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Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP)Phase 2CASCANCT06798012

A Study of TAK-411 in Adults With Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP)

A Phase 2 study testing TAK-411 in people with Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP), run by Takeda at 20 sites in 3 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

CIDP is an autoimmune disease. This means that the body's germ fighting (immune) system attacks itself. In CIDP, the immune system attacks the protective covering around the nerves called myelin. Over time, these nerves lose their ability to send signals to the muscles in the body. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
TAK-411
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
20 sitesin 3 countries
Study dates
14 May 2025to 8 Jun 2028
Phase
Phase 2
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

Who may be able to join

  • The participant is at least 18 years of age, inclusive, at the time of signing the Informed Consent Form (ICF).
  • The participant has a body weight of less than or equal to (<=) 150 kilogram (kg).
  • The participant has a documented diagnosis of typical CIDP, as confirmed by a neurologist specializing/experienced in neuromuscular diseases and consistent with the European Academy of Neurology/Peripheral Nerve Society (EAN/PNS) 2021 criteria.
  • The participant has responded to IgG treatment in the past (documented partial or complete resolution of neurological symptoms and deficits).
  • The participant has had disease activation within 24 months before screening, as documented in medical records and in the opinion of the investigator, defined as one of the following:
  • Clinically meaningful deterioration of symptoms on interruption or dose reduction of IgG treatment.
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  • Clinically meaningful deterioration of symptoms requiring IgG treatment dose increase with subsequent clinical improvement.
  • Clinically meaningful deterioration of symptoms at the end of IgG treatment dose interval with improvement after next dose administration.
  • The participant is on a stable dose of immunoglobulin treatment intravenously (IGIV) treatment, (within the dose range of 0.4 to 2.4 grams per kilogram [g/kg] every 2 to 6 weeks [inclusive]). A stable dose is defined as no change greater than 10 percentage (%) in frequency or dose of IGIV therapy within the 3 months before and throughout screening.
  • The participant has an INCAT score between 0 and 7 (inclusive) at screening.

Who cannot join

  • The participant has a documented diagnosis of a CIDP variant per EAN/PNS 2021 criteria.
  • The participant has any neuropathy of other causes, including the following:
  • Hereditary demyelinating neuropathies, such as hereditary sensory and motor neuropathy, Charcot-Marie-Tooth disease, and hereditary sensory and autonomic neuropathies.
  • Neuropathies secondary to infections, disorders, or systemic diseases such as Borrelia burgdorferi infection (Lyme disease), diphtheria, systemic lupus erythematosus, POEMS (polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes) syndrome, osteosclerotic myeloma, diabetic and nondiabetic lumbosacral radiculoplexus neuropathy, lymphoma, amyloidosis.
  • Multifocal motor neuropathy.
  • Drug-, biologic-, chemotherapy-, or toxin-induced peripheral neuropathy.
Show all 18Show fewer
  • Diabetic peripheral neuropathy.
  • The participant has any chronic or debilitating disease, or central nervous disorder that causes neurological symptoms or that may interfere with assessment of CIDP or outcome measures, including (but not limited to) multiple sclerosis, arthritis, stroke, and Parkinson's disease.
  • The participant is required to take or has taken either of the following for treatment of CIDP:
  • Immunomodulatory/immunosuppressive agents (except IGIV) that include, but are not limited to, complement inhibitors, efgartigimod, and chemotherapeutic drugs, within 3 months or 5 half-lives, whichever is longer, of screening.
  • B-cell affecting biologics (e.g. rituximab) within 6 months of screening.
  • Note: Participants on a long-term, stable dosing regimen of certain immunomodulatory agents (eg, hydroxychloroquine) for any disease other than CIDP may be eligible, provided the dose regimen has been stable for 3 months before screening and is expected to remain stable throughout the study.
  • The participant has undergone plasma exchange within 3 months of screening.
  • The participant has a history of malignancy with less than 2 years of complete remission before screening, or active malignancy requiring chemotherapy and/or radiotherapy.
  • Note: Participants with adequately treated basal cell or squamous cell carcinoma of the skin, carcinoma in situ of the cervix, or stable prostate cancer not requiring treatment are eligible.
  • The participant has experienced deep vein thrombosis or arterial thromboembolic events (example, cerebrovascular accident, pulmonary embolism) within 12 months of screening.
  • The participant has any medical condition, laboratory finding, or physical examination finding that precludes participation or with clinical evidence of any significant acute or chronic disease that, in the opinion of the investigator, may interfere with successful completion of the study or place the participant at undue medical risk.
  • The participant has participated in another clinical study involving an IP or investigational device within 30 days before screening or is scheduled to participate in another clinical study involving an IP or investigational device during the course of this study.

Trial locations and contacts

20 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

20 sites in 3 countries

United States13 sites, 13 recruiting
  • Emory University

    Atlanta, Georgia, 30322

    Site Contact, 404-727-1638, christina.nicole.fournier@emory.edu

    Christina Nicole Fournier

    Recruiting
  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

    Site Contact, 617-667-2501, Agottli2@bidmc.harvard.edu

    Fernanda Wajnsztajn Yungher

    Recruiting
  • The Curators of the University of Missouri on behalf of University of Missouri Health Care

    Columbia, Missouri, 65212-0001

    Site Contact, wdavidarnold@health.missouri.edu

    William Arnold

    Recruiting
  • Houston Methodist Research Institute

    Houston, Texas, 77030

    Site Contact, 346-238-2295, bliao@houstonmethodist.org

    Bing Liao

    Not yet recruiting
  • UF Health Neurology - Jacksonville

    Jacksonville, Florida, 32209

    Site Contact, 904-244-9922, Michael.Pulley@jax.ufl.edu

    Michael Pulley

    Recruiting
  • University of California San Diego

    La Jolla, California, 92093

    Site Contact, 619-543-3500, dferrey@health.ucsd.edu

    Dominic Ferrey

    Recruiting
  • Visionary Investigators Network

    Miami, Florida, 33133

    Site Contact, 833-732-2484, support@VINTrials.com

    Andrew Lerman

    Recruiting
  • Penn Blood Disorders Program - Hospital of The University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

    Site Contact, 503-494-0744, Chafic.Karam@Pennmedicine.upenn.edu

    Chafic Karam

    Recruiting
  • Mayo Clinic Rochester

    Rochester, Minnesota, 55905

    Site Contact, 507-284-5236, pinto.marcus@mayo.edu

    Marcus Pinto

    Recruiting
  • California Pacific Medical Center

    San Francisco, California, 94109

    Site Contact, 415-600-3604, Liberty.Jenkins@sutterhealth.org

    Liberty Jenkins

    Recruiting
  • University of Washington

    Seattle, Washington, 98195

    Site Contact, 206-598-7688, mdweiss@uw.edu

    Michael Weiss

    Recruiting
  • The Washington University

    St Louis, Missouri, 63110

    Site Contact, 314-273-8160, C.roach@wustl.edu

    Charles Roach

    Recruiting
  • University of South Florida

    Tampa, Florida, 33612

    Site Contact, 813-974-9413, jessshaw@usf.edu

    Kathleen Murray

    Recruiting

Other trials in United States

Colombia5 sites, 5 recruiting
  • Hospital Universitario San Ignacio

    Bogotá, D.C.

    Site Contact, 57 (1) 5946161 ext. 2473, luciamarent@gmail.com

    Alba Lucia Marentes Cubillos

    Not yet recruiting
  • Universidad del Rosario

    Bogotá, 111711

    Site Contact, drandresdiazcampos@gmail.com

    Andres Diaz Campos

    Not yet recruiting
  • Fundacion Oftalmologica de Santander - FOSCAL

    Bucaramanga, 680001

    Site Contact, (577) 6382828, ivanmauricio@rocketmail.com

    Ivan Peña

    Not yet recruiting
  • Fundacion Valle del Lili

    Cali, Valle del Cauca Department, 760032

    Site Contact, (602) 3319090 ext. 4022 - 4028, francisco.arias@fvl.org.co

    Francisco Arias Mora

    Not yet recruiting
  • Neuro ClinicaS.A.S

    Medellín, Antioquia, 50021

    Site Contact, (604) 3222813, juan.solano@udea.edu.co

    Juan Marcos Solano Atehortua

    Not yet recruiting

Other trials in Colombia

Canada2 sites, 2 recruiting
  • University of Calgary

    Calgary, Alberta, T2N 4Z6

    Site Contact, 403-210-7006, chris.white@ahs.ca

    Christopher White

    Not yet recruiting
  • University Health Network

    Toronto, Ontario, M5G 2C4

    Site Contact, 416-340-3315, vera.bril@utoronto.ca

    Vera Bril

    Not yet recruiting

Other trials in Canada

About this study

Official title: A Phase 2, Open-label, Proof-of-Concept Study to Investigate the Efficacy, Safety, and Tolerability of TAK-411 in Adult Subjects With Chronic Inflammatory Demyelinating Polyradiculoneuropathy (The CASCA Study)

CIDP is an autoimmune disease. This means that the body's germ fighting (immune) system attacks itself. In CIDP, the immune system attacks the protective covering around the nerves called myelin. Over time, these nerves lose their ability to send signals to the muscles in the body. This leads to muscle weakness and loss of sensation in arms and legs among other symptoms. Participants with CIDP can be treated with a protein called immunoglobulin (or IG).

TAK-411 is a special type of immune globulin G (hsIgG) that has been chemically changed. It is made from IG that comes from human plasma. This study will test if TAK-411 can decrease inflammation and improve symptoms of CIDP.

Read more

The main aim of this study is to check how TAK-411 affects the physical functioning of adults with CIDP when compared with results of the placebo group of a historical trial.

Participants may be treated with TAK-411 for up to 1 year (51 weeks) and will be followed up for 3 weeks after last dose.

During the study, participants may visit their study clinic up to approximately 21 times.

Being tested
TAK-411
Keywords
Drug Therapy
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.

  • TAK-411Biological

    Also called Hypersialylated Immune Globulin G

    TAK-411 IV infusion.

Study groups in NCT06798012
Study groupRoleWhat they receive
TAK-411ExperimentalParticipants will receive TAK-411 400 milligrams per kilogram (mg/kg), IV infusion as an induction dose on Day 1 of initial treatment period. The induction dose may be repeated once after 3 weeks if participants exhibit no clinical change. Thereafter, participants will receive TAK-411 200 mg/kg, IV infusion every 3 weeks for a total of 24 weeks (initial treatment period), followed by an optional additional 27 weeks (extended treatment period).
Receives: Biological: TAK-411

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Improvement in Functional Ability at Week 24

    Improvement in functional ability is defined as decrease of >=1 point in INCAT score at Week 24 compared with baseline (last assessment before first investigational product [IP] administration on Day 1). INCAT disability scale consists of upper and lower extremity components, which are scored based on a participant's level of impairment/disability in their arms and legs, respectively. Each component is scored from 0 to 5 points, which are summed for an overall INCAT disability score ranging from 0 to 10 points, where a score of 0 indicates no signs of disability (example, no upper limb problems and walking not affected) and a score of 10 indicates most severe disability (example, inability to move either arm for any purposeful movement and restricted to a wheelchair, unable to stand and walk a few steps with help). Adjusted INCAT disability score remains identical to INCAT disability score, except that changes in upper limb function from 0 (normal) to 1 (minor symptoms) are excluded.

    Measured: At Week 24

Secondary outcomes (13)
  1. Number of Participants With Improvement in Functional Ability at Weeks 12 and 54

    Improvement in functional ability is defined as decrease of >=1 point in the adjusted INCAT score at 12 and 54 weeks compared with baseline (last assessment before first IP administration on Day 1). INCAT disability scale consists of upper and lower extremity components, which are scored based on a participant's level of impairment/disability in their arms and legs, respectively. Each component is scored from 0 to 5 points, which are summed for an overall INCAT disability score ranging from 0 to 10 points, where a score of 0 indicates no signs of disability (example, no upper limb problems and walking not affected) and a score of 10 indicates most severe disability (example, inability to move either arm for any purposeful movement and restricted to a wheelchair, unable to stand and walk a few steps with help). Adjusted INCAT disability score remains identical to INCAT disability score, except that changes in upper limb function from 0 (normal) to 1 (minor symptoms) are excluded.

    Measured: At 12 and 54 weeks

  2. Change From Baseline in Adjusted Inflammatory Neuropathy Cause and Treatment (INCAT) Score

    INCAT disability scale consists of upper and lower extremity components, which are scored based on a participant's level of impairment/disability in their arms and legs, respectively. Each component is scored from 0 to 5 points, which are summed for an overall INCAT disability score ranging from 0 to 10 points, where a score of 0 indicates no signs of disability (example, no upper limb problems and walking not affected) and a score of 10 indicates most severe disability (example, inability to move either arm for any purposeful movement and restricted to a wheelchair, unable to stand and walk a few steps with help). Adjusted INCAT disability score remains identical to INCAT disability score, except that changes in upper limb function from 0 (normal) to 1 (minor symptoms) are excluded.

    Measured: Baseline (last assessment prior first dose on Day 1), at 12, 24 and 54 weeks

  3. Change From Screening in the Adjusted INCAT Score

    INCAT disability scale consists of upper and lower extremity components, which are scored based on a participant's level of impairment/disability in their arms and legs, respectively. Each component is scored from 0 to 5 points, which are summed for an overall INCAT disability score ranging from 0 to 10 points, where a score of 0 indicates no signs of disability (example, no upper limb problems and walking not affected) and a score of 10 indicates most severe disability (example, inability to move either arm for any purposeful movement and restricted to a wheelchair, unable to stand and walk a few steps with help). Adjusted INCAT disability score remains identical to INCAT disability score, except that changes in upper limb function from 0 (normal) to 1 (minor symptoms) are excluded.

    Measured: Screening, at 12, 24 and 54 weeks

  4. Number of Participants With Improvement in Functional Ability on Inflammatory Rasch-built Overall Disability Scale (I-RODS) Score

    Improvement in functional ability defined as increase of greater than or equal to (>=) 4 points in the raw summed I-RODS score at 12, 24, and 54 weeks compared with baseline. I-RODS is a validated, participants-reported, linearly weighted overall disability scale that was specifically designed to capture current activity and social participation limitations in participants with immune-mediated peripheral neuropathies including CIDP. I-RODS comprises 24 items for which participants are asked to rate their functioning related to a variety of everyday tasks at the moment of completion. The participant assigns a score between 0 and 2 to each item as follows:0 (impossible to perform),1 (performed with difficulty), 2 (easily performed) with a lower score indicating more severe activity and social participation limitations. A total I-RODS score of 0 (complete disability) to 48 (no disability) is tabulated by totalling the 24-item responses where higher score represents better outcomes.

    Measured: At 12, 24 and 54 weeks

  5. Change From Baseline in I-RODS Score

    The I-RODS is a validated, participants-reported, linearly weighted overall disability scale that was specifically designed to capture current activity and social participation limitations in participants with immune-mediated peripheral neuropathies including CIDP. The I-RODS comprises 24 items for which participants are asked to rate their functioning related to a variety of everyday tasks at the moment of completion. The participant assigns a score between 0 and 2 to each item as follows: 0 (impossible to perform), 1 (performed with difficulty), 2 (easily performed) with a lower score indicating more severe activity and social participation limitations. A total I-RODS score of 0 (complete disability) to 48 (no disability) is tabulated by totalling the 24-item responses where higher score represents better outcomes.

    Measured: Baseline (last assessment prior first dose on Day 1), at 12, 24 and 54 weeks

  6. Change From Screening in I-RODS Score

    The I-RODS is a validated, participants-reported, linearly weighted overall disability scale that was specifically designed to capture current activity and social participation limitations in participants with immune-mediated peripheral neuropathies including CIDP. The I-RODS comprises 24 items for which participants are asked to rate their functioning related to a variety of everyday tasks at the moment of completion. The participant assigns a score between 0 and 2 to each item as follows: 0 (impossible to perform), 1 (performed with difficulty), 2 (easily performed) with a lower score indicating more severe activity and social participation limitations. A total I-RODS score of 0 (complete disability) to 48 (no disability) is tabulated by totalling the 24-item responses where higher score represents better outcomes.

    Measured: Screening, at 12, 24 and 54 weeks

  7. Change From Baseline in Medical Research Council Sum Score (MRC-SS)

    The MRC-SS is used clinician-reported measure of muscle strength. Assessments are conducted bilaterally on six muscle groups: upper arm abductors, elbow flexors, wrist extensors, hip flexors, knee extensors, and foot dorsal flexors. Each muscle is rated from 0 to 5, where 0 indicates no visible contraction and 5 indicates normal strength. The scores are summed to obtain the MRC-SS, which ranges from 0 (quadriplegic) to 60 (normal strength).

    Measured: Baseline (last assessment prior first dose on Day 1), at 12, 24 and 54 weeks

  8. Change From Screening in MRC-SS

    The MRC-SS is used clinician-reported measure of muscle strength. Assessments are conducted bilaterally on six muscle groups: upper arm abductors, elbow flexors, wrist extensors, hip flexors, knee extensors, and foot dorsal flexors. Each muscle is rated from 0 to 5, where 0 indicates no visible contraction and 5 indicates normal strength. The scores are summed to obtain the MRC-SS, which ranges from 0 (quadriplegic) to 60 (normal strength).

    Measured: Screening, at 12, 24 and 54 weeks

  9. Change From Baseline in Bilateral Hand Grip Strength

    Bilateral hand grip strength assessments will be performed by prescribing physicians or qualified designees using the Martin Vigorimeter, measuring strength in kilopascals (kPa) ranging from 0 to 160 kPa.

    Measured: Baseline (last assessment prior first dose on Day 1), at 12, 24 and 54 weeks

  10. Change From Screening in Bilateral Grip Strength

    Bilateral hand grip strength assessments will be performed by prescribing physicians or qualified designees using the Martin Vigorimeter, measuring strength in kPa ranging from 0 to 160 kPa.

    Measured: Screening, at 12, 24 and 54 weeks

  11. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    Measured: From start of study drug administration up to 54 weeks

  12. Number of Participants With Infusion Discontinuations, Interruptions, and Infusion Rate Reductions due to TAK-411 Related TEAEs

    Measured: From start of study drug administration up to 54 weeks

  13. Number of Participants With Antibodies Against Host Cell Proteins (HCP), Beta-1,4-galactosyltransferase (B4GalT1) and Alpha-2,6-sialyltransferase (St6Gal1)

    Measured: Up to 54 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jan 2025
  2. Study start14 May 2025
  3. Primary completion2 Dec 2027 (estimated)
  4. Study completion8 Jun 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
36 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06798012
Sponsor's protocol ID
TAK-411-2001
Acronym
CASCA
Status last verified
Apr 2026
First submitted
23 Jan 2025
Last updated
23 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing TAK-411 in people with Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP), run by Takeda at 20 sites in 3 countries.

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 10 inclusion and 18 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 23 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in United States, Colombia, Canada. 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.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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 Takeda Contact (+1-877-825-3327, medinfoUS@takeda.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Improvement in Functional Ability at Week 24 (time frame: At Week 24). 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 23 Apr 2026.

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