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| ID | Type | Description | Link |
|---|---|---|---|
| 031213 | Other Identifier | AFSSAPS |
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| Name | Class |
|---|---|
| Laboratoire français de Fractionnement et de Biotechnologies | INDUSTRY |
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Treatment of Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is a challenge because disease may generate important disability in patients including young adults. Randomized trials showed that corticosteroids, plasma exchanges and intravenous immunoglobulin (IVIg) can reduce impairment on a short term period but the treatment of a chronic disease doesn't agree with it. Corticosteroids and IVIg are the first line CIDP treatments. No study permits to demonstrate the superiority of one treatment to the other. Long term adverse effects of corticosteroids and IVIg cost are the respective limitation of their use. The investigators scheduled to recruit 40 CIDP patients in 23 French centres to receive either 0,8mg/kg/day of prednisone progressively tapered over 6 months or a monthly 2g/kg cure of IVIg during 6 months. Patients will be followed during 6 months after the treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| immunoglobulin | Experimental | patient who received monthly 2g/kg cure of intravenous Immunoglobulin during 6 months |
|
| prednisone | Active Comparator | patient who received 0,8mg/kg/day of prednisone progressively tapered over 6 months |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Immunoglobulin perfusion | Drug | patient who received monthly 2g/kg intravenous cure of immunoglobulin |
|
| Measure | Description | Time Frame |
|---|---|---|
| Main outcome | Rate of patients with a decreased INCAT score of at least 1 point after 3 months of treatment,
| 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Secondary outcome | Rate of cured patients i.e. INCAT score of 0 in legs and ≤ 1 in arms after 3, 6, 9 and 12 months, | 3 months |
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Inclusion Criteria:
CIDP diagnosis:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jean-Philippe CAMDESSANCHE, Dr | CHU de SAINT-ETIENNE | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Clermont-Ferrand | Clermont-Ferrand | France | 63000 | France | ||
| Chu Dijon |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38353301 | Derived | Bus SR, de Haan RJ, Vermeulen M, van Schaik IN, Eftimov F. Intravenous immunoglobulin for chronic inflammatory demyelinating polyradiculoneuropathy. Cochrane Database Syst Rev. 2024 Feb 14;2(2):CD001797. doi: 10.1002/14651858.CD001797.pub4. |
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| Prednisone | Drug | patient who received 0,8mg/kg/day of prednisone progressively tapered over 6 months |
|
| Dijon |
| 21000 |
| France |
| CHU Grenoble | Grenoble | 38000 | France |
| Hôpital Neurologique de Lyon | Lyon | 69000 | France |
| Chu Marseille | Marseille | 13000 | France |
| Chu Nancy | Nancy | 54000 | France |
| Chu Nantes | Nantes | 44000 | France |
| CHU Nice | Nice | 06000 | France |
| Chu Saint-Etienne | Saint-Etienne | 42100 | France |
| Chu Strasbourg | Strasbourg | 67000 | France |
| Centre hospitalier de Valence | Valence | 26000 | France |
| ID | Term |
|---|---|
| D020277 | Polyradiculoneuropathy, Chronic Inflammatory Demyelinating |
| ID | Term |
|---|---|
| D011129 | Polyradiculoneuropathy |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
| D011115 | Polyneuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D011241 | Prednisone |
| ID | Term |
|---|---|
| D011244 | Pregnadienediols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
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