New shot could ease bulging eyes from thyroid disease
NCT ID NCT06248619
First seen Jun 25, 2026 · Last updated Jul 08, 2026 · Updated 3 times
Summary
This phase 3 trial tests an injectable drug called teprotumumab for people with moderate-to-severe active thyroid eye disease, a condition that causes eye bulging and discomfort. About 89 adults will receive either the drug or a placebo injection to see if it reduces eye bulging by at least 2 mm. The study is already active but not recruiting, and results may lead to a new treatment option.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- teprotumumab (a biologic drug given as a shot under the skin)
- What this could lead to
- If it works, this could offer a more convenient way to treat thyroid eye disease and reduce eye bulging and inflammation.
- What could go wrong
- This is still a clinical trial, so it may not work better than placebo. Side effects are possible, and results may not apply to everyone with the condition.
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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89 people
The number who actually took part.
- Started
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Jul 2024
- Expected to finish
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Nov 2026
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 to 80 years
- 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: 1. Participant must provide written informed consent. 2. Participant can be male or female and must be between the ages of 18 and 80 years, inclusive, at Screening. 3. Participant must have a clinical diagnosis of Graves' disease associated with active TED with a CAS ≥ 3 (on the 7-item scale) for the most severely affected eye at Screening and Baseline. 4. Participant must have moderate-to-severe active TED (not sight-threatening but has an appreciable impact on daily life), usually associated with 1 or more of the following: lid retraction ≥ 2 mm, moderate or severe soft tissue involvement and/or inconstant or constant diplopia. (Note: Participants with no diplopia at Baseline will be limited to approximately 25% of the total number enrolled.) 5. Participant has proptosis ≥ 3 mm from Baseline (prior to diagnosis of TED), as estimated by treating physician, and/or proptosis ≥ 3 mm above normal for race and gender. 6. Participant had onset of active TED symptoms (as determined by participant records) within 15 months prior to Baseline. 7. Participants must be euthyroid with the baseline disease under control or have mild hypoor hyperthyroidism (defined as free thyroxine \[FT4\] and free triiodothyronine \[FT3\] levels \< 50% above or below the normal limits) at Screening. Every effort should be made to correct the mild hypo- or hyperthyroidism promptly and to maintain the euthyroid state for the full duration of the trial. 8. Participant does not require immediate surgical ophthalmological intervention and is not planning corrective surgery/irradiation during the trial. 9. Women of childbearing potential must have a negative serum pregnancy test at Screening and negative urine pregnancy tests at all protocol-specified time points (ie, prior to each dose and throughout participation in the trial). 10. Participant is willing and able to comply with the protocol requirements for the duration of the trial. Exclusion Criteria: 1. Participant has decreased best-corrected visual acuity due to optic neuropathy, defined by a decrease in vision of 2 lines on the Snellen chart (or equivalent), new visual field defect or color defect secondary to optic nerve involvement within the last 6 months. 2. Participant has corneal decompensation unresponsive to medical management. 3. Participant has a decrease in CAS of ≥ 2 points between Screening and Baseline. 4. Participant has a decrease in proptosis of ≥ 2 mm between Screening and Baseline. 5. Participant had prior orbital irradiation, orbital decompression or strabismus surgery (excluding childhood strabismus surgeries unrelated to TED/Graves' disease). 6. Participant is planning to have eyelid surgery during the trial. 7. Participant received periocular botulinum toxin injection within 12 months prior to Screening. 8. Participant has any systemic use of a steroid (IV or oral) or steroid eye drops for the treatment of TED or other conditions within 3 weeks prior to Screening. Exceptions include local administration (excluding periocular), eg, topical, intra-articular, and inhaled steroids, as well as steroids used to treat infusion reactions.
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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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AP-HM-Hôpital de La Conception
Marseille, Bouches-du-Rhône, 13010, France
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Advanced Quality Medical Research
Orland Park, Illinois, 60462, United States
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Azienda Ospedaliera Universitaria Federico II
Naples, Campania, 80131, Italy
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Azienda Ospedaliero Universitaria Pisana - Stabilimento Santa Chiara
Pisa, 56124, Italy
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Azienda Ospedaliero Universitaria Pisana - Stabilimento di Cisanello
Pisa, 56124, Italy
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Baylor College of Medicine-1977 Butler Blvd
Houston, Texas, 77030-4101, United States
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CHU de Quebec-Universite Laval CUO Recherche Clinique Hopital du St-Sacrement
Québec, G1S 4L8, Canada
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Casey Eye Institute -515 SW Campus Dr
Portland, Oregon, 97239-3130, United States
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Catalina Eye Care - NVISION - PPDS
Tucson, Arizona, 85712, United States
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Centre For Eye Research Australia Ltd
East Melbourne, Victoria, 3002, Australia
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Centro Medico Grupo Laser Vision
Rosario, Santa Fe Province, S2000, Argentina
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Changhua Christian Hospital
Changhua County, 50006, Taiwan
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Chung Shan Medical University Hospital
Taichung, Taiwan
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Gokeikai Osaka Kaisei Hospital
Osaka-Shi Yodogawa-Ku, Ôsaka, 532-0003, Japan
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Hayashi Eye Hospital
Fukuoka, Hukuoka, 812-0011, Japan
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Hospital Universitari i Politecnic La Fe de Valencia-Avda de Fernando Abril Martorell 106
Valencia, 46026, Spain
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Hospital Universitario Austral
Pilar, Buenos Aires, B1629ODT, Argentina
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Hospital Universitario Ramon y Cajal
Madrid, 28034, Spain
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Hospital Universitario Virgen Macarena
Seville, 41009, Spain
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Ishikawa Prefectural Central Hospital
Kanazawa, Ishikawa-ken, 920-8530, Japan
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Kozawa Eye hospital and Diabetes Center
Mito, Ibaraki, 310-0845, Japan
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Las Vegas Endocrinology
Henderson, Nevada, 89074, United States
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McGill University Health Centre Research Institute
Montreal, Quebec, H4A 3J1, Canada
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Moorfields Eye Hospital - PPDS
London, Middlesex, EC1V 2PD, United Kingdom
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National Taiwan University Hospital
Taipei, 100, Taiwan
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Organización Médica de Investigación
Buenos Aires, Ciudad Autónoma de BuenosAires, C1015ABO, Argentina
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Queensland Eye Institute
Wooloongabba, Queensland, 4102, Australia
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Royal Adelaide Hospital
Adelaie, South Australia, 5000, Australia
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Scheie Eye Institute
Philadelphia, Pennsylvania, 19104-2640, United States
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Sydney Eye Hospital
Sydney, New South Wales, 2000, Australia
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The Center for Eye and Facial Plastic Surgery
Somerset, New Jersey, 08773, United States
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University of Miyazaki Hospital
Miyazaki, Miyazaki, 889-1601, Japan
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University of Tennessee Health Science Center - 848 Adams Ave
Memphis, Tennessee, 38103-3452, United States
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University of Washington Eye Institute
Seattle, Washington, 98104-2433, United States
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Universitätsklinikum Essen
Essen, North Rhine-Westphalia, 45147, Germany
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Vancouver Coastal Health Research Institute (VCHRI) - 2550 Willow St
Vancouver, British Columbia, V5Z 3N9, Canada
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W Kellogg Eye Center
Ann Arbor, Michigan, 48105-1912, United States
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West Virginia University Eye Institute
Morgantown, West Virginia, 26506-1200, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a pill tame thyroid eye disease?
- Can a targeted antibody calm thyroid eye disease?
- Could a cholesterol drug shrink eye muscle swelling in thyroid eye disease?
- Can an experimental drug reduce eye bulging in thyroid eye disease?
- Can a new drug ease bulging eyes in thyroid disease?
- New drug IBI3031 enters first human trial for thyroid eye disease