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Trial · NCT03401073

IVIg for Small Fiber Neuropathy With Autoantibodies TS-HDS and FGFR3

NCT03401073, Phase 2, Completed, Beth Israel Deaconess Medical Center; results first posted 2023-09-13

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. IVIg for Small Fiber Neuropathy With Autoantibodies TS-HDS and FGFR3. Trials, record NCT03401073. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03401073

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
IVIg for Small Fiber Neuropathy With Autoantibodies TS-HDS and FGFR3
NCT number
NCT03401073
Status
Completed
Phases
Phase 2
Enrollment
20 participants, actual
Lead sponsor
Beth Israel Deaconess Medical Center
Conditions
Small Fiber Neuropathy, Idiopathic Peripheral Neuropathy
Interventions
Intravenous immunoglobulin, 0.9% Sodium Chloride
First posted
2018-01-17
Last updated
2023-09-13
Results first posted
2023-09-13
Limitations and caveats
This was a small pilot study that was underpowered to detect changes to secondary endpoints.~There was a 15% dropout. Despite several publications that note an association between TS-HDS and FGFR-3 autoantibodies in neuropathy, we do not have evidence for pathogenicity (supported by a non-insignificant number of patients excluded from the study with autoantibodies but without evidence of neuropathy). This too may have limited the potential treatment effect of immune globulin.

Source ClinicalTrials.gov

Registered outcomes3

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryThe Change in Nerve Fiber Density Between Visits 1 and 8.
Visit 1 (time zero) and visit 8 (range of visit time 22-27 weeks after visit 1), thus a total of 22-27 weeks for the study (the range is provided to ensure final follow up is completed despite any conflicts with travel or holidays).
Difference in intra-epidermal nerve fiber density between visits 1 and 8 will be measured. Intra-epidermal nerve fiber density is a quantitative measure of the number of nerve fibers per millimeter. The outcome is the number of nerve fibers measured at visit 8 minus the number of nerve fibers measured at visit 1. A positive value indicates that nerve fiber density has increased (a better outcome), a negative value indicates that the nerve fiber density has decreased (a worse outcome).
SecondaryThe Change in Neuropathic Pain Severity Between Visits 1 and 8.
Visit 1 (time zero) and visit 8 (range of visit time 22-27 weeks after visit 1), thus a total of 22-27 weeks for the study (the range is provided to ensure final follow up is completed despite any conflicts with travel or holidays).
The visual analog scale (VAS) of pain allows for quantification of neuropathic pain. The VAS pain scale depicts a line ranging from 0 (no pain) to 10 (worst possible pain). The scale is ordinal ranging from 0-10. The difference in pain between visit 1 and visit 8 (pain measured at visit 8 subtracted from the score at visit 1) is the range. Positive values indicate an increase in pain (worse outcome), negative values indicate an improvement in pain (better outcome).
Secondary2) The Difference in Change Between Quantified Utah Early Neuropathy Examination Scores, Between Treatment and Placebo Groups Between Visits 1 and 8.
Visit 1 (time zero) and visit 8 (range of visit time 22-27 weeks after visit 1), thus a total of 22-27 weeks for the study (the range is provided to ensure final follow up is completed despite any conflicts with travel or holidays).
The Utah Early Neuropathy Scale (UENS) was developed specifically to detect and quantify early small-fiber sensory neuropathy and to recognize modest changes in sensory severity and distribution. The UENS scale ranges from 0 (no neuropathy) to 42 (severe small fiber neuropathy). The outcome measure is the UENS score from Visit 8 minus the UENS score at visit 1. The difference in the two scores indicates the change in neuropathy severity. A positive value indicates that neuropathy has worsened over the course of the study, a negative value indicates that neuropathy has improved over the course of the study.

Outcomes3

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYThe Change in Nerve Fiber Density Between Visits 1 and 8.
Visit 1 (time zero) and visit 8 (range of visit time 22-27 weeks after visit 1), thus a total of 22-27 weeks for the study (the range is provided to ensure final follow up is completed despite any conflicts with travel or holidays).
The 17 study completers were analyzed as part of the final results.fibers/mmMEAN
SECONDARYThe Change in Neuropathic Pain Severity Between Visits 1 and 8.
Visit 1 (time zero) and visit 8 (range of visit time 22-27 weeks after visit 1), thus a total of 22-27 weeks for the study (the range is provided to ensure final follow up is completed despite any conflicts with travel or holidays).
units on a scaleMEAN
SECONDARY2) The Difference in Change Between Quantified Utah Early Neuropathy Examination Scores, Between Treatment and Placebo Groups Between Visits 1 and 8.
Visit 1 (time zero) and visit 8 (range of visit time 22-27 weeks after visit 1), thus a total of 22-27 weeks for the study (the range is provided to ensure final follow up is completed despite any conflicts with travel or holidays).
units on a scaleMEAN

Results by group6

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
The Change in Nerve Fiber Density Between Visits 1 and 8.0.9% Sodium Chloride0.5Standard Deviation 0.8fibers/mm
The Change in Nerve Fiber Density Between Visits 1 and 8.Intravenous Immunoglobulin0.6Standard Deviation 0.6fibers/mm
The Change in Neuropathic Pain Severity Between Visits 1 and 8.0.9% Sodium Chloride-1.7Standard Deviation 0.9units on a scale
The Change in Neuropathic Pain Severity Between Visits 1 and 8.Intravenous Immunoglobulin-1.9Standard Deviation 2.6units on a scale
2) The Difference in Change Between Quantified Utah Early Neuropathy Examination Scores, Between Treatment and Placebo Groups Between Visits 1 and 8.0.9% Sodium Chloride-3.0Standard Deviation 5.8units on a scale
2) The Difference in Change Between Quantified Utah Early Neuropathy Examination Scores, Between Treatment and Placebo Groups Between Visits 1 and 8.Intravenous Immunoglobulin-1.8Standard Deviation 3.9units on a scale

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTED0.9% Sodium Chloride10
Overall StudySTARTEDIntravenous Immunoglobulin10
Overall StudyCOMPLETED0.9% Sodium Chloride9
Overall StudyCOMPLETEDIntravenous Immunoglobulin8
Overall StudyNOT COMPLETED0.9% Sodium Chloride1
Overall StudyNOT COMPLETEDIntravenous Immunoglobulin2

Adverse events2

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherInfusion reactionProduct Issues0.9% Sodium Chloride91025
otherInfusion reactionProduct IssuesIntravenous Immunoglobulin81022

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortality0.9% Sodium Chloride010
Total, all-cause mortalityIntravenous Immunoglobulin010
Total, other adverse events0.9% Sodium Chloride910
Total, other adverse eventsIntravenous Immunoglobulin810
Total, serious adverse events0.9% Sodium Chloride010
Total, serious adverse eventsIntravenous Immunoglobulin010

Papers15

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
8813271BACKGROUNDPubMed
11222785BACKGROUNDPubMed
12111305BACKGROUNDPubMed
18844788BACKGROUNDPubMed
20642627BACKGROUNDPubMed
22581541BACKGROUNDPubMed
24379104BACKGROUNDPubMed
24803311BACKGROUNDPubMed
25299289BACKGROUNDPubMed
25410218BACKGROUNDPubMed

1 to 10 of 15

See all 15 papers

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
0.9% Sodium Chloride vs Intravenous Immunoglobulin: deaths from any causeTrial comparisons
0.9% Sodium Chloride vs Intravenous Immunoglobulin: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03401073

GET https://conductscience.org/api/trials/v1/NCT03401073/registered