Recruiting
Phase 1
A Study of IBI3031 in Participants With Thyroid Eye Disease
Condition(s) studied
Thyroid Eye Disease
Investigational drug(s) / intervention(s)
IBI3031placebo
IBI3031: subcutaneous injection or intravenous infusion.
placebo: subcutaneous injection or intravenous infusion.
Study summary
This is a multicenter, randomized, double-masked, placebo-controlled, single/multiple-dose-escalation trial conducted in Chinese participants with Thyroid Eye Disease (TED), aiming to evaluate the safety and tolerability of IBI3031 administered via subcutaneous or intravenous injection.
Eligibility
Key Inclusion Criteria:
1. Written informed consent.
2. Aged between 18 and 75 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 ≥ 18 mm in the study eye at baseline. (Only applicable to Stage 2)
6. Participants must be clinically and biochemically euthyroid, or have mild hypothyroidism or mild-to-moderate hyperthyroidism at screening.
7. Positive for Thyrotrophin Receptor Antibody (TRAb) at screening.
8. No prior treatment with antithyroid medications and/or thyroid hormone replacement therapy, or having taken antithyroid medications and/or thyroid hormone replacement therapy on a stable dose for at least 6 weeks prior to the first dose, or having not been treated with antithyroid medications and/or thyroid hormone replacement therapy due to intolerable side effects for at least 6 weeks prior to the first dose.
9. 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.
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. Presence of other non-TED ophthalmic diseases that may affect the interpretation of study results or the safety of participants as determined by the investigator (e.g., proptosis not primarily caused by TED);
5. At screening, clinical or laboratory evidence of significant hypothyroidism (presence of clinical symptoms of hypothyroidism, or FT3 or FT4 (Free Thyroxine)\<0.5×lower limit of normal \[LLN\], or TSH\>1.5×upper limit of normal \[ULN\]); or severe hyperthyroidism during the screening period (FT3 and FT4(Free Thyroxine)\>2×ULN, or presence of thyroid storm).
6. Other medical history and abnormal test results during the screening period that are judged by the investigator to be clinically significant, may cause the participant to fail to comply with the study protocol or complete the trial, or endanger safety, including but not limited to:
* History of hepatic insufficiency (Child-Pugh Class B or C) or liver cirrhosis; aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \> 2 × ULN at screening;
* Glomerular filtration rate (GFR) \< 60 ml/min/1.73 m2;
* Poorly controlled diabetes mellitus or hypertension;
* Confirmed or clinically suspected inflammatory bowel disease, gastrointestinal bleeding, or peptic ulcer disease.
* History of of chronic or recurrent infections; opportunistic infection within 180 days prior to screening;
* Positive for human immunodeficiency virus antibody (HIV Ab), hepatitis C virus antibody (HCV Ab), non-specific syphilis antibody (e.g., RPR(Rapid Plasma Reagin), TRUST), hepatitis B virus surface antigen (HBsAg) or e-antigen (HBeAg), or interferon-gamma release assay (IGRA).
* 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(decibe) at 0.5, 1, 2, and 4 kHz(kilohertz), or a bone conduction hearing threshold of ≥ 40 dB at any frequency);
7. Scheduled radioactive iodine therapy or thyroidectomy at any time before screening or during the study;
8. Scheduled orbital radiotherapy at any time before screening or during the study, or surgical treatment for TED, including orbital decompression, strabismus surgery, and eyelid surgery;
9. Cumulative dose of glucocorticoids used to treat TED ≥ 1 g of methylprednisolone equivalents within 90 days prior to screening;
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 14 days prior to screening;
14. Received antibody therapy targeting IGF-1R, TSHR, CD20(cluster of differentiation antigen 20), IL-6, or IL-6 receptor (IL-6R) at any time before screening;
15. Received any other TED therapeutic drugs under development (including but not limited to biologics targeting IGF-1R, FcRn(neonatal Fc recepto), IL-6, or IL-6R) at any time before screening;
16. Use of any other monoclonal antibody within 90 days prior to screening;
17. Have received live vaccines within 180 days prior to screening, or plan to receive live vaccines during the study;
18. Female participants in pregnancy or lactation.
Primary outcome measure(s)
- Number, incidence rate, severity, and association with the study drug of Adverse Events (AEs) — up to Day 85 for SAD;up to Day 337 for MAD
The number, incidence rate, severity, and association with the study drug of all AEs occurring throughout the trial will be summarized.
- Number, incidence rate, severity, and association with the study drug of Treatment-Emergent Adverse Events (TEAEs) — up to Day 85 for SAD;up to Day 337 for MAD
The number, incidence rate, severity, and association with the study drug of all TEAEs after study drug administration will be summarized.
- Number, incidence rate, severity, and association with the study drug of Serious Adverse Events (SAEs) — up to Day 85 for SAD;up to Day 337 for MAD
The number, incidence rate, severity, and association with the study drug of all SAEs will be summarized.
- Change in systolic and diastolic blood pressure after dosing in each dose group(Unit of Measure: mmHg) — up to Day 85 for SAD;up to Day 337 for MAD
Systolic and diastolic blood pressure will be measured and recorded at each specified time point
- Number of participants with clinically significant abnormal findings in complete physical examination(Unit of Measure: participants) — up to Day 85 for SAD;up to Day 337 for MAD
A complete physical examination will be performed at each specified time point, including assessment of general appearance, respiratory system, cardiovascular system, abdomen, skin, head and neck (including ears, nose, and throat), lymph nodes, thyroid gland, musculoskeletal system (including spine and extremities), and neurological system. Any finding that is new or worsened from baseline and deemed clinically significant by the investigator will be
- Changes in hematology laboratory parameters before and after dosing in each dose group — up to Day 85 for SAD;up to Day 337 for MAD
Changes in hematology parameters including white blood cell count, red blood cell count, hemoglobin, and platelet count will be recorded.
- Changes in blood chemistry laboratory parameters before and after dosing in each dose group — up to Day 85 for SAD;up to Day 337 for MAD
Changes in blood chemistry parameters including liver and renal function, electrolytes, and blood glucose will be recorded.
- Changes in urinalysis laboratory parameters before and after dosing in each dose group — up to Day 85 for SAD;up to Day 337 for MAD
Changes in urinalysis parameters including urine protein, urine occult blood, and urine leukocytes will be recorded.
- Changes in thyroid function laboratory parameters before and after dosing in each dose group — up to Day 85 for SAD;up to Day 337 for MAD
Changes in thyroid function parameters including thyroid-stimulating hormone, free triiodothyronine, and free thyroxine will be recorded.
- Number of subjects with abnormal ECG changes before and after administration in each dose group — up to Day 85 for SAD;up to Day 337 for MAD
- Changes in pure-tone audiometry results before and after dosing in each dose group — up to Day 85 for SAD;up to Day 337 for MAD
Changes in hearing thresholds at each frequency (500 Hz, 1000 Hz, 2000 Hz, 4000 Hz) will be recorded.
- Change in heart rate after dosing in each dose group (Unit of Measure: beats per minute) — up to Day 85 for SAD;up to Day 337 for MAD
Heart rate will be measured and recorded at each specified time point.
- Change in body temperature after dosing in each dose group(Unit of Measure: °C) — up to Day 85 for SAD;up to Day 337 for MAD
Body temperature will be measured and recorded at each specified time point.
- Change in respiratory rate after dosing in each dose group( Unit of Measure: breaths per minute) — up to Day 85 for SAD;up to Day 337 for MAD
Respiratory rate will be measured and recorded at each specified time point.
Trial sites (1)
| Facility | City | Region | Status |
| the First Hospital of China Medical University |
Shenyang |
Liaoning |
Recruiting |
More Innovent Biologics (Suzhou) Co. Ltd. trials in China
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