Batoclimab for CIDP

Not currently recruiting at 160 trial locations
CS
Overseen ByCentral Study Contact
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Immunovant Sciences GmbH
Must be taking: Immunoglobulin, Corticosteroids
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial
Approved in 2 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a drug called batoclimab (an anti-FcRn monoclonal antibody) to determine its effectiveness for people with CIDP, a nerve condition that can cause muscle weakness and numbness. Researchers aim to assess whether batoclimab is safe and more effective than a placebo (a dummy treatment) for CIDP. Participants will be assigned to different groups based on their current CIDP treatment and symptoms, with some receiving batoclimab and others a placebo. This trial may suit adults who have had CIDP for at least 8 weeks and experience muscle weakness or numbness in their arms or legs. As a Phase 2 trial, the research focuses on measuring the treatment's effectiveness in an initial, smaller group of people.

Will I have to stop taking my current medications?

The trial includes a 12-week washout period (time without taking certain medications), which suggests you may need to stop some current treatments. However, the protocol does not specify exactly which medications must be stopped, so it's best to discuss this with the trial team.

Is there any evidence suggesting that batoclimab is likely to be safe for humans?

Research has shown that batoclimab is generally well-tolerated in studies involving patients with various autoimmune disorders. For example, a study with patients who have myasthenia gravis (MG) found that batoclimab was safe and had positive effects. Although this study focused on a different condition, it provides some insight into the drug's safety, as both myasthenia gravis and CIDP are autoimmune diseases.

In these studies, some participants experienced mild to moderate side effects, with headaches and injection site reactions being the most common. Serious side effects were rare. The current trial is in phase 2, indicating that some safety information is available, but long-term safety is still under investigation. This phase aims to gather more detailed information on treatment tolerance.

Overall, while the safety data for batoclimab appears promising, it is still undergoing careful testing to ensure its safety for treating CIDP specifically.12345

Why do researchers think this study treatment might be promising for CIDP?

Researchers are excited about Batoclimab for CIDP because it offers a novel approach by targeting the neonatal Fc receptor (FcRn), which plays a key role in regulating antibody levels. Unlike standard treatments for CIDP, such as corticosteroids, intravenous immunoglobulins (IVIG), or plasma exchange, Batoclimab specifically moderates the immune system's attack on nerves by reducing harmful antibodies. This targeted mechanism has the potential to provide more effective and sustained relief from symptoms, with fewer side effects. Additionally, Batoclimab is administered subcutaneously, which could offer a more convenient and less invasive alternative to the currently more cumbersome treatment options. This different mode of action and delivery method has the potential to significantly improve the quality of life for individuals suffering from CIDP.

What evidence suggests that batoclimab might be an effective treatment for CIDP?

Research has shown that batoclimab, a monoclonal antibody, may treat autoimmune diseases by blocking a specific part of the immune system. In studies on other autoimmune diseases, batoclimab has proven effective. For instance, in myasthenia gravis, a similar autoimmune disorder, patients experienced significant symptom improvement over 12 weeks. This trial will assess batoclimab's potential to manage symptoms of Chronic Inflammatory Demyelinating Polyneuropathy (CIDP), with participants receiving different doses across various treatment arms. Although direct evidence for CIDP is still being gathered, these findings suggest promising potential benefits.12346

Are You a Good Fit for This Trial?

Adults over 18 with active Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP) who meet specific diagnostic criteria can join this trial. They should not have other types of polyneuropathies, IgM paraproteinemia, certain forms of CIDP like Distal or Sensory CIDP, poorly controlled diabetes, central demyelination signs, or be on high doses of corticosteroids.

Inclusion Criteria

Cohorts A and B: Motor nerve conduction criteria strongly supportive of demyelination
I have been diagnosed with a form of CIDP according to specific guidelines.
My tests show early signs of nerve damage.
See 3 more

Exclusion Criteria

I have a specific type of chronic inflammatory nerve disease.
I have diabetes.
I am taking prescribed oral corticosteroids regularly.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

up to 4 weeks

Washout

Participants undergo a washout period to clear previous treatments

up to 12 weeks

Randomized Treatment

Participants receive randomized treatment with batoclimab or placebo

12 weeks

Randomized Withdrawal

Participants undergo a withdrawal period to assess relapse rates

up to 24 weeks

Long-term Extension (optional)

Participants may opt into continuation of treatment long-term

up to 52 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Batoclimab
Trial Overview The study tests Batoclimab's effectiveness and safety in treating CIDP. Participants will receive either Batoclimab at two different dosages or a placebo via subcutaneous injections for up to one year with various periods including washout and long-term extension phases.
How Is the Trial Designed?
18Treatment groups
Experimental Treatment
Group I: Withdrawal Period 2: Cohort D, PlaceboExperimental Treatment1 Intervention
Group II: Withdrawal Period 2: Cohort D, Dose 2Experimental Treatment1 Intervention
Group III: Withdrawal Period 2: Cohort C, PlaceboExperimental Treatment1 Intervention
Group IV: Withdrawal Period 2: Cohort C, Dose 2Experimental Treatment2 Interventions
Group V: Withdrawal Period 2: Cohort B, PlaceboExperimental Treatment1 Intervention
Group VI: Withdrawal Period 2: Cohort B, Dose 2Experimental Treatment2 Interventions
Group VII: Withdrawal Period 2: Cohort A, PlaceboExperimental Treatment1 Intervention
Group VIII: Withdrawal Period 2: Cohort A, Dose 2Experimental Treatment2 Interventions
Group IX: Treatment Period 1: Cohort D, Dose 2Experimental Treatment1 Intervention
Group X: Treatment Period 1: Cohort D, Dose 1Experimental Treatment1 Intervention
Group XI: Treatment Period 1: Cohort C, Dose 2Experimental Treatment1 Intervention
Group XII: Treatment Period 1: Cohort C, Dose 1Experimental Treatment1 Intervention
Group XIII: Treatment Period 1: Cohort B, Dose 2Experimental Treatment1 Intervention
Group XIV: Treatment Period 1: Cohort B, Dose 1Experimental Treatment1 Intervention
Group XV: Treatment Period 1: Cohort A, Dose 2Experimental Treatment1 Intervention
Group XVI: Treatment Period 1: Cohort A, Dose 1Experimental Treatment1 Intervention
Group XVII: LTE Period: Without Relapse in Period 2: Dose 2Experimental Treatment1 Intervention
Group XVIII: LTE Period: With Relapse in Period 2: Dose 1 and Dose 2Experimental Treatment2 Interventions

Batoclimab is already approved in European Union, United States for the following indications:

🇪🇺
Approved in European Union as Batoclimab for:
🇺🇸
Approved in United States as Batoclimab for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Immunovant Sciences GmbH

Lead Sponsor

Trials
12
Recruited
1,400+

Published Research Related to This Trial

Engineered human IgG1 antibodies with enhanced binding to the Fc receptor FcRn showed significantly longer half-lives in mice expressing human FcRn, indicating that modifying antibodies can improve their effectiveness in the bloodstream.
These modified antibodies not only persisted longer but also effectively reduced the half-life of other antibodies, suggesting potential for treating autoimmune diseases by promoting the clearance of harmful IgG antibodies.
Enhanced half-life of genetically engineered human IgG1 antibodies in a humanized FcRn mouse model: potential application in humorally mediated autoimmune disease.Petkova, SB., Akilesh, S., Sproule, TJ., et al.[2022]
A new panel of highly specific monoclonal antibodies (mAbs) against human FcRn has been developed, which can help researchers study the expression and function of this important receptor in the body.
These mAbs can selectively block the binding of IgG antibodies and serum albumin to FcRn, providing a valuable tool for exploring therapeutic strategies that target FcRn to enhance drug delivery and efficacy.
Monoclonal antibodies directed against human FcRn and their applications.Christianson, GJ., Sun, VZ., Akilesh, S., et al.[2022]

Citations

Batoclimab as induction and maintenance therapy in ...Batoclimab is a fully human anti-FcRn monoclonal antibody that is being developed as a low-volume subcutaneous (SC) injection for the treatment ...
An Open-Label Extension Study of Batoclimab in Adult ...This is an open-label extension (OLE) study designed to evaluate the long-term safety and tolerability of batoclimab in participants with CIDP who have ...
Immunovant Announces Positive Results for Batoclimab ...Pivotal study in MG met primary endpoint of change from baseline in MG-ADL in AChR+ population at 12 weeks, with a 5.6 point improvement in ...
Batoclimab – Application in Therapy and Current Clinical ...Batoclimab, also known as IMVT-1401, is a novel drug currently being studied in clinical trials for various autoimmune disorders.
batoclimab (IMVT-1401) / Harbour BioMed, Roivant, ...An Open-Label Extension Study of Batoclimab in Adult Participants With Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) ... monoclonal antibody ...
A Phase 2b, Multi-center, Randomized, Quadruple-blind, ...This project is being done to find out if a study drug called batoclimab is safe and helps people with Chronic Inflammatory Demyelinating Polyneuropathy (CIDP).
Unbiased ResultsWe believe in providing patients with all the options.
Your Data Stays Your DataWe only share your information with the clinical trials you're trying to access.
Verified Trials OnlyAll of our trials are run by licensed doctors, researchers, and healthcare companies.
Terms of Service·Privacy Policy·Cookies·Security