The pHeNIx study, a national multicentre prospective non-interventional study, should help to describe the conditions of use for Hizentra® and the methods for switching from the IV to SC route in everyday practice, together with the tolerability and efficacy of treatment, which is monitored using a patient application (PRO: Patient-Reported Outcomes).
Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is a neurological and rare type of autoimmune disorder. Intravenous immunoglobulin (IVIg) is the first-line treatment for CIDP which has been proven to be effective. For several years, published cases have suggested that the Sub-Cutaneous Ig (SCIg) may be an alternative treatment to IVIg in the treatment of CIDP. Compared to IVIg treatment, the SCIg can achieve more stable plasma IgG concentrations, suggesting a potential reduction in the dose exhaustion effect at the end of the cycle, but also fewer systemic effects. SC administration also enables more straightforward treatment to be given for ambulatory patients. Based on the PATH study (NCT01545076), a double blind placebo-controlled, randomised, prospective, international multicentre phase III study, Hizentra® obtained an extension of its marketing authorization for the CIDP indication as maintenance treatment after stabilisation with IVIg. However, in the "real-life" situation, the literature is still based at present on small series of patient or short-term follow-up periods. However, the methods for switching from the IV to the SC route and the characteristics of patients receiving this treatment are not known. In addition, SCIg administration remote from a specialist centre without assistance from a health professional no longer enables a more regular assessment of the patient in terms of tolerability and efficacy. The pHeNIx study, a national multicentre prospective non-interventional study, should help to describe the conditions of use for Hizentra® and the methods for switching from the IV to SC route in everyday practice, together with the tolerability and efficacy of treatment, which is monitored using a patient application (PRO: Patient-Reported Outcomes). The study duration is estimated to be 36 months in view of: a 24-month inclusion period and a 12-month follow-up period.
Study Type
OBSERVATIONAL
Enrollment
100
Solution for injection for subcutaneous use
CHU Amiens Picardie 1
Amiens, France
Length of time of Continuation of treatment
Non-continuation is defined by: * an increase in the INCAT score of over one point measured in a consultation despite a bolus dose of IVIg and/or after increasing the dose of Hizentra® * stopping treatment with Hizentra®
Time frame: up to 12 months
The time between the last dose of IVIg and starting Hizentra®
Time frame: At Baseline
The total dose of the last course of IVIg
Time frame: At Baseline
The interval between courses of IVIg
Time frame: At Baseline
The total dose of the first course of Hizentra
Time frame: At Baseline
The number of days of the first course of Hizentra
Time frame: At Baseline
Number of Self-administrations or administrations by a state-registered nurse
Time frame: Up to 12 months
The daily dose of Hizentra
Time frame: Up to 12 months
The daily volume of Hizentra
Time frame: Up to 12 months
Duration of the infusion
Time frame: Up to 12 months
Number of infusion sites
Time frame: Up to 12 months
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Number of Patients completing the Patient Reported Outcome (PRO) tests at home
Time frame: Up to 12 months
Rasch-built Overall Disability Scale (RODS) incapacity scale score by patient
Time frame: Up to 12 months
10-metre walking test score by patient
Time frame: Up to 12 months
Rasch-built Overall Disability Scale (RODS) incapacity scale score by doctor
Time frame: Up to 12 months
10-metre walking test score by doctor
Time frame: Up to 12 months
Time since the diagnosis of CIDP
Time frame: At baseline
EuroQol-5D (EQ-5D) quality of life score
Time frame: Up to 12 months
Pictorial Representation of Illness and Self Measure (PRISM) score
Time frame: Up to 12 months