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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05683496
Registration number
NCT05683496
Ethics application status
Date submitted
20/12/2022
Date registered
13/01/2023
Titles & IDs
Public title
Efficacy and Safety of Lonigutamab in Subjects With Thyroid Eye Disease (TED)
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Scientific 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)
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Secondary ID [1]
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421-01-02
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Universal Trial Number (UTN)
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Trial acronym
TED
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Thyroid Eye Disease
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Condition category
Condition code
Eye
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Diseases / disorders of the eye
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Inflammatory and Immune System
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Autoimmune diseases
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Metabolic and Endocrine
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Other endocrine disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - lonigutamab
Treatment: Drugs - Placebo
Experimental: Cohort 1 - Single SC injection of dose 1 of lonigutamab or placebo at Day 1 and Day 21
Experimental: Cohort 2 - multiple doses of dose 2 of lonigutamab administered SC injection weekly
Experimental: Cohort 3 - multiple doses of lonigutamab dose 3 administered SC injection every 4 weeks.
Treatment: Drugs: lonigutamab
subcutaneous injection
Treatment: Drugs: Placebo
subcutaneous injection
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Incidence and characterization of nonserious treatment emergent adverse events (TEAEs)
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Assessment method [1]
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Safety and Tolerability
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Timepoint [1]
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Day 1 to Day 169
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Primary outcome [2]
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Incidence and characterization of serious treatment emergent adverse events (TEAEs)
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Assessment method [2]
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Safety and Tolerability
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Timepoint [2]
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Day 1 to Day 169
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Secondary outcome [1]
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PK profile of lonigutamab
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Assessment method [1]
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minimum observed concentration (Cmin)
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Timepoint [1]
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Day 1 to Day 169
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Secondary outcome [2]
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PK profile of lonigutamab
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Assessment method [2]
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Maximum observed concentration (Cmax)
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Timepoint [2]
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Day 1 to Day 169
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Eligibility
Key inclusion criteria
Key
* Male or female, =18 and =75 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 prior to baseline
* Must agree to use highly effective contraception as specified in the protocol
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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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.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
14/02/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/10/2024
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Actual
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Sample size
Target
38
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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Clinical Research Site - Sydney
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Recruitment hospital [2]
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Clinical Research Site - Woolloongabba
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Recruitment hospital [3]
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Clinical Research Site - Adelaide
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Recruitment hospital [4]
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Clinical Research Site - East Melbourne
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Recruitment hospital [5]
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Clinical Research Site - Nedlands
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Recruitment postcode(s) [1]
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2109 - Sydney
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Recruitment postcode(s) [2]
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4102 - Woolloongabba
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Recruitment postcode(s) [3]
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5000 - Adelaide
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Recruitment postcode(s) [4]
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3002 - East Melbourne
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Recruitment postcode(s) [5]
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6009 - Nedlands
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Florida
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Country [2]
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United States of America
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State/province [2]
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Georgia
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Country [3]
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United States of America
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State/province [3]
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Michigan
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Country [4]
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United States of America
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State/province [4]
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New York
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Country [5]
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United States of America
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State/province [5]
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West Virginia
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
ACELYRIN Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Phase 1/2, multicenter, multiple dose clinical study designed to evaluate lonigutamab in subjects with TED.
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Trial website
https://clinicaltrials.gov/study/NCT05683496
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Helliner Santulli, MD, PhD
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Address
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Country
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Phone
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805-456-4393
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05683496