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慢性炎症性脱髓鞘性多发性神经病

Chronic inflammatory demyelinating polyneuropathy

定义 英文原文(暂无中文)

A rare chronic monophasic progressive or relapsing symmetric sensorimotor disorder characterized by progressive muscular weakness with impaired sensation, absent or diminished tendon reflexes, electrodiagnostic features suggestive of demyelination and occasional elevated cerebrospinal fluid (CSF) protein level.

别名

慢性感染性多发性神经根性脱髓鞘性神经病

基本事实

遗传方式
不适用
发病年龄
青少年期、成年期、儿童期、老年期
患病率
1-9 / 100 000(Europe)

临床表型 17

极常见 99–80%12

  • 神经传导速度异常 HP:0040129
  • 神经反射消失 HP:0001284
  • 神经传导速度降低 HP:0000762
  • 近端肢体肌肉疲劳性无力 HP:0030200
  • 运动传导阻滞 HP:0012078
  • 感觉异常 HP:0003401
  • 周围性脱髓鞘 HP:0011096
  • 周围神经病 HP:0009830
  • 节段性神经末梢脱髓鞘/髓鞘再生 HP:0003481
  • 感觉性共济失调 HP:0010871
  • 躯体感觉异常 HP:0003474
  • 步态不稳 HP:0002317

常见 79–30%4

  • 爬楼梯困难 HP:0003551
  • 跌倒 HP:0002527
  • 步态异常 HP:0001288
  • 手肌无力 HP:0030237

偶见 29–5%1

  • 自发性疼痛感 HP:0010833

近两年的全球研究 978L2

2024/08 起在 Europe PMC 检索所得,按发表时间倒序显示最近 20 篇。标题未译成中文——自动翻译需要接入 LLM 服务,尚未引入。

  • 2026-08
    The Diagnostic Accuracy of the Second Revision of the European Academy of Neurology/Peripheral Nerve Society Guideline for Diagnosing Chronic Inflammatory Demyelinating Polyradiculoneuropathy
    European journal of neurology · DOI · Europe PMC
  • 2026-07
    Ultrasound Findings of Chronic Inflammatory Demyelinating Polyneuropathy of the Sciatic Nerve
    Anesthesiology · DOI · Europe PMC
  • 2026-07综述
    Coexisting Inflammatory and Hereditary Neuropathies: A Review
    Muscle & nerve · DOI · Europe PMC
  • 2026-07
    Vagus Nerve Hypertrophy in Chronic Inflammatory Demyelinating Polyneuropathy Presenting With Vocal Cord Palsy
    Neurology · DOI · Europe PMC
  • 2026-07
    Beyond Nerve Size: The Role of Fascicular Architecture in Differentiating Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) From Other Demyelinating Polyneuropathies
    Cureus · DOI · Europe PMC
  • 2026-07综述
    Nipocalimab and other FcRn blockers in neuromuscular disorders
    Pharmacology & therapeutics · DOI · Europe PMC
  • 2026-07
    Characterizing Combined Central and Peripheral Demyelination-Insights From a Multimodal Comparison With Chronic Inflammatory Demyelinating Polyneuropathy and Multiple Sclerosis
    Muscle & nerve · DOI · Europe PMC
  • 2026-06
    Charcot-Marie-Tooth type 4 C misdiagnosed as CIDP: electrodiagnostic pitfalls and genetic confirmation
    Neurogenetics · DOI · Europe PMC
  • 2026-06
    Serum inflammatory proteomic signatures define chronic inflammatory demyelinating polyneuropathy and inform on disease activity
    EBioMedicine · DOI · Europe PMC
  • 2026-06
    TRPV1 Agonist Capsaicin Enhances Oxidative-Stress Resistance and Regeneration in Dorsal Root Ganglia and Schwann Cells
    Cells · DOI · Europe PMC
  • 2026-06
    Chronic inflammatory demyelinating polyneuropathy with painful ophthalmoplegia: a case report
    Canadian journal of ophthalmology. Journal canadien d'ophtalmologie · DOI · Europe PMC
  • 2026-06
    Chimeric antigen receptor-based cell therapies for neuroimmune disorders: Therapeutic advances and structured standard treatment models
    Neural regeneration research · DOI · Europe PMC
  • 2026-06开放获取
    RNU4ATAC-opathy: Clinical, molecular, and transcriptomic insights from a large cohort
    Genetics in medicine : official journal of the American College of Med · DOI · Europe PMC
  • 2026-06开放获取
    Rethinking EDSS-based ambulation assessment in multiple sclerosis using continuous variable monitoring
    Neurological research and practice · DOI · Europe PMC
  • 2026-06
    Association between Proteinuria and Risk of Chronic Inflammatory Demyelinating Polyneuropathy/Multifocal Motor Neuropathy: A Nationwide Population-based Cohort Study
    Journal of epidemiology and global health · DOI · Europe PMC
  • 2026-06荟萃分析系统综述开放获取
    The neurological adverse events of immune check point inhibitors in the treatment of cancer
    Journal of neurology · DOI · Europe PMC
  • 2026-06开放获取
    Methodological Insights from Low-Vacuum SEM for Morphological Analysis of Schwann Cells on Electrospun Scaffolds
    Polymers · DOI · Europe PMC
  • 2026-06综述开放获取
    Biological Drivers of IMiD-Induced Peripheral Neuropathy in Multiple Myeloma
    EJHaem · DOI · Europe PMC
  • 2026-06综述开放获取
    Transthyretin Amyloidosis—From Peculiar Neuropathy to a Treatable Chronic Multisystemic Disease
    Genes
  • 2026-06开放获取
    The Electrophysiology of Disease Remission in Chronic Inflammatory Demyelinating Polyneuropathy
    European journal of neurology · DOI · Europe PMC

境外已获批用于本病的药物 4L2

欧盟 0 项、美国 4 项。同一药物在两地各批一次的,会分别列出。

「境外已获批」不等于「在中国能用」。中间隔着进口注册、临床急需境外新药通道、海南博鳌乐城国际医疗旅游先行区等几条路径,各有各的条件与费用。这一节能确定地告诉你的只有一件事:这个病在世界范围内已经有获得批准的药物,它叫什么名字。拿这个名字去问主治医生,是下一步最省力的做法。

药名一律保留英文原文,不作翻译——中国的药品通用名与英文名的音译经常不一致,译错会让人去找一个不存在的药。

  • Gamunex-C美国2008-09-12
    Immune Globulin (Human)
    官方记录
  • Hizentra美国2018-03-15
    Immune Globulin Subcutaneous (Human), 20% Liquid
    官方记录
  • HyQvia美国2024-01-12
    Immune Globulin Infusion 10% (Human) with Recombinant Human Hyaluronidase
    官方记录
  • Vyvgart Hytrulo美国2024-06-21
    efgartigimod alfa and hyaluronidase-qvfc
    官方记录
已获孤儿药资格、尚未获批的在研药物(7 项)

孤儿药资格只是一种监管身份——它意味着监管机构认可这是罕见病用药并给予研发激励,不代表这个药已被证明有效,也不代表将来一定能上市。绝大多数最终不会成药。列在这里是为了看清有哪些方向正在被尝试。

  • efgartigimod alfa欧盟2022-01-14
    Treatment of chronic inflammatory demyelinating polyneuropathy
    官方记录
  • Humanised IgG4 monoclonal antibody against active complement component欧盟2023-05-22
    Treatment of chronic inflammatory demyelinating polyneuropathy
    官方记录
  • recombinant multimerized human IgG1 Fc美国2015-07-14
    Treatment of chronic inflammatory demyelinating polyneuropathy (CIDP).
    官方记录
  • recombinant humanized IgG4 monoclonal antibody against pHERV-W Envelop美国2018-02-14
    Treatment of chronic inflammatory demyelinating polyradiculoneuropathy/polyneuropathy (CIDP)
    官方记录
  • Anti-C1s Humanized IgG4 Monoclonal Antibody美国2021-07-21
    Treatment of chronic inflammatory demyelinating polyneuropathy
    官方记录
  • nipocalimab美国2021-10-14
    Treatment of chronic inflammatory demyelinating polyneuropathy (CIDP) in adult patients
    官方记录
  • prednisone美国2024-03-20
    Treatment of Chronic Inflammatory Demyelinating Polyneuropathy
    官方记录

数据来自欧洲药品管理局(EMA)的药品与孤儿药资格公开导出表,以及美国 FDA 孤儿药资格数据库。两边口径不同:欧盟一侧取的是当前状态仍为「已授权」的药品;美国一侧记录的是「曾获批准」这一事实,FDA 的公开表不追踪药物此后是否退市(例如 Relyvrio 于 2024 年撤市,表中仍记为已获批)。请以官方记录页为准。

在中国开展的临床试验 19L2

按病名在 ClinicalTrials.gov 检索、并校验研究中心含中国大陆而来。登记状态不等于现在真的能入组——务必按 NCT 号到原站核实,并与主治医生商量。

登记为可入组 13

  • 招募中NCT04561557
    Safety and Efficacy of CT103A Cells for Relapsed/Refractory Antibody-associated Inflammatory Diseases of the Nervous System
    早期 I 期 · 干预性 · 2020/09/22Tongji Hospital
    中国研究中心 1 个:Wuhan
  • 招募中NCT05327114
    Efficacy and Safety Study of Nipocalimab for Adults With Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)
    II 期、III 期 · 干预性 · 2022/09/23Janssen Research & Development, LLC
    中国研究中心 19 个:Beijing、Changchun、Changsha、Chengdu、Chifeng、Fuzhou 等 12 地
  • 招募中NCT06502015
    Biomarkers in Autoimmune Disease of Nervous System
    观察性 · 2024/07/31Tongji Hospital
    中国研究中心 1 个:Wuhan
  • 招募中NCT06290141
    A Study to Test the Efficacy and Safety of Riliprubart Against the Usual Treatment of Intravenous Immunoglobulin (IVIg) in People With Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)
    III 期 · 干预性 · 2024/08/21Sanofi
    中国研究中心 17 个:Beijing、Changsha、Chengdu、Fuzhou、Guangzhou、Hangzhou 等 12 地
  • 招募中NCT06858579
    A Study to Evaluate the Efficacy and Safety of DNTH103 in Adults With Chronic Inflammatory Demyelinating Polyneuropathy (CAPTIVATE)
    III 期 · 干预性 · 2025/02/10Dianthus Therapeutics
    中国研究中心 14 个:Beijing、Changsha、Chengdu、Chifeng、Fujian、Guangdong 等 14 地
  • 尚未开始招募NCT06485232
    Universal CAR-T Cells in Patients with Refractory Autoimmune Diseases of the Nervous System.
    早期 I 期 · 干预性 · 2025/02/28Xuanwu Hospital, Beijing
    中国研究中心 1 个:Beijing
  • 仅邀请入组NCT06859099
    Long-term Safety and Efficacy Study of Riliprubart in Participants With CIDP
    III 期 · 干预性 · 2025/04/01Sanofi
    中国研究中心 8 个:Beijing、Chengdu、Fuzhou、Guangzhou、Shanghai、Wuhan
  • 招募中NCT07022197
    Safety and Efficacy of BAFF-R CART for Refractory Neuroimmune Diseases
    I 期、II 期 · 干预性 · 2025/04/10Tianjin Medical University General Hospital
    中国研究中心 1 个:Tianjin
  • 招募中NCT06939166
    Universal Chimeric Antigen Receptor T-Cell (UCAR T-cell) Therapy Targeting CD19/B Cell Maturation Antigen (CD19/BCMA) in Patients With r/r Neurological Autoimmune Diseases
    早期 I 期 · 干预性 · 2025/06/17Tianjin Huanhu Hospital
    中国研究中心 1 个:Tianjin
  • 招募中NCT07091630
    A Study to Assess the Efficacy and Safety of Empasiprubart in Adults With CIDP
    III 期 · 干预性 · 2025/09/16argenx
    中国研究中心 5 个:Beijing、Fuzhou、Guangzhou、Xi'an
  • 招募中NCT07337785
    CD19/BCMA-Targeted UCAR-T for Patients With Neurological Autoimmune Diseases
    早期 I 期 · 干预性 · 2025/12/12Tongji Hospital
    中国研究中心 1 个:Wuhan
  • 尚未开始招募NCT07333196
    Tongji NADs Cohort
    观察性 · 2026/03/01Tongji Hospital
    中国研究中心 1 个:Wuhan
  • 招募中NCT07526493
    Safety and Pharmacodynamics of QH103 Cell Injection in the Treatment of Patients With Relapsed/Refractory Antibody-Mediated Neurological Autoimmune Diseases.
    I 期 · 干预性 · 2026/04/01Tongji Hospital
    中国研究中心 1 个:Wuhan
其他状态的试验(6 项)
  • 状态未知NCT04292834
    A Registered Cohort Study of Immune-Mediated Neuropathies
    观察性 · 2020/02/29First Affiliated Hospital of Fujian Medical University
    中国研究中心 2 个:Beijing、Fuzhou
  • 已完成NCT04281472
    A Study to Assess the 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)
    II 期 · 干预性 · 2020/04/15argenx
    中国研究中心 26 个:Beijing、Changchun、Changsha、Chengdu、Chifeng、Fuzhou 等 19 地
  • 进行中·不再招募NCT04280718
    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)
    II 期 · 干预性 · 2020/09/18argenx
    中国研究中心 19 个:Beijing、Changsha、Chengdu、Chifeng、Fuzhou、Guangzhou 等 17 地
  • 已完成NCT04658472
    Proof-of-concept Study for SAR445088 in Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)
    II 期 · 干预性 · 2021/04/28Bioverativ, a Sanofi company
    中国研究中心 3 个:Fuzhou、Shanghai、Wuhan
  • 进行中·不再招募NCT06290128
    A Study to Test the Effects and Safety of Riliprubart in People With Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) for Which the Usual Treatments do Not Work
    III 期 · 干预性 · 2024/07/12Sanofi
    中国研究中心 16 个:Beijing、Changsha、Chengdu、Fuzhou、Guangzhou、Hangzhou 等 11 地
  • 进行中·不再招募NCT07597733
    Telitacicept for Refractory Chronic Inflammatory Demyelinating Polyneuropathy
    不适用 · 干预性 · 2025/09/26Sichuan Academy of Medical Sciences
    中国研究中心 1 个:Chengdu

中国境外的在招试验 49L2

这些试验在中国没有研究中心,通常无法直接报名——入组一般要求在当地居住并接受随访。列在这里是因为它另有用处:看清楚全世界正在试哪些药、做到了哪一期、由谁在做。把药名和 NCT 编号记下来去问主治医生,或据此进一步查该药是否已在境外获批、是否有拓展性用药(expanded access)通道。

美国18德国9意大利6丹麦5西班牙4澳大利亚3阿根廷3哥伦比亚3希腊3荷兰3波兰3加拿大2奥地利2捷克2另有 26 个国家/地区

CT.gov 报告命中 49 项,此处取回并展示最近的 15 项。

  • 尚未开始招募NCT07719153
    Ultrasound-driven Stratification in CIDP
    观察性 · 2026/09/01Centre Hospitalier Universitaire de Nice
  • 尚未开始招募NCT07638566
    A Study to Assess the Correct Dose, Safety and Efficacy of Empasiprubart in Adolescent Participants Aged 12 to Less Than 18 Years With Chronic Inflammatory Demyelinating Polyradiculoneuropathy
    II 期、III 期 · 干预性 · 2026/09argenx
  • 招募中NCT06752356
    A Study Investigating Intravenous Human Normal Immune Globulin (IGIV) 10% KIg10 (QIVIGY) in Subjects With Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)
    III 期 · 干预性 · 2026/08Kedrion S.p.A.
    美国
  • 尚未开始招募NCT07696377
    An Exploratory Study of Obinutuzumab β in the Treatment of Chronic Inflammatory Demyelinating Polyradiculoneuropathy
    I 期、II 期 · 干预性 · 2026/07/15Zhongming Qiu
  • 招募中NCT07304154
    A Study Evaluating the Safety and Efficacy of KITE-363 in Relapsed/Refractory Autoimmune Neurologic Diseases
    I 期 · 干预性 · 2026/04/10Kite, A Gilead Company
    澳大利亚、加拿大、美国
  • 招募中NCT07540221
    A Study to Evaluate the Pharmacokinetics and Safety of XEMBIFY Versus Gamunex-C in Participants With Chronic Inflammatory Demyelinating Polyradiculoneuropathy
    III 期 · 干预性 · 2026/04/02Grifols Therapeutics LLC
    美国
  • 招募中NCT07478172
    Effects of Whole-body Electrical Muscle Stimulation Exercise on Adults With Neuromuscular Disease
    不适用 · 干预性 · 2026/03/10University of Missouri-Columbia
    美国
  • 招募中NCT07273903
    Subcutaneous Immunoglobulin Therapy Effectiveness Monitoring in CIDP Patients Using Smart Devices
    观察性 · 2026/01/15Heinrich-Heine University, Duesseldorf
    德国
  • 招募中NCT07154524
    Immunoadsorption for Treatment of Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)
    观察性 · 2025/08/27University of Ulm
    德国
  • 招募中NCT06920004
    A Study to Assess Efficacy and Safety of Empasiprubart Versus IVIg in Adults With CIDP
    III 期 · 干预性 · 2025/08/22argenx
    阿根廷、奥地利、哥伦比亚、捷克、爱沙尼亚、法国、德国、希腊 等 28 国
  • 招募中NCT07264426
    Real-World Efgartigimod Effectiveness in CIDP: A Prospective Study
    观察性 · 2025/08/11argenx
    德国、美国
  • 尚未开始招募NCT07121985
    Multispectral Optoacoustic Imaging for the Detection of Inflammation and Damage of Peripheral Nerves in Guillain-Barré Syndrome and Chronic Inflammatory Demyelinating Polyneuropathy
    观察性 · 2025/08/06University of Erlangen-Nürnberg Medical School
  • 尚未开始招募NCT07006597
    Vitaccess Real CIDP Registry
    观察性 · 2025/07/31Vitaccess Ltd
  • 招募中NCT06798012
    A Study of TAK-411 in Adults With Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP)
    II 期 · 干预性 · 2025/05/14Takeda
    加拿大、哥伦比亚、美国
  • 招募中NCT06680037
    A Study to Assess the Safety and Clinical Activity of Azer-cel in Participants With B-cell Mediated Autoimmune Disorders
    I 期 · 干预性 · 2025/05/06TG Therapeutics, Inc.
    美国

外部标识与链接

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本页数据来源

  • 疾病定义、同义词、基因、表型、流行病学:Orphanet(CC BY 4.0)
  • 中文病名:Orphanet 中文包,冻结于 2020-06-01
  • 表型中文标签:HPO 简体中文翻译(CHPO 上游成果)