ClinicalTrials.gg
RecruitingNCT04589299SIDECUpdated May 17, 2024

Subcutaneous Immunoglobulin in De-novo CIDP (SIDEC)

A Phase 4 interventional study of Immunoglobulin in CIDP - Chronic Inflammatory Demyelinating Polyneuropathy, sponsored by University of Aarhus. Recruiting at 4 sites in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-17.

Sponsored by University of Aarhus · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Jun 2020, registered Sep 2020).
  • Started Jun 2020; still recruiting 6 years 5 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 24 studies in Polyradiculoneuropathy, Chronic Inflammatory Demyelinating with a site in Denmark — 8 open to participants now, 11 under way, 6 of them phase 3. Polyradiculoneuropathy, Chronic Inflammatory Demyelinating · Denmark.

Planned enrollment
12th of 17
60 · median 109
Started
2020
with 2 others
Phase 4
Only one
of the 24
Primary completion
2030-12
later than 10 of 10 live
Registered
14th of 24
by date
Lead sponsor
6 of 24
University of Aarhus

Among the 24 studies in Polyradiculoneuropathy, Chronic Inflammatory Demyelinating with a site in Denmark, this one is the 12th largest by planned enrollment of the 17 interventional ones that give a count, is one of 3 that started in 2020, is the only one in phase 4, reaches primary completion later than 10 of the 10 other live ones, and was the 14th registered.

Polyradiculoneuropathy, Chronic Inflammatory Demyelinating

137 studies on the registry are indexed under Polyradiculoneuropathy, Chronic Inflammatory Demyelinating; 51 are open to participants now.

Browse Polyradiculoneuropathy, Chronic Inflammatory Demyelinating studies →

Open to participants now

8 of the 24 studies in Polyradiculoneuropathy, Chronic Inflammatory Demyelinating with a site in Denmark are open now. Recruiting first, the newest first:

2 more — sign in →

All 8 open studies →

A study can be open while its sites in Denmark have not opened yet or have stopped. Only those recruiting at a site in Denmark →

Who these studies take

Of the 36 Polyradiculoneuropathy, Chronic Inflammatory Demyelinating studies recruiting now, 24 (67%) set no upper age limit and 9 (25%) stop at 75 or younger; 4 take children under 18; 2 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 24 studies in Polyradiculoneuropathy, Chronic Inflammatory Demyelinating with a site in Denmark, or all of them as a file.
02

Study summary

SIDEC - (Subcutaneous Immunoglobulin in De-novo CIDP) ia a study designed as a randomized, parallel study with an open-label extension phase. The aims are to compare the effect of SCIG and IVIG in 60 treatment-naïve CIDP patients, and to detect the lowest effective dosage for maintenance treatment.

Read the detailed description

In fase I the patients are followed for 26 weeks on a fixed dose of 0.54 g/kg/week in the SCIG group (total 14 g/kg) and 2 g/kg/4week in the IVIG group (total 14 g/kg). The patients automatically continue in fase II in which treatment is reduced every 12 weeks (90%, 75%, 50%, 25% and 0%) over a course 60 weeks. The patients are evaluated at every visit with overall disability sum score (ODSS), grip strength, medical research council score (MRC-score), INCAT-Sensory Sum Score (ISS), 10-meter-walk test (10-MWT), 6-spot-step test (6-SST), 9-hole-peg test (9-HPT), quality of life (EQ-5D-5L), Fatigue Severity Scale (FSS), Neuropathic Pain Symptom Inventory (NPSI), Rasch built overall disability scale (RODS) and Life Quality Index (LQI) and blood samples.

03

Conditions studied

  • CIDP - Chronic Inflammatory Demyelinating Polyneuropathy

Keywords

  • Immunoglobulins, Intravenous
  • Injections, Subcutaneous
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Fulfilling EFNS/PNS criteria for definite, probable or pure motor CIDP.
  • No previous treatment with IVIG or SCIG.
  • Age ≥ 18.
  • ODSS ≥ 2 - either (arm/leg): 1/1, 2/0 or 0/2 at the time of inclusion.

Clinical criteria for typical CIDP

  • Chronically progressive, stepwise, or recurrent symmetric proximal and distal weakness and sensory dysfunction of all extremities, developing over at least 2 months; cranial nerves may be affected.
  • Absent or reduced tendon reflexes in all extremities.

Criteria for pure motor CIDP • Pure motor affection; otherwise as for typical CIDP.

Electrophysiological criteria for CIDP

  1. Motor distal latency prolongation ≥50% above in two nerves (excluding median neuropathy at the wrist from carpal tunnel syndrome), or
  2. Reduction of motor conduction velocity ≥30% below LLN in two nerves, or
  3. Prolongation of F-wave latency ≥30% above ULN in two nerves (≥50% if amplitude of distal negative peak CMAP ≤80% of LLN values), or
  4. Absence of F-waves in two nerves of these nerves have distal negative peak CMAP amplitudes ≥20% of LLN + ≥1 other demyelinating parameter in ≥1 other nerve, or
  5. Partial motor conduction block: ≥50% amplitude reduction of the proximal negative peak CMAP relative to distal, if distal negative peak CMAP >20% of LLN, in two nerves, or in one nerve + ≥1 other demyelinating parameter in ≥1 other nerve, or
  6. Abnormal dispersion (≥30% duration increase between the proximal and distal negative peak CMAP) in ≥2 nerves, or
  7. Distal CMAP duration (interval between onset of the first negative peak an return to baseline of the last negative peak) increase in ≥1 nerve (median ≥6.6 ms, ulnar ≥6.7 ms, peroneal ≥7.6 ms, tibial ≥8.8 ms) + ≥1 other demyelinating parameter in ≥1 other nerve

Electrophysiological criteria for probable CIDP

(a) ≥30% amplitude reduction of the proximal negative peak CMAP relative to distal, excluding the posterior tibial nerve, if distal negative peak CMAP ≥20% of LLN, in two nerves, or in one nerve + ≥1 other demyelinating parameter in ≥1 other nerve

Exclusion criteria

Exclusion Criteria:

  • Other causes of neuropathy
  • Increased risk of thromboembolism
  • Pregnancy (Plasma HCG is tested at inclusion in all fertile women)
  • Breast feeding
  • Severe medical disease
  • Other immune modulating treatment than low dose (prednisolon \< 25 mg daily) within the last 6 months prior to inclusion
  • or C or infection (screening at inclusion)
  • Known IgA deficiency
  • Known allergy to consents in PRIVIGEN or HIZENTRA
  • Body weight > 120 kg

After treatment initiation:

  • Pregnancy
  • Serious medical disease that affects treatment or examinations
  • Non-compliance to treatment
  • Initiation of other immune modulating therapy
  • Unacceptable side effects
  • Withdrawal of consent to participate (drop-out)
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Active comparator
    Patients treated with immunoglobulin intravenously (IVIG)

    Immunoglobulin (PRIVIGEN) intravenously 2 g/kg/4week for 26 weeks. After this 60 weeks of reduction every 12 weeks (90%, 75%, 50%, 25% and 0%).

    Biological: Immunoglobulin

  • Active comparator
    Patients treated with immunoglobulin subcutaneously (SCIG)

    Immunoglobulin (HIZENTRA) subcutaneously 0.54 g/kg/week for 26 weeks. After this 60 weeks of reduction every 12 weeks (90%, 75%, 50%, 25% and 0%).

    Biological: Immunoglobulin

Interventions

  • BiologicalImmunoglobulin

    Randomization 1:1 to the same total dose of either SCIG or IVIG for 26 weeks of stable dose + 60 weeks of redcution.

06

What researchers measure

Primary outcomes

  1. Change in disability

    Evaluated with overall disability sum score (ODSS)

    Time frame: Week 0 to 26

Secondary outcomes

  1. Change in grip strength

    Grip strength (JAMAR)

    Time frame: Week 0 to 26

  2. Change in general muscle strength

    MRC-score

    Time frame: Week 0 to 26

  3. Change in sensation

    INCAT-Sensory Sum Score (ISS)

    Time frame: Week 0 to 26

  4. Change in walking performance

    10-meter-walk test (10-MWT)

    Time frame: Week 0 to 26

  5. Change in walking performance and imbalance

    6-spot-step test (6-SST)

    Time frame: Week 0 to 26

  6. Change in dexterity

    9-hole-peg test (9-HPT)

    Time frame: Week 0 to 26

  7. Change in quality of life

    QoL (EQ-5D-5L incl. VAS)

    Time frame: Week 0 to 26

  8. Change in fatigue severity

    Fatigue Severity Scale (FSS)

    Time frame: Week 0 to 26

  9. Change in pain severity

    Neuropathic Pain Symptom Inventory (NPSI)

    Time frame: Week 0 to 26

  10. Change in disability

    Rasch built overall disability scale (RODS)

    Time frame: Week 0 to 26

  11. Change in treatment satisfaction

    Life Quality Index (LQI)

    Time frame: Week 2 to 26

  12. Serum samples

    Plasma IgG Hematology: hemoglobin, reticulocyte count, haptoglobin, bilirubin, plasma haemoglobin, leukocyte count, thrombocyte count. Inflammatory biomarkers: sCD163 and neurofilament

    Time frame: Week 0 to 26

  13. Fluctuations in the describing parameters (ODSS and RODS) in both groups (SCIG and IVIG) based on measurement at time points for treatment with IVIG

    Average value of examinations made at week 0, 4 and 20 (prior to IVIG infusion) Average value of examinations made at week 2, 14 and 26 (2 weeks after IVIG infusion)

    Time frame: Week 0 to 26

Other outcomes

  1. The lowest dose of IVIG or SCIG reached during the 60 weeks of reduction (Fase II).

    Monitored on ODSS and the same secondary parameters as in week 0 to 26

    Time frame: Week 26 to 86

07

Study locations

1 of 4 sites recruiting
  • Department of Neurology, Aalborg University Hospital
    Aalborg, 9000, Denmark
    Not yet recruiting
    • Izabella Obál, Md, PhD · Contacti.obal@rn.dk · 9766 2200
  • Department of Neurology, Aarhus University Hospital
    Aarhus C, 8000, Denmark
    Recruiting
    • Henning Andersen, DMSc · Contacthennande@rm.dk
    • Lars Markvardsen, MD · Contactlarsmark@rm.dk · +45 7846 3337
    • Lars Markvardsen, MD · Sub investigator
    • Henning Andersen, DMSc · Principal investigator
  • Department of Neurology, Rigshospitalet, Copenhagen University Hospital
    Copenhagen, 2100, Denmark
    Not yet recruiting
  • Department of Neurology, Odense University Hospital
    Odense, 5000, Denmark
    Not yet recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2020 (actual). Primary completion is estimated for Dec 2030, 126 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 9, 2020
First posted
Oct 19, 2020
StartActual
Jun 4, 2020
Primary completionEst.
Dec 31, 2030
CompletionEst.
Dec 31, 2030
Last update
May 17, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 17, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04589299
Responsible party
Sponsor
First posted
Oct 19, 2020
Start date
Jun 4, 2020
Primary completion
Dec 31, 2030 (estimated)
Completion
Dec 31, 2030 (estimated)
Last update
May 17, 2024

Study contacts

Lars Markvardsen, MD, PhD
Contact
larsmark@rm.dk
+45 20231903
Henning Andersen, MD,DMSc,PhD
principal investigator · Aarhus University, Aarhus University Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Immunoglobulins

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