New drug aims to reduce bulging eyes in thyroid disease
NCT ID NCT07265258
First seen Jun 26, 2026 · Last updated Aug 14, 2026 · Updated 3 times
Summary
This study tests a new drug called teprotumumab N01 for active thyroid eye disease, which causes eye bulging and discomfort. About 92 adults will receive either the new drug or standard steroid treatment. The main goal is to see if the new drug better reduces eye bulging.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- teprotumumab N01
- What this could lead to
- If it works, this could offer a more effective treatment option for active thyroid eye disease, reducing eye bulging and double vision.
- What could go wrong
- This is a Phase 4 trial, but results may not show a clear advantage over existing steroid therapy. Side effects from the drug are possible.
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 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 92 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Dec 2028
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: Key Inclusion Criteria: 1. Written informed consent. 2. Male or female subject between the ages of 18 and 80 years at screening. 3. Weight between 45 kg and 100 kg. 4. Moderate-to-severe active TED: * CAS ≥ 3 in the study eye at screening and baseline; * Usually associated with at least two of the following: lid retraction ≥ 2 mm, moderate or severe soft tissue involvement, exophthalmos ≥ 3 mm above normal, and/or inconstant or constant diplopia; * ≤ 12 months since the onset of active TED symptoms according to subjects' chief complaint or medical record at screening; 5. Exophthalmos ≥ 16 mm in the study eye at baseline. 6. Infertile female participants or fertile female participants with negative blood pregnancy test results during the screening period and agree to take contraceptive measures from screening to 120 days after the last dose; male participants should agree to use contraceptive measures from screening to 120 days after the last dose. Exclusion Criteria: Key Exclusion Criteria: Participants to be excluded (Participants meeting any of the following criteria will be regarded as ineligible): 1. The CAS of the study eye at baseline is reduced by ≥ 2 points compared with that at screening, or the proptosis of the study eye at baseline is reduced by ≥ 2 mm compared with that at screening; 2. Participants previously diagnosed with dysthyroid optic neuropathy (DON), or with DON as determined by the investigator at screening; 3. Patients with corneal ulcers that are not relieved after treatment at the investigator's discretion; 4. Scheduled orbital radiotherapy at any time before baseline or during the study, or surgical treatment for TED, including orbital decompression, strabismus surgery, and eyelid surgery; 5. Participants with poorly controlled thyroid function, defined as free triiodothyronine (FT3) or free thyroxine (FT4) deviating from the normal reference range of the local laboratory by more than 50% at screening; 6. Any other pre-existing disease, metabolic disorder, or physical examination or clinical laboratory abnormality that leads to a reasonable suspicion of a disease or condition that contraindicates the use of the investigational drug, affects the interpretation of study results, or places the participant at high risk of treatment complications; 7. History of tinnitus or other hearing impairment in either ear during the screening period; or abnormal pure tone audiometry results (defined as an average bone conduction hearing threshold of ≥ 25 dB at 0.5, 1, 2, and 4 kHz, or a bone conduction hearing threshold of ≥ 40 dB at any frequency); 8. Poorly controlled diabetes mellitus (defined as glycosylated hemoglobin ≥ 8.0% at screening); 9. Cumulative dose of glucocorticoids used to treat TED ≥ 1 g methylprednisolone equivalents at any time before baseline; 10. Oral or intravenous glucocorticoids within 30 days prior to screening; 11. Peribulbar/periorbital injection of glucocorticoids within 90 days prior to screening; 12. Oral or intravenous administration of any other non-steroidal immunosuppressants within 90 days prior to screening; 13. Use of glucocorticoid eye drops/ointments or use of non-steroidal immunosuppressant eye drops within 30 days prior to screening; 14. Received TEPEZZA or Teprotumumab N01 Injection at any time before screening; 15. Received CD20 antibody or interleukin-6 receptor (IL-6R) antibody at any time before screening; 16. Have received any other TED therapeutic drugs under development (including but not limited to biologics targeting IGF-1R, FcRn, and TSHR) at any time before screening; 17. Use of any other monoclonal antibody within 90 days prior to screening; 18. Female participants in pregnancy or lactation.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. 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
Locations
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Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine
RECRUITINGShanghai, Shanghai Municipality, 200125, China
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Other studies related to the condition(s) this trial covers.
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- 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