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Efficacy and Safety of Lonigutamab in Subjects With Thyroid Eye Disease (TED) (TED)

Primary Purpose

Thyroid Eye Disease

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
lonigutamab
Placebo
Sponsored by
ACELYRIN Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Thyroid Eye Disease focused on measuring TED

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria: Male or female, ≥18 and ≤70 years of age. Proptosis defined in the study eye as ≥3 mm above normal. Clinical Activity Score (CAS) ≥4 (using a 7-item scale) for the most severely affected eye Onset of active TED symptoms within 15 months prior to the baseline Must agree to use highly effective contraception as specified in the protocol Key Exclusion Criteria: Pathology related to inflammatory bowel disease or irritable bowel syndrome. Clinically significant pathology related to hearing or history of hearing impairment Optic neuropathy Corneal decompensation unresponsive to medical management. Previous orbital irradiation (for any cause) or any previous surgical treatment for TED. Subjects with diabetes or hemoglobin A1c >6.0% at screening Any steroid use (intravenous [IV] or oral) with a cumulative dose equivalent to >3 g of methylprednisolone for the treatment of TED within the last year. Previous steroid use (IV or oral) specifically for the treatment of TED not to exceed 1 g total dose in the 8 weeks prior to Screening. Previous use of teprotumumab or any other IGF-1 receptor (IGF-1R) inhibitor. Any previous treatment with a biologic drug for the treatment of TED (eg, rituximab and tocilizumab) Any other immunosuppressive agent within 1 month of screening.

Sites / Locations

  • Clinical Research SiteRecruiting
  • Clinical Research SiteRecruiting
  • Clinical Research SiteRecruiting
  • Clinical Research SiteRecruiting
  • Clinical Research SiteRecruiting
  • Clinical Research SiteRecruiting
  • Clinical Research SiteRecruiting
  • Clinical Research SiteRecruiting
  • Clinical Research SiteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Cohort 3

Arm Description

Single SC injection of dose 1 of lonigutamab or placebo at Day 1 and Day 21

multiple doses of dose 2 of lonigutamab administered SC injection weekly

multiple doses of lonigutamab dose 3 administered SC injection every 4 weeks.

Outcomes

Primary Outcome Measures

Incidence and characterization of nonserious treatment emergent adverse events (TEAEs)
Safety and Tolerability
Incidence and characterization of serious treatment emergent adverse events (TEAEs)
Safety and Tolerability

Secondary Outcome Measures

PK profile of lonigutamab
minimum observed concentration (Cmin)
PK profile of lonigutamab
Maximum observed concentration (Cmax)

Full Information

First Posted
December 20, 2022
Last Updated
August 15, 2023
Sponsor
ACELYRIN Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05683496
Brief Title
Efficacy and Safety of Lonigutamab in Subjects With Thyroid Eye Disease (TED)
Acronym
TED
Official Title
A Phase 1/2, Adaptive, Multiple Dose Ranging Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Clinical Efficacy of Lonigutamab in Subjects With Thyroid Eye Disease (TED)
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 14, 2023 (Actual)
Primary Completion Date
February 2024 (Anticipated)
Study Completion Date
February 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ACELYRIN Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Phase 1/2, multicenter, multiple dose clinical study designed to evaluate lonigutamab in subjects with TED.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Thyroid Eye Disease
Keywords
TED

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Model Description
Up to 3 cohorts are planned, with each cohort receiving one of 3 different treatment doses
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Double-masked, placebo-controlled and open label
Allocation
Randomized
Enrollment
38 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
Single SC injection of dose 1 of lonigutamab or placebo at Day 1 and Day 21
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
multiple doses of dose 2 of lonigutamab administered SC injection weekly
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
multiple doses of lonigutamab dose 3 administered SC injection every 4 weeks.
Intervention Type
Drug
Intervention Name(s)
lonigutamab
Intervention Description
subcutaneous injection
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
subcutaneous injection
Primary Outcome Measure Information:
Title
Incidence and characterization of nonserious treatment emergent adverse events (TEAEs)
Description
Safety and Tolerability
Time Frame
Day 1 to Day 163
Title
Incidence and characterization of serious treatment emergent adverse events (TEAEs)
Description
Safety and Tolerability
Time Frame
Day 1 to Day 163
Secondary Outcome Measure Information:
Title
PK profile of lonigutamab
Description
minimum observed concentration (Cmin)
Time Frame
Day 1 to Day 163
Title
PK profile of lonigutamab
Description
Maximum observed concentration (Cmax)
Time Frame
Day 1 to Day 163

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Male or female, ≥18 and ≤70 years of age. Proptosis defined in the study eye as ≥3 mm above normal. Clinical Activity Score (CAS) ≥4 (using a 7-item scale) for the most severely affected eye Onset of active TED symptoms within 15 months prior to the baseline Must agree to use highly effective contraception as specified in the protocol Key Exclusion Criteria: Pathology related to inflammatory bowel disease or irritable bowel syndrome. Clinically significant pathology related to hearing or history of hearing impairment Optic neuropathy Corneal decompensation unresponsive to medical management. Previous orbital irradiation (for any cause) or any previous surgical treatment for TED. Subjects with diabetes or hemoglobin A1c >6.0% at screening Any steroid use (intravenous [IV] or oral) with a cumulative dose equivalent to >3 g of methylprednisolone for the treatment of TED within the last year. Previous steroid use (IV or oral) specifically for the treatment of TED not to exceed 1 g total dose in the 8 weeks prior to Screening. Previous use of teprotumumab or any other IGF-1 receptor (IGF-1R) inhibitor. Any previous treatment with a biologic drug for the treatment of TED (eg, rituximab and tocilizumab) Any other immunosuppressive agent within 1 month of screening.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Paul Peloso, MD, MSc
Phone
805-730-0327
Email
clinicaltrials@acelyrin.com
Facility Information:
Facility Name
Clinical Research Site
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90402
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Research Site
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32216
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Research Site
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30328
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Research Site
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48108
Country
United States
Individual Site Status
Recruiting
Facility Name
Clinical Research Site
City
Sydney
State/Province
New South Wales
ZIP/Postal Code
2109
Country
Australia
Individual Site Status
Recruiting
Facility Name
Clinical Research Site
City
South Brisbane
State/Province
Queensland
ZIP/Postal Code
4101
Country
Australia
Individual Site Status
Recruiting
Facility Name
Clinical Research Site
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
5000
Country
Australia
Individual Site Status
Recruiting
Facility Name
Clinical Research Site
City
East Melbourne
State/Province
Victoria
ZIP/Postal Code
3002
Country
Australia
Individual Site Status
Recruiting
Facility Name
Clinical Research Site
City
Nedlands
State/Province
Western Australia
ZIP/Postal Code
6009
Country
Australia
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Efficacy and Safety of Lonigutamab in Subjects With Thyroid Eye Disease (TED)

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