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CompletedNCT02904330Updated May 20, 2021

K1-70 - A Study in Subjects With Graves' Disease

A Phase 1 interventional study of K1-70 intramuscular or K1-70 intravenous in Graves' Disease, sponsored by AV7 Limited. Completed at 2 sites in United Kingdom. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2021-05-20.

Sponsored by AV7 Limited · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
18
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
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Study summary

This study is the first time that K1-70 will be administered to humans. The principal aim of this study is to obtain safety and tolerability data when K1-70 is administered as an IM injection or as an IV infusion to subjects with Graves' disease.

Current therapy for Graves' disease includes treatment with anti-thyroid drugs, destruction of the thyroid using radioiodine, or total surgical thyroidectomy. Beta-blockers and calcium antagonists may be used to control some of the symptoms of hyperthyroidism.

K1-70 is a thyroid stimulating hormone receptor antagonist that may provide new in vivo diagnostic and therapeutic tools for the management of patients with Graves' disease, patients with thyroid cancer and patients who would benefit from controlling receptor activity.

Read the detailed description

Graves' disease is one of the most common overt autoimmune disorders. Patients with Graves' disease have thyroid over activity and hyperthyroidism. Symptoms of hyperthyroidism include goitre, fatigue, heat intolerance, sweating, weight loss despite good appetite, shakiness, inappropriate anxiety, palpitations of the heart, shortness of breath, tetchiness and agitation, poor sleep, thirst, nausea and increased frequency of defaecation.

The rationale of this study is to obtain safety and tolerability data when K1-70 is administered as an intramuscular injection or as an IV infusion to subjects with Graves' disease.

This information, together with the pharmacokinetic data, will help establish the doses and dosage regimen suitable for repeat administration to patients.

This is an open-label study. The expected duration of each subject's participation in the study is approximately 18 weeks (including a screening period of up to 4 weeks).

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Conditions studied

  • Graves' Disease

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03

In context

Graves Disease

150 studies on the registry are indexed under Graves Disease; 53 are open to participants now.

This study's enrollment of 18 is below the median of 60 across 92 interventional studies indexed under Graves Disease.

Browse Graves Disease studies →

Lead sponsor

This is the only study on the registry with AV7 Limited as lead sponsor.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Main Inclusion Criteria:

  • age 18-75 years
  • have Graves' disease and are being treated with anti-thyroid medications OR not treated with anti-thyroid medications (due to side-effects) and who are clinically and biochemically euthyroid or hyperthyroid
  • have a body mass index (weight [kg]/height [m]2) between 18.5 and 35.0 kg/m2

Main Exclusion Criteria:

  • current or chronic history of liver disease
  • history of cancer within the last 5 years except localised skin cancer
  • Graves' orbitopathy with clinical activity score >3/7
  • evidence of optic neuropathy and/or corneal breakdown
  • significant systemic infection
  • history of recurrent or current infection
  • splenectomy
  • recently had major surgery or plan major surgery
  • had thromboembolic event due to a blood clot in the last 12 months
  • have clinically significant laboratory tests
  • a clinically significant allergic condition (excluding hay fever)
  • currently receiving corticosteroids
  • smoke more than 10 cigarettes (or its equivalent in nicotine (including use of e-cigarettes)) per day
  • history of drug abuse
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    Single dose

    The intervention is K1-70 intramuscular or K1-70 intravenous. This is a single, ascending, intramuscular or intravenous dose, sequential group study.

    Drug: K1-70 intramuscular or K1-70 intravenous

Interventions

  • DrugK1-70 intramuscular or K1-70 intravenous

    Each subject will receive one dose of K1-70 by IM injection or one dose of K1-70 by IV infusion on the morning of Day 1.

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What researchers measure

Primary outcomes

  1. Safety and tolerability will be measured using vital signs, ECG, blood samples for haematology, coagulation, clinical biochemistry and hormone panel, urinalysis, eye examinations, physical examinations and examination of injection or infusion site.

    Safety and tolerability testing consists of vital signs, ECG, blood samples for haematology, coagulation, clinical biochemistry and hormone panel, urine samples for urinalysis, eye examinations, physical examinations and examination of injection or infusion site. All clinically significant results and the number of treatment related adverse events will be reported.

    Time frame: Over a period of 18 weeks

Secondary outcomes

  1. The concentration of K1-70 drug in the blood will be measured over time.

    The terminal elimination rate constant will be calculated and reported

    Time frame: Over a period of 18 weeks

  2. The concentration of K1-70 drug in the blood will be measured over time.

    The terminal elimination half life will be calculated and reported

    Time frame: Over a period of 18 weeks

  3. The concentration of K1-70 drug in the blood will be measured over time.

    Time of the maximum observed plasma concentration will be calculated and reported

    Time frame: Over a period of 18 weeks

  4. The concentration of K1-70 drug in the blood will be measured over time.

    Maximum observed plasma concentration will be calculated and reported

    Time frame: Over a period of 18 weeks

  5. The concentration of K1-70 drug in the blood will be measured over time.

    Area under the plasma concentration time curve to the last quantified concentration will be calculated and reported

    Time frame: Over a period of 18 weeks

  6. The concentration of K1-70 drug in the blood will be measured over time.

    Area under the plasma concentration time curve from time zero to infinity will be calculated and reported

    Time frame: Over a period of 18 weeks

  7. The concentration of K1-70 drug in the blood will be measured over time.

    Percentage of area under the plasma concentration time curve that is extrapolated will be calculated and reported

    Time frame: Over a period of 18 weeks

  8. The antidrug antibodies will be measured to evaluate the immunogenic potential of K1-70 in Graves' disease patients

    The level of antidrug antibodies present in the patient serum will be measured over time and reported.

    Time frame: Over a period of 18 weeks

  9. The effect of a single IM dose or single IV dose of K1-70 on thyroid activity in subjects with Graves' will be measured over time

    TSH levels will be measured and reported over time.

    Time frame: Over a period of 18 weeks

  10. The effect of a single IM dose or single IV dose of K1-70 on thyroid activity in subjects with Graves' will be measured over time

    Free T3 levels will be measured and reported over time.

    Time frame: Over a period of 18 weeks

  11. The effect of a single IM dose or single IV dose of K1-70 on thyroid activity in subjects with Graves' will be measured over time

    Free T4 levels will be measured and reported over time.

    Time frame: Over a period of 18 weeks

Other outcomes

  1. Exploratory Objective: Thyroid hormones will be measured over time and their correlation to baseline TSH receptor autoantibody (TRAb) levels will be reported at different time points

    TSH levels will be reported against baseline TRAb over time.

    Time frame: Over a period of 18 weeks

  2. Exploratory Objective: Thyroid hormones will be measured over time and their correlation to baseline TSH receptor autoantibody (TRAb) levels will be reported at different time points

    Free T3 levels will be reported against baseline TRAb over time.

    Time frame: Over a period of 18 weeks

  3. Exploratory Objective: Thyroid hormones will be measured over time and their correlation to baseline TSH receptor autoantibody (TRAb) levels will be reported at different time points

    Free T4 levels will be reported against baseline TRAb over time.

    Time frame: Over a period of 18 weeks

  4. Exploratory Objective: The potential effect of K1-70 on Graves' ophthalmopathy will be measured by eye examinations using the Clinical Activity Score (CAS) system.

    All clinically significant results and the number of treatment related adverse events will be reported.

    Time frame: Over a period of 18 weeks

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Study locations

2 sites
  • Royal Liverpool University Hospital Clinical Research Unit
    Liverpool, L7 8XP, United Kingdom
  • Medicines Evaluation Unit
    Manchester, M23 9QZ, United Kingdom
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References and documents

Publications

  • Evans M, Sanders J, Tagami T, Sanders P, Young S, Roberts E, Wilmot J, Hu X, Kabelis K, Clark J, Holl S, Richards T, Collyer A, Furmaniak J, Smith BR. Monoclonal autoantibodies to the TSH receptor, one with stimulating activity and one with blocking activity, obtained from the same blood sample. Clin Endocrinol (Oxf). 2010 Sep;73(3):404-12. doi: 10.1111/j.1365-2265.2010.03831.x. Epub 2010 Jun 9. PubMed 20550534 ↗
  • Sanders P, Young S, Sanders J, Kabelis K, Baker S, Sullivan A, Evans M, Clark J, Wilmot J, Hu X, Roberts E, Powell M, Nunez Miguel R, Furmaniak J, Rees Smith B. Crystal structure of the TSH receptor (TSHR) bound to a blocking-type TSHR autoantibody. J Mol Endocrinol. 2011 Feb 15;46(2):81-99. doi: 10.1530/JME-10-0127. Print 2011 Apr. PubMed 21247981 ↗
  • Furmaniak J, Sanders J, Young S, Kabelis K, Sanders P, Evans M, Clark J, Wilmot J, Rees Smith B. In vivo effects of a human thyroid-stimulating monoclonal autoantibody (M22) and a human thyroid-blocking autoantibody (K1-70). Auto Immun Highlights. 2011 Sep 14;3(1):19-25. doi: 10.1007/s13317-011-0025-9. eCollection 2012 Apr. PubMed 26000124 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 20, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02904330
Lead sponsor
AV7 Limited
Responsible party
Sponsor
First posted
Sep 16, 2016
Start date
Aug 2016
Primary completion
Apr 2021
Completion
Apr 2021
Last update
May 20, 2021

Study contacts

Dave Singh, Professor
principal investigator · Medicines Evaluation Unit, Manchester, UK

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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