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ANX005

Phase 3

Guillain-Barre Syndrome | Small molecule | Neurology |Annexon, Inc.|Trials Updated: Oct 26, 2026

ANX005 development status

Highest phase Phase 3
Registered trials 7 across 1 sponsor since Jan 2017

ANX005 target and mechanism

Molecular targetC1q
Target classProtein
ModalitySmall molecule

Also known as Anti C1q Antibody, Tanruprubart

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials6
Total Enrollment338

FDA Designations

ORPHAN_DRUGFAST_TRACK

ANX005 clinical trials

ANX005 · 6 trials · 5 indications

Phase 3 2Phase 2 3Phase 1 1
NCT07020819An Open Label Clinical Study to Evaluate Tanruprubart (Also Commonly Known as ANX005) in Participants With Guillain-Barré Syndrome (FORWARD Study)Guillain-Barre Syndrome
RECRUITING30 Analytics
NCT04701164Efficacy and Safety of ANX005 in Subjects With Guillain-Barré SyndromeGuillain-Barre Syndrome
COMPLETED242 Analytics
PHASE3RECRUITING
An Open Label Clinical Study to Evaluate Tanruprubart (Also Commonly Known as ANX005) in Participants With Guillain-Barré Syndrome (FORWARD Study)
Guillain-Barre SyndromeUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of ANX005 in Subjects With Guillain-Barré Syndrome
Guillain-Barre SyndromeUnlock trial analytics

Study Endpoints

Primary Endpoints

Area Under the Tanruprubart Serum Concentration-time Curve to the Last Sample (AUC0-t)
Up to Day 15
Observed Time to Maximum Observed Serum Concentration (Cmax) (Tmax) of Tanruprubart
Up to Day 15
GBS Disability Score (GBS-DS) at Week 8
Week 8
Number of Participants with Adverse Events
Through Month 6

Number participants recently diagnosed with GBS who experience adverse events.

Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Day 1 through Day 71

An adverse event (AE) was any untoward medical occurrence in a participant who had been administered a pharmaceutical product. An AE did not necessarily have a causal relationship with the product and therefore could be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a pharmaceutical product. An AE could arise with any use, route of administration, formulation, dose (including an overdose), or when used in combination with another pharmaceutical product. A TEAE was an AE with an onset date/time after the first infusion of ANX005 until the end of the study. A summary of serious and all other non-serious adverse events regardless of causality is located in the Adverse Events module.

Maximum Change From Baseline in Hemoglobin Levels
Baseline up to Day 71

Maximum change from Baseline was calculated as the maximum post-Baseline value observed up to Day 71 minus the Baseline value. Baseline was defined as the last non-missing observation recorded before the first dose of ANX005.

Change From Baseline in Lactate Dehydrogenase Levels at Day 71
Baseline, Day 71

Change from Baseline was calculated as the post-Baseline value at Day 71 minus the Baseline value. Baseline was defined as the last non-missing observation recorded before the first dose of ANX005.

Change From Baseline in Percentage of Reticulocytes/Total Cells Count at Day 71
Baseline, Day 71

Change from Baseline was calculated as the post-Baseline value at Day 71 minus the Baseline value. Baseline was defined as the last non-missing observation recorded before the first dose of ANX005.

Change From Baseline in Haptoglobin Levels at Day 71
Baseline, Day 71

Change from Baseline was calculated as the post-Baseline value at Day 71 minus the Baseline value. Baseline was defined as the last non-missing observation recorded before the first dose of ANX005.

Change From Baseline in Total Bilirubin Levels at Day 71
Baseline, Day 71

Change from Baseline was calculated as the post-Baseline value at Day 71 minus the Baseline value. Baseline was defined as the last non-missing observation recorded before the first dose of ANX005.

Change From Baseline in Indirect Bilirubin Levels at Day 71
Baseline, Day 71

Change from Baseline was calculated as the post-Baseline value at Day 71 minus the Baseline value. Baseline was defined as the last non-missing observation recorded before the first dose of ANX005.

Number of Participants Who Experienced Treatment-Emergent Adverse Events
Up to Week 36
Actual Dose of ANX005 Administered on Day 1
Day 1
Actual Dose of ANX005 Administered on Week 22
Week 22
Area Under the Concentration Versus Time Curve From Time 0 to t (AUC0-t) of ANX005 at Day 1
Pre-dose up to 4 hours post-dose on Day 1
CSF Free Complement Component 1q (C1q) at Day 1
Predose at Baseline (Day 1)
Blood Free C1q at Day 1
Predose at Baseline (Day 1)
Change From Baseline in Complement C4a in CSF at Week 24
Baseline, Week 24
Change From Baseline in Complement C4a in CSF at Week 36
Baseline, Week 36
Change From Baseline in CSF NfL Level at Week 24
Baseline, Week 24
Change From Baseline in CSF NfL Level at Week 36
Baseline, Week 36
Change From Baseline in Blood NfL Level at Week 24
Baseline, Week 24
Change From Baseline in Blood NfL Level at Week 36
Baseline, Week 36
Safety and tolerability of ANX005 when administered in combination with IVIg: incidence of TEAEs, SAEs, AE's
6 months

As measured by incidence of TEAEs, SAEs, AE's related to ANX005, SAE's related to ANX005, Grade 3 or higher AEs, Grade 3 or higher AEs related to ANX005, AEs leading to study or treatment discontinuation.

Secondary Endpoints

Change From Baseline in Free Component of Complement Complex (C1q) Protein Concentration in Serum
Baseline up to Day 15
Change from Baseline in Medical Research Council (MRC) Sumscore at Week 1
Baseline, Week 1
Medical Research Council (MRC) Sum Score at Week 8
Week 8
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TanruprubartEXPERIMENTALParticipants will receive a single 30 mg/kg intravenous (IV) infusion of tanruprubart on Day 1.
ANX005 Treatment Group - Dose 1EXPERIMENTALParticipants will receive a single IV infusion of ANX005 (Dose 1) on Day 1.
ANX005 Treatment Group - Dose 2EXPERIMENTALParticipants will receive a single IV infusion of ANX005 (Dose 2) on Day 1.
Placebo GroupPLACEBO_COMPARATORParticipants will receive a single IV infusion of placebo on Day 1.
ANX005EXPERIMENTALParticipants will receive two once-weekly doses of ANX005 at specific time points
Open Label Treatment ArmEXPERIMENTALOne (1) dose of ANX005, 75 mg/kg, will be administered IV. IVIg, 0.4 g/kg, will be administered for 5 consecutive Days.

Interventions

NameTypeDescription
TanruprubartDRUGSolution for IV infusion.
ANX005DRUGSolution for intravenous infusion
PlaceboDRUGSolution for intravenous infusion
Intravenous immunoglobulinDRUGinvestigational drug
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Eligibility Criteria

Age Range8 Years to 85 Years
SexALL
Healthy VolunteersNo
Study Sites30

Key Inclusion Criteria: * Diagnosis of GBS according to the National Institute of Neurological Disorders and Stroke Diagnostic Criteria for GBS. * Onset of GBS-related weakness ≤10 days before start of infusion on Day 1 * GBS-disability score (DS) score of 3, 4, or 5 at screening and before start o...

Countries:United StatesDenmarkFranceSpainUnited KingdomBangladeshPhilippinesAustraliaAustriaBulgariaCanada
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Recent Changes (Last 90 Days)

LOWOct 26, 2026NCT07020819lastUpdatePostDate: changed
LOWOct 26, 2026NCT07020819lastUpdatePostDate: changed
MEDIUMOct 19, 2026NCT07020819primaryCompletionDate: changed
MEDIUMOct 19, 2026NCT07020819primaryCompletionDate: changed
MEDIUMOct 19, 2026NCT07020819primaryCompletionDate: changed
MEDIUMSep 25, 2026NCT04514367TRIAL_REMOVED: changed
MEDIUMSep 25, 2026NCT04514367TRIAL_REMOVED: changed
MEDIUMSep 25, 2026NCT04514367TRIAL_REMOVED: changed
MEDIUMJul 31, 2026NCT04691570TRIAL_REMOVED: changed
MEDIUMJul 31, 2026NCT04691570TRIAL_REMOVED: changed
MEDIUMJul 31, 2026NCT04691570TRIAL_REMOVED: changed

Frequently asked questions about ANX005

What is ANX005?

ANX005 is an investigational therapy developed by Annexon, Inc. for complement-mediated neurological and autoimmune conditions. It has been studied in Guillain-Barre Syndrome, amyotrophic lateral sclerosis, Huntington disease, and warm autoimmune hemolytic anemia. It is not approved and remains in clinical development.

What does ANX005 target?

ANX005 targets C1q, a protein in the complement system. By binding C1q, ANX005 is designed to inhibit the classical complement pathway, which is implicated in nerve damage and autoimmune destruction in the conditions it is being studied for.

Who makes ANX005?

ANX005 is being developed by Annexon, Inc., a biopharmaceutical company traded on the Nasdaq under the ticker ANNX. Annexon is the sponsor of the clinical trials evaluating ANX005 in neurological and autoimmune indications.

What phase is ANX005 in?

ANX005 is in Phase 2 development overall, with a completed Phase 3 trial in Guillain-Barre Syndrome and completed Phase 2 trials in amyotrophic lateral sclerosis, Huntington disease, and warm autoimmune hemolytic anemia. It is investigational and has not been approved by the FDA.

What clinical trials is ANX005 in?

ANX005 has been evaluated in completed trials including NCT04701164 in Guillain-Barre Syndrome, NCT04691570 in warm autoimmune hemolytic anemia, NCT04569435 in amyotrophic lateral sclerosis, and NCT04514367 in Huntington disease. These studies enrolled a combined total of 256 participants across multiple countries.

What is ANX005 used for in Guillain-Barre Syndrome?

ANX005 was studied in Guillain-Barre Syndrome in the Phase 3 trial NCT04701164, which enrolled 242 participants in Bangladesh and the Philippines. The trial has been completed. ANX005 is investigational and is not an approved treatment for Guillain-Barre Syndrome.