceutical form: Placebo to match intravenous immunoglobulin IVIg for IV infusio Route of administration: IV solution

IVIg Arm

IVIg (IVIg continuation) + Placebo riliprubart for 24 weeks followed by open-label extension phase with riliprubart for 24 weeks

Group Type ACTIVE_COMPARATOR

Placebo

Intervention Type DRUG

Pharmaceutical form: Solution Route of administration: IV solution

riliprubart

Intervention Type DRUG

Pharmaceutical form: Solution Route of administration: SC solution

Placebo

Intervention Type DRUG

Pharmaceutical form: Solution Route of administration: SC solution

IVIg

Intervention Type DRUG

Pharmaceutical form: Concentrate for solution for infusion (or any other formulation approved locally) Route of administration: IV solution

Interventions

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riliprubart

Pharmaceutical form: Solution Route of administration: IV solution

Intervention Type DRUG

Placebo

Pharmaceutical form: Solution Route of administration: IV solution

Intervention Type DRUG

riliprubart

Pharmaceutical form: Solution Route of administration: SC solution

Intervention Type DRUG

Placebo

Pharmaceutical form: Solution Route of administration: SC solution

Intervention Type DRUG

IVIg

Pharmaceutical form: Concentrate for solution for infusion (or any other formulation approved locally) Route of administration: IV solution

Intervention Type DRUG

Placebo

Pharmaceutical form: Placebo to match intravenous immunoglobulin IVIg for IV infusio Route of administration: IV solution

Intervention Type DRUG

Other Intervention Names

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SAR445088 SAR445088

Eligibility Criteria

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Inclusion Criteria

Participants are eligible to be included in the study only if all of the following criteria apply:

1. Participant must have CIDP or possible CIDP criteria, based on European Academy of Neurology (EAN)/ Peripherial Nerve Society (PNS) Task Force CIDP guidelines, second revision (2021).
2. Participant must have either typical CIDP, or one of the following 2 CIDP variants: motor CIDP (including motor-predominant CIDP), multifocal CIDP (also known as Lewis Sumner Syndrome). Diagnosis must be confirmed by the study adjudication committee.
3. Participants must have responded to IVIg in the past 5 years. Response must be an objective clinically meaningful improvement defined by at least one of the following: ≥1 point decrease in adjusted INCAT score, ≥4 points increase in I-RODS centile score, ≥3 points increase in the MRC-SS, ≥8 kilopascal improvement in mean grip strength (1 hand), or an equivalent improvement based on information documented in medical records as per the Investigator's judgment.
4. Participant must be on a stable maintenance dosage of IVIg, defined as no change greater than 10% in frequency or dose of IVIg within 8 weeks prior to Screening, and remaining stable until baseline.
5. Participant must have residual disability, defined as an INCAT score of 2 to 9 at Screening that is confirmed at baseline (a score of 2 should be exclusively from leg disability component of INCAT).
6. Participant must be receiving treatment with IVIg within a standard maintenance dosing regimen, defined as per EAN/PNS 2021 CIDP guidelines: 0.4 to 1 g/kg every 2 to 6 weeks. The IVIg maintenance dosing regimen should be equivalent or higher than a weekly dose of 0.1 g/kg body weight (for example, 0.3 g/kg every 3 weeks).
7. Participants receiving IVIg infusions at home are eligible, as long as IVIg infusions are switched to a hospital or infusion center setting at least 1 cycle prior to baseline.
8. Participant must have active disease, defined by a CIDP disease activity score (CDAS) of ≥2 points at Screening.
9. Participant must have documented vaccinations against encapsulated bacterial pathogens given within 5 years prior to Day 1 or initiated a minimum of 14 days prior to first dose of study intervention.
10. All participants must agree to use contraception methods during and after the study as required.
11. Contraceptive use by men and women participating in the study should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
12. A male participant is eligible to participate if they agree to the following during the study intervention period and for at least 55 weeks after the last dose of study medication.

--Refrain from donating or cryopreserving sperm.

PLUS, either:

--Be abstinent from heterosexual intercourse (abstinent on a long-term and persistent basis) and agree to remain abstinent.

OR

--Must agree to use contraception/barrier as detailed below:
13. A male condom and an additional highly effective contraceptive method (Contraceptive and barrier guidance per protocol) when having sexual intercourse with a woman of childbearing potential (WOCBP) who is not currently pregnant.
14. A female participant is eligible to participate if she is not pregnant or breastfeeding, and one of the following conditions applies:

* Is a woman of nonchildbearing potential (WONCBP) as defined by the protocol. OR
* Is a WOCBP and agrees to use a contraceptive method that is highly effective (with a failure rate of \<1% per year), as described in the protocol during the study intervention period (to be effective before starting the intervention) and for at least 55 weeks after the last administration of study intervention and agrees not to donate or cryopreserve eggs (ova, oocytes) for the purpose of reproduction during this period.
15. Participant must have a body weight at Screening of 35 kg to 154 kg (77 to 340 lbs) inclusive.
16. Evidence of at least one clinically meaningful deterioration within 2 years, or at least 2 clinically meaningful deteriorations within 5 years prior to screening which occurred during period of interrupted dosing, reduced dosage, or extended intervals between doses of immunoglobin therapy, as verified by clinical examination or medical records.

Exclusion Criteria

Participants are excluded from the study if any of the following criteria apply:

1. Polyneuropathy of other causes, including but not limited to acute demyelinating polyneuropathies (eg. Guillain-Barré syndrome), hereditary demyelinating neuropathies, neuropathies secondary to infection or systemic disease, diabetic neuropathy, drug- or toxin-induced neuropathies, multifocal motor neuropathy, polyneuropathy related to IgM monoclonal gammopathy, POEMS syndrome, lumbosacral radiculoplexus neuropathy.
2. Sensory CIDP, distal CIDP and focal CIDP variants.
3. Any other neurological or systemic disease that can cause symptoms and signs interfering with treatment or outcome assessments.
4. Poorly controlled diabetes (HbA1c glycated hemoglobin \>7% at the Screening visit).
5. Serious infections requiring hospitalization within 30 days prior to Screening, any active infection requiring treatment during Screening, or presence of a condition that may predispose the participant to increased risk of infection (eg, medical history such as known immunodeficiency or history of recurrent infections).
6. Clinical diagnosis of Systemic Lupus Erythematosus (SLE) or family history of SLE. For a participant with an antinuclear antibody (ANA) titer ≥1:160 and a positive anti double-stranded DNA (anti-dsDNA) at Screening, SLE diagnosis must be ruled out prior to enrollment.
7. Sensitivity to any of the study interventions, or components thereof, or drug or other allergy that, in the opinion of the Investigator, contraindicates participation in the study. Specifically, history of any hypersensitivity reaction to riliprubart or its components or of a severe allergic or anaphylactic reaction to any humanized or murine monoclonal antibody.
8. Any contraindication related to the administration of immunoglobulins (eg hypersensitivity, chronic kidney disease, thromboembolic diseases or recent thromboembolic event, known history of IgA deficiency at the time of Screening).
9. Any other clinically meaningful medical history or ongoing medical condition (as determined by the Investigator at Screening) that might impact the benefit-risk assessment, jeopardize the safety of the participant, or compromise the quality of the data collected in this study; or history or presence of other significant concomitant illness that would adversely affect participation in this study, per the Investigator's judgment.
10. Documented history of attempted suicide over the 6 months prior to the Screening visit, presence of suicidal ideation of category 4 or 5 on the C-SSRS during Screening, OR if in the Investigator's judgment, the participant is at risk for a suicide attempt.
11. Evidence of CIDP worsening within the 6 weeks following a prior vaccination that, in the opinion of the Investigator, constituted a relapse.
12. Recent or planned major surgery that could confound the results of the trial or put the participant at undue risk.
13. Treatment with plasma exchange within 8 weeks prior to Screening.
14. Treatment within 3 months prior to dosing with immunosuppressive/ immunomodulator medication, or corticosteroids (except ≤20 mg/day of prednisone or equivalent which is allowed), or prior treatment (at any time) with highly immunosuppressive/ chemotherapeutic medications with sustained effects (eg, mitoxantrone, alemtuzumab, or cladribine).
15. Prior treatment with riliprubart.
16. Use of any specific complement system inhibitor (eg, eculizumab) within 12 weeks or 5 times the half-life of the product, whichever is longer, prior to Screening.
17. Prior treatment (any time) with total lymphoid irradiation or bone marrow transplantation.
18. Prior treatment with B-cell depleting agents such as rituximab within 6 months prior to riliprubart dosing, or until return of B-cell counts to normal levels, whichever is longer.
19. Any vaccination received within 28 days prior to dosing (with few exceptions to be confirmed at screening).
20. Participation in another clinical trial with an investigational drug or receipt of an investigational product within 12 weeks or 5 times the half-life of the product (whichever is longer) prior to Screening.
21. Any Screening laboratory values outside normal limits or abnormal ECG considered in the Investigator's judgment to be clinically significant in the context of this trial.
22. Positive result of any of the following tests:

* HBsAg
* Anti-HBc; unless anti-HBs Ab X are also positive, indicating natural immunity.
* Anti-HCV antibodies.
* Anti-HIV1 and anti-HIV2 antibodies.
23. Pregnancy, defined as a positive result of a highly sensitive urine or serum pregnancy test, or lactation.
24. Accommodation in an institution because of regulatory or legal order; imprisoned or legally institutionalized.
25. Participant not suitable for participation, whatever the reason, as judged by the Investigator, including medical or clinical conditions, or participants potentially at risk of noncompliance to study procedures.
26. Participants are employees of the clinical study site or other individuals directly involved in the conduct of the study, or immediate family members of such individuals.
27. Any country-related specific regulation that would prevent the participant from entering the study as defined by the protocol.
28. Treatment with efgartigimod within 8 weeks prior to screening.

The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Alabama Neurology Associates- Site Number : 8400019

Homewood, Alabama, United States

Site Status RECRUITING

Honor Health Scottsdale Osborn Medical Center- Site Number : 8400014

Scottsdale, Arizona, United States

Site Status RECRUITING

Keck School of Medicine of University of Southern California- Site Number : 8400002

Los Angeles, California, United States

Site Status RECRUITING

University of California Irvine Medical Center- Site Number : 8400007

Orange, California, United States

Site Status RECRUITING

Yale University School of Medicine- Site Number : 8400018

New Haven, Connecticut, United States

Site Status RECRUITING

AdventHealth Orlando- Site Number : 8400006

Orlando, Florida, United States

Site Status RECRUITING

AdventHealth Site Number : 8400006

Orlando, Florida, United States

Site Status RECRUITING

NorthShore University Health System - Glenbrook Hospital- Site Number : 8400024

Glenview, Illinois, United States

Site Status RECRUITING

University of Kansas Medical Center- Site Number : 8400010

Kansas City, Kansas, United States

Site Status RECRUITING

Ochsner Medical Center - Jefferson Highway- Site Number : 8400030

New Orleans, Louisiana, United States

Site Status RECRUITING

Johns Hopkins Hospital- Site Number : 8400015

Baltimore, Maryland, United States

Site Status RECRUITING

Massachusetts General Hospital- Site Number : 8400009

Boston, Massachusetts, United States

Site Status RECRUITING

Henry Ford Hospital- Site Number : 8400025

Detroit, Michigan, United States

Site Status RECRUITING

Michigan State University- Site Number : 8400038

East Lansing, Michigan, United States

Site Status RECRUITING

Washington University School of Medicine - Siteman Cancer Center- Site Number : 8400037

St Louis, Missouri, United States

Site Status RECRUITING

Dent Neurologic Institute - Amherst- Site Number : 8400039

Amherst, New York, United States

Site Status RECRUITING

Hospital for Special Surgery- Site Number : 8400041

New York, New York, United States

Site Status RECRUITING

Columbia University Irving Medical Center- Site Number : 8400003

New York, New York, United States

Site Status RECRUITING

University of Cincinnati Medical Center- Site Number : 8400020

Cincinnati, Ohio, United States

Site Status RECRUITING

University Hospitals Cleveland Medical Center- Site Number : 8400033

Cleveland, Ohio, United States

Site Status RECRUITING

Penn Medicine: University of Pennsylvania Health System- Site Number : 8400022

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Austin Neuromuscular Center- Site Number : 8400040

Austin, Texas, United States

Site Status RECRUITING

University of Vermont Medical Center- Site Number : 8400012

Burlington, Vermont, United States

Site Status RECRUITING

University of Virginia- Site Number : 8400023

Charlottesville, Virginia, United States

Site Status RECRUITING

Investigational Site Number : 0320001

Buenos Aires, , Argentina

Site Status RECRUITING

Investigational Site Number : 0320002

Buenos Aires, , Argentina

Site Status RECRUITING

Investigational Site Number : 0320003

Buenos Aires, , Argentina

Site Status RECRUITING

Investigational Site Number : 0560002

Ghent, , Belgium

Site Status RECRUITING

Investigational Site Number : 0560001

Leuven, , Belgium

Site Status RECRUITING

L2IP - Instituto de Pesquisas Clínicas- Site Number : 0760006

Brasília, Federal District, Brazil

Site Status RECRUITING

Instituto de Neurologia de Curitiba - Ecoville- Site Number : 0760007

Curitiba, Paraná, Brazil

Site Status RECRUITING

InsCer - Instituto do Cérebro da PUCRS- Site Number : 0760002

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

PSEG Centro de Pesquisa Clínica- Site Number : 0760009

São Paulo, , Brazil

Site Status RECRUITING

Investigational Site Number : 1240003

London, Ontario, Canada

Site Status RECRUITING

Investigational Site Number : 1240006

Montreal, Quebec, Canada

Site Status RECRUITING

Investigational Site Number : 1240001

Québec, Quebec, Canada

Site Status RECRUITING

Investigational Site Number : 1560013

Beijing, , China

Site Status RECRUITING

Investigational Site Number : 1560010

Beijing, , China

Site Status RECRUITING

Investigational Site Number : 1560005

Beijing, , China

Site Status RECRUITING

Investigational Site Number : 1560009

Changsha, , China

Site Status RECRUITING

Investigational Site Number : 1560011

Chengdu, , China

Site Status RECRUITING

Investigational Site Number : 1560002

Fuzhou, , China

Site Status RECRUITING

Investigational Site Number : 1560012

Guangzhou, , China

Site Status RECRUITING

Investigational Site Number : 1560007

Guangzhou, , China

Site Status RECRUITING

Investigational Site Number : 1560014

Hangzhou, , China

Site Status RECRUITING

Investigational Site Number : 1560016

Jiazhuang, , China

Site Status RECRUITING

Investigational Site Number : 1560008

Jinan, , China

Site Status RECRUITING

Investigational Site Number : 1560015

Nanchang, , China

Site Status RECRUITING

Investigational Site Number : 1560001

Shanghai, , China

Site Status RECRUITING

Investigational Site Number : 1560003

Wuhan, , China

Site Status RECRUITING

Investigational Site Number : 1560006

Wuhan, , China

Site Status RECRUITING

Investigational Site Number : 1560004

Xi'an, , China

Site Status RECRUITING

Investigational Site Number : 2030004

Brno, , Czechia

Site Status RECRUITING

Investigational Site Number : 2030003

Hradec Králové, , Czechia

Site Status RECRUITING

Investigational Site Number : 2030005

Ostrava, , Czechia

Site Status RECRUITING

Investigational Site Number : 2030002

Pardubice, , Czechia

Site Status COMPLETED

Investigational Site Number : 2030001

Prague, , Czechia

Site Status RECRUITING

Investigational Site Number : 2080002

Aarhus, , Denmark

Site Status RECRUITING

Investigational Site Number : 2080001

Copenhagen, , Denmark

Site Status RECRUITING

Investigational Site Number : 2500001

Le Kremlin-Bicêtre, , France

Site Status RECRUITING

Investigational Site Number : 2500002

Marseille, , France

Site Status RECRUITING

Investigational Site Number : 2500005

Nice, , France

Site Status RECRUITING

Investigational Site Number : 2500003

Paris, , France

Site Status RECRUITING

Investigational Site Number : 2760003

Berlin, , Germany

Site Status RECRUITING

Investigational Site Number : 2760006

Göttingen, , Germany

Site Status RECRUITING

Investigational Site Number : 2760005

Hanover, , Germany

Site Status RECRUITING

Investigational Site Number : 2760001

Münster, , Germany

Site Status RECRUITING

Investigational Site Number : 3480003

Budapest, , Hungary

Site Status RECRUITING

Investigational Site Number : 3480004

Győr, , Hungary

Site Status RECRUITING

Investigational Site Number : 3480001

Szeged, , Hungary

Site Status RECRUITING

Investigational Site Number : 3760001

Haifa, , Israel

Site Status RECRUITING

Investigational Site Number : 3920007

Amagasaki, Hyōgo, Japan

Site Status RECRUITING

Investigational Site Number : 3920015

Yokohama, Kanagawa, Japan

Site Status RECRUITING

Investigational Site Number : 3920012

Higashimatsuyama-shi, Saitama, Japan

Site Status RECRUITING

Investigational Site Number : 3920005

Kawagoe, Saitama, Japan

Site Status RECRUITING

Investigational Site Number : 3920014

Yaizu, Shizuoka, Japan

Site Status RECRUITING

Investigational Site Number : 3920008

Kodaira, Tokyo, Japan

Site Status RECRUITING

Investigational Site Number : 3920010

Ōta-ku, Tokyo, Japan

Site Status RECRUITING

Investigational Site Number : 3920001

Chiba, , Japan

Site Status RECRUITING

Investigational Site Number : 3920009

Saga, , Japan

Site Status RECRUITING

Investigational Site Number : 4840002

Chihuahua City, , Mexico

Site Status RECRUITING

Investigational Site Number : 4840001

Tlalnepantla, , Mexico

Site Status RECRUITING

Investigational Site Number : 6200003

Braga, , Portugal

Site Status RECRUITING

Investigational Site Number : 6200005

Coimbra, , Portugal

Site Status RECRUITING

Investigational Site Number : 6200002

Lisbon, , Portugal

Site Status RECRUITING

Investigational Site Number : 6200001

Lisbon, , Portugal

Site Status RECRUITING

Investigational Site Number : 7240009

Barcelona, Barcelona [Barcelona], Spain

Site Status RECRUITING

Investigational Site Number : 7240006

Sabadell, Barcelona [Barcelona], Spain

Site Status RECRUITING

Investigational Site Number : 7240001

Barcelona, Catalunya [Cataluña], Spain

Site Status RECRUITING

Investigational Site Number : 7240008

Majadahonda, Madrid, Spain

Site Status RECRUITING

Investigational Site Number : 7240002

Pamplona, Navarre, Spain

Site Status RECRUITING

Investigational Site Number : 7240003

Oviedo, Principality of Asturias, Spain

Site Status RECRUITING

Investigational Site Number : 7240007

Málaga, , Spain

Site Status RECRUITING

Investigational Site Number : 7240004

Valencia, , Spain

Site Status RECRUITING

Investigational Site Number : 7520001

Stockholm, , Sweden

Site Status RECRUITING

Investigational Site Number : 7560001

Basel, , Switzerland

Site Status RECRUITING

Investigational Site Number : 7560003

Bern, , Switzerland

Site Status RECRUITING

Investigational Site Number : 1580003

Kaohsiung City, , Taiwan

Site Status RECRUITING

Investigational Site Number : 1580001

Taipei, , Taiwan

Site Status RECRUITING

Investigational Site Number : 1580002

Taipei, , Taiwan

Site Status RECRUITING

Investigational Site Number : 7920004

Bursa, , Turkey (Türkiye)

Site Status RECRUITING

Investigational Site Number : 7920001

Istanbul, , Turkey (Türkiye)

Site Status RECRUITING

Investigational Site Number : 7920002

Istanbul, , Turkey (Türkiye)

Site Status RECRUITING

Investigational Site Number : 7920003

Konya, , Turkey (Türkiye)

Site Status RECRUITING

Investigational Site Number : 8260007

London, England, United Kingdom

Site Status RECRUITING

Investigational Site Number : 8260003

Inverness, Highland, United Kingdom

Site Status RECRUITING

Investigational Site Number : 8260001

Oxford, Oxfordshire, United Kingdom

Site Status RECRUITING

Countries

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United States Argentina Belgium Brazil Canada China Czechia Denmark France Germany Hungary Israel Japan Mexico Portugal Spain Sweden Switzerland Taiwan Turkey (Türkiye) United Kingdom

Central Contacts

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Trial Transparency email recommended (Toll free for US & Canada)

Role: CONTACT

800-633-1610 ext. option 6

Related Links

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http://www.sanofistudies.com/G4SB

EFC18156 (Vitalize) \& EFC17236 (MOBILIZE) CIDP website-for potential participants

Other Identifiers

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U1111-1295-3363

Identifier Type: REGISTRY

Identifier Source: secondary_id

2023-508338-33

Identifier Type: REGISTRY

Identifier Source: secondary_id

EFC18156

Identifier Type: -

Identifier Source: org_study_id

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