PMID- 30151941 OWN - NLM STAT- MEDLINE DCOM- 20191021 LR - 20191022 IS - 1529-8027 (Electronic) IS - 1085-9489 (Linking) VI - 23 IP - 4 DP - 2018 Dec TI - Second IVIg course in Guillain-Barre syndrome patients with poor prognosis (SID-GBS trial): Protocol for a double-blind randomized, placebo-controlled clinical trial. PG - 210-215 LID - 10.1111/jns.12286 [doi] AB - One course of intravenous immunoglobulins (IVIg) of 2 g/kg is standard treatment in Guillain-Barre syndrome (GBS) patients unable to walk independently. Despite treatment some patients recover poorly, in part related to rapid consumption of IVIg, indicating that they may benefit from a second course of IVIg. The aim of the study is to determine whether a second course of IVIg, administered 1 week after start of the first course in patients with GBS and predicted poor outcome improves functional outcome on the GBS disability scale after 4 weeks. Secondary outcome measures include adverse events (AEs), Medical Research Council sumscore and GBS disability score after 8, 12, and 26 weeks, length of hospital and ICU admission, mortality, and changes in serum IgG levels. GBS patients of 12 years and older with a poor prognosis, based on the modified Erasmus GBS outcome score (mEGOS) at 1 week after start of the first IVIg course are eligible for randomization in this double-blind, placebo-controlled (IVIg or albumin) clinical trial. This study will determine if a second course of IVIg administered in the acute phase of the disease is safe, feasible, and effective in patients with GBS and a poor prognosis. This Dutch trial is registered prospectively as NTR 2224 in the Netherlands National Trial Register (NTR) which is the Primary Registry in the WHO Registry Network for the Netherlands. CI - (c) 2018 Peripheral Nerve Society. FAU - Walgaard, Christa AU - Walgaard C AD - Department of Neurology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - Jacobs, Bart C AU - Jacobs BC AD - Department of Neurology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. AD - Department of Immunology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - Lingsma, Hester F AU - Lingsma HF AD - Department of Public Health, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - Steyerberg, Ewout W AU - Steyerberg EW AUID- ORCID: 0000-0002-7787-0122 AD - Department of Public Health, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. AD - Department of Biomedical Data Sciences, LUMC, Leiden, The Netherlands. FAU - Cornblath, David R AU - Cornblath DR AD - Department of Neurology, Johns Hopkins University, Baltimore, Maryland. FAU - van Doorn, Pieter A AU - van Doorn PA AD - Department of Neurology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. CN - Dutch GBS Study Group LA - eng GR - WAR07-28/Prinses Beatrix Spierfonds/International GR - Sanquin plasma products/International PT - Clinical Trial Protocol PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180924 PL - United States TA - J Peripher Nerv Syst JT - Journal of the peripheral nervous system : JPNS JID - 9704532 RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Disability Evaluation MH - Double-Blind Method MH - Female MH - Guillain-Barre Syndrome/blood/epidemiology/*therapy MH - Hospital Mortality MH - Humans MH - Immunoglobulin G/blood MH - Immunoglobulins, Intravenous/*administration & dosage/therapeutic use MH - Intensive Care Units/statistics & numerical data MH - Length of Stay MH - Male MH - Middle Aged MH - Muscle Strength MH - Netherlands/epidemiology MH - Patient Selection MH - Prognosis MH - Randomized Controlled Trials as Topic/*methods MH - Recovery of Function MH - Research Design MH - Respiration, Artificial/statistics & numerical data MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - Guillain-Barre syndrome OT - IVIg OT - protocol OT - treatment OT - trial FIR - van Doorn, P A IR - van Doorn PA FIR - Jacobs, B C IR - Jacobs BC FIR - Walgaard, C IR - Walgaard C FIR - de Wit, M C Y IR - de Wit MCY FIR - Steyerberg, E W IR - Steyerberg EW FIR - Cornblath, D R IR - Cornblath DR FIR - van den Berg, B IR - van den Berg B FIR - Doets, A Y IR - Doets AY FIR - van Doorn, P A IR - van Doorn PA FIR - Jacobs, B C IR - Jacobs BC FIR - Leonhard, S E IR - Leonhard SE FIR - Verboon, J C IR - Verboon JC FIR - Walgaard, C IR - Walgaard C FIR - van Woerkom, M IR - van Woerkom M FIR - Tio-Gillen, A P IR - Tio-Gillen AP FIR - van Rijs, W IR - van Rijs W FIR - Huizinga, H IR - Huizinga H FIR - Badrising, U A IR - Badrising UA FIR - Bienfait, H M E IR - Bienfait HME FIR - Blom, R J IR - Blom RJ FIR - van Boheemen, C J M IR - van Boheemen CJM FIR - Breukelman, A J IR - Breukelman AJ FIR - Bronner, I M IR - Bronner IM FIR - Dieks, H J G IR - Dieks HJG FIR - van Dijk, G W IR - van Dijk GW FIR - van Engelen, B G M IR - van Engelen BGM FIR - Faber, C G IR - Faber CG FIR - Feenstra, B IR - Feenstra B FIR - Fokke, C IR - Fokke C FIR - Garssen, M P J IR - Garssen MPJ FIR - Gijsbers, C J IR - Gijsbers CJ FIR - Gilhuis, H J IR - Gilhuis HJ FIR - van der Graaff, M M IR - van der Graaff MM FIR - Groen, R J IR - Groen RJ FIR - Hoogendoorn, T A IR - Hoogendoorn TA FIR - Hovestad, A IR - Hovestad A FIR - Jansen, P J H W IR - Jansen PJHW FIR - Jellema, K IR - Jellema K FIR - Keuter, E IR - Keuter E FIR - Kleyweg, R P IR - Kleyweg RP FIR - van Koningsveld, R IR - van Koningsveld R FIR - van der Kooi, A J IR - van der Kooi AJ FIR - van der Kooi, E L IR - van der Kooi EL FIR - Krudde, J IR - Krudde J FIR - Kuks, J B M IR - Kuks JBM FIR - Kuitwaard, K IR - Kuitwaard K FIR - Linssen, W H J P IR - Linssen WHJP FIR - Lion, J IR - Lion J FIR - Lovenich, H IR - Lovenich H FIR - Manschot, S M IR - Manschot SM FIR - Mellema, S J IR - Mellema SJ FIR - Merkies, I S J IR - Merkies ISJ FIR - van der Meulen, M F G IR - van der Meulen MFG FIR - van der Meulen, W D M IR - van der Meulen WDM FIR - Molenaar, D S M IR - Molenaar DSM FIR - Oenema, D G IR - Oenema DG FIR - van Oosten, B W IR - van Oosten BW FIR - van Oostrom, J C H IR - van Oostrom JCH FIR - van Orshoven, N P IR - van Orshoven NP FIR - van der Ploeg, R J O IR - van der Ploeg RJO FIR - van der Pol, W L IR - van der Pol WL FIR - Polman, S IR - Polman S FIR - van der Ree, T C IR - van der Ree TC FIR - de Rijk, M C IR - de Rijk MC FIR - Ruitenberg, A IR - Ruitenberg A FIR - Ruts, L IR - Ruts L FIR - Samijn, J P A IR - Samijn JPA FIR - Schyns-Soeterboek, A J G M IR - Schyns-Soeterboek AJGM FIR - Stevens, M IR - Stevens M FIR - Vermeij, F H IR - Vermeij FH FIR - Verschuuren, J J G M IR - Verschuuren JJGM FIR - Visser, L H IR - Visser LH FIR - Wirtz, P W IR - Wirtz PW FIR - Wohlgemuth, M IR - Wohlgemuth M FIR - Zwetsloot, C P IR - Zwetsloot CP FIR - Lingsma, H F IR - Lingsma HF FIR - Steyerberg, E W IR - Steyerberg EW FIR - Dippel, D W J IR - Dippel DWJ FIR - Hintzen, R Q IR - Hintzen RQ EDAT- 2018/08/29 06:00 MHDA- 2019/10/23 06:00 CRDT- 2018/08/29 06:00 PHST- 2018/08/01 00:00 [received] PHST- 2018/08/21 00:00 [accepted] PHST- 2018/08/29 06:00 [pubmed] PHST- 2019/10/23 06:00 [medline] PHST- 2018/08/29 06:00 [entrez] AID - 10.1111/jns.12286 [doi] PST - ppublish SO - J Peripher Nerv Syst. 2018 Dec;23(4):210-215. doi: 10.1111/jns.12286. Epub 2018 Sep 24.