MedPath

Study to Assess Batoclimab in Participants With Active Thyroid Eye Disease

Phase 3
Recruiting
Conditions
Thyroid Eye Disease
Interventions
Drug: Batoclimab
Drug: Placebo
Registration Number
NCT05524571
Lead Sponsor
Immunovant Sciences GmbH
Brief Summary

To evaluate the efficacy of batoclimab 680 milligrams (mg) subcutaneous (SC) once a week (QW) for 12 weeks followed by 340 mg SC QW for 12 weeks versus placebo on proptosis responder rate at Week 24.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
BatoclimabBatoclimabParticipants will be administered batoclimab 680 mg SC weekly for 12 weeks followed by 340 mg SC weekly for 12 weeks.
PlaceboPlaceboParticipants will be administered matching placebo SC weekly for 24 weeks.
Primary Outcome Measures
NameTimeMethod
Percentage of proptosis respondersAt Week 24

Proptosis is the amount of protrusion of the eye from the orbital rim. Measurements are recorded using the Hertel exophthalmometer. The study eye is defined as the most severely affected eye at the Baseline visit. Proptosis responder is defined as the participant with a greater than or equal to (≥) 2 millimeters (mm) reduction in the study eye without deterioration (≥2 mm increase) in the fellow eye.

Secondary Outcome Measures
NameTimeMethod
Percentage of participants with CAS of 0 or 1 in the study eyeAt Week 24
Percentage of participants with ≥6-point increase from Baseline in total Graves' ophthalmopathy - Quality of life (GO-QOL) scoreBaseline and Week 24

The GO-QOL is a 16-item self-administered questionnaire designed to assess how GO affects different aspects related to quality of life (visual functioning and psychosocial consequences). The points given to questions 1 to 8 and 9 to 16 are added to obtain 2 raw scores ranging from 8 to 24; one for visual functioning and one for appearance. Higher scores indicate better outcome.

Percentage of participants with proptosis ≥2 mm reduction and Clinical Activity Score (CAS) of less than or equal to (≤) 3 from Baseline in the study eyeBaseline and Week 24

The CAS measures the classical signs of acute inflammation (pain, redness, and swelling) in TED. The 7-item scale assigns 1 point for the presence of each of the parameters assessed: spontaneous retrobulbar pain, pain on attempted upward or downward gaze, redness of eyelids, redness of conjunctiva, swelling of caruncle or plica, swelling of eyelids, swelling of conjunctiva (chemosis). The sum of these points is the total score, with 0 indicating no clinical activity and 7 indicating the most severe clinical activity. Higher scores indicate worse symptoms.

Percentage of participants with positive binding anti-thyroid stimulating hormone receptor (TSHR) antibody (Ab) at Baseline who achieve seroconversionBaseline and Week 24
Percentage of participants with decrease of at least 1 grade from Baseline in Gorman score for diplopiaBaseline and Week 24

Diplopia will be assessed based on 3 grades: Grade I - Intermittent diplopia (diplopia in primary position of gaze, when tired or when first awakening), Grade II - Inconstant diplopia (diplopia at extremes of gaze) and Grade III - Constant diplopia (continuous diplopia in primary or reading position). Higher scores indicate worse symptoms.

Mean change from Baseline in proptosis in the study eyeBaseline and Week 24
Percentage of participants with ≥8-degree increase from Baseline in motility (in at least 1 of 4 directions) in the study eyeBaseline and Week 24
Mean change from Baseline in CAS in the study eyeBaseline and Week 24

Trial Locations

Locations (43)

Site Number -1514

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Torrance, California, United States

Site Number -1510

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Sarasota, Florida, United States

Site Number - 1521

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Seattle, Washington, United States

Site Number -1511

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Morgantown, West Virginia, United States

Site Number -1519

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San Antonio, Texas, United States

Site Number - 9302

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Ventspils, Latvia

Site Number - 9200

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Bratislava, Slovakia

Site Number -9301

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Ogre, Latvia

Site Number - 9201

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Bratislava, Slovakia

Site Number -1520

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Pasadena, California, United States

Site Number -3606

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Sevilla, Spain

Site Number -1517

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San Francisco, California, United States

Site Number -3601

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Madrid, Spain

Site Number - 9202

🇸🇰

Trenčín, Slovakia

Site Number - 7570

🇳🇿

Christchurch, New Zealand

Site Number -3600

🇪🇸

Santiago De Compostela, Spain

Site Number -3603

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Valencia, Spain

Site Number - 3605

🇪🇸

Barcelona, Spain

Site Number -3604

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Madrid, Spain

Site Number - 4952

🇹🇷

Adana, Turkey

Site Number - 4950

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Ankara, Turkey

Site Number - 1513

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Rochester, Minnesota, United States

Site Number - 1525

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Portland, Oregon, United States

Site Number - 1518

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Milwaukee, Wisconsin, United States

Site Number - 7551

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Pécs, Hungary

Site Number - 1526

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Livonia, Michigan, United States

Site Number -1515

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Bellaire, Texas, United States

Site Number - 1524

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McAllen, Texas, United States

Site Number -4671

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Brugge, Belgium

Site Number - 7565

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Sydney, Australia

Site Number - 4672

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Bruxelles, Belgium

Site Number - 4673

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Bruxelles, Belgium

Site Number -4670

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Ghent, Belgium

Site Number - 4674

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Liège, Belgium

Site Number - 7550

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Budapest, Hungary

Site Number - 7552

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Pecs, Hungary

Site Number -9300

🇱🇻

Riga, Latvia

Site Number - 7572

🇳🇿

Hamilton, New Zealand

Site Number -1990

🇵🇷

San Juan, Puerto Rico

Site Number - 9203

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Bratislava, Slovakia

Site Number -3602

🇪🇸

Barcelona, Spain

Site Number -1516

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Louisville, Kentucky, United States

Site Number - 1512

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Winston-Salem, North Carolina, United States

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