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.
IBI3031 is an IGF-1R(Insulin-like growth factor 1 receptor)/TSHR(Thyroid-stimulating hormone receptor) bispecific antibody with potential synergistic therapeutic efficacy in TED and modulatory effects on thyroid function. As the first-in-human trial of IBI3031, this study evaluates the safety, tolerability, PK(Pharmacokinetics)/PD(Pharmacodynamics) profiles, immunogenicity, and efficacy of IBI3031 in TED participants. The trial is conducted in two stages: Stage 1- a single-ascending-dose (SAD) study involving single SC or IV administration of IBI3031; Stage 2- a multiple-ascending-dose (MAD) study involving three SC administrations of IBI3031. Approximately 66 TED participants are planned for enrollment: 36 in Stage 1 (allocated at a 3:1 ratio) and 30 in Stage 2 (allocated at a 4:1 ratio).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
66
the First Hospital of China Medical University
Shenyang, Liaoning, China
RECRUITINGNumber, incidence rate, severity, and association with the study drug of Adverse Events (AEs)
The number, incidence rate, severity, and association with the study drug of all AEs occurring throughout the trial will be summarized.
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Number, incidence rate, severity, and association with the study drug of Treatment-Emergent Adverse Events (TEAEs)
The number, incidence rate, severity, and association with the study drug of all TEAEs after study drug administration will be summarized.
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Number, incidence rate, severity, and association with the study drug of Serious Adverse Events (SAEs)
The number, incidence rate, severity, and association with the study drug of all SAEs will be summarized.
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Change in systolic and diastolic blood pressure after dosing in each dose group(Unit of Measure: mmHg)
Systolic and diastolic blood pressure will be measured and recorded at each specified time point
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Number of participants with clinically significant abnormal findings in complete physical examination(Unit of Measure: participants)
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
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Changes in hematology laboratory parameters before and after dosing in each dose group
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Changes in hematology parameters including white blood cell count, red blood cell count, hemoglobin, and platelet count will be recorded.
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Changes in blood chemistry laboratory parameters before and after dosing in each dose group
Changes in blood chemistry parameters including liver and renal function, electrolytes, and blood glucose will be recorded.
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Changes in urinalysis laboratory parameters before and after dosing in each dose group
Changes in urinalysis parameters including urine protein, urine occult blood, and urine leukocytes will be recorded.
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Changes in thyroid function laboratory parameters before and after dosing in each dose group
Changes in thyroid function parameters including thyroid-stimulating hormone, free triiodothyronine, and free thyroxine will be recorded.
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Number of subjects with abnormal ECG changes before and after administration in each dose group
Time frame: 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
Changes in hearing thresholds at each frequency (500 Hz, 1000 Hz, 2000 Hz, 4000 Hz) will be recorded.
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Change in heart rate after dosing in each dose group (Unit of Measure: beats per minute)
Heart rate will be measured and recorded at each specified time point.
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Change in body temperature after dosing in each dose group(Unit of Measure: °C)
Body temperature will be measured and recorded at each specified time point.
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Change in respiratory rate after dosing in each dose group( Unit of Measure: breaths per minute)
Respiratory rate will be measured and recorded at each specified time point.
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Area Under the Curve (AUC) of the serum concentration-time profile
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Maximum Concentration (Cmax) of the drug in serum
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Clearance (CL)
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Volume of Distribution (Vd)
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Elimination Half-life (t1/2)
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Production of anti-drug antibodies (ADAs) and/or neutralizing antibodies (NAbs) in serum
Time frame: up to Day 85 for SAD;up to Day 337 for MAD
Proportion of participants with proptosis response
Defined as a ≥2 mm reduction in proptosis in the study eye from baseline, without a ≥2 mm increase in proptosis in the fellow eye
Time frame: Day 8, Day 29, Day 57, and Day 85 for single ascending dose (SAD) stage; Week 5, Week 9, Week 13, Week 17, Week 21, Week 29, Week 37, and Week 49 for multiple ascending dose (MAD) stage
Proportion of participants with overall response
Defined as a ≥2-point reduction in the Clinical Activity Score (CAS) from baseline in the study eye, a ≥2 mm reduction in proptosis in the study eye from baseline, and no worsening in the fellow eye (worsening defined as a ≥2-point increase in CAS or a ≥2 mm increase in proptosis)
Time frame: Day 8, Day 29, Day 57, and Day 85 for single ascending dose (SAD) stage; Week 5, Week 9, Week 13, Week 17, Week 21, Week 29, Week 37, and Week 49 for multiple ascending dose (MAD) stage
Number of subjects with changes in proptosis from baseline after dosing
Time frame: Day 8, Day 29, Day 57, and Day 85 for single ascending dose (SAD) stage; Week 5, Week 9, Week 13, Week 17, Week 21, Week 29, Week 37, and Week 49 for multiple ascending dose (MAD) stage
Proportion of participants with CAS = 0 or 1
Time frame: Day 8, Day 29, Day 57, and Day 85 for single ascending dose (SAD) stage; Week 5, Week 9, Week 13, Week 17, Week 21, Week 29, Week 37, and Week 49 for multiple ascending dose (MAD) stage
CAS change from baseline
Time frame: Day 8, Day 29, Day 57, and Day 85 for single ascending dose (SAD) stage; Week 5, Week 9, Week 13, Week 17, Week 21, Week 29, Week 37, and Week 49 for multiple ascending dose (MAD) stage
Proportion of participants with diplopia response
Defined as a ≥1-point reduction in diplopia
Time frame: Day 8, Day 29, Day 57, and Day 85 for single ascending dose (SAD) stage; Week 5, Week 9, Week 13, Week 17, Week 21, Week 29, Week 37, and Week 49 for multiple ascending dose (MAD) stage
Total score of the Graves' Ophthalmopathy Quality of Life
The effect of thyroid eye disease on social activities and appearance during the past 1 week.
Time frame: Day 8, Day 29, Day 57, and Day 85 for single ascending dose (SAD) stage; Week 5, Week 9, Week 13, Week 17, Week 21, Week 29, Week 37, and Week 49 for multiple ascending dose (MAD) stage