The goal of this clinical trial is to evaluate the safety and effectiveness of Efgartigimod in patients with Guillain-Barre syndrome (GBS). The main questions it aims to answer are: Is Efgartigimod a safe treatment option for GBS patients? Does treatment with Efgartigimod improve patient outcomes? Participants will: Take drug Efgartigimod or Intravenous Immunoglobulin during hospitalization Undergo six blood draws in six follow-up study visits to evaluate the concentration of IgG Keep a diary of their symptoms and drugs using at the same time
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
110
IVIg is the standard-of-care treatment for GBS. The same brand of intravenous immunoglobulin (IVIG) was administered across different study sites
Efgartigimod is an anti-neonatal Fc receptor (FcRn) immunoglobulin G1 Fc fragment. The FcRn plans a critical role in extending the half-life of IgGs by rescuing them from lysosomal degradation. Antibodies that bind and subsequently block the FcRn with high affinity result in IgGs being degraded more rapidly instead of salvaged. This approach has been shown to be beneficial in the antibody-mediated disorder myasthenia gravis.
Guillain-Barre Syndrome Disability Scale (GBS-DS)
Scoring system that assesses the functional status of GBS subjects. Scores range from 0 to 6, with higher scores indicating a worse outcome.
Time frame: week 4
Number and seriousness of adverse events
safety monitoring
Time frame: Through study completion, an average of 2 years
Guillain-Barre Syndrome Disability Scale (GBS-DS)
Scoring system that assesses the functional status of GBS subjects. Scores range from 0 to 6, with higher scores indicating a worse outcome.
Time frame: week 1,2,3,8,12,24
Change from baseline in Guillain-Barre Syndrome Disability Scale (GBS-DS)
Scoring system that assesses the functional status of GBS subjects. Scores range from 0 to 6, with higher scores indicating a worse outcome.
Time frame: week 1,2,3,4,8,12,24
Number of days to GBS-DS ≤2 within 24 weeks
Time frame: 24 weeks
Proportion of patients with GBS-DS ≤2
Time frame: week 1, 2, 3, 4, 8, 12, and 24
Neuropathy Impairment Scale (NIS)
Peripheral neuropathy assessment. Scores range from 0 to 244, with higher scores indicating a worse outcome
Time frame: week 1,4,8,12,24
Inflammatory Rasch-Built Overall Disability Scale (I-RODS)
Functional outcome assessment. Scores range from 0 to 48, with higher scores indicating a better outcome
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: week 1,4,8,12,24
Inflammatory Neuropathy Cause and Treatment (INCAT) Scale
Functional outcome assessment. Scores range from 0 to 5 for upper limbs or lower limbs, with higher scores indicating a worse outcome
Time frame: week 1,4,8,12,24
Medical Research Council Sum Score(MRC-SS)
Quantifies strength.Scores range from 0 to 60, with a higher score indicating more strength.
Time frame: week 1,4,8,12,24
Modified Rankin Scale (mRS)
Modified Rankin Scale (mRS) is a commonly used scale for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disability. Scores range from 0 to 6,with higer scores indicating a worse outcome
Time frame: week 1,4,8,12,24
Incidence of assisted mechanical ventilation
Time frame: 24 weeks
Duration of mechanical ventilation (hours)
Time frame: 24 weeks
Number of days in an intensive care unit
Time frame: 24 weeks
Number of days to hospital discharge
Time frame: 24 weeks
Hospitalization cost (inpatient cost)
CNY (Chinese Yuan) Total direct medical costs incurred during the index hospitalization for the study disease, including bed fees, medications, laboratory and imaging tests, nursing, and medical materials, as recorded in the hospital billing system or inpatient settlement records.Indirect costs (e.g., lost productivity, transportation, caregiver costs) are not included unless otherwise specified.
Time frame: 24 weeks
Forced Vital Capacity (FVC)
Pulmonary function test that measures the maximum amount of air you can forcibly exhale from your lungs after fully inhaling. Units are Liters and percentages, when comparing to a predicted value.
Time frame: week 4,12,24
Maximal Inspiratory Pressure (MIP)
Pulmonary function test that evaluates the strength of inspiratory muscles, primarily the diaphragm. Units are cm H2O (centimeters of water)
Time frame: week 4,12,24
Maximal Expiratory Pressure (MEP)
Pulmonary function test that evaluates the strength of expiratory muscles. Units are cm H2O (centimeters of water).
Time frame: week 4,12,24