Clinical trial
A Phase 1/2, Adaptive, Multiple Dose Ranging Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Clinical Efficacy of Lonigutamab in Subjects With Thyroid Eye Disease (TED)
Name
421-01-02
Description
Phase 1/2, multicenter, multiple dose clinical study designed to evaluate lonigutamab in subjects with TED.
Trial arms
Trial start
2023-02-14
Estimated PCD
2024-10-01
Trial end
2024-10-01
Status
Recruiting
Phase
Early phase I
Treatment
lonigutamab
subcutaneous injection
Arms:
Cohort 1, Cohort 2, Cohort 3
Placebo
subcutaneous injection
Arms:
Cohort 1
Size
38
Primary endpoint
Incidence and characterization of nonserious treatment emergent adverse events (TEAEs)
Day 1 to Day 169
Incidence and characterization of serious treatment emergent adverse events (TEAEs)
Day 1 to Day 169
Eligibility criteria
Key Inclusion Criteria:
* Male or female, ≥18 and ≤75 years of age.
* Proptosis defined in the study eye as ≥3 mm above normal.
* Clinical Activity Score (CAS) ≥4 (using a 7-item scale) for the most severely affected eye
* Onset of active TED symptoms prior to baseline
* Must agree to use highly effective contraception as specified in the protocol
Key Exclusion Criteria:
* Pathology related to inflammatory bowel disease or irritable bowel syndrome.
* Clinically significant pathology related to hearing or history of hearing impairment
* Optic neuropathy
* Corneal decompensation unresponsive to medical management.
* Previous orbital irradiation (for any cause) or any previous surgical treatment for TED.
* Subjects with diabetes or hemoglobin A1c \>6.0% at screening
* Any steroid use (intravenous \[IV\] or oral) with a cumulative dose equivalent to \>3 g of methylprednisolone for the treatment of TED within the last year.
* Previous steroid use (IV or oral) specifically for the treatment of TED not to exceed 1 g total dose in the 8 weeks prior to Screening.
* Previous use of teprotumumab or any other IGF-1 receptor (IGF-1R) inhibitor.
* Any previous treatment with a biologic drug for the treatment of TED (eg, rituximab and tocilizumab)
* Any other immunosuppressive agent within 1 month of screening.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1', 'PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'SEQUENTIAL', 'interventionModelDescription': 'Up to 3 cohorts are planned, with each cohort receiving one of 3 different treatment doses', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'QUADRUPLE', 'maskingDescription': 'Double-masked, placebo-controlled and open label', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 38, 'type': 'ESTIMATED'}}
Updated at
2024-03-22
1 organization
2 products
1 indication
Organization
AcelyrinProduct
PlaceboIndication
Graves' DiseaseProduct
lonigutamab