Chronic Inflammatory Demyelinating PolyneuropathypHeNIxNCT04672733
Hizentra® in Inflammatory Neuropathies - pHeNIx Study
An observational study of Chronic Inflammatory Demyelinating Polyneuropathy, run by CSL Behring at 27 sites in France.
Trial summary
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… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Inflammatory Demyelinating Polyneuropathy
- What is being tested?
- Hizentra
- Type of treatment
- Injection or infusion
- How many people
- 100 participants
- Where
- 27 sitesFrance
- Study dates
- 10 Jun 2022to Dec 2027
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: French cohort of patients with CIDP
Who may be able to join
- Adult patient (aged ≥18 years)
- Patients suffering from CIDP according to EAN/PNS 2021 criteria
- Planned switch from IVIg to Hizentra®
- Patient treated with at least 3 courses of IV immunoglobulin and deemed by the investigator to be dependent on immunoglobulins
- Patient deemed to be stable, with no change in their treatment for the disease during the 3 months prior to inclusion
- Patients who have a smartphone, a tablet or a computer
- Patients who have been informed verbally and in writing of the purposes of the study
Who cannot join
- Concomitant participation in an interventional clinical study
Trial locations and contacts
27 sites in 1 country. Contact the study team or a site near you to ask about taking part.
27 sites in 1 country
France27 sites, 27 recruiting
- Not yet recruiting
CHU Amiens Picardie 1
Amiens, 80054
- Recruiting
CHU Angers
Angers
- Recruiting
Hôpital privé de La Casamance
Aubagne
- Recruiting
CH Bayonne
Bayonne
- Recruiting
Hôpital Pellegrin
Bordeaux
- Recruiting
CHRU Brest
Brest
- Recruiting
Hôpital Henri Mondor
Créteil
- Recruiting
Hôpital Bicêtre
Le Kremlin-Bicêtre
- Recruiting
CH Libourne
Libourne
- Recruiting
Hôpital Roger Salengro, CHU Lille
Lille
- Recruiting
Hôpital Dupuytren
Limoges
- Recruiting
Hôpital Pierre Wertheimer,HCL
Lyon
- Recruiting
Hôpital de la Timone
Marseille
- Recruiting
CHU Montpellier
Montpellier
- Recruiting
CHRU Nancy
Nancy
- Recruiting
CHU Nantes
Nantes
- Recruiting
Hôpital Pasteur
Nice
- Recruiting
Hôpital Lariboisière
Paris
- Recruiting
La Pitié-Salpêtrière
Paris
- Recruiting
CHU Poitiers
Poitiers, 86000
- Recruiting
Centre hospitalier privé Saint Grégoire
Rennes, 35760
- Recruiting
Hôpital Charles Nicolle
Rouen
- Recruiting
CHU Saint-Etienne
Saint-Etienne
- Not yet recruiting
CHU de Strasbourg
Strasbourg, 67091
- Not yet recruiting
CHU Toulouse
Toulouse
- Recruiting
CHR Tours
Tours
- Recruiting
CH de Valence
Valence, 26000
About this study
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).
Read the detailed description
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.
- Being tested
- Hizentra
- Keywords
- CIDP, IgPro20, Hizentra, Subcutaneous Immunoglobulins
- Medical subject headings
- Polyradiculoneuropathy, Chronic Inflammatory Demyelinating
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
HizentraBiological
Also called IgPro20
Solution for injection for subcutaneous use
What is being measured
The primary outcome is the main question the study is designed to answer.
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®
Measured: up to 12 months
Secondary outcomes (18)
The time between the last dose of IVIg and starting Hizentra®
Measured: At Baseline
The total dose of the last course of IVIg
Measured: At Baseline
The interval between courses of IVIg
Measured: At Baseline
The total dose of the first course of Hizentra
Measured: At Baseline
The number of days of the first course of Hizentra
Measured: At Baseline
Number of Self-administrations or administrations by a state-registered nurse
Measured: Up to 12 months
The daily dose of Hizentra
Measured: Up to 12 months
The daily volume of Hizentra
Measured: Up to 12 months
Duration of the infusion
Measured: Up to 12 months
Number of infusion sites
Measured: Up to 12 months
Number of Patients completing the Patient Reported Outcome (PRO) tests at home
Measured: Up to 12 months
Rasch-built Overall Disability Scale (RODS) incapacity scale score by patient
Measured: Up to 12 months
10-metre walking test score by patient
Measured: Up to 12 months
Rasch-built Overall Disability Scale (RODS) incapacity scale score by doctor
Measured: Up to 12 months
10-metre walking test score by doctor
Measured: Up to 12 months
Time since the diagnosis of CIDP
Measured: At baseline
EuroQol-5D (EQ-5D) quality of life score
Measured: Up to 12 months
Pictorial Representation of Illness and Self Measure (PRISM) score
Measured: Up to 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Dec 2020
- Study start10 Jun 2022
- Primary completionDec 2027 (estimated)
- Study completionDec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Inflammatory Demyelinating PolyneuropathyStudies of the same condition, open and under way.
- More trials run by CSL BehringThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 100 participants (estimated)
Sponsor and investigators
- Lead sponsor
- CSL Behring
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, CSL Behring SA
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04672733
- Sponsor's protocol ID
- pHeNIx study
- Other IDs
- 2019-A01803-54
- Acronym
- pHeNIx
- Status last verified
- Jan 2025
- First submitted
- 11 Dec 2020
- Last updated
- 7 Jan 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 7 Jan 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Hizentra® in Inflammatory Neuropathies - pHeNIx Study
- ClinicalTrials.gov ID
- NCT04672733
- Acronym / sponsor ID
- pHeNIx / pHeNIx study
- Keywords
- CIDP, IgPro20, Hizentra, Subcutaneous Immunoglobulins
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 100 participants (estimated)
- Lead sponsor
- CSL BehringIndustry (pharma, biotech, devices)
- Study start
- 10 Jun 2022 (actual)
- Primary completion
- Dec 2027 (estimated)
- Study completion
- Dec 2027 (estimated)
- First posted
- 17 Dec 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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).
Detailed description
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 design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- French cohort of patients with CIDP
Key inclusion criteria (7 listed)
- Adult patient (aged ≥18 years)
- Patients suffering from CIDP according to EAN/PNS 2021 criteria
- Planned switch from IVIg to Hizentra®
- Patient treated with at least 3 courses of IV immunoglobulin and deemed by the investigator to be dependent on immunoglobulins
- Patient deemed to be stable, with no change in their treatment for the disease during the 3 months prior to inclusion
Key exclusion criteria (1 listed)
- Concomitant participation in an interventional clinical study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| HizentraAlso: IgPro20Solution for injection for subcutaneous use | Biological | – |
Primary outcome
Length of time of Continuation of treatment
Time frame: up to 12 months
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®
18 secondary outcomes
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
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
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jan 2025.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Study Director study director
CSL Behring SA
27 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Chronic Inflammatory Demyelinating Polyneuropathy, run by CSL Behring at 27 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 7 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 27 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Trial Registration Coordinator (+1 610-878-4697, clinicaltrials@cslbehring.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Length of time of Continuation of treatment (time frame: up to 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Jan 2025.