Research & Clinical Trials
Read on to learn more about the basics of clinical research & why it is important to participate. Alternatively, click here to learn more about the ongoing clinical trials currently recruiting participants.
The Research Process: Bench to Bedside
The practice of medicine and treating patients involves a great deal of work “behind the scenes”. Many doctors, biologists, chemists, pharmacists, and other researchers dedicate their ideas, knowledge, and expertise to study potential new treatment options to treat, and possibly cure, medical conditions. This usually takes years, sometimes decades, and plenty of funding. Before a potential new treatment moves into the clinical trial phase, where it is given to human patients, the safety profile of the potential new treatment is studied extensively in the lab and often tested in animal models. This way, patients that take part in clinical trials can be assured that only the best, and most safe, potential new treatments make it to the clinical trial phase.
Before Clinical Trials in humans can start, investigators must submit all the data generated in the laboratory and in animals, for review by the scientists at FDA, to see whether there is any indication that this treatment might potentially be harmful. Investigators must also share some manufacturing details and characterization of the new chemical entity proposed to be tested in humans. The FDA must either request additional information from the investigator within 30 days or allow the clinical trials to begin
Clinical Trial FAQs
What is a clinical trial?
Clinical trials are scientific studies that involve people. Most clinical trials test how effective a new potential drug, medical device, or medical technique is at improving signs or symptoms of a particular condition, OR prolonging the life of a patient with the condition. Clinical trials involve a strong collaboration between researchers, drug-makers/pharmaceutical companies, hospitals, patients, and doctors. Patient support organization/foundations can help connect patients share their experiences with researchers, highlighting what being afflicted by a certain disease has meant to them and sparking innovative ideas in researchers.
Some clinical trials are observational, meaning they follow a natural course of a medical condition over time but do not explicitly test potential new treatment options. Observational clinical trials are just as important in furthering our understanding of diseasea nd the effects of various things done for it over time.
Why are clinical trials necessary?
Clinical trials are the most important step needed to bring new medicines to pharmacy shelves. All medicines that you’ve purchased – from chemotherapy to penicillin– have gone through the clinical trial process, which demonstrates safety and effectiveness. Therefore, clinical trials are necessary to bring new and innovative medicines, devices, and treatment options to the market so that your doctor can prescribe, and insurance can cover, these innovative therapies. For rare diseases with no or very few effective treatments, it is even more important for there to be trials for new, potential treatment options.
Generally, clinical trials are done in phases. Consider each phase a “checkpoint” in which researchers and regulators check in with the safety and effectiveness data of the potential new drug
Phase 1 includes (healthy) people without any medical conditions and focuses on determining the safety of the potential new drug.
Phase 2 includes people living with the disease or condition that will hopefully be treated by the new drug and measures safety (again) and looks for biologic, hopefully beneficial, effects in patients living with the disease under consideration
Phase 3 continues to measure those things in more people living with the disease or condition. In this phase, the investigator must show, statistically, that the product is safe and can improve one or more aspect of the disease.
What are potential benefits of participating in a clinical trial?
Participating in a clinical trial is an important decision that should always be discussed with a healthcare provider.
Potential benefits include access to potential new treatments and helping to bring new medicines to market. During the time you are in the trial, you are guaranteed to have expert care and constant monitoring of your health from the clinical trial team.
During a clinical trial, you are guaranteed to be given medical care and monitoring of your condition. Most of the time, the study sponsor covers most (if not all) of the costs associated with your participation in the study, which might include travel. Be sure to talk to your doctor and the clinical trial team about costs and reimbursement rules.
Are clinical trials safe?
Clinical trials follow a protocol that is carefully reviewed by the investigator’s institution (medical center) or by a third party committee, to assure that the research fulfills all the current ethical and legal requirements of studies involving humans. Because the product under study will NOT YET have been shown to be safe and effective, all possible side effects may not be known at this point in the process. Only by studying the product in patients with the disease or condition can we learn about the new potential treatment’s benefits and adverse effects. The FDA will also review the “Informed Consent Form” to be sure it spells out everything that is known and not yet known about the product, so the potential trial participant (patient with the disease) can make a “fully-informed decision” to participate or not to participate.
Additionally, because patients who are participating in a clinical trial are monitored closely, the clinical trial team will know immediately if a patient’s condition is worsening. If symptoms get worse, the clinical trial team will ensure that the clinical trial participant gets the medication needed to help a patient improve. This could mean using the typical standard of care or ensuring that patient has access to the potential new treatment being studied in the trial.
Do I need to leave my current doctor to participate in a trial?
If you are interested in a clinical trial, you should always first discuss this decision with your doctor; there is a chance your current doctor is part of the clinical trial team. If they are not, they will still be your doctor and will be in charge of overseeing your care. However, you will likely have to visit a doctor who is part of the clinical trial team in addition to your regular doctor.
What happens when the clinical trial is over?
One of the most important things that happens when a clinical trial is completed is that researchers analyze the data. This often takes months. Then, analyzed data is presented to regulators and expert scientists within agencies such as the FDA in the US or the EMA in Europe, who evaluate the data for safety and efficacy. If the data shows the drug that was studied is safe and more effective than placebos or other treatments at treating a certain disease, the regulators formally approve the product, with or without requiring further studies to be conducted, and clear the way for the drug-maker to market the drug that was tested.
While data is being evaluated, many clinical trial teams offer “extension periods” for patients that participated in the trial. The extension periods may allow people to continue accessing the potential new treatment until regulators make the final decision. These are usually voluntary.
What is the time commitment of participating in a clinical trial?
Every clinical trial will have different requirements, but most clinical trials include a schedule of regular visits with doctors and nurses on the study team within a relatively short time-frame.
Know the Lingo
Site: The hospital or medical center where a clinical trial is taking place. Clinical trials often have many sites across a country or many countries.
Investigator: The doctor leading the clinical trial team at a particular site.
Sponsor: The entity – possibly a drug-maker or government agency – that is responsible for creating and overseeing the clinical trial.
Investigational drug / experimental drug / investigational product: The potential product, not yet approved for marketing for a specific disease, that is being tested in a clinical trial. It can be a drug, a blood or plasma product, a medical device, or a medical procedure/technique.
Placebo – A placebo is sometimes referred to as a “sugar pill”, but can be any number of treatments that are not the potential new treatment being studied. In order to test the effectiveness of a drug, researchers need to determine the effectiveness of a potential new treatment, researchers compare the disease course and symptoms when the potential new treatment is taken vs. when it is not. When someone is not taking the potential new treatment during the clinical trial, they are taking the placebo.
Placebo vs. control: Placebo does not always mean “sugar pill” or “no treatment given”. Sometimes, clinical trials test new potential treatments against what is the current standard of care. If someone is not getting the potential new treatment, they are acting as the “Control” in the clinical trial.
In some innovative trials, people act as their own control, meaning they go through a period in the trial where they take the potential new treatment and compare their symptoms to a period when the person did not take the potential new treatment.
REMEMBER- the clinical trial team will monitor each clinical trial participant’s symptoms carefully. If someone who is participating in a trial starts to “worsen”, the clinical trial team will be sure to treat the symptoms with either standard of care (whatever therapy previously helped the participant) or the potential new treatment being tested in the trial. This helps to ensure that placebos do not harm clinical trial participants in the long term.
Blinded: During a clinical trial, results are more valid if researchers are able to compare how symptoms change in patients taking the potential new treatment against those who do not when the researchers do not know who is receiving which treatment. This helps to eliminate bias (everybody wants new treatments to work!). People that might be blinded in a clinical trial include the investigator (doctor), the clinical trial team, the patient, the researchers doing the data, and the study sponsors.
GBS|CIDP Specific FAQs
Are there ways to participate in research or clinical trials from home?
Are all clinical trials done at GBS|CIDP Centers of Excellence?
While it is likely that our Centers of Excellence participate in cutting-edge research, these centers are not exclusive to GBS|CIDP research. Therefore, clinical trials may also be taking place at other hospitals/doctor’s offices, so please talk to your doctor and the clinical trial team to learn more.
I had GBS a long time ago. Can I participate in clinical trials?
The GBS|CIDP Patient Registry is open to all people that have been affected by GBS, CIDP, or a variant at any point in their lives. Other studies may have other criteria for who can participate, so talk to your doctor and the clinical trial team to learn more.
Preparing to Participate
When thinking about clinical trials, there are many things to consider. Remembering that safety is always a top priority in clinical trials, it is still important to have conversations with your doctor, your family, and your insurance provider about this decision. Here is a list of questions to get answered:
- How will the study team communicate with my regular doctor?
- Will the study sponsor cover any expenses not covered by insurance? Is there an opportunity to be reimbursed for traveling to participate in the trial?
- What is the plan for care or receiving the drug when the trial is over?
- When will I know whether I received the potential new treatment being studied in the trial?
Ongoing Clinical Trials
There are several clinical trials in process right now that support research for GBS, CIDP, and variants. Please note that this information is intended to help patients be aware of all of their options; the Foundation is unable to endorse any clinical trials.
A Clinical Study of Rozanolixizumab in Patients with Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP)
Clinical research studies are scientific evaluations in people, led by researchers and physicians. They can help advance the understanding of a disease and are the most important way for researchers to find out if potential new treatments are safe and effective. Studies like these are needed to be able to make new treatments available to patients.
The international GBS Outcome Study (IGOS) is the largest and longest prospective trial designed to collect extensive data from patients afflicted with GBS in a systematic manner. The aim is to collect information from patients by intensive international collaboration. All patients are followed at standard intervals from the earliest phase of the disease up to at least one year after. At these time points all patients are clinically examined and documented according to the same protocol. The data generated from IGOS may fundamentally change how we care for patients with GBS and hasten research for more effective therapies.
The GBS|CIDP Foundation International is currently funding the IGOS trial through a research grant.
ADVANCE CIDP 1 Clinical Study
CIDP Treatment Trial, Now Enrolling Patients Worldwide!
Announcing a new study to investigate a potential new medication for CIDP patients. The ADVANCE-CIDPTM 1 Study is looking at a potential new treatment (an investigational medication) for patients with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). It will assess if the investigational medication could help to prevent muscle weakness in the upper and lower limbs. The investigational medication is an immunoglobulin (made from proteins found in the body called antibodies) and is given as an infusion under the skin every 2, 3, or 4 weeks.
About the study
The study is currently looking for 170 patients at approximately 90 study centers worldwide.
If you take part, you may be involved in the study for up to 14 months. The study is now enrolling. Requirements include:
- Must be 18 years of age or older
- Must have been diagnosed with CIDP
- Must have been receiving treatment with immunoglobulin infusions at a stable dose, every 2–6 weeks, for at least 12 weeks (3 months)
Please visit clinicaltrials.gov and search for study identifier NCT02955355 for more information, including a list of participating countries and study centers:
- CLICK HERE FOR MORE INFORMATION ON THE CURRENT TRIAL VIA CLINICALTRIALS.GOV
- FIND OUT MORE HERE VIA SHIRETRIALS.COM
CSL Behring is conducting an open-label study to investigate the efficacy of single and multiple-dose Privigen administration in IVIG‑pretreated and IVIG-untreated pediatric subjects with chronic inflammatory demyelinating polyneuropathy (CIDP).
ClinicalTrials.gov Identifier: NCT03684018
A Phase 1b Study to Evaluate the Safety, Tolerability and Drug-Drug Interactions of ANX005 and Intravenous Immunoglobulin (IVIg) in Subjects With Guillain Barré Syndrome
A Study to Assess the Long-term Safety and Efficacy of a Subcutaneous Formulation of Efgartigimod in Adults With Chronic Inflammatory Demyelinating Polyneuropathy (CIDP, an Autoimmune Disorder That Affects the Peripheral Nerves) (ADHERE+)
This is the open-label extension study of phase II ARGX-113-1802 to evaluate the long-term safety and efficacy of the subcutaneous formulation of efgartigimod in adults with CIDP.
Need more resources? Join our community!