Treatment of Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is a challenge because disease may generate important disability in patients including young adults. Randomized trials showed that corticosteroids, plasma exchanges and intravenous immunoglobulin (IVIg) can reduce impairment on a short term period but the treatment of a chronic disease doesn't agree with it. Corticosteroids and IVIg are the first line CIDP treatments. No study permits to demonstrate the superiority of one treatment to the other. Long term adverse effects of corticosteroids and IVIg cost are the respective limitation of their use. The investigators scheduled to recruit 40 CIDP patients in 23 French centres to receive either 0,8mg/kg/day of prednisone progressively tapered over 6 months or a monthly 2g/kg cure of IVIg during 6 months. Patients will be followed during 6 months after the treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
patient who received monthly 2g/kg intravenous cure of immunoglobulin
patient who received 0,8mg/kg/day of prednisone progressively tapered over 6 months
CHU Clermont-Ferrand
Clermont-Ferrand, France, France
Chu Dijon
Dijon, France
CHU Grenoble
Grenoble, France
Hôpital Neurologique de Lyon
Lyon, France
Chu Marseille
Marseille, France
Chu Nancy
Nancy, France
Chu Nantes
Nantes, France
CHU Nice
Nice, France
Chu Saint-Etienne
Saint-Etienne, France
Chu Strasbourg
Strasbourg, France
...and 1 more locations
Main outcome
Rate of patients with a decreased INCAT score of at least 1 point after 3 months of treatment, * Responders: ≥ 1 point improvement in the INCAT score at 3 months in comparison to baseline, * Non responders: unchanged INCAT score at 3 months in comparison to baseline or patients for whom the primary endpoint can't be assessed because of the occurrence of an adverse event requiring treatment stop.
Time frame: 3 months
Secondary outcome
Rate of cured patients i.e. INCAT score of 0 in legs and ≤ 1 in arms after 3, 6, 9 and 12 months,
Time frame: 3 months
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