ClinicalTrials.gg
Not yet recruitingNCT07806916GREATUpdated Sep 18, 2026

Efficacy and Safety of Efgartigimod in the Treatment of Guillain-Barré Syndrome(GREAT)

A Phase 2 interventional study of Intravenous immunoglobulin (IVIG) and Efgartigimod Alfa-Fcab in Guillain-Barré Syndrome, sponsored by Beijing Tiantan Hospital. Not yet recruiting. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-09-18.

Sponsored by Beijing Tiantan Hospital · Phase 2, Interventional, and Treatment

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Phase 2
Study type
Interventional
Enrollment
110
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The goal of this clinical trial is to evaluate the safety and effectiveness of Efgartigimod in patients with Guillain-Barre syndrome (GBS). The main questions it aims to answer are:

Is Efgartigimod a safe treatment option for GBS patients? Does treatment with Efgartigimod improve patient outcomes?

Participants will:

Take drug Efgartigimod or Intravenous Immunoglobulin during hospitalization Undergo six blood draws in six follow-up study visits to evaluate the concentration of IgG Keep a diary of their symptoms and drugs using at the same time

02

Conditions studied

  • Guillain-Barré Syndrome

Keywords

  • Efgartigimod
  • Guillain-Barré Syndrome
03

In context

Guillain-Barre Syndrome

98 studies on the registry are indexed under Guillain-Barre Syndrome; 30 are open to participants now.

This study's planned enrollment of 110 is above the median of 50 across 44 interventional studies indexed under Guillain-Barre Syndrome.

Browse Guillain-Barre Syndrome studies →

Lead sponsor

Beijing Tiantan Hospital is the lead sponsor of 491 studies on the registry; 295 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
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. Aged 18-70 years
  2. Diagnosis of sensorimotor or pure motor Guillain-Barré syndrome (GBS) based on the 2023 EAN/PNS guidelines (corresponding to classical GBS in the Chinese Guidelines for the Diagnosis and Treatment of Guillain-Barré Syndrome 2024).
  3. Onset of GBS within 14 days
  4. GBS Disability Scale (GBS-DS) score of 3 to 5

Exclusion criteria

Exclusion Criteria:

  1. Patients with other diagnoses cannot be excluded
  2. Patients with recurrent GBS
  3. Patients with more than 14 days after onset of symptoms
  4. GBS DS of 2 or less
  5. Patients unable to cooperate with scale assessments due to psychiatric disorders or impaired consciousness
  6. Positive serum test at screening for an active viral infection with any of the following conditions: virus (HBV) that is indicative of an acute or chronic infection; virus (HCV) based on HCV antibody assay; Positive serology at screening
  7. Patients with any known severe bacterial, viral or fungal infection or any major episode of infection that required hospitalization or injectable antimicrobial therapy in the last 8 weeks prior to Screening
  8. Total IgG level ≤ 6 g/L at screening
  9. Concomitant diseases that can cause peripheral neuropathy, such as metabolic neuropathies (e.g., diabetes, alcoholism), connective tissue disease-associated neuropathies (e.g., rheumatoid arthritis, Sjögren's syndrome, systemic lupus erythematosus), or trauma, which may confound the trial results
  10. Subjects with serious underlying diseases, such as cardiac dysfunction, coagulopathy dysfunction
  11. Pregnant and lactating women, and those intending to become pregnant during the trial or within 90 days after the last dosing
  12. Patients who have a history of , including malignant thymoma, or myeloproliferative or lymphoproliferative disorders, unless deemed cured by adequate treatment with no evidence of recurrence for ≥ 3 years before Screening. Patients with completely excised non-melanoma skin cancer (such as basal cell carcinoma or squamous cell carcinoma) or cervical carcinoma in situ would be permitted at any time
  13. Use of drug within 3 months or 5 half-lives of the drug (whichever is longer) prior to Screening
  14. Use of , monoclonal antibodies, or other immunomodulatory drugs within 6 months prior to enrollment; use of at a dose exceeding 20 mg within 3 months prior to enrollment; or use of IVIG or plasma exchange (PE) within 1 month prior to enrollmen
Terms in these criteria, in plain language(7)

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.

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.

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.

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.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
110 participants (estimated)

Study arms

  • Active comparator
    Intravenous Immunoglobulin (IVIg)

    0.4g/kg of IVIg daily for 5 days Interventions: Drug: Intravenous Immunoglobulin (IVIg)

    Drug: Intravenous immunoglobulin (IVIG)

  • Experimental
    Efgartigimod Alfa-Fcab

    20mg/kg of Intravenous efgartigimod on days 1 and 5 Interventions: Drug: Efgartigimod Alfa-Fcab

    Drug: Efgartigimod Alfa-Fcab

Interventions

  • IVIg is the standard-of-care treatment for GBS. The same brand of intravenous immunoglobulin (IVIG) was administered across different study sites

  • Efgartigimod is an anti-neonatal Fc receptor (FcRn) immunoglobulin G1 Fc fragment. The FcRn plans a critical role in extending the half-life of IgGs by rescuing them from lysosomal degradation. Antibodies that bind and subsequently block the FcRn with high affinity result in IgGs being degraded more rapidly instead of salvaged. This approach has been shown to be beneficial in the antibody-mediated disorder myasthenia gravis.

06

What researchers measure

Primary outcomes

  1. Guillain-Barre Syndrome Disability Scale (GBS-DS)

    Scoring system that assesses the functional status of GBS subjects. Scores range from 0 to 6, with higher scores indicating a worse outcome.

    Time frame: week 4

  2. Number and seriousness of adverse events

    safety monitoring

    Time frame: Through study completion, an average of 2 years

Secondary outcomes

  1. Guillain-Barre Syndrome Disability Scale (GBS-DS)

    Scoring system that assesses the functional status of GBS subjects. Scores range from 0 to 6, with higher scores indicating a worse outcome.

    Time frame: week 1,2,3,8,12,24

  2. Change from baseline in Guillain-Barre Syndrome Disability Scale (GBS-DS)

    Scoring system that assesses the functional status of GBS subjects. Scores range from 0 to 6, with higher scores indicating a worse outcome.

    Time frame: week 1,2,3,4,8,12,24

  3. Number of days to GBS-DS ≤2 within 24 weeks

    Time frame: 24 weeks

  4. Proportion of patients with GBS-DS ≤2

    Time frame: week 1, 2, 3, 4, 8, 12, and 24

  5. Neuropathy Impairment Scale (NIS)

    Peripheral neuropathy assessment. Scores range from 0 to 244, with higher scores indicating a worse outcome

    Time frame: week 1,4,8,12,24

  6. Inflammatory Rasch-Built Overall Disability Scale (I-RODS)

    Functional outcome assessment. Scores range from 0 to 48, with higher scores indicating a better outcome

    Time frame: week 1,4,8,12,24

  7. Inflammatory Neuropathy Cause and Treatment (INCAT) Scale

    Functional outcome assessment. Scores range from 0 to 5 for upper limbs or lower limbs, with higher scores indicating a worse outcome

    Time frame: week 1,4,8,12,24

  8. Medical Research Council Sum Score(MRC-SS)

    Quantifies strength.Scores range from 0 to 60, with a higher score indicating more strength.

    Time frame: week 1,4,8,12,24

  9. Modified Rankin Scale (mRS)

    Modified Rankin Scale (mRS) is a commonly used scale for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disability. Scores range from 0 to 6,with higer scores indicating a worse outcome

    Time frame: week 1,4,8,12,24

  10. Incidence of assisted mechanical ventilation

    Time frame: 24 weeks

  11. Duration of mechanical ventilation (hours)

    Time frame: 24 weeks

  12. Number of days in an intensive care unit

    Time frame: 24 weeks

  13. Number of days to hospital discharge

    Time frame: 24 weeks

  14. Hospitalization cost (inpatient cost)

    CNY (Chinese Yuan) Total direct medical costs incurred during the index hospitalization for the study disease, including bed fees, medications, laboratory and imaging tests, nursing, and medical materials, as recorded in the hospital billing system or inpatient settlement records.Indirect costs (e.g., lost productivity, transportation, caregiver costs) are not included unless otherwise specified.

    Time frame: 24 weeks

  15. Forced Vital Capacity (FVC)

    Pulmonary function test that measures the maximum amount of air you can forcibly exhale from your lungs after fully inhaling. Units are Liters and percentages, when comparing to a predicted value.

    Time frame: week 4,12,24

  16. Maximal Inspiratory Pressure (MIP)

    Pulmonary function test that evaluates the strength of inspiratory muscles, primarily the diaphragm. Units are cm H2O (centimeters of water)

    Time frame: week 4,12,24

  17. Maximal Expiratory Pressure (MEP)

    Pulmonary function test that evaluates the strength of expiratory muscles. Units are cm H2O (centimeters of water).

    Time frame: week 4,12,24

Other outcomes

  1. Study effect of Efgartigimod on IgG levels

    Blood sample to analyze change in IgG levels

    Time frame: week 1, 2, 3 ,4 ,8 ,12 ,24

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Sep 2026; primary completion for Jun 2027, 9 months later.

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

Registered
Sep 2, 2026
First posted
Sep 8, 2026
StartEst.
Sep 2026
Primary completionEst.
Jun 2027
CompletionEst.
Dec 2027
Last update
Sep 18, 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 Sep 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07806916
Responsible party
Zaiqiang Zhang (Chief Physician,Professor, Beijing Tiantan Hospital) — Principal investigator
First posted
Sep 8, 2026
Start date
Sep 2026 (estimated)
Primary completion
Jun 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Sep 18, 2026

Study contacts

Zaiqiang Zhang Zhang, MD
Contact
ttyy0142011@126.com
86-10-59975570

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Efgartigimod alfa

Start the discussion