ClinicalTrials.gg
RecruitingNCT06752356Updated Nov 5, 2026

A Study Investigating Intravenous Human Normal Immune Globulin (IGIV) 10% KIg10 (QIVIGY) in Subjects With Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)

A Phase 3 interventional study of Immune globulin (human) 10% solution for intravenous administration in Chronic Inflammatory Demyelinating Polyneuropathy, sponsored by Kedrion S.p.A.. Recruiting at 6 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by Kedrion S.p.A. · Phase 3, Interventional, and Treatment

Updated Nov 5, 2026Start date moved1 site addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
161
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The current study is being conducted to assess the efficacy and safety of KIg10 (Intravenous Human Immune globulin 10%) at two different dosages as maintenance therapy for Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) following 21 weeks of treatment.

Read the detailed description

This is a Double Blind, Randomized study. All subjects will enter a wash-out phase of up to 12 weeks, or until functional deterioration, defined as an increase of ≥1 point (worsening) in the adjusted INCAT disability score, is demonstrated. Eligible subjects will then be randomized in a 1:2 ratio to receive either 0.5 g/kg or 1.0 g/kg KIg10 at 3-weekly intervals for 21 weeks. Subjects who relapse during randomized treatment due to functional deterioration, based on the INCAT score, will be rescued with 2.0 g/kg KIg10 at 3-weekly intervals for 21 weeks.

02

Conditions studied

  • Chronic Inflammatory Demyelinating Polyneuropathy

Keywords

  • Chronic Inflammatory Demyelinating Polyneuropathy
  • CIDP
  • Intravenous
  • Human Immunoglobulin
  • KIg10
  • QIVIGY
03

In context

Polyradiculoneuropathy, Chronic Inflammatory Demyelinating

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

This study's planned enrollment of 161 is above the median of 37 across 85 interventional studies indexed under Polyradiculoneuropathy, Chronic Inflammatory Demyelinating.

Browse Polyradiculoneuropathy, Chronic Inflammatory Demyelinating studies →

Lead sponsor

Kedrion S.p.A. is the lead sponsor of 10 studies on the registry; 4 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

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

  1. Male or female, aged ≥18 years.
  2. Written and authorization to access personal health information obtained independently from participants indicating that they understand the purpose of, and procedures required for, the study and are willing to participate.
  3. Documented diagnosis of CIDP consistent with the 2021 European Academy of Neurology/Peripheral Nerve Society (EAN/PNS) criteria.
  4. Current or documented history of significant disability, as defined by an overall INCAT disability score between 2 and 9. A score of 2 must be exclusively from the lower extremities.
  5. Participants are currently dependent on treatment with immunoglobulins, , or standard of care treatments for CIDP.
  6. Weakness of at least two limbs.
  7. Participants should be clinically stable 12 weeks prior to screening date as defined by:

    • without a worsening in INCAT score of ≥1 point, AND/OR without significant changes in clinical symptoms AND
    • without significant dose changes or requiring additional treatments.

Exclusion criteria

Exclusion Criteria:

  1. Patients' incapable of giving .
  2. Pure sensory and other CIDP variants.
  3. Females who are pregnant, breastfeeding, unwilling to practice effective methods as defined in Appendix C throughout the study, or planning a pregnancy during the study.
  4. IG-experienced participants requiring an IGIV dosage of more than 1.4 g/kg/month OR SCIG pre-treated participants requiring a SCIG dosage of more than 1.6 g/kg/month.
  5. Participants who have previously failed to respond to IGIV or SCIG.
  6. On screening date, a (BMI) > 35 kg/m2 or an IGIV dose that puts the patient at risk of fluid overload.
  7. CIDP and any neuropathy of other causes not consistent with the 2021 EAN/PNS criteria including:

    1. Hereditary demyelinating neuropathies, such as a hereditary sensory and motor neuropathy (HSMN) (Charcot-Marie-Tooth [CMT] disease), and hereditary sensory and autonomic neuropathies (HSANs).
    2. Neuropathies secondary to infections, disorders, or systemic diseases such as Borrelia burgdorferi infection (Lyme disease), diphtheria, systemic lupus erythematosus, POEMS (polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes) syndrome, osteosclerotic myeloma, diabetic and non-diabetic lumbosacral radiculoplexopathy or neuropathy, lymphoma, and amyloidosis.
    3. Multifocal motor neuropathy (MMN).
    4. Drug-, biologic-, chemotherapy-, or toxin-induced peripheral neuropathy. Peripheral neuropathy induced by vitamin B12 deficiency.
  8. Immunoglobulin M (IgM) paraproteinemia, including IgM monoclonal gammopathy with increased titers of antibodies to myelin-associated glycoprotein.
  9. Central demyelinating disorders (e.g, multiple sclerosis) or severe myopathy.
  10. Any chronic or debilitating disease, or central nervous disorder that causes neurological symptoms or may interfere with assessment of CIDP or outcome measures (e.g., severe arthritis, stroke, Parkinson's disease, and diabetic peripheral neuropathy) [participants with clinically diagnosed diabetes mellitus, who have adequate glycemic control with (HbA1C) of \<7.5% at screening, and who agree to maintain adequate glycemic control during the study are allowed].
  11. Congestive heart failure ( (NYHA) Class III/IV), unstable angina, unstable cardiac arrhythmias, or uncontrolled hypertension [i.e., diastolic blood pressure >100 mmHg and/or systolic blood pressure >160 mmHg]. If a single measure exceeds this limit, a triple repeat measurement may be performed and the average of the three measurements used.
  12. History of deep vein thrombosis or thromboembolic events (e.g, cerebrovascular accident, pulmonary embolism) in the past 12 months.
  13. Condition(s) which could alter protein catabolism and/or IgG utilization (e.g, protein-losing enteropathies, nephrotic syndrome).
  14. Known history of chronic kidney disease, or (GFR) of \<60 milliliter per minute per 1.73 square meter (mL/min/1.73m2) estimated based on an established chronic kidney disease epidemiology collaboration (CKD-EPI) equation at the time of screening.
  15. Active requiring chemotherapy and/or radiotherapy, or history of malignancy with less than 2 years of complete remission prior to screening. Exceptions are adequately treated basal cell or squamous cell carcinoma of the skin, carcinoma in situ of the cervix, and stable prostate cancer not requiring treatment.
  16. or adverse reactions (e.g, urticaria, breathing difficulty, severe hypotension, or anaphylaxis) to human blood products such as human IgG, albumin, or other blood components.
  17. Known history of immunoglobulin A (IgA) deficiency.
  18. Known history of nodo-paranodopathies causing IG treatment resistance, including anti-neurofascin (NF) 186 antibodies and antibodies against paranodal proteins, such as NF155, contactin 1 (CNTN1), and contactin-associated protein 1 (CASPR1).
  19. Abnormal laboratory values at screening:

    1. Serum (AST) and alanine aminotransferase (ALT) > 2.5x (ULN)
    2. count \<100,000 cells/µL.
    3. (ANC) \<1000 cells/µL.
    4. anemia or (Hgb) level of \< 10.0 g/dL at screening.
  20. Ongoing/active infection with virus (HBV), virus (HCV) or Type 1/2 infection. Participants with chronic hepatitis B or hepatitis C infection currently on treatment may participate if they have undetectable viral load within 12 months of screening date.
  21. Subjects who have received:

    1. Within 2 months before wash-out phase:

      • PE
      • change in treatment of methotrexate, azathioprine, or mycophenolate
    2. Within 3 months before wash-out phase: Efgartigimod alfa (Vyvgart)
    3. Within 5 months before wash-out phase: cyclophosphamide, interferon, tumor necrosis factor-alpha inhibitors, fingolimod, or any other medications
    4. Within 12 months before wash-out phase: rituximab or alemtuzumab
  22. Participants who have received a hematopoietic stem cell transplant.
  23. Participants on for the treatment of CIDP after being fully washed out. Participants on maintenance doses of corticosteroid may be allowed, if treatment is for conditions unrelated to CIDP (doses usually below 20 mg/day prednisone or equivalent and where the dosage is unlikely to be tapered during the duration of the trial may be allowed for indications other than CIDP).
  24. Any disorder or condition that in the investigator's judgment may impede the participant's participation in the study, pose increased risk to the participant, or confound the results of the study.
  25. Participation in another clinical study involving an medicinal product (IMP) or investigational device within 30 days prior to screening visit or within 5 half-lives of the IMP under investigation or is scheduled to participate in another clinical study involving an IMP or investigational device during the intended course of this study.
  26. History of acquired or inherited thrombophilic disorders. These will include the specific types of acquired or inherited thrombophilic disorders that could put participants at risk of developing thrombotic events. Examples include, but are not restricted to:

    1. Hereditary thrombophilia, examples include

      • Factor V Leiden mutation.
      • Prothrombin 20210A mutation.
      • Protein C deficiency.
      • Protein S deficiency.
      • Antithrombin deficiency.
    2. Acquired thrombophilias, examples include:

      • Antiphospholipid antibody syndrome.
      • Activated protein C Resistance acquired.
      • Homocysteinemia.
  27. Previous participation in this clinical study, except for participants who withdrew consent during the phase, prior to randomization.
  28. Any other factor that, in the opinion of the investigator, would prevent the subject from complying with the requirements of the protocol.
Terms in these criteria, in plain language(22)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
161 participants (estimated)

Study arms

  • Experimental
    1.0 g/kg dose group for 24 weeks

    This group will receive, initial loading dose of 2.0 g/kg of Intravenous (IV) KIg10 (Immunoglobulin) infusion followed by 1.0 g/kg of IV KIg10 every 3 weeks.

    Biological: Immune globulin (human) 10% solution for intravenous administration

  • Experimental
    0.5 g/kg dose group for 24 weeks

    This group will receive, Initial loading dose of 2.0 g/kg of Intravenous (IV) KIg10 (Immunoglobulin) infusion will be given followed by 0.5 g/kg of IV KIg10 every 3 weeks.

    Biological: Immune globulin (human) 10% solution for intravenous administration

Interventions

06

What researchers measure

Primary outcomes

  1. Efficacy of 1.0 g/kg KIg10 in the treatment of adult subjects with active CIDP

    The proportion of responders in the 1.0 g/kg KIg10 arm, at week 24 relative to Randomization Baseline week 0, based on the adjusted INCAT disability score. A responder is defined as having a ≥1 point decrease (improvement) in the adjusted INCAT score at week 24 relative to adjusted INCAT score at randomization baseline.

    Time frame: From Baseline upto 24 weeks of treatment

Secondary outcomes

  1. Efficacy of 0.5 g/kg KIg10 in the treatment of adult subjects with active CIDP

    The proportion of responders in the 0.5 g/kg KIg10 arm at week 24 relative to randomization baseline, based on the adjusted INCAT disability score. A responder is defined as having a ≥1 point decrease (improvement) in the adjusted INCAT score at week 24 relative to adjusted INCAT score at randomization baseline.

    Time frame: From Baseline upto 24 weeks of treatment

  2. Proportion of responders (Week 24 vs Baseline) in both dose groups

    Proportion of responders in both dose groups based on Grip Strength and I-RODs

    Time frame: From Baseline upto 24 weeks of treatment

  3. Proportion of responders in rescued subjects

    Proportion of responders in rescued subjects based on grip strength, I-RODS scores, adjusted INCAT disability score

    Time frame: End of Treatment vs onset of rescue treatment

  4. Improvers based on the MRC-sumscore

    Improvers by a change of 4 points in both dose groups (week 24 versus baseline) based on MRC-sumscore

    Time frame: From Baseline upto 24 weeks of treatment

  5. Mean Change in MRC-sumscore

    Mean change in MRC-sumscore for both dose groups at week 24 vs baseline

    Time frame: From Baseline upto 24 weeks of treatment

  6. Mean Change in MRC-sumscore for rescued subjects

    Mean change in MRC-sumscore for rescued subjects from End of Treatment versus onset of rescue treatment

    Time frame: End of Treatment vs onset of rescue treatment

  7. Disease Related QoL (CAPPRI) for each dose level

    For each dose level the Chronic Acquired Polyneuropathy Patient Reported Index (CAPPRI) will be analysed for disease related QoL

    Time frame: From Baseline upto 24 weeks of treatment

  8. Mean change in I-RODS

    For each dose level, mean change from randomization baseline (visit 2, week 0) to end of study (visit 10, week 24) in Inflammatory-Rasch-built Overall Disability Scale (I- RODS) score

    Time frame: From Baseline upto 24 weeks of treatment

  9. Mean change in I-RODS for rescued subjects

    Mean change to the end of treatment assessments prior to onset of rescue treatment, in Inflammatory-Rasch-built Overall Disability Scale (I- RODS) score for rescued subjects

    Time frame: End of Treatment vs onset of rescue treatment

Other outcomes

  1. Number of adverse events

    Assess Safety and Tolerability of KIg10

    Time frame: From Baseline upto 25 weeks

  2. The proportion of patients experiencing at least one adverse event.

    Assess Safety and Tolerability of KIg10

    Time frame: From Baseline upto 25 weeks

07

Study locations

6 of 6 sites recruiting
  • New England Institute for Clinical Research
    Stamford, Connecticut 06905, United States
    Recruiting
    • Peter McAllister · Principal investigator
  • Quantix Research
    Miami, Florida 33155, United States
    Recruiting
    • Sergio Jaramillo · Principal investigator
  • Best Choice Medical and Research Service
    Pembroke Pines, Florida 33024, United States
    Recruiting
    • Vaniolky Losada Leon · Principal investigator
  • USF Health - Morsani Center for Advanced Healthcare
    Tampa, Florida 33613, United States
    Recruiting
    • Kathleen Murray · Principal investigator
  • Dartmouth-Hitchcock Medical Center
    Lebanon, New Hampshire 03756, United States
    Recruiting
    • Victoria Lawson · Principal investigator
  • Advanced Neurology Epilepsy and Sleep Center/ANESC Research
    El Paso, Texas 79912, United States
    Recruiting
    • Aamr Herekar · Principal investigator
08

References and documents

Publications

  • Hughes RA, Donofrio P, Bril V, Dalakas MC, Deng C, Hanna K, Hartung HP, Latov N, Merkies IS, van Doorn PA; ICE Study Group. Intravenous immune globulin (10% caprylate-chromatography purified) for the treatment of chronic inflammatory demyelinating polyradiculoneuropathy (ICE study): a randomised placebo-controlled trial. Lancet Neurol. 2008 Feb;7(2):136-44. doi: 10.1016/S1474-4422(07)70329-0. PubMed 18178525 ↗

Individual participant data

Plan to share: No — Publishing of data and IPD that underlie results in the publication will be determined at study completion to comply with ICJME minimum requirements.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Start is estimated for Nov 2026; primary completion for Dec 2027, 13 months later.

Start moved once since we started tracking on Sep 25, 2026: Oct 2026 → Nov 2026, on Nov 5, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Dec 16, 2024
First posted
Dec 30, 2024
StartEst.
Nov 2026was Oct 2026
Primary completionEst.
Dec 20, 2027
CompletionEst.
Dec 27, 2027
Last update
Nov 5, 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.
Sites
1 site added
Show site
  • Best Choice Medical and Research Service · Pembroke Pines, United States
Nov 5, 2026
Start date
Oct 2026→Nov 2026
Nov 5, 2026
Show all 1 update
  1. Nov 5, 2026
    1 site added
    Show site
    • Best Choice Medical and Research Service · Pembroke Pines, United States
    Start date Oct 2026→Nov 2026
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06752356
Lead sponsor
Kedrion S.p.A.
Responsible party
Sponsor
First posted
Dec 30, 2024
Start date
Nov 2026 (estimated)
Primary completion
Dec 20, 2027 (estimated)
Completion
Dec 27, 2027 (estimated)
Last update
Nov 5, 2026

Study contacts

Anna Lotti Suffredini
Contact
a.lotti@kedrion.com
+39 338 6827568
Esra Cinar-Jones
Contact
e.cinarjones@kedrion.com
+44 7551 563340
Lakshmi Deshpande
study chair · Kedrion S.p.A.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
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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