The purpose of this study is to evaluate the efficacy, safety, pharmacokinetics, and pharmacodynamics of crovalimab compared with placebo as an add-on therapy to intravenous immunoglobulin (IVIg) in participants with severe GBS.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Crovalimab will be administered at a dose of 1000 milligrams (mg) IV (for participants with body weight ≥ 40 kilograms (kg) and \<100 kg) or 1500 mg IV (for participants with body weight ≥ 100 kg) on Day 1, followed by crovalimab 340 mg SC injections on Days 2, 8, 15 and 22 in all participants.
Placebo will be administered IV on Day 1 at a dose of 1000 mg for participants with body weight ≥ 40 kg to \< 100 kg, or 1500 mg for participants with body weight ≥ 100 kg. It will be administered SC on Days 2, 8, 15, and 22 at a dose 340 mg in all participants.
All participants will receive background therapy of IVIg at a dose of 400 milligrams/kilograms (mg/kg) QD for 5 days.
Percentage of Participants who Reach Hughes Functional Grade (FG) Score ≤ 1 on the Guillain-Barré Syndrome Disability Scale (GBS-DS) at Week 24
The Guillain-Barré Syndrome disability score (GBS DS) is used to assess the degree of functional disability of study participants. The scale consists of seven grades of functional disability ranging from 0 (healthy with no symptoms attributable to GBS) to 6 (death).
Time frame: Week 24
Time to Recover Independent Walking Assessed Using the 10-Meter Walk Test (10-MW)
Defined as time from randomization to the first time point at which the participant is able to walk independently, assessed using the 10-MWT.
Time frame: Up to approximately 52 weeks
Functional Outcome on GBS-DS at Week 8
The Guillain-Barré Syndrome disability score (GBS DS) is used to assess the degree of functional disability of study participants. The scale consists of seven grades of functional disability ranging from 0 (healthy with no symptoms attributable to GBS) to 6 (death).
Time frame: Week 8
Percentage of Inflammatory Rasch-Built Overall Disability Scale (I-RODS) Responders at Week 24
Defined as a participant who is able to perform all activities assessed by the I-RODS with or without some difficulties (graded 1 or 2). I-RODs is a 24-item scale to rate a participant's general ability to function and complete activities of daily living. The items range in difficulty from very easy ("reading a newspaper/book" and "eating") to very difficult ("standing for hours" and "running"). The participant assigns a score between 0 and 3 (0: not possible, 1: possible with difficulty, 2: possible without any difficulty, 3: unable to perform before GBS \[option 3 only available at the baseline visit\]) to each item.
Time frame: Week 24
Mean Post-Recovery Time
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Defined as the time from reaching FG ≤ 1 for the first time after randomization to Week 24
Time frame: Randomization to Week 24
Duration of Ventilator Support
Time frame: Randomization to Week 24
Percentage of Participants with Treatment Emergent Adverse Events
Adverse events severity was determined according to National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI CTCAE v5.0) grading
Time frame: Up to approximately 52 weeks
Percentage of Participants with Treatment Emergent Adverse Events Leading to Study Drug Discontinuation
Time frame: Up to approximately 52 weeks
Percentage of Participants with Anti-Drug Antibodies to Crovalimab
Time frame: Up to approximately 52 weeks
Serum Concentrations of Crovalimab
Time frame: From Day 1 up to Week 52