- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06226545
A Study to Evaluate the Efficacy and Safety of LASN01 in Patients With Thyroid Eye Disease
A Phase 2, Proof-of-Concept, Randomized, Double-Masked, Placebo-Controlled Study to Determine the Efficacy and Safety of LASN01 in Patients With Thyroid Eye Disease
LASN01 is a novel, fully human antibody directed against the human IL-11 receptor being developed for treatment of patients with thyroid eye disease (TED).
The primary and secondary objectives of this study are to evaluate the treatment effect, safety, and pharmacokinetics of LASN01 administered IV in patients with TED with no prior anti-IGF-1R treatment or in patients with TED who have previously received teprotumumab treatment.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Córdoba, Spain, 14012
- Site 302
-
Seville, Spain, 41009
- Site 301
-
-
-
-
-
London, United Kingdom, EC1V 2PD
- Site 201
-
London, United Kingdom, NW1 5QH
- Site 206
-
Newcastle upon Tyne, United Kingdom, NE1 4LP
- Site 204
-
-
-
-
California
-
Beverly Hills, California, United States, 90210
- Site 111
-
Palo Alto, California, United States, 94303
- Site 105
-
San Diego, California, United States, 92093
- Site 101
-
-
Florida
-
Miami, Florida, United States, 33136
- Site 103
-
-
Michigan
-
Livonia, Michigan, United States, 48152
- Site 108
-
-
Nevada
-
Las Vegas, Nevada, United States, 89144
- Site 112
-
-
North Carolina
-
Wilmington, North Carolina, United States, 28403
- Site 110
-
-
Texas
-
Houston, Texas, United States, 77030
- Site 106
-
Houston, Texas, United States, 77401
- Site 104
-
-
Washington
-
Seattle, Washington, United States, 98104
- Site 109
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female patients ≥18 years of age at the time of Screening
- Clinical diagnosis of Graves' disease associated with active TED
- Moderate-to-severe active TED
- Female patients must be nonpregnant, nonlactating, surgically sterile for ≥6 months, or agree to use a highly effective method of contraception. Males must be surgically sterile or agree to use a highly effective method of contraception.
No previous:
Medical treatment for TED, with the exception of:
- Local supportive measures;
- Mycophenolate, and oral or injectable steroids;
- Immunomodulating therapies
- For the open-label treatment arm only: Previous treatment with teprotumumab is required.
- Orbital surgery
- Orbital radiation
Patients
- Without prior anti-IGF-1R treatment: less than 15 months from onset of TED symptoms
- With prior teprotumumab treatment: depending on time of diagnosis or reactivation of disease
Exclusion Criteria:
- Patients with 2 mm proptosis decrease between Screening and Day 1, or a 1-point decrease on the CAS 7-point scale between Screening and Day 1
- Patients with a known decreased best corrected visual acuity due to optic neuropathy as defined by a decrease in vision of 3 lines on the Snellen chart, new visual field defect, or color defect secondary to optic nerve involvement within the last 6 months before Screening; or any known optic neuropathy or compression or any neurologic or neuro-ophthalmologic condition that may result in visual field loss.
- Previous or any planned orbital irradiation/radiotherapy or orbital surgery for TED during the study period (ie, treatment and FU)
- Use of oral and/or IV corticosteroid for conditions other than TED in the 6 weeks before Day 1 (topical steroids for conditions other than TED are allowed)
- Active autoimmune disorder(s) requiring or likely to require treatment (other than Grave's disease and TED) that would interfere with study assessments, as determined by the PI or designee
- Any previous use of anti-IGF-1R monoclonal antibody (eg, teprotumumab) at any time, with exception to the open-label post-teprotumumab treatment arm where prior use of teprotumumab is required
- Use of selenium within 3 weeks before Day 1 or expected use during the clinical trial (multivitamins that include selenium are allowed in usual doses)
- Use or expected use of biotin (including multivitamins that include biotin) within 2 days before any laboratory collection
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Randomized low-dose LASN01 (anti-IGF-1R-naïve TED)
|
Low dose of LASN01 will be administered intravenously.
Other Names:
High dose of LASN01 will be administered intravenously.
Other Names:
|
|
Experimental: Randomized high-dose LASN01 (anti-IGF-1R-naïve TED)
|
Low dose of LASN01 will be administered intravenously.
Other Names:
High dose of LASN01 will be administered intravenously.
Other Names:
|
|
Placebo Comparator: Randomized placebo (anti-IGF-1R-naïve TED)
|
Placebo will be administered intravenously.
Other Names:
|
|
Experimental: Open-label high dose LASN01 (post-teprotumumab, US only)
|
Low dose of LASN01 will be administered intravenously.
Other Names:
High dose of LASN01 will be administered intravenously.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants Showing a Response in Proptosis Measured Using Hertel Exophthalmometer (≥2 mm Decrease From Baseline) in the Study Eye and Separately in Either Eye Without Increased Proptosis (≥2 mm Increase) in the Other Eye
Time Frame: Day 1-Day 253
|
Day 1-Day 253
|
|
|
For Randomized Treatment Arms: Number of Participants With Adverse Events Receiving LASN01 Compared to Placebo
Time Frame: Day 1-Day 393
|
Pooled analysis of 300 and 600 mg Q4W as compared with placebo.
|
Day 1-Day 393
|
|
For Open-label Treatment Arm: Number of Participants With Adverse Events Receiving LASN01
Time Frame: Day 1-Day 393
|
Day 1-Day 393
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Percentage of Participants Showing a Response in Clinical Activity Score (CAS) in the Study Eye Compared to Baseline as Assessed by CAS Evaluation
Time Frame: Day 1-Day 253
|
Day 1-Day 253
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Genetic Diseases, Inborn
- Autoimmune Diseases
- Immune System Diseases
- Eye Diseases, Hereditary
- Graves Disease
- Goiter
- Hyperthyroidism
- Thyroid Diseases
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Eye Diseases
- Graves Ophthalmopathy
- Endocrine System Diseases
- Orbital Diseases
- Exophthalmos
Other Study ID Numbers
- LASN01-CL-2201
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Eye Diseases
-
Southern College of OptometryNot yet recruitingEye Diseases | Dry Eye | Chronic Dry Eye
-
The University of New South WalesUniversity of MelbourneRecruitingDry Eye Disease (DED)Australia
-
The General Authority for Teaching Hospitals and...Recruiting
-
Universiti Sains MalaysiaNot yet recruitingDry Eye Disease (DED) | Dry Eye Symptoms | Dry Eye Syndrome (DES)Malaysia
-
Singapore National Eye CentreThe Eye Hospital of Wenzhou Medical UniversityNot yet recruiting
-
The Hong Kong Polytechnic UniversityRecruitingDry Eye | Dry Eye Disease (DED)Hong Kong
-
Dompé Farmaceutici S.p.ACompletedDry Eye DiseaseUnited States, Italy
-
Neuro-Ophthalmology of TexasHarrow IncRecruiting
-
Vision Innovation Centers of Pennsylvania, LLC...Nordic Pharma, USARecruiting
-
Demaod LtdNot yet recruitingDry Eye | Dry Eye Syndromes
Clinical Trials on Placebo
-
SamA Pharmaceutical Co., LtdUnknownAcute Bronchitis | Acute Upper Respiratory Tract InfectionKorea, Republic of
-
National Institute on Drug Abuse (NIDA)CompletedCannabis UseUnited States
-
AkesoNot yet recruitingAtopic DermatitisChina
-
AstraZenecaParexel; Spandauer Damm 130; 14050; Berlin, GermanyCompletedMale Subjects With Type II Diabetes (T2DM)Germany
-
Heptares Therapeutics LimitedCompletedPharmacokinetics | Safety IssuesUnited Kingdom
-
GlaxoSmithKlineCompletedPulmonary Disease, Chronic ObstructiveUnited Kingdom, Netherlands
-
Shijiazhuang Yiling Pharmaceutical Co. LtdXuanwu Hospital, BeijingCompleted
-
GlaxoSmithKlineCompletedInfections, BacterialUnited States
-
West Penn Allegheny Health SystemCompletedAsthma | Allergic RhinitisUnited States