Thyroid-Stimulating Hormone Receptor (TSHR) Blockade With REGN24493 in Adult Participants With Graves' Disease (GD)

NCT07861152 — Phase 1, Not yet recruiting, 45 participants, Regeneron Pharmaceuticals

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A Phase 1, Single-Ascending Dose Study of REGN24493, an Anti-TSHR Monoclonal Antibody, in Participants With Graves' Disease

RegistryNCT07861152, acronym EMERGE
StatusNot yet recruiting
PhasePhase 1
Study typeInterventional; randomized, sequential, masking: quadruple, treatment
Enrollment45 (Estimated)
SponsorRegeneron Pharmaceuticals (Industry)
ConditionsGraves' Disease
InterventionsREGN24493, Placebo (Drug)
Datesstart 2026-11-02 (estimated), primary completion 2030-01-28 (estimated), completion 2030-01-28 (estimated), first posted 2026-10-06, last updated 2026-10-06

Related Papers Related Patents Related Grants Related Experts
All trials for Graves' Disease All trials of REGN24493 All trials of Placebo

-Summary

This study will test an experimental Regeneron drug called REGN24493 hereby referred to as "study drug" to see if it can help treat Graves' disease. Graves' disease is a condition where the immune system causes the thyroid gland to make too much thyroid hormone.

The main purpose of this study is to learn about the safety of REGN24493 and what side effects it might cause.

The study is looking at:

* What side effects REGN24493 might cause
* How much REGN24493 is in the blood at different times
* How REGN24493 affects thyroid hormone levels
* If the body reacts to REGN24493 in a way that could affect participant's health
* What is the best dose of REGN24493 for treating Graves' disease

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+Arms and interventions

ArmTypeInterventionsDescription
Dose EscalationExperimentalDrug: REGN24493
Placebo ComparatorPlacebo comparatorDrug: Placebo
  • REGN24493 (Drug): Administered per the protocol.
  • Placebo (Drug): Administered per the protocol.

+Outcome measures

Primary outcomes

  • Occurrence of Treatment-Emergent Adverse Events (TEAEs) [Up to approximately 68 weeks]

Secondary outcomes

  • Concentrations of REGN24493 in serum [Day 1 through Week 68]
  • Serum Thyroid-Stimulating Hormone (TSH) levels [Day 1 through Week 68]
  • Serum free T4 (fT4) levels [Day 1 through Week 68]
  • Serum free T3 (fT3) levels [Day 1 through Week 68]
  • Serum total T3 (TT3) levels [Day 1 through Week 68]
  • Occurrence of anti-drug antibody (ADA) to REGN24493 in serum [Day 1 through Week 68]
  • Magnitude of anti-drug antibody (ADA) to REGN24493 in serum [Day 1 through Week 68]

+Eligibility

Sex: All, ages: 18 Years to any

Key Inclusion Criteria:

1. Has a diagnosis of Graves' Disease for at least 4 months prior to the screening visit
2. Has thyroid-stimulating hormone receptor antibody (TRAb) level above the upper limit of normal at the screening visit
3. Euthyroid at the screening visit and at least 4 weeks prior to the screening visit as defined in the protocol
4. Body mass index (BMI) between 18.5 and 35.0 kg/m\^2 (inclusive) at the screen visit

Key Exclusion Criteria:

1. Has history of hyperthyroidism not caused by Graves' disease (eg, toxic thyroid adenoma, multinodular goiter, amiodarone-induced)
2. Has active thyroid storm or is at current risk of thyroid storm, as assessed by the investigator at the screening visit
3. Has clinically significant cardiac abnormalities attributable to uncontrolled Graves' disease (eg, arrhythmias precipitated by thyrotoxicosis, thyrotoxic cardiomyopathy)
4. Has any infection requiring systemic therapy within the 4 weeks prior to the screening visit
5. Was hospitalized (ie, >24 hours) for a reason within 30 days of the screening visit that presents any concern to the trial investigator
6. Has used or is using Levothyroxine (LT4) therapy at any dose within 6 weeks of the screening visit
7. Has history of Radioactive iodine (RAI) thyroid ablation or thyroidectomy

Note: Other protocol defined Inclusion/Exclusion criteria apply

+Investigators

  • Clinical Trial Management, Study director, Regeneron Pharmaceuticals