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CompletedNCT05524571Updated Apr 1, 2026

Study to Assess Batoclimab in Participants With Active Thyroid Eye Disease

A Phase 3 interventional study of Batoclimab and Placebo in Thyroid Eye Disease, sponsored by Immunovant Sciences GmbH. Completed at 45 sites in 11 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-01.

Sponsored by Immunovant Sciences GmbH · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
86
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

To evaluate the efficacy of batoclimab 680 milligrams (mg) subcutaneous (SC) once a week (QW) for 12 weeks followed by 340 mg SC QW for 12 weeks versus placebo on proptosis responder rate at Week 24.

02

Conditions studied

  • Thyroid Eye Disease

Keywords

  • Batoclimab
  • Thyroid eye disease
  • IMVT-1401
  • Monoclonal antibody
  • Autoimmune disorders
  • Graves' Ophthalmopathy
  • Graves' Orbitopathy
03

In context

Graves Ophthalmopathy

191 studies on the registry are indexed under Graves Ophthalmopathy; 58 are open to participants now.

This study's enrollment of 86 is above the median of 64 across 142 interventional studies indexed under Graves Ophthalmopathy.

Browse Graves Ophthalmopathy studies →

Lead sponsor

Immunovant Sciences GmbH is the lead sponsor of 19 studies on the registry; 5 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 5 (45%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Are ≥18 years of age at screening.
  2. Have a clinical diagnosis of TED associated with active, moderate to severe TED with the following at screening and Visit 0:

    • A CAS ≥ 4 in either eye, and
    • Clinical evidence of worsened proptosis with:

      • Proptosis ≥ 18 mm and/or
      • Proptosis ≥ 3 mm increase from participant's baseline (prior to diagnosis of TED), as estimated by the Investigator/assessor
  3. Have moderate to severe active TED, as defined by European Group on Graves' Orbitopathy (EUGOGO) guidelines.
  4. Have onset of active TED within 12 months prior to screening.
  5. Have documented evidence of detectable anti-TSHR-Ab at screening.
  6. Are not expected to require immediate surgical intervention and are not planning corrective surgery/irradiation or medical therapy for TED during the course of the study.
  7. Are euthyroid with the Baseline disease under control or have mild hypo- or hyperthyroidism.

Additional inclusion criteria are defined in the protocol.

Exclusion criteria

Exclusion criteria:

  1. Have decreased best corrected visual acuity due to optic neuropathy.
  2. Have at least a 2-point decrease in CAS or ≥2 mm decrease in proptosis between screening and Baseline assessments in either eye.
  3. Have used any steroid (intravenous or oral) for the treatment of TED or other conditions within 4 weeks prior to screening.
  4. Have used any steroid (Intravenous or oral) with a cumulative dose equivalent to ≥ 1 g of methylprednisolone for the treatment of TED.
  5. Have known autoimmune disease other than TED, that, in the opinion of the Investigator, would interfere with the course and conduct of the study.
  6. Had previous orbital irradiation or surgery for TED.

Additional exclusion criteria are defined in the protocol.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
86 participants (actual)

Study arms

  • Experimental
    Batoclimab

    Participants will be administered batoclimab 680 mg SC weekly for 12 weeks followed by 340 mg SC weekly for 12 weeks.

    Drug: Batoclimab

  • Placebo comparator
    Placebo

    Participants will be administered matching placebo SC weekly for 24 weeks.

    Drug: Placebo

Interventions

  • DrugBatoclimab

    Batoclimab is a fully human anti-neonatal fragment crystallizable receptor (FcRn) monoclonal antibody

    Also known as: IMVT-1401

  • DrugPlacebo

    Matching Placebo

06

What researchers measure

Primary outcomes

  1. Percentage of proptosis responders

    Proptosis is the amount of protrusion of the eye from the orbital rim. Measurements are recorded using the Hertel exophthalmometer. The study eye is defined as the most severely affected eye at the Baseline visit. Proptosis responder is defined as the participant with a greater than or equal to (≥) 2 millimeters (mm) reduction in the study eye without deterioration (≥2 mm increase) in the fellow eye.

    Time frame: At Week 24

Secondary outcomes

  1. Percentage of participants with proptosis ≥2 mm reduction and Clinical Activity Score (CAS) of less than or equal to (≤) 3 from Baseline in the study eye

    The CAS measures the classical signs of acute inflammation (pain, redness, and swelling) in TED. The 7-item scale assigns 1 point for the presence of each of the parameters assessed: spontaneous retrobulbar pain, pain on attempted upward or downward gaze, redness of eyelids, redness of conjunctiva, swelling of caruncle or plica, swelling of eyelids, swelling of conjunctiva (chemosis). The sum of these points is the total score, with 0 indicating no clinical activity and 7 indicating the most severe clinical activity. Higher scores indicate worse symptoms.

    Time frame: Baseline and Week 24

  2. Percentage of participants with CAS of 0 or 1 in the study eye

    Time frame: At Week 24

  3. Mean change from Baseline in CAS in the study eye

    Time frame: Baseline and Week 24

  4. Percentage of participants with positive binding anti-thyroid stimulating hormone receptor (TSHR) antibody (Ab) at Baseline who achieve seroconversion

    Time frame: Baseline and Week 24

  5. Percentage of participants with decrease of at least 1 grade from Baseline in Gorman score for diplopia

    Diplopia will be assessed based on 3 grades: Grade I - Intermittent diplopia (diplopia in primary position of gaze, when tired or when first awakening), Grade II - Inconstant diplopia (diplopia at extremes of gaze) and Grade III - Constant diplopia (continuous diplopia in primary or reading position). Higher scores indicate worse symptoms.

    Time frame: Baseline and Week 24

  6. Mean change from Baseline in proptosis in the study eye

    Time frame: Baseline and Week 24

  7. Percentage of participants with ≥6-point increase from Baseline in total Graves' ophthalmopathy - Quality of life (GO-QOL) score

    The GO-QOL is a 16-item self-administered questionnaire designed to assess how GO affects different aspects related to quality of life (visual functioning and psychosocial consequences). The points given to questions 1 to 8 and 9 to 16 are added to obtain 2 raw scores ranging from 8 to 24; one for visual functioning and one for appearance. Higher scores indicate better outcome.

    Time frame: Baseline and Week 24

  8. Percentage of participants with ≥8-degree increase from Baseline in motility (in at least 1 of 4 directions) in the study eye

    Time frame: Baseline and Week 24

07

Study locations

45 sites
  • Site Number -1520
    Pasadena, California 91107, United States
  • Site Number -1517
    San Francisco, California 94143, United States
  • Site Number -1514
    Torrance, California 90502, United States
  • Site Number -1510
    Sarasota, Florida 34239, United States
  • Site Number -1516
    Louisville, Kentucky 40202, United States
  • Site Number - 1526
    Livonia, Michigan 48152, United States
  • Site Number - 1513
    Rochester, Minnesota 55905, United States
  • Site Number - 1512
    Winston-Salem, North Carolina 27157, United States
  • Site Number - 1525
    Portland, Oregon 97239, United States
  • Site Number -1515
    Bellaire, Texas 77401, United States
  • Site Number - 1524
    McAllen, Texas 78503, United States
  • Site Number -1519
    San Antonio, Texas 78215, United States
  • Site Number - 1521
    Seattle, Washington 98104, United States
  • Site Number -1511
    Morgantown, West Virginia 26506, United States
  • Site Number - 1518
    Milwaukee, Wisconsin 53226, United States
  • Site Number - 7565
    Sydney, 2000, Australia
  • Site Number -4671
    Bruges, 8000, Belgium
  • Site Number - 4672
    Brussels, 1070, Belgium
  • Site Number - 4673
    Brussels, 1200, Belgium
  • Site Number -4670
    Ghent, B-9000, Belgium
  • Site Number - 4674
    Liège, 4000, Belgium
  • Site Number - 6603
    Mainz, Rhineland-Palatinate 55131, Germany
  • Site Number - 7550
    Budapest, 1133, Hungary
  • Site Number - 7551
    Pécs, 7621, Hungary
  • Site Number - 7552
    Pécs, 7623, Hungary
  • Site Number -9301
    Ogre, LV-5001, Latvia
  • Site Number -9300
    Riga, LV-1006, Latvia
  • Site Number - 9302
    Ventspils, LV-3601, Latvia
  • Site Number - 7570
    Christchurch, 8013, New Zealand
  • Site Number - 7572
    Hamilton, 3204, New Zealand
  • Site Number -1990
    San Juan, 00921, Puerto Rico
  • Site Number - 9203
    Bratislava, 81108, Slovakia
  • Site Number - 9200
    Bratislava, 82606, Slovakia
  • Site Number - 9201
    Bratislava, 85107, Slovakia
  • Site Number - 9202
    Trenčín, 91101, Slovakia
  • Site Number -3602
    Barcelona, 08006, Spain
  • Site Number - 3605
    Barcelona, 08035, Spain
  • Site Number -3601
    Madrid, 28007, Spain
  • Site Number -3604
    Madrid, 28034, Spain
  • Site Number -3600
    Santiago de Compostela, 15706, Spain
  • Site Number -3606
    Seville, 41009, Spain
  • Site Number -3603
    Valencia, 46026, Spain
  • Site Number - 4952
    Adana, 13860, Turkey (Türkiye)
  • Site Number - 4950
    Ankara, 6100, Turkey (Türkiye)
  • Site Number - 4951
    Istanbul, 34010, Turkey (Türkiye)
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05524571
Lead sponsor
Immunovant Sciences GmbH
Responsible party
Sponsor
First posted
Sep 1, 2022
Start date
Jan 5, 2023
Primary completion
Feb 3, 2026
Completion
Mar 3, 2026
Last update
Apr 1, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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