Efficacy and Safety Study of Nipocalimab for Adults With Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)
The main purpose of this study is to evaluate the safety and efficacy of nipocalimab compared to placebo in delaying relapse in adults with chronic inflammatory demyelinating polyneuropathy (CIDP) who initially respond to nipocalimab in Stage A.
Primary outcome measures
Stage B: Time to First Occurrence of a Relapse Event
Secondary outcome measures
Stage A: Time to Initial Confirmed Evidence of Clinical Improvement (ECI)
Stage A: Percentage of Responders as Determined by ECI
Stage A: Change from Baseline Over Time in Adjusted Inflammatory Neuropathy Cause and Treatment (INCAT) Disability Scale Score
Stage A: Change from Stage A Baseline Over Time in Medical Research Council (MRC) Muscle Grading Scale Sum Score
Stage A: Change from Baseline Over Time in Inflammatory Rasch-Built Overall Disability Scale (I-RODS) Centile Score
Stage A: Change from Baseline Over Time in Mean Grip Strength (Dominant Hand)
Stage A: Change from Baseline Over Time in Mean Grip Strength (Non-Dominant Hand)
Stage B: Time to First Adjusted INCAT Disability Scale Score Deterioration Relative to Baseline
Stage B: Time to First Switch to Intravenous Immunoglobulin (IVIg) or Other Standard of Care (SoC) as a Result of Investigator-assessed Lack of Efficacy as Confirmed by an Independent RAC Relative to Baseline
Stage B: Change from Baseline Over Time in Adjusted INCAT Disability Score
Stage B: Change from Baseline Over Time in MRC Muscle Grading Scale Sum Score
Stage B: Change from Baseline Over Time in I-RODS Centile Score
Stage B: Change from Baseline Over Time in Mean Grip Strength (Dominant Hand)
Stage B: Change from Baseline Over Time in Mean Grip Strength (Non-Dominant Hand)
Stage B: Number of Participants with Binary Response Endpoint Satisfying all 4 Conditions: a) An Improved Adjusted INCAT Disability Score Compared to Baseline; b) Not Relapsing; c) Not Switching to SoC; d) Not Discontinuing Treatment
Percentage of Participants with Treatment-emergent Adverse Events (TEAEs)
Percentage of Participants with Serious Adverse Events (SAEs)
Number of Participants with Change in Electrocardiogram (ECG) Values Over Time
Number of Participants with Change in Vital Signs Values Over Time
Number of Participants with Change in Clinical Laboratory Values Over Time
Number of Participants with Clinically Significant ECG Abnormalities
Number of Participants with Clinically Significant Vital Signs Abnormalities
Number of Participants with Clinically Significant Clinical Laboratory Abnormalities
Percentage of Participants with Suicidal Ideation or Suicidal Behavior based on the Columbia-Suicide Severity Rating Scale (C-SSRS)
Serum Nipocalimab Concentrations Over Time in Participants Receiving Active Study Intervention
Number of Participants with Anti-drug Antibodies (ADA) to Nipocalimab
Titers of ADA to Nipocalimab
Number of Participants with Neutralizing Antibodies (NAb) to Nipocalimab
Change from Baseline in Total Serum Immunoglobulin (IgG) Concentrations Levels Over Time