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Neurological & Neuromuscular

Guillain-Barré Syndrome (GBS) Clinical Trials and Treatments

Also called GBS, Landry's ascending paralysis, acute inflammatory demyelinating polyneuropathy, AIDP

Guillain-Barré syndrome is an acute autoimmune polyneuropathy in which the immune system mistakenly attacks components of the peripheral nervous system. In the most common form (acute inflammatory demyelinating polyneuropathy or AIDP), antibodies target the myelin sheath surrounding peripheral nerves, disrupting nerve signal transmission and causing rapidly progressive weakness.

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About Guillain-Barré Syndrome

Guillain-Barré syndrome is an acute autoimmune polyneuropathy in which the immune system mistakenly attacks components of the peripheral nervous system. In the most common form (acute inflammatory demyelinating polyneuropathy or AIDP), antibodies target the myelin sheath surrounding peripheral nerves, disrupting nerve signal transmission and causing rapidly progressive weakness. The condition typically begins with tingling and weakness in the feet and legs that ascends over hours to days, potentially involving the arms, trunk, cranial nerves, and respiratory muscles.

GBS is usually triggered by a preceding infection, most commonly Campylobacter jejuni gastroenteritis, but also by respiratory viruses, cytomegalovirus, Epstein-Barr virus, and Zika virus. The immune response generated against the pathogen cross-reacts with gangliosides or other components on peripheral nerve membranes through molecular mimicry. Treatment with intravenous immunoglobulin (IVIG) or plasma exchange can shorten the course and severity. About 70-80% of patients recover fully, though recovery can take months to years. Approximately 5% of cases are fatal, usually from respiratory failure or cardiac complications, and some patients experience residual weakness or fatigue.

Common Symptoms of Guillain-Barré Syndrome

Recognizing the signs of Guillain-Barré Syndrome early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.

  • Tingling or weakness starting in the feet and legs, spreading upward
  • Difficulty walking, climbing stairs, or using facial muscles
  • Muscle weakness affecting both sides of the body
  • Chest weakness that may affect breathing
  • Deep muscle pain, especially in back and legs
  • Changes in blood pressure or heart rate

Who Guillain-Barré Syndrome Affects

Can occur at any age but is slightly more common in adults over 50 and in males. Often develops days or weeks after a respiratory or gastrointestinal infection, particularly Campylobacter jejuni. Rare cases have been associated with certain vaccinations or surgical procedures.

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Diagnosis and Testing

A post-infectious immune attack on peripheral nerves; almost all cases are sporadic and no genetic test has a role.

Trusted Guillain-Barré Syndrome Resources

Reputable organizations and medical references for learning more about Guillain-Barré Syndrome, including disease registries, foundation resources, and clinical guidelines.

Active Clinical Trials for Guillain-Barré Syndrome

Use this Guillain-Barré Syndrome clinical trial finder to see the 10 studies recruiting patients and 6 opening soon in the United States and worldwide, with eligibility criteria in plain English. These studies play a critical role in advancing care for neurological & neuromuscular conditions and may offer access to treatments not yet widely available. Each trial below is sourced directly from ClinicalTrials.gov, with eligibility criteria translated into plain English to help patients and caregivers evaluate whether a study may be a fit.

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Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

16 active trials worldwide
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NOT YET RECRUITINGRecently updatedNCT07842705

Myocardial Changes in Pediatric Guillain-Barré Syndrome

Sponsor: Assiut University

This prospective cohort study aims to identify and characterize cardiac changes including electrocardiographic, echocardiographic, and biochemical abnormalities in pediatric patients with Guillain-Barré syndrome.

Ages 1 Month – 18 Years
Expected to start Sep 2026Updated 1 week agoEst. Sep 2027 (~11 months)
NOT YET RECRUITINGPHASE2Recently updatedNCT07821762

A Study of Empasiprubart as Add-On Therapy to IVIg in Adult Participants With Guillain-Barré Syndrome

Intervention: Empasiprubart IV, Empasiprubart Placebo IV, Intravenous immunoglobulin (IVIg)

Sponsor: argenx

The main purpose of this study is to learn whether empasiprubart, when given in addition to intravenous immunoglobulin (IVIg), helps adults with Guillain-Barré syndrome (GBS) recover and whether it is safe. About 63 participants will be assigned by chance to receive either empasi...

Ages 18 Years+
Expected to start Dec 2026Updated 1 week agoEst. Jan 2028 (~1y 3m)
RECRUITINGNARecently updatedNCT06996509

Noninvasive Support for Acute Respiratory Failure in Guillain-Barré Syndrome

Intervention: Non-Invasive Ventilation (NIV), High Velocity Nasal Insufflation

Sponsor: Assiut University

This study will involve 70 adult patients with Guillain-Barré syndrome who have severe breathing problems. It will compare two types of breathing support: high-velocity nasal cannula (HVNC) (which delivers heated and humidified air at 35-60 L/min) and bi-level noninvasive ventila...

Ages 18 Years+2 locations
Started Aug 2025Updated 2 weeks agoEst. Dec 2026 (~1 month)
RECRUITINGNARecently updatedNCT06822231

High-Tech Rehabilitation Pathway for Acute Adult Neuromuscular Diseases - Fit4MedRob-Acute MND Project

Intervention: High-tech rehabilitative treatment, Rehabilitation

Sponsor: Istituti Clinici Scientifici Maugeri SpA

The goal of this study is determine if a high-tech rehabilitation circuit is more effective than usual rehabilitation methods in improving functional outcome, particularly balance control, for patients with acute neuromuscolar diseases. The main question it aims to answer is:

Ages 18 Years – 80 Years8 locations
Started May 2025Updated 2 weeks agoEst. Oct 2026 (23 days)
NOT YET RECRUITINGPHASE2Recently updatedNCT07806916

Efficacy and Safety of Efgartigimod in the Treatment of Guillain-Barré Syndrome(GREAT)

Intervention: Intravenous immunoglobulin (IVIG), Efgartigimod Alfa-Fcab

Sponsor: Beijing Tiantan Hospital

The goal of this clinical trial is to evaluate the safety and effectiveness of Efgartigimod in patients with Guillain-Barre syndrome (GBS). The main questions it aims to answer are:

Ages 18 Years – 70 Years
Expected to start Sep 2026Updated 2 weeks agoEst. Jun 2027 (~8 months)
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Active trial locations11 cities in the US
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Trial Pipeline

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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
Always talk to your doctor before considering a clinical trial.

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Related Neurological & Neuromuscular Conditions

Other rare diseases in the neurological & neuromuscular category. Patients with Guillain-Barré Syndrome may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Companies Developing Guillain-Barré Syndrome Treatments

5 pharmaceutical companies have Guillain-Barré Syndrome in their rare disease portfolio

Frequently Asked Questions About Guillain-Barré Syndrome