Clinical trial • Phase II • Immunology|Endocrinology
RILZABRUTINIB for Graves' disease|Graves' orbitopathy
Phase II trial of RILZABRUTINIB for Graves' disease|Graves' orbitopathy. open-label, none/not specified-controlled. 20 participants.
Overview
- Trial Therapeutic Area
- Immunology|Endocrinology
- Trial Disease
- Graves' disease|Graves' orbitopathy
- Trial Stage
- Phase II
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 31-03-2025
- First CTIS Authorization Date
- 16-07-2025
Trial design
open-label, none/not specified-controlled Phase II trial across 10 sites in Germany, Spain, Italy.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 20
Eligibility
Recruits 20 Vulnerable populations are indicated as included (isVulnerablePopulationSelected = true). Specific consent or assent procedures for vulnerable participants are not detailed in the available CTIS metadata or documents..
- Vulnerable Population
- Vulnerable populations are indicated as included (isVulnerablePopulationSelected = true). Specific consent or assent procedures for vulnerable participants are not detailed in the available CTIS metadata or documents.
Inclusion criteria
- {"criterion_text":"- Participants who have a confirmed diagnosis of Graves’ disease with active hyperthyroidism, with or without active Graves’ orbitopathy at the time of screening"}
- {"criterion_text":"- A subset of participants will have a diagnosis of active Graves’ orbitopathy, as confirmed by ophthalmic exam at screening and a clinical activity score (CAS) ≥3 for the most severely affected eye, and associated with one or more of the following: lid retraction ≥2 mm, moderate or severe soft tissue involvement, proptosis ≥2 mm, and/or intermittent or constant diplopia."}
- {"criterion_text":"- Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies"}
Exclusion criteria
- {"criterion_text":"- History of hyperthyroidism not caused by Graves’ disease (eg, hyperthyroidism due to toxic multinodular goiter, autonomous thyroid nodule, acute inflammatory thyroiditis)."}
- {"criterion_text":"- History of thyroid storm or at high risk of developing thyroid storm as determined by evaluating clinician."}
- {"criterion_text":"- Enlarged thyroid goiter causing upper airway obstruction and/or requiring surgical intervention during the study period."}
- {"criterion_text":"- For participant with Graves’ orbitopathy, requires immediate surgical ophthalmological intervention or is planning corrective surgery/irradiation during the course of the study."}
- {"criterion_text":"- Sight threatening Graves’ orbitopathy or decreased visual acuity due to optic neuropathy within the last 6 months."}
- {"criterion_text":"- Corneal decompensation unresponsive to medical management."}
- {"criterion_text":"- Onset of Graves’ orbitopathy symptoms >9 months prior to baseline."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Percent change from baseline in FT4 levels","definition_or_measurement_approach":"Measured as percent change from baseline in FT4 levels (free thyroxine)."}
Secondary endpoints
- {"endpoint_text":"- Percent change from baseline in FT3 levels","definition_or_measurement_approach":"Measured as percent change from baseline in FT3 levels (free triiodothyronine)."}
- {"endpoint_text":"- Proportion of participants with FT4 levels within normal limits","definition_or_measurement_approach":"Proportion of participants whose FT4 levels fall within laboratory normal limits."}
- {"endpoint_text":"- Proportion of participants with FT3 levels within normal limits","definition_or_measurement_approach":"Proportion of participants whose FT3 levels fall within laboratory normal limits."}
- {"endpoint_text":"- Incidence of treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), adverse events of special interest (AESIs) and withdrawals due to TEAEs during the study period","definition_or_measurement_approach":"Incidence counts/rates of TEAEs, SAEs, AESIs and withdrawals due to TEAEs occurring during the study period as recorded in safety reporting."}
Recruitment
- Digital Remote Recruitment
- Yes
- Planned Sample Size
- 20
- Recruitment Window Months
- 13
- Consent Approach
- Informed consent uses L1 subject information and informed consent form documents; redacted SIS/ICF main documents are available in German (de), Spanish (es) and Italian (it) per the CTIS document list. Specific age/assent procedures are not detailed in the available metadata.
Methods
- Poster — K2-recruitment-material-poster-de / K2-recruitment-material-poster-es / K2-recruitment-material-poster-it (country-specific posters for Germany, Spain, Italy)
- Doctor-to-doctor letter — K2-recruitment-material-dr-to-dr-letter-de / -es / -it (materials aimed at HCP referral in Germany, Spain, Italy)
- Patient brochure — K2-recruitment-material-patient-brochure-de / -es / -it (patient-facing brochures in Germany, Spain, Italy)
- Referral letter for HCP — K2-recruitment-material-referral-letter-hcp-de / -es / -it (referral letters to HCPs in Germany, Spain, Italy)
- Social media post — K2-recruitment-material-social-media-post-it-it (social media recruitment material in Italy)
- Recruitment arrangements document (K1) available in English (K1-recruitment-arrangements-en)
Geography
- Total Number Of Sites
- 10
- Total Number Of Participants
- 30
Germany
- Earliest CTIS Part Ii Submission Date
- 07-07-2025
- Latest Decision Or Authorization Date
- 14-08-2025
- Processing Time Days
- 38
- Number Of Sites
- 2
- Number Of Participants
- 8
Sites
- Site Name
- Universitaetsklinikum Frankfurt AöR
- Department Name
- Zentrum Der Inneren Medizin Medizinische Klinik I
- Contact Person Name
- Joerg Bojunga
- Contact Person Email
- joerg.bojunga@unimedizin-ffm.de
- Site Name
- Universitaetsklinikum Essen AöR
- Department Name
- Klinik für Endokrinologie, Diabetologie und Stoffwechsel
- Contact Person Name
- Dagmar Führer-Sakel
- Contact Person Email
- Dagmar.Fuehrer-Sakel@uk-essen.de
Spain
- Earliest CTIS Part Ii Submission Date
- 23-06-2025
- Latest Decision Or Authorization Date
- 29-01-2026
- Processing Time Days
- 220
- Number Of Sites
- 3
- Number Of Participants
- 10
Sites
- Site Name
- Hospital Universitario De Navarra
- Department Name
- Department of Endocrinology
- Contact Person Name
- Emma Anda Apinaniz
- Contact Person Email
- emma.anda.apinaniz@navarra.es
- Site Name
- Hospital Clinic De Barcelona
- Department Name
- Endocrinology and Nutrition Unit
- Contact Person Name
- Felicia Alexandra Hanzu
- Contact Person Email
- FHANZU@clinic.cat
- Site Name
- Hospital Universitario Virgen De La Macarena
- Department Name
- Ophthalmologist Service
- Contact Person Name
- Antonio Manuel Garrido Hermosilla
- Contact Person Email
- gaherfamily@hotmail.com
Italy
- Earliest CTIS Part Ii Submission Date
- 23-06-2025
- Latest Decision Or Authorization Date
- 23-03-2026
- Processing Time Days
- 273
- Number Of Sites
- 5
- Number Of Participants
- 12
Sites
- Site Name
- Azienda Ospedaliero Universitaria Pisana
- Department Name
- Azienda Ospedaliero Universitaria Pisana Clinica Medica I Ematologia
- Contact Person Name
- Alessandro Antonelli
- Contact Person Email
- alessandro.antonelli@unipi.it
- Site Name
- Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
- Department Name
- Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico
- Contact Person Name
- Mario Salvi
- Contact Person Email
- mario.salvi@policlinico.mi.it
- Site Name
- Ospedale San Raffaele S.r.l.
- Department Name
- Endocrinology
- Contact Person Name
- Andrea Giustina
- Contact Person Email
- giustina.andrea@hsr.it
- Site Name
- Azienda Sanitaria Dell'Alto Adige
- Department Name
- Medicine
- Contact Person Name
- Sieglinde Kofler
- Contact Person Email
- sieglinde.kofler2@sabes.it
- Site Name
- Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
- Department Name
- Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
- Contact Person Name
- Giorgio Arnaldi
- Contact Person Email
- giorgio.arnaldi@policlinico.pa.it
Sponsor
Primary sponsor
- Full Name
- Sanofi-Aventis Recherche & Developpement
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- France
Third parties
- {"country":"United States","full_name":"Azenta US Inc.","duties_or_roles":"long-term storage","organisation_type":"Pharmaceutical company"}
- {"country":"France","full_name":"Marken","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"Denmark","full_name":"Clinigma ApS","duties_or_roles":"In-trial qualitative interviews","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"Germany","full_name":"Azenta Germany GmbH","duties_or_roles":"long-term storage","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Rilzabrutinib (PRN1008 — PRINCIPIA BIOPHARMA, INC.)
- Active Substance
- RILZABRUTINIB
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Maximum Dose
- 800 mg (maxDailyDoseAmount)
- Investigational Product Name
- Rilzabrutinib (SAR444671 — SANOFI AVENTIS RECHERCHE ET DEVELOPPEMENT)
- Active Substance
- RILZABRUTINIB
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Maximum Dose
- 1200 mg (maxDailyDoseAmount)
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