New shot could help thyroid patients who Don't respond to usual pills
NCT ID NCT07596849
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 5 times
Summary
This study tests an investigational drug called efgartigimod for adults with Graves' disease whose thyroid levels are still high despite taking standard antithyroid medications. About 230 participants will receive either the drug or a placebo as a shot under the skin. The goal is to see if the drug can help bring thyroid hormone levels back to normal and allow patients to reduce or stop their current pills.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 230 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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May 2030
An estimate. End dates often move.
- 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: * Is at least 18 years of age and the local legal age of consent for clinical studies when signing the ICF. * Has a documented diagnosis of GD with TRAb (anti-thyrotropin receptor antibody) levels \>=ULN (upper limit of normal) at screening * Has active hyperthyroidism due to GD with TSH (thyroid-stimulating hormone) \<0.1 mIU/L at screening * Has been treated with MMI (methimazole) or CBZ (carbimazole) for at least 3 months before screening Exclusion Criteria: * History of hyperthyroidism not caused by GD (eg, toxic adenoma or toxic multinodular goiter) * History of RAI (radioactive iodine) therapy or received a total thyroidectomy * T3- or T4-containing medication or supplement (eg, levothyroxine, liothyronine, desiccated thyroid preparations, or thyroid-support supplements) received \<6 weeks before screening * Any complication of hyperthyroidism or underlying medical condition that would put the participant at undue risk. This includes arrhythmia or tachyarrhythmia related to GD, such as atrial fibrillation or atrial flutter not sufficiently controlled with medications. * Graves' orbitopathy/Thyroid Eye Disease (GO/TED) requiring systemic therapy (eg, corticosteroids), orbital injections, orbital surgery, or orbital radiation, or expected immediate surgical intervention and/or planned corrective surgery/irradiation or medical therapy during the study
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Genom att skicka in godkänner du våra Användarvillkor
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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
12 sites in 3 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Aso Iizuka Hospital
RECRUITINGIizuka, 820-8505, Japan
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Centrum Medyczne INTERCOR Sp. z o.o.
ACTIVE_NOT_RECRUITINGBydgoszcz, 85-605, Poland
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ETC Zamosc
ACTIVE_NOT_RECRUITINGZamość, 22400, Poland
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Endocrinologie Oasis
ACTIVE_NOT_RECRUITINGMontreal, Quebec, H4J1E3, Canada
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First Medical Clinic Ltd
RECRUITINGTbilisi, 0102, Georgia
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High Technology Hospital Medcenter LLC
RECRUITINGBatumi, 6000, Georgia
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Hospital of Lithuanian University of Health Sciences Kaunas
ACTIVE_NOT_RECRUITINGKaunas, Kauno, 50161, Lithuania
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Hospital of University of Occupational and Environmental Health
RECRUITINGKitakyushu, 807-8556, Japan
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Ito Hospital
RECRUITINGShibuya City, 150-8308, Japan
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LTD MediClub Georgia
RECRUITINGTbilisi, 0160, Georgia
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Multiprofile Hospital for Active Treatment Hadzhi Dimitar OOD
ACTIVE_NOT_RECRUITINGSliven, 8800, Bulgaria
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Nagasaki University Hospital
RECRUITINGNagasaki, 852-8501, Japan
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National Hospital Organization Kyoto Medical Center
RECRUITINGKyoto, 612-0861, Japan
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Nippon Medical School Musashikosugi Hospital
RECRUITINGKawasaki, 211-8533, Japan
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SHOWA Medical University Northern Yokohama Hospital
RECRUITINGYokohama, 224-8503, Japan
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TLC Diabetes and Endocrinology Clinic
RECRUITINGSurrey, V3T 2V6, Canada
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Tottori University Hospital
RECRUITINGYonago, 683-8504, Japan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Two autoimmune conditions, one child: study probes hidden thyroid trouble
- Eye damage in Graves' disease: can early clues predict who is at risk?
- Why does Graves' disease leave some brains exhausted? scientists hunt for clues in blood and spinal fluid
- Hidden thyroid cancers may be more common in Graves' disease than thought
- Can a steroid shot make thyroid surgery safer?
- Targeting the immune system: a new antibody may free Graves' patients from daily drugs