ClinicalTrials.gg
RecruitingNCT04871035IPET-GBSUpdated May 1, 2026

Immunoadsorption Versus Plasma Exchange for Treatment of Guillain-Barré Syndrome (GBS)

An observational study in GBS, sponsored by University of Ulm. Recruiting at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-01.

Sponsored by University of Ulm · Observational

From the registry’s dates

  • Started Apr 2021; still recruiting 5 years 6 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
20
Ages
18 Years and older
Sex
All
01

Study summary

This is an observations study evaluating safety and efficacy of immunoadsorption compared to plasma exchange in Guillain-Barré Syndrome.

02

Conditions studied

  • GBS
03

In context

Lead sponsor

University of Ulm is the lead sponsor of 143 studies on the registry; 25 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population consists of patients diagnosed with Guillain-Barré syndrome (GBS) who are treated with either plasma exchange or immunoadsorption in the Department of Neurology, University of Ulm.

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

  • Diagnosis of Guillain-Barré Syndrome according to the diagnostic criteria proposed by Doorn et al. (Clinical features, pathogenesis, and treatment of Guillain-Barré syndrome, Lancet neurology 2008)
  • age 18 years or above

Exclusion criteria

Exclusion Criteria:

  • Clinical or laboratory (C-reactive protein 20 mg/l or above, or evidence of nitrite-positive urinary tract infection) evidence of manifest systemic infection
  • Intake of angiotensin converting enzyme inhibitor within1 weeks before first treatment
  • Other against immunoadsorption or plasma exchange
Terms in these criteria, in plain language(1)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
20 participants (estimated)
Patient registry
No

Groups and cohorts

  • Immunoadsorption

    Device: Immunoadsorption

  • Plasma Exchange

    Device: Plasma Exchange

Interventions

  • DeviceImmunoadsorption

    1 cycle, consisting of 5 sessions on 5 consecutive days with processing of the 0.7-fold individual plasma volume (maximum 2.5 l) each days with tryptophan adsorbers.

  • DevicePlasma Exchange

    1 cycle, consisting of 5 sessions on 5 consecutive days with exchange of 0.7-fold plasma volume (maximum 2.5 l) each day with albumin solution as volume replacement solution.

06

What researchers measure

Primary outcomes

  1. Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) Score

    Combined score consisting of Inflammatory Neuropathy Cause and Treatment (INCAT) disability score, Oxford muscle strength score, and vibration score, equally weighted

    Time frame: 2 weeks

  2. Inflammatory Neuropathy Cause and Treatment (INCAT) disability score

    Standard clinical score for inflammatory neuropathies.

    Time frame: 2 weeks

  3. Oxford Muscle Strength Score (Medical Research Council, MRC)

    Standard clinical score for evaluating muscle strength / paresis. Muscle strength will be measured on a scale between 0 (no movement) and 5 (full strength) on 8 pre-defined muscles (one proximal and one distal muscle at each extremity).

    Time frame: 2 weeks

  4. Vibration Score

    Standard clinical score for evaluation of vibration sensitivity on a scale between 0 and 8, using a 256 tuning fork at 4 predefined spots (processus styloideus radii and malleolus lateralis on both sides).

    Time frame: 2 weeks

Secondary outcomes

  1. Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) Score

    Combined score consisting of Inflammatory Neuropathy Cause and Treatment (INCAT) disability score, Oxford muscle strength score, and vibration score, equally weighted

    Time frame: 1, 3, and 5 weeks

  2. Inflammatory Neuropathy Cause and Treatment (INCAT) disability score

    Standard clinical score for inflammatory neuropathies.

    Time frame: 1, 3, and 5 weeks

  3. Oxford Muscle Strength Score (Medical Research Council, MRC)

    Standard clinical score for evaluating muscle strength / paresis. Muscle strength will be measured on a scale between 0 (no movement) and 5 (full strength) on 8 pre-defined muscles (one proximal and one distal muscle at each extremity).

    Time frame: 1, 3, and 5 weeks

  4. Vibration Score

    Standard clinical score for evaluation of vibration sensitivity on a scale between 0 and 8, using a 256 tuning fork at 4 predefined spots (processus styloideus radii and malleolus lateralis on both sides).

    Time frame: 1, 3, and 5 weeks

  5. Hughes Score

    Standard clinical score to quantify disability in Guillain-Barré syndrome

    Time frame: 1, 2, 3, and 5 weeks

  6. Pain

    Pain quantified on a visual analog scale between 0 (no pain) and 10 (maximum pain).

    Time frame: 1, 2, 3, and 5 weeks

  7. N20

    N20 latency of nervus medianus (both sides) as measured by somatosensory evoked potentials (SEPs)

    Time frame: 2 and 5 weeks

  8. P40

    P40 latency of nervus tibialis (both sides) as measured by somatosensory evoked potentials

    Time frame: 2 and 5 weeks

  9. Nerve Conduction Velocity

    Nerve conduction velocity of clinically affected nerves as measured by electroneurography (ENG)

    Time frame: 2 and 5 weeks

  10. Euro Quality of Life 5 Dimensions 5 Levels (EQ-5D-5L)

    Quality of Life Scale

    Time frame: 1, 2, 3, and 5 weeks

  11. Immunoglobulin A in serum

    Immunoglobulin A serum concentration

    Time frame: 1, 2, 3, and 5 weeks

  12. Immunoglobulin A in cerebrospinal fluid (CSF)

    Immunoglobulin A concentration in cerebrospinal fluid

    Time frame: 2 weeks

  13. Immunoglobulin G in serum

    Immunoglobulin G serum concentration

    Time frame: 1, 2, 3, and 5 weeks

  14. Immunoglobulin G in cerebrospinal fluid (CSF)

    Immunoglobulin G concentration in cerebrospinal fluid

    Time frame: 2 weeks

  15. Immunoglobulin M in serum

    Immunoglobulin M serum concentration

    Time frame: 1, 2, 3, and 5 weeks

  16. Immunoglobulin M in cerebrospinal fluid (CSF)

    Immunoglobulin M concentration in cerebrospinal fluid

    Time frame: 2 weeks

  17. Interleukin-1

    Interleukin-1 serum concentration

    Time frame: 1, 2, 3, and 5 weeks

  18. Interleukin-6

    Interleukin-6 serum concentration

    Time frame: 1, 2, 3, and 5 weeks

  19. Anti-GM1 antibodies

    Anti-GM1 antibody serum levels

    Time frame: 1, 2, 3, and 5 weeks

  20. Anti-GQ1b

    Anti-GQQ1b antibody serum levels

    Time frame: 1, 2, 3, and 5 weeks

  21. Neurofilament light chain (NfL) serum

    Neurofilament light chain (NfL) serum levels

    Time frame: 1, 2, 3, and 5 weeks

  22. Neurofilament light chain (NfL) in cerebrospinal fluid (CSF)

    Neurofilament light chain (NfL) levels in cerebrospinal fluid (CSF)

    Time frame: 2 weeks

  23. Safety and Tolerability

    Kind and frequency of Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Time frame: 1, 2, 3, and 5 weeks

  24. Therapeutic Response

    Share of patients with at least 20% improvement in CIDP score

    Time frame: 1, 2, 3, and 5 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Individual participant data that underlie the results reported in this article, after de-identification (text, tables, and figures), as well as the study protocol will be available. Data will be available beginning 3 months and ending 5 years following article publication. Data will be shared with researchers who provide a methodologically sound proposal. Data will be shared for analyses to achieve the aims in the approved proposal. Proposals should be directed to johannes.dorst@uni-ulm.de; to gain access, data requestors will need to sign a data access agreement. Data are available for 5 years at https://www.uniklinik-ulm.de/neurologie.html.

Supporting information: Study protocol

Time frame: 3 months after publication until 5 years after publication

Access criteria: Data will be shared with researchers who provide a methodologically sound proposal. Data will be shared for analyses to achieve the aims in the approved proposal.

Data sharing details ↗ · www.uniklinik-ulm.de

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Apr 2021 (actual). Primary completion is estimated for Sep 2027, 76 months after the start.

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

Registered
Apr 28, 2021
First posted
May 4, 2021
StartActual
Apr 28, 2021
Primary completionEst.
Sep 1, 2027
CompletionEst.
Sep 1, 2027
Last update
May 1, 2026
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 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04871035
Lead sponsor
University of Ulm
Collaborators
DiaMed GmbH
Responsible party
Albert Christian Ludolph, Prof. (Prof. Dr., University of Ulm) — Principal investigator
First posted
May 4, 2021
Start date
Apr 28, 2021
Primary completion
Sep 1, 2027 (estimated)
Completion
Sep 1, 2027 (estimated)
Last update
May 1, 2026

Study contacts

Johannes Dorst, Prof
Contact
johannes.dorst@uni-ulm.de
+49 731 177 5285
Johannes Dorst, Prof
principal investigator · University of Ulm

Oversight

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

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