In this study, researchers will learn more about the use of felzartamab in participants with Graves' Disease, also known as GD. GD is an autoimmune disease, which means the body's immune system attacks its own healthy cells. In people with GD, the immune system produces abnormal antibodies, called thyroid-stimulating hormone receptor antibodies (TRAb), that attack the thyroid gland. This causes the thyroid to become too active and produce too much hormone, a condition called hyperthyroidism. Participants with GD are often treated with anti-thyroid drugs, or ATDs, which are medicines that help bring thyroid hormone levels back to normal. Felzartamab is designed to target certain immune cells that produce the abnormal TRAb antibodies. The main goal of the study is to learn whether felzartamab can help bring thyroid hormone levels back to normal and allow participants to stop taking ATDs. Participants will receive either felzartamab or placebo during the study. A placebo looks like the study drug but contains no real medicine. The main question that researchers want to answer is: • How many participants have normal thyroid levels without receiving any ATD medicine at Week 24? Researchers will also learn more about the safety of felzartamab and how the body processes the drug. The study will be done as follows: * Participants will be screened to check if they can join the study. * This is a double-blind study, which means neither the participants, study doctor, or site staff will know if participants are receiving felzartamab or a placebo. * Participants will be placed into 1 of 3 groups. Two groups will receive felzartamab while the other receives placebo. * Participants will receive felzartamab or placebo as intravenous (IV) infusions, which are slow injections into a vein using a needle. The Treatment Period will last 20 weeks. * During the Treatment Period, the study doctor may gradually lower the dose of the ATD if a participant's thyroid levels become normal. * Afterwards, participants will enter a follow-up period which will last 12 weeks. * In total, participants will have 22 study visits. Participants will stay in the study for about 9 months (up to 36 weeks).
The primary objective of the study is to evaluate the efficacy of felzartamab compared to placebo in participants with Grave's disease (GD). The secondary objectives of the study are to evaluate the safety, efficacy and pharmacokinetics (PK) of felzartamab in participants with GD.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
60
Administered IV
Administered IV
Sun City Clinical Research
Glendale, Arizona, United States
RECRUITINGAME Clinical Research
Los Angeles, California, United States
RECRUITINGDM Clinical Research
Doral, Florida, United States
RECRUITINGFloridian Clinical Research - Clinitiative
Miami, Florida, United States
RECRUITINGAsheville Clinical Research
Asheville, North Carolina, United States
RECRUITINGM3 Wake Research - Dallas
Dallas, Texas, United States
RECRUITINGSolace Clinical Research - Puerto Rico
Bayamón, Puerto Rico
RECRUITINGPercentage of Participants who are Euthyroid and off Anti-Thyroid Drugs (ATD) at Week 24
Time frame: At Week 24
Percentage of Participants who Have Down-Titrated to ≤ 50% of Their Baseline ATD and are Euthyroid at Week 12 and Week 24
Time frame: At Weeks 12 and 24
Percentage of Participants who are Euthyroid at Week 12 and Week 24
Time frame: At Weeks 12 and 24
Change From Baseline in Free Triiodothyronine (FT3)
Time frame: Baseline up to Week 32
Change From Baseline in Free Thyroxine (FT4)
Time frame: Baseline up to Week 32
Change From Baseline in Thyroid-Stimulating Hormone (TSH)
Time frame: Baseline up to Week 32
Change From Baseline in ATD Levels
Time frame: Up to Week 24
Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESI)
Time frame: From first dose of study drug up to end of study follow-up (Up to Week 32)
Felzartamab Serum Concentrations Over Time
Time frame: Predose and at multiple timepoints postdose up to Week 24
Number of Participants with Anti-drug Antibodies (ADAs) Against Felzartamab
Time frame: Baseline up to Week 24
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