An Efficacy, Safety, and Tolerability Study of VRDN-003 in Participants With Active Thyroid Eye Disease (TED)

Purpose

This is a clinical trial assessing the efficacy, safety, and tolerability of an investigational drug, VRDN-003, in participants with active Thyroid Eye Disease (TED).

Condition

  • Thyroid Eye Disease

Eligibility

Eligible Ages
Between 18 Years and 75 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Must have moderate to severe active TED with documented evidence of ocular symptoms or signs that began within 15 months prior to screening - Must have a Clinical Activity Score (CAS) of ≥ 3 on the 7-item scale for the study eye - Must agree to use highly effective contraception as specified in the protocol - Female TED participants must have a negative serum pregnancy test at screening

Exclusion Criteria

  • Must not have received prior treatment with another anti-IGF-1R therapy - Must not have received systemic corticosteroids or steroid eye drops for any condition, including TED, or selenium within 2 weeks prior to first dose - Must not have received other immunosuppressive drugs for any condition, including TED, or any other therapy for TED within 12 weeks prior to first dose. - Must not have received an investigational agent for any condition, including TED, within 8 weeks or longer duration (depending on the type of investigational agent) prior to first dose - Must not have received radioactive iodine (RAI) treatment within 8 weeks prior to first dose - Must not have had previous orbital irradiation or decompression surgery for TED to the study eye's orbit - Must not have a pre-existing ophthalmic condition in the study eye which in the study doctor's opinion, would interfere with interpretation of study results - Must not have abnormal hearing test before first dose. Must also not have a history of ear conditions considered significant by study doctor - Must not have a history of inflammatory bowel disease - Female TED participants who must not be pregnant or breastfeeding NOTE: There are additional eligibility criteria for participants who do not have a meaningful response at Week 24 (irrespective of initial treatment arm) who may receive additional injections of VRDN-003. These are described in the protocol.

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Participants will be randomized to one of the three study arms.
Primary Purpose
Treatment
Masking
Triple (Participant, Investigator, Outcomes Assessor)
Masking Description
Participants, Investigator, Outcomes Assessor and Sponsor will be masked.

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
VRDN-003 every 4 weeks
6 subcutaneous administrations of VRDN-003
  • Drug: VRDN-003
    VRDN-003 is an investigational, subcutaneously administered, humanized monoclonal antibody directed against the Insulin-like Growth Factor-1 receptor (IGF-1R).
Experimental
VRDN-003 every 8 weeks
3 subcutaneous administrations of VRDN-003 and 3 subcutaneous administrations of placebo
  • Drug: VRDN-003
    VRDN-003 is an investigational, subcutaneously administered, humanized monoclonal antibody directed against the Insulin-like Growth Factor-1 receptor (IGF-1R).
  • Drug: Placebo
    All participants will receive the same number of injections to maintain masking. Masking will be maintained by the use of placebo injections that appear identical to VRDN-003 injections.
Placebo Comparator
Placebo every 4 weeks
6 subcutaneous administrations of placebo
  • Drug: Placebo
    All participants will receive the same number of injections to maintain masking. Masking will be maintained by the use of placebo injections that appear identical to VRDN-003 injections.

Recruiting Locations

More Details

NCT ID
NCT06625411
Status
Active, not recruiting
Sponsor
Viridian Therapeutics, Inc.

Detailed Description

This is a randomized (meaning participants will be assigned to study arms by chance), double-masked (meaning study doctor and participant will not know which study arm participant is assigned to), placebo-controlled study that will include participants with active TED. The key objectives of this study are to determine if VRDN-003 is efficacious, safe and tolerable when administered as a series of subcutaneous/SC injections given every 4 weeks or every 8 weeks compared to placebo in participants with active TED. Participants who do not have a meaningful response at Week 24 (irrespective of the initial treatment arm) may be eligible to receive additional subcutaneous injections of VRDN-003.