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
Site Name
Universitaetsklinikum Essen AöR
Department Name
Klinik für Endokrinologie, Diabetologie und Stoffwechsel
Contact Person Name
Dagmar Führer-Sakel

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

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)

Related trials

Other published trials that may interest you.