Recruiting
Phase 3

DNTH103

Sponsor:

Dianthus Therapeutics

Code:

NCT06858579

Conditions

Chronic Inflammatory Demyelinating Polyneuropathy

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Not accepted

Interventions

Claseprubart

Claseprubart

Placebo

Study Details

Brief summary:

The purpose of this Phase 3 study is to demonstrate the efficacy of claseprubart (DNTH103) as compared to placebo in participants with chronic inflammatory demyelinating polyneuropathy (CIDP).

Conditions

Chronic Inflammatory Demyelinating Polyneuropathy

Study ID

NCT06858579

Start date

Feb 10, 2025

Status verified date

Apr, 2026

Completion date

Dec 31, 2030

Anticipated

Primary completion date

Dec 31, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Not accepted

Inclusion Criteria:

1. Must have given written informed consent before any study-related activities are carried out.
2. Weight range between 40 kilograms (kg) and 120 kg.
3. Confirmed diagnosis of CIDP or possible CIDP. Participants must have either typical CIDP or one of the following variants: motor or multifocal CIDP. Diagnosis must be confirmed by the Independent CIDP Review Panel.
4. CIDP Disease Activity Status (CDAS) score ≥ 3 at screening.
5. Must be neurologically stable.
6. Must have an INCAT score between 2 and 9 inclusive.
7. Must fulfill one of the following treatment conditions for CIDP:

1. Currently treated with and responded to immunoglobulin (Ig) (intravenous immunoglobulin \[IVIg\] or subcutaneous immunoglobulin \[SCIg\]) alone or Ig (IVIg or SCIg) plus oral corticosteroids, or previously treated with and responded to, but are no longer being treated with (eg, lost access to), a maintenance regimen of Ig (IVIg or SCIg) alone or Ig (IVIg or SCIg) plus oral corticosteroids.
2. Currently treated with and responded to oral corticosteroids alone or oral corticosteroids in combination with azathioprine or mycophenolate mofetil.
3. Refractory participants who have had treatment failure (worsening) or an inadequate response to Ig and/or oral corticosteroids (defined as no clinically meaningful improvement after a period of a minimum of 12 weeks, which may include both active treatment and observation to assess response), or who at any time were unable to tolerate these treatments, experienced adverse effects, or have documented contraindications.
4. Treatment naïve with no history of prior treatment for CIDP.
8. Documented vaccinations against encapsulated bacteria in accordance with local requirements and vaccine availability.
9. Female participants must be of nonchildbearing potential or if of childbearing potential, must agree not to donate ova, not to attempt to become pregnant and, if engaging in sexual intercourse with a male partner, must agree to use a highly effective method of contraception.
10. Male participants must agree not to donate sperm and, if engaging in sexual intercourse with a female partner who could become pregnant, must agree to use an acceptable method of contraception or be surgically sterile for at least 90 days prior to Screening.

Exclusion Criteria:

1. Clinical signs or symptoms suggestive of polyneuropathy of causes other than CIDP.
2. Known evidence of central demyelination or known history of myelopathy.
3. History or presence of significant medical/surgical condition including any acute illness or major surgery considered to be clinically significant or that could have a potential impact on safety/efficacy or study procedures.
4. Any other condition, including mental illness or prior therapy that would make the participant unsuitable for this study.
5. Known complement deficiency or history of positive titer for anti-C1 antibodies.
6. Diagnosis of systemic lupus erythematosus (SLE) or family history of SLE (defined as a parent, sibling, or child).
7. Participants with an autoimmune disease affecting joints, muscle or nervous system.
8. Any coexisting or overlapping condition, which may interfere with outcome assessments, such as severe diabetic neuropathy, fibromyalgia, inflammatory arthritis or osteoarthritis affecting the hands and feet.
9. Prior history of N. meningitidis infection.
10. History of active malignancy within 5 years prior to screening, except basal cell carcinoma of the skin, curatively resected squamous cell carcinoma of the skin, cervical carcinoma in situ curatively treated or low-grade prostate adenocarcinoma for which appropriate management is observation alone.
11. Positive test results for active human immunodeficiency virus (HIV-1 or HIV-2), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV) antibodies.

Study Design

Enrollment

256 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Claseprubart (Part A)

Claseprubart intravenous (IV) loading dose on Day 1.

Claseprubart subcutaneous (SC) once every 2 weeks for up to 13 weeks.

experimental: Claseprubart (Part B)

Claseprubart SC once every 2 weeks for up to 52 weeks.

placebo comparator: Placebo (Part B)

Placebo SC once every 2 weeks for up to 52 weeks.

experimental: Claseprubart (Optional OLE)

Claseprubart SC once every 2 weeks for up to 104 weeks.

Interventions

Claseprubart

IV Infusion

Claseprubart

SC injection

Placebo

SC injection

Primary outcome measure

  • Part B: Time From First Dose to Relapse as Assessed by the Adjusted Inflammatory Neuropathy Cause and Treatment (INCAT) [ Time Frame: Part B baseline to Part B end of treatment period (up to Week 52) ]

Central Contacts and Locations

Central contacts

Dianthus Clinical Contact Center

929-999-4055clinicaltrials@dianthustx.com

Locations

Clinical Study Site

Recruiting

Birmingham, Alabama, United States, 35294

Clinical Study Site

Recruiting

Phoenix, Arizona, United States, 85028

Clinical Study Site

Recruiting

Scottsdale, Arizona, United States, 85251'

Clinical Study Site

Recruiting

Los Angeles, California, United States, 90048

Clinical Study Site

Recruiting

San Francisco, California, United States, 94109

Clinical Study Site

Recruiting

San Francisco, California, United States, 94158

Cinical Study Site

Recruiting

New Haven, Connecticut, United States, 06520

Clinical Study Site

Recruiting

Washington D.C., District of Columbia, United States, 20007

Clinical Study Site

Recruiting

Maitland, Florida, United States, 32751

Clinical Study Site

Recruiting

Tampa, Florida, United States, 33620

Clinical Study Site

Recruiting

Honolulu, Hawaii, United States, 96817

Clinical Study Site

Recruiting

Chicago, Illinois, United States, 60611

Clinical Study Site

Recruiting

Edwardsville, Illinois, United States, 62025

Clinical Study Site

Recruiting

Indianapolis, Indiana, United States, 46202

Clinical Study Site

Recruiting

Kansas City, Kansas, United States, 66160

Clinical Study Site

Recruiting

Burlington, Massachusetts, United States, 01805

Clinical Study Site

Recruiting

East Lansing, Michigan, United States, 48824

Clinical Study Site

Recruiting

Omaha, Nebraska, United States, 68198

Cinical Study Site

Recruiting

Lebanon, New Hampshire, United States, 03766

Clinical Study Site

Recruiting

New York, New York, United States, 10021

Clinical Study Site

Recruiting

New York, New York, United States, 10032

Clinical Study Site

Recruiting

Cincinnati, Ohio, United States, 45219

Clinical Study Site

Recruiting

Columbus, Ohio, United States, 43221

Clinical Study Site

Recruiting

Portland, Oregon, United States, 97239

Cinical Study Site

Recruiting

Nashville, Tennessee, United States, 37232

Clinical Study Site

Recruiting

Dallas, Texas, United States, 75243

Clinical Study Site

Recruiting

Denton, Texas, United States, 76208

Cinical Study Site

Recruiting

Houston, Texas, United States, 77030

Texas Locations

Recruiting

Houston, Texas, United States, 77054

Clinical Study Site

Recruiting

Round Rock, Texas, United States, 78681

Clinical Study Site

Recruiting

Sugar Land, Texas, United States, 77478

Clinical Study Site

Recruiting

Seattle, Washington, United States, 98195

More Information

Sponsor

Dianthus Therapeutics

Last update posted

Sep 2, 2026

Last verified

Apr, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by Dianthus Therapeutics on 2026-09-02.