Can a pill tame thyroid eye disease?
NCT ID NCT05276063
First seen Aug 26, 2026 · Last updated Aug 27, 2026 · Updated 1 time
Summary
This trial tests whether an oral medication called linsitinib can help people with active, moderate to severe thyroid eye disease, a condition that causes eye bulging and inflammation. Participants take either linsitinib or a placebo twice daily for 24 weeks. The main goal is to see if the drug reduces eye bulging by at least 2 millimeters without worsening in the other eye.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- linsitinib, an oral drug that blocks a specific protein (IGF-1R) involved in thyroid eye disease
- What this could lead to
- If successful, linsitinib could offer a convenient pill-based treatment to reduce eye bulging and inflammation in thyroid eye disease, potentially replacing or supplementing current therapies.
- What could go wrong
- This is an early-stage trial with a small number of participants, so results may not hold up in larger studies. The drug may also cause side effects or fail to show significant benefit over placebo.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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90 people
The number who actually took part.
- Started
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Jul 2022
- Finished
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Sep 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Clinical diagnosis of Graves' Disease and/or autoimmune Hashimoto's thyroiditis associated with active moderate to severe TED with a CAS ≥ 4 (on the 7- item scale) for the most severely affected eye (primary study eye) at Screening and Baseline * Confirmed active TED (not sight-threatening but has an appreciable impact on daily life, with onset (as determined by patient records) within 12 months prior to the Baseline visit and usually associated with one or more of the following: lid retraction ≥ 2 mm, moderate or severe soft tissue involvement, exophthalmos ≥ 3 mm above normal for race and gender, and/or inconstant or constant diplopia. * Subjects must be euthyroid with the participant's baseline disease under control or have mild hypo- or hyperthyroidism (defined as free thyroxine \[FT4\] and free triiodothyronine levels \[FT3\] \< 50% above or below the normal limits) at Screening. * Does not require immediate ophthalmic surgery, radiotherapy to orbits or other ophthalmological intervention at the time of Screening and is not planning for any such treatment during the course of the study. Exclusion Criteria: * Decreased best corrected visual acuity due to optic neuropathy as defined by a decrease in vision of 2 lines on the Snellen chart, new visual field defect, or color defect secondary to optic nerve involvement within the last 6 months. * Corneal decompensation unresponsive to medical management. * Previous orbital irradiation or orbital surgery. * Any glucocorticoid use (intravenous \[IV\] or oral) with a cumulative dose equivalent to \>= 1g of methylprednisolone or equivalent for the treatment of TED within 3 months of Screening. * Prior IGF-1R inhibitor therapy for any condition.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AOU Pisana
Pisa, Italy
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Bascom Palmer Eye Institute
Miami, Florida, 33136, United States
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Byers Eye Institute - Stanford University
Palo Alto, California, 94303, United States
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Cardiff University
Cardiff, CF14 4XN, United Kingdom
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Center for Excellence in Eye Care
Miami, Florida, 33176, United States
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Chicago Oculofacial Plastic Surgery
Chicago, Illinois, 60614, United States
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Columbia University
New York, New York, 10032, United States
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Eyelid Center of Utah
Salt Lake City, Utah, 84102, United States
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Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico, Endocrinology Pawilione Zonda
Milan, Italy
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Frimley Health Foundation Trust
Camberley, GU16 7UJ, United Kingdom
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Hospital La Princesa
Madrid, 28006, Spain
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Hospital Universitari de Bellvitge
Barcelona, 08907, Spain
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Hospital Universitario Ramon y Cajal
Madrid, 28034, Spain
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Kahana Oculoplastic & Orbital Surgery
Livonia, Michigan, 48152, United States
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Kellogg Eye Center
Ann Arbor, Michigan, 48105, United States
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Mass Eye and Ear
Boston, Massachusetts, 02114, United States
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Moorfields Eye Hospital NIHR Clinical Research Facility
London, EC1V 2PD, United Kingdom
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Neuro-Eye Clinical Trials, Inc.
Bellaire, Texas, 77401, United States
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Oregon Health and Science University
Portland, Oregon, 97239, United States
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Sarasota Retina Institute
Sarasota, Florida, 34239, United States
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Thrive Health Research
Beverly Hills, California, 90210, United States
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Toronto Retina Institute
North York, M3C 0G9, Canada
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UC San Diego Health
La Jolla, California, 92093, United States
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UCLA
Los Angeles, California, 90095, United States
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University of Pisa
Pisa, Italy
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Vancouver Coastal Health Eye Care Center
Vancouver, British Columbia, V5Z 3N9, Canada
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Wake Forest Baptist Health Eye Center
Winston-Salem, North Carolina, 27157, United States
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Washington University in St. Louis/Barnes Jewish Hospital
Creve Coeur, Missouri, 63141, United States
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West Virginia University Eye Institute
Morgantown, West Virginia, 26506, United States
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Wolfe Eye Clinic
West Des Moines, Iowa, 50266, United States
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