ClinicalTrials.gg
Not yet recruitingNCT07821762embridgeUpdated Oct 28, 2026

A Study of Empasiprubart as Add-On Therapy to IVIg in Adult Participants With Guillain-Barré Syndrome

A Phase 2 interventional study of Empasiprubart IV and Empasiprubart Placebo IV in Guillain-Barré Syndrome (GBS), sponsored by argenx. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-28.

Sponsored by argenx · Phase 2, Interventional, and Treatment

Updated Oct 28, 2026Eligibility revisedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
63
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main purpose of this study is to learn whether empasiprubart, when given in addition to intravenous immunoglobulin (IVIg), helps adults with Guillain-Barré syndrome (GBS) recover and whether it is safe. About 63 participants will be assigned by chance to receive either empasiprubart or placebo by intravenous infusion; all participants will also receive IVIg. The study includes screening for up to 72 hours, study treatment for the first two weeks, and follow-up through Week 67 (15 months after the last dose of study treatment). Participation lasts up to 67 weeks.

02

Conditions studied

  • Guillain-Barré Syndrome (GBS)
03

In context

Guillain-Barre Syndrome

96 studies on the registry are indexed under Guillain-Barre Syndrome; 28 are open to participants now.

This study's planned enrollment of 63 is above the median of 50 across 43 interventional studies indexed under Guillain-Barre Syndrome.

Browse Guillain-Barre Syndrome studies →

Lead sponsor

argenx is the lead sponsor of 87 studies on the registry; 29 are open to participants now.

Of its 22 completed or terminated interventional studies of FDA-regulated products, 16 (73%) have results posted.

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

04

Who can participate

The criteria were revised on the registry on Oct 28, 2026. See what changed

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

  • Clinically diagnosed with Guillain-Barré syndrome (GBS) according to NINDS (National Institute of Neurological Disorders and Stroke) diagnostic criteria
  • GBS-related weakness beginning within 7 days before the first study treatment
  • GBS Disability Scale (GBS-DS) score of 3, 4, or 5 at screening and baseline
  • Was able to walk approximately 10 m or more without assistance before the onset of GBS symptoms
  • Agrees to receive antibiotic prophylaxis against N. meningitidis and S. pneumoniae for the first 90 days of the study or until a completed vaccination schedule against these bacterial pathogens per local guidelines has been shown.

Exclusion criteria

Exclusion Criteria:

  • History of a previous GBS episode or diagnosis of an atypical GBS variant
  • Clinical diagnosis of systemic lupus erythematosus (SLE) or known complement deficiency
  • or neuromuscular diseases or medical conditions (eg, renal, hepatic, cardiac, pulmonary, hematologic, or neurological conditions or clinically significant laboratory abnormalities) that would interfere with an accurate assessment of clinical symptoms of GBS, confound the study results, or put the participant at undue risk
  • IVIg therapy or another medical condition that, in the opinion of the investigator, would make IVIg administration unsafe
  • Recent treatment with IVIg except for a single IVIg dose administered during screening and within 24 hours before the first medicinal product (IMP) dose for the current GBS episode or plasma exchange (PLEX), or recent use of certain immune-modulating or therapies
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.

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.

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.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
63 participants (estimated)

Study arms

  • Experimental
    Empasiprubart + IVIg

    Participants receive empasiprubart by intravenous infusion and IVIg by intravenous infusion.

    Biological: Empasiprubart IV · Biological: Intravenous immunoglobulin (IVIg)

  • Placebo comparator
    Placebo + IVIg

    Participants receive placebo by intravenous and IVIg by intravenous infusion.

    Other: Empasiprubart Placebo IV · Biological: Intravenous immunoglobulin (IVIg)

Interventions

06

What researchers measure

Primary outcomes

  1. Proportion of Participants With a Guillain-Barré Syndrome Disability Scale (GBS-DS) Score ≤2 at Week 4

    The Guillain-Barré Syndrome Disability Scale (GBS-DS) is a clinician-reported measure of global functional disability. It has 7 categories ranging from 0 (healthy) to 6 (death), with higher scores indicating greater disability. A GBS-DS score ≤2 indicates the participant is able to walk 10 meters or more without assistance.

    Time frame: at week 4

Secondary outcomes

  1. Number of calendar days in the intensive care unit (ICU) within the first 4 weeks of investigational medicinal product (IMP) administration

    ICU means intensive care unit; IMP means investigational medicinal product

    Time frame: Up to 4 weeks

  2. Number of calendar days receiving invasive mechanical ventilation within the first 4 weeks of investigational medicinal product (IMP) administration

    IMP means investigational medicinal product

    Time frame: Up to 4 weeks

  3. Time From First Investigational Medicinal Product (IMP) Administration to Achieving a Guillain-Barré Syndrome Disability Scale (GBS-DS) Score ≤2

    IMP means investigational medicinal product; The Guillain-Barré Syndrome Disability Scale (GBS-DS) is a clinician-reported measure of global functional disability with 7 categories ranging from 0 (healthy) to 6 (death), with higher scores indicating greater disability.

    Time frame: Up to 52 weeks

  4. Actual values in the Inflammatory Rasch-Built Overall Disability Scale (I-RODS) Scores at weeks 13 and 26

    The Inflammatory Rasch-Built Overall Disability Scale (I-RODS) is a 24-item participant-reported measure of disability that assesses limitations in activities and social participation. Raw scores range from 0 to 48 and are converted to a centile metric score ranging from 0 (most severe activity and social participation limitations) to 100 (no activity and social participation limitations). Higher scores indicate less disability.

    Time frame: Up to 26 weeks

  5. Actual values in the Overall Neuropathy Limitations Scale (ONLS) Score at weeks 13 and 26

    The Overall Neuropathy Limitations Scale (ONLS) is a clinician-reported measure of functional limitations in the upper and lower limbs. The upper-limb section is scored from 0 to 5 and the lower-limb section from 0 to 7. A score of 0 indicates no limitations, while scores of 5 (upper limbs) or 7 (lower limbs) indicate no purposeful movement. Higher scores therefore indicate greater functional limitation.

    Time frame: Up to 26 weeks

  6. Change from baseline in the Medical Research Council Sum Score (MRC-SS) over time

    The Rasch-built Medical Research Council Sum Score (MRC-SS) is a clinician-assessed measure of muscle strength in selected upper and lower extremity muscle groups bilaterally. The resulting score ranges from 0 to 60 and is used to evaluate the severity of weakness and changes in motor function over time. Higher scores indicate better muscle strength/better outcome, while lower scores indicate greater weakness.

    Time frame: Up to 52 weeks

  7. Change from baseline in the Medical Research Council Sum Score (MRC-SS) neck flexion assessment over time

    The Rasch-built Medical Research Council Sum Score (MRC-SS) neck flexion assessment evaluates the strength of the neck flexion muscles. The participant is asked to flex the neck (bring the chin toward the chest) while the examiner evaluates muscle strength using a Rasch-modified MRC grading system that ranges from 0 (no visible contraction) to 3 (normal strength).

    Time frame: Up to 52 weeks

  8. Change from baseline in the Guillain-Barré Syndrome Disability Scale (GBS-DS) score over time

    The Guillain-Barré Syndrome Disability Scale (GBS-DS) is a clinician-reported measure of global functional disability. It has 7 categories ranging from 0 (healthy) to 6 (death), with higher scores indicating greater disability.

    Time frame: Up to 52 weeks

  9. Actual Inflammatory Rasch-Built Overall Disability Scale (I-RODS) Scores Over Time

    The Inflammatory Rasch-Built Overall Disability Scale (I-RODS) is a 24-item participant-reported measure of disability that assesses limitations in activities and social participation. Raw scores range from 0 to 48 and are converted to a centile metric score ranging from 0 (most severe activity and social participation limitations) to 100 (no activity and social participation limitations). Higher scores indicate less disability.

    Time frame: Up to 52 weeks

  10. Actual Overall Neuropathy Limitations Scale (ONLS) Score Over Time

    The Overall Neuropathy Limitations Scale (ONLS) is a clinician-reported measure of functional limitations in the upper and lower limbs. The upper-limb section is scored from 0 to 5 and the lower-limb section from 0 to 7. A score of 0 indicates no limitations, while scores of 5 (upper limbs) or 7 (lower limbs) indicate no purposeful movement. Higher scores therefore indicate greater functional limitation.

    Time frame: Up to 52 weeks

  11. Number of calendar days receiving invasive mechanical ventilation through week 52

    Time frame: Up to 52 weeks

  12. Proportion of participants who require invasive mechanical ventilation over time and at any time through the week 52

    Time frame: Up to 52 weeks

  13. Number of calendar days in the Intensive Care Unit (ICU) through week 52

    ICU means intensive care unit.

    Time frame: Up to 52 weeks

  14. Proportion of participants in the Intensive Care Unit (ICU) over time and at any time through week 52

    ICU means intensive care unit.

    Time frame: Up to 52 weeks

  15. Number of calendar days from the start of investigational medicinal product (IMP) until discharge from the acute care facility/department

    IMP means investigational medicinal product

    Time frame: Up to 52 weeks

  16. Number of calendar days from the start of investigational medicinal product (IMP) until discharge from the last rehabilitation unit

    IMP means investigational medicinal product

    Time frame: Up to 52 weeks

  17. All-cause mortality through week 52

    Time frame: Up to 52 weeks

  18. Incidence of Adverse events (AEs) and Adverse Events of Special Interest (AESIs)

    AE = adverse event; AESI = adverse event of special interest

    Time frame: Up to 67 weeks

  19. Incidence of Serious Adverse Events (SAEs)

    SAE = Serious adverse event.

    Time frame: Up to 67 weeks

  20. Serum concentrations of empasiprubart over time

    Time frame: Up to 52 weeks

  21. Percentage Change From Baseline in Free Complement Component 2 (C2) Over Time

    C2 = complement component 2

    Time frame: Up to 52 weeks

  22. Percentage Change From Baseline in Total Complement Component 2 (C2) Over Time

    C2 = complement component 2

    Time frame: Up to 52 weeks

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Eligibility
Criteria revised in 2 updates
What changed on Sep 25, 2026
Inclusion criteria
  • RemovedAt least 18 years old
What changed on Oct 28, 2026
Exclusion criteria
  • EditedRecent treatment with IVIg except for a single IVIg dose administered during screening and within 24 hours before the first investigational medicinal product (IMP) dose for the current GBS episode or plasma exchange (PLEX), or recent use of certain immune-modulating or immunosuppressive therapies
across 2 updates, Sep 25, 2026 – Oct 28, 2026
Secondary outcomes
1 description edited
What changed in the outcomes
  • DescriptionChange from baseline in the Medical Research Council Sum Score (MRC-SS) over time: how it is measured was reworded
Sep 25, 2026
Show all 2 updates
  1. Oct 28, 2026
    Eligibility 1 exclusion criterion edited
    What changed in the criteria
    Exclusion criteria
    • EditedRecent treatment with IVIg except for a single IVIg dose administered during screening and within 24 hours before the first investigational medicinal product (IMP) dose for the current GBS episode or plasma exchange (PLEX), or recent use of certain immune-modulating or immunosuppressive therapies
    + 2 other changes: verification date and description
  2. Sep 25, 2026
    Eligibility 1 inclusion criterion removed
    What changed in the criteria
    Inclusion criteria
    • RemovedAt least 18 years old
    Secondary outcomes 1 description edited
    What changed in the outcomes
    • DescriptionChange from baseline in the Medical Research Council Sum Score (MRC-SS) over time: how it is measured was reworded

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
NCT07821762
Lead sponsor
argenx
Responsible party
Sponsor
First posted
Sep 16, 2026
Start date
Dec 2026 (estimated)
Primary completion
Jan 2028 (estimated)
Completion
Mar 2029 (estimated)
Last update
Oct 28, 2026

Study contacts

Sabine Coppieters, MD
Contact
ClinicalTrials@argenx.com
857-350-4834

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: Empasiprubart

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