ClinicalTrials.gg
Active, not recruitingNCT06088979spiriTEDUpdated Apr 23, 2026

A Study to Investigate Efficacy and Safety of TOUR006 in Participants 18 to 80 Years of Age With Thyroid Eye Disease

A Phase 2 interventional study of TOUR006 - 20 MG and Placebo in Thyroid Eye Disease, sponsored by Tourmaline Bio, Inc., a Novartis Company. Active, not recruiting at 36 sites in 11 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-04-23.

Sponsored by Tourmaline Bio, Inc., a Novartis Company (part of Novartis) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
79
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Phase 2b trial of TOUR006 in Thyroid Eye Disease (TED) to evaluate 20mg and 50mg doses against placebo given by a subcutaneous injection every eight weeks to TED patients who are in the active inflammatory phase of disease.

02

Conditions studied

  • Thyroid Eye Disease

Keywords

  • TED
  • Graves' Disease
  • Thyroid Eye Disease
  • Exophthalmos
  • Eye Diseases
  • Thyroid Diseases
  • Graves' Ophthalmopathy
  • Hyperthyroidism
03

In context

Graves Ophthalmopathy

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

This study's enrollment of 79 is above the median of 63 across 146 interventional studies indexed under Graves Ophthalmopathy.

Browse Graves Ophthalmopathy studies →

Lead sponsor

Tourmaline Bio, Inc., a Novartis Company is the lead sponsor of 2 studies on the registry; none are open to participants now.

First submitted before Tourmaline Bio, Inc. became part of Novartis.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Clinical diagnosis of Graves' disease associated with moderate to severe active TED
  • Onset of active TED symptoms within approximately 15 months
  • Proptosis (exophthalmos) ≥3 mm above the normal range per investigator judgment (based upon race and gender) for the study eye
  • CAS ≥4 (on the 7-item scale) for the study eye
  • Presence of TSI >130% of the normal reference standard or >0.55 IU/L (depending on assay method) and laboratory reference ranges

Additional inclusion criteria are defined in the study protocol.

Exclusion criteria

Exclusion Criteria:

  • Anticipated need for intervention due to sight-threatening complications or other significant and acute deterioration in vision
  • Any previous treatment with teprotumumab or other agent that inhibits the IGF-1 receptor
  • History of systemic (eg, oral or IV) use with a cumulative dose equivalent to >1 g of methylprednisolone for the treatment of TED. Previous oral steroid use with a cumulative dose of ≤1g methylprednisolone (or equivalent dosage for other systemic corticosteroid) for the treatment of TED, however, is allowed if the corticosteroid was discontinued at least 6 weeks before baseline (Day 1) and completely tapered by Baseline (if applicable).
  • Systemic (oral or IV) corticosteroid use for conditions other than TED within 6 weeks of baseline (Day 1) or not completely tapered by baseline (if applicable).
  • Any major illness/condition or evidence of an unstable clinical condition that, in the investigator's judgment, will substantially increase the risk to the participant, or confound the interpretation of safety assessments, if they were to participate in the study
  • Any other condition that, in the opinion of the investigator, would impair the ability of the participant to comply with the study procedures or impair the ability to interpret data from the participant's participation in the study
  • Pregnant or lactating

Additional exclusion criteria are defined in the study protocol.

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
79 participants (actual)

Study arms

  • Experimental
    TOUR006 - 20 MG

    In part A of the study, participants will receive a total of three 20 mg subcutaneous injections: 1 injection every 8 weeks (Day 1, Week 8, Week 16) followed by treatment in part B of the study based on proptosis response and rescue therapy use.

    Drug: TOUR006 - 20 MG

  • Experimental
    TOUR006 - 50 MG

    In part A of the study, participants will receive a total of three 50 mg subcutaneous injections: 1 injection every 8 weeks (Day 1, Week 8, Week 16) followed by treatment in part B of the study based on proptosis response and rescue therapy use.

    Drug: TOUR006 - 50 MG

  • Placebo comparator
    Placebo

    In part A of the study, participants will receive a total of three Placebo subcutaneous injections: 1 injection every 8 weeks (Day 1, Week 8, Week 16) followed by treatment in part B of the study based on proptosis response and rescue therapy use.

    Other: Placebo

Interventions

06

What researchers measure

Primary outcomes

  1. Percentage of participants achieving a proptosis response defined as a ≥2 mm reduction in proptosis from baseline in the study eye without deterioration [≥2 mm increase] of proptosis in the fellow eye and without need for rescue therapy/intervention).

    Time frame: 20 weeks

Secondary outcomes

  1. Percentage of participants achieving a proptosis response with 20mg TOUR006 administered SC every 8 weeks or 50mg TOUR006 administered SC every 8 weeks.

    Time frame: 72 weeks

  2. Percentage of participants attaining a complete or near complete response on the 7-point Clinical Activity Score (CAS).

    Time frame: 72 weeks

  3. Percentage of participants attaining ≥1 grade decrease in diplopia.

    Time frame: 72 weeks

  4. Incidence of Treatment Emergent Adverse Events by severity and Serious Adverse Events through Week 72.

    Time frame: 72 weeks

  5. Mean change from baseline in serum trough concentration of TOUR006.

    Time frame: 72 weeks

  6. Mean change from baseline in serum TSI.

    Time frame: 72 weeks

  7. Percentage of participants with anti-drug antibodies.

    Time frame: 72 weeks

07

Study locations

36 sites
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 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06088979
Responsible party
Sponsor
First posted
Oct 18, 2023
Start date
Feb 19, 2024
Primary completion
Sep 2026 (estimated)
Completion
Sep 2027 (estimated)
Last update
Apr 23, 2026

Study contacts

Clinical Trials
study director · Tourmaline Bio

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: PF-04236921

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