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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05524571
Registration number
NCT05524571
Ethics application status
Date submitted
24/08/2022
Date registered
1/09/2022
Titles & IDs
Public title
Study to Assess Batoclimab in Participants With Active Thyroid Eye Disease
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Scientific title
A Phase 3, Multi-center, Randomized, Quadruple-masked, Placebo-controlled Study of Batoclimab for the Treatment of Participants With Active Thyroid Eye Disease (TED)
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Secondary ID [1]
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IMVT-1401-3202
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Universal Trial Number (UTN)
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Trial acronym
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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 - Batoclimab
Treatment: Drugs - Placebo
Experimental: Batoclimab - Participants will be administered batoclimab 680 mg SC weekly for 12 weeks followed by 340 mg SC weekly for 12 weeks.
Placebo comparator: Placebo - Participants will be administered matching placebo SC weekly for 24 weeks.
Treatment: Drugs: Batoclimab
Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody
Treatment: Drugs: Placebo
Matching Placebo
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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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Percentage of proptosis responders
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Assessment method [1]
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Proptosis is the amount of protrusion of the eye from the orbital rim. Measurements are recorded using the Hertel exophthalmometer. The study eye is defined as the most severely affected eye at the Baseline visit. Proptosis responder is defined as the participant with a greater than or equal to (=) 2 millimeters (mm) reduction in the study eye without deterioration (=2 mm increase) in the fellow eye.
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Timepoint [1]
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At Week 24
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Secondary outcome [1]
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Percentage of participants with proptosis =2 mm reduction and Clinical Activity Score (CAS) of less than or equal to (=) 3 from Baseline in the study eye
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Assessment method [1]
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The CAS measures the classical signs of acute inflammation (pain, redness, and swelling) in TED. The 7-item scale assigns 1 point for the presence of each of the parameters assessed: spontaneous retrobulbar pain, pain on attempted upward or downward gaze, redness of eyelids, redness of conjunctiva, swelling of caruncle or plica, swelling of eyelids, swelling of conjunctiva (chemosis). The sum of these points is the total score, with 0 indicating no clinical activity and 7 indicating the most severe clinical activity. Higher scores indicate worse symptoms.
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Timepoint [1]
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Baseline and Week 24
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Secondary outcome [2]
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Percentage of participants with CAS of 0 or 1 in the study eye
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Assessment method [2]
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Timepoint [2]
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At Week 24
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Secondary outcome [3]
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Mean change from Baseline in CAS in the study eye
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Assessment method [3]
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Timepoint [3]
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Baseline and Week 24
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Secondary outcome [4]
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Percentage of participants with positive binding anti-thyroid stimulating hormone receptor (TSHR) antibody (Ab) at Baseline who achieve seroconversion
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Assessment method [4]
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Timepoint [4]
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Baseline and Week 24
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Secondary outcome [5]
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Percentage of participants with decrease of at least 1 grade from Baseline in Gorman score for diplopia
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Assessment method [5]
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Diplopia will be assessed based on 3 grades: Grade I - Intermittent diplopia (diplopia in primary position of gaze, when tired or when first awakening), Grade II - Inconstant diplopia (diplopia at extremes of gaze) and Grade III - Constant diplopia (continuous diplopia in primary or reading position). Higher scores indicate worse symptoms.
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Timepoint [5]
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Baseline and Week 24
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Secondary outcome [6]
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Mean change from Baseline in proptosis in the study eye
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Assessment method [6]
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Timepoint [6]
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Baseline and Week 24
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Secondary outcome [7]
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Percentage of participants with =6-point increase from Baseline in total Graves' ophthalmopathy - Quality of life (GO-QOL) score
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Assessment method [7]
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The GO-QOL is a 16-item self-administered questionnaire designed to assess how GO affects different aspects related to quality of life (visual functioning and psychosocial consequences). The points given to questions 1 to 8 and 9 to 16 are added to obtain 2 raw scores ranging from 8 to 24; one for visual functioning and one for appearance. Higher scores indicate better outcome.
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Timepoint [7]
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Baseline and Week 24
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Secondary outcome [8]
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Percentage of participants with =8-degree increase from Baseline in motility (in at least 1 of 4 directions) in the study eye
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Assessment method [8]
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Timepoint [8]
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Baseline and Week 24
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Eligibility
Key inclusion criteria
Inclusion criteria:
1. Are =18 years of age at screening.
2. Have a clinical diagnosis of TED associated with active, moderate to severe TED with the following at screening and Visit 0:
* A CAS = 4 in either eye, and
* Clinical evidence of worsened proptosis with:
* Proptosis = 18 mm and/or
* Proptosis = 3 mm increase from participant's baseline (prior to diagnosis of TED), as estimated by the Investigator/assessor
3. Have moderate to severe active TED, as defined by European Group on Graves' Orbitopathy (EUGOGO) guidelines.
4. Have onset of active TED within 12 months prior to screening.
5. Have documented evidence of detectable anti-TSHR-Ab at screening.
6. Are not expected to require immediate surgical intervention and are not planning corrective surgery/irradiation or medical therapy for TED during the course of the study.
7. Are euthyroid with the Baseline disease under control or have mild hypo- or hyperthyroidism.
Additional inclusion criteria are defined in the protocol.
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Minimum age
18
Years
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Maximum age
No limit
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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
Exclusion criteria:
1. Have decreased best corrected visual acuity due to optic neuropathy.
2. Have at least a 2-point decrease in CAS or =2 mm decrease in proptosis between screening and Baseline assessments in either eye.
3. Have used any steroid (intravenous or oral) for the treatment of TED or other conditions within 4 weeks prior to screening.
4. Have used any steroid (Intravenous or oral) with a cumulative dose equivalent to = 1 g of methylprednisolone for the treatment of TED.
5. Have known autoimmune disease other than TED, that, in the opinion of the Investigator, would interfere with the course and conduct of the study.
6. Had previous orbital irradiation or surgery for TED.
Additional exclusion criteria are defined in the protocol.
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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 assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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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
5/01/2023
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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
1/01/2025
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Site Number - 7565 - Sydney
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Recruitment postcode(s) [1]
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2000 - Sydney
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Recruitment outside Australia
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United States of America
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California
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Florida
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Kentucky
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Michigan
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Brugge
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Bruxelles
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Ghent
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Belgium
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Liège
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Hungary
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Budapest
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Ogre
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Riga
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Christchurch
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Hamilton
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San Juan
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Slovakia
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Bratislava
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Slovakia
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Trencín
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Barcelona
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Madrid
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Valencia
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Turkey
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Adana
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Turkey
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Ankara
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Immunovant Sciences GmbH
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
To evaluate the efficacy of batoclimab 680 milligrams (mg) subcutaneous (SC) once a week (QW) for 12 weeks followed by 340 mg SC QW for 12 weeks versus placebo on proptosis responder rate at Week 24.
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Trial website
https://clinicaltrials.gov/study/NCT05524571
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Contact person for public queries
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Central Study Contact
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Address
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Phone
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18007970414
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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/NCT05524571