ClinicalTrials.gg
RecruitingNCT07265258Updated Aug 13, 2026

A Study of Teprotumumab N01 in Subjects With Active Thyroid Eye Disease

A Phase 4 interventional study of Teprotumumab N01 and Methylprednisolone in Thyroid Eye Disease, sponsored by Innovent Biologics (Suzhou) Co. Ltd.. Recruiting at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-08-13.

Sponsored by Innovent Biologics (Suzhou) Co. Ltd. (part of Innovent Biologics, Inc.) · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.

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Phase
Phase 4
Study type
Interventional
Enrollment
92
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 55 studies in Graves Ophthalmopathy with a site in China — 25 open to participants now, 28 under way, 7 of them phase 3. Graves Ophthalmopathy · China.

Planned enrollment
18th of 45
92 · median 64
Started
2026
with 10 others
Phase 4
8 of 55
5 open now
Primary completion
2028-06
later than 23 of 27 live
Registered
45th of 55
by date
Lead sponsor
6 of 55
Innovent Biologics (Suzhou) Co. Ltd.

Among the 55 studies in Graves Ophthalmopathy with a site in China, this one is the 18th largest by planned enrollment of the 45 interventional ones that give a count, is one of 11 that started in 2026, is one of 8 in phase 4, reaches primary completion later than 23 of the 27 other live ones, and was the 45th registered.

Graves Ophthalmopathy

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

Browse Graves Ophthalmopathy studies →

Open to participants now

25 of the 55 studies in Graves Ophthalmopathy with a site in China are open now. Recruiting first, the newest first:

19 more — sign in →

All 25 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 38 Graves Ophthalmopathy studies recruiting now, 8 (21%) set no upper age limit and 16 (42%) stop at 75 or younger; 1 takes children under 18; 9 take healthy volunteers.

This study: 18 Years to 80 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 55 studies in Graves Ophthalmopathy with a site in China, or all of them as a file.
02

Study summary

This is a multicenter, randomized, open-label, active-controlled Phase IV clinical trial in participants with active thyroid eye disease (TED). Approximately 92 eligible participants will be randomized to the teprotumumab N01 group and the intravenous glucocorticoid (IVGC) group in a 1:1 ratio on Day 1. The randomization stratification factor is diplopia at baseline (Gorman diplopia score ≥1 vs. Gorman diplopia score = 0).

03

Conditions studied

  • Thyroid Eye Disease

Browse trials for

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

Key Inclusion Criteria:

  1. Written .
  2. Male or female subject between the ages of 18 and 80 years at screening.
  3. Weight between 45 kg and 100 kg.
  4. Moderate-to-severe active TED:

    • CAS ≥ 3 in the study eye at screening and baseline;
    • Usually associated with at least two of the following: lid retraction ≥ 2 mm, moderate or severe soft tissue involvement, exophthalmos ≥ 3 mm above normal, and/or inconstant or constant diplopia;
    • ≤ 12 months since the onset of active TED symptoms according to subjects' chief complaint or medical record at screening;
  5. Exophthalmos ≥ 16 mm in the study eye at baseline.
  6. Infertile female participants or fertile female participants with negative blood pregnancy test results during the screening period and agree to take measures from screening to 120 days after the last dose; male participants should agree to use contraceptive measures from screening to 120 days after the last dose.

Exclusion criteria

Exclusion Criteria:

Key Exclusion Criteria:

Participants to be excluded (Participants meeting any of the following criteria will be regarded as ineligible):

  1. The CAS of the study eye at baseline is reduced by ≥ 2 points compared with that at screening, or the proptosis of the study eye at baseline is reduced by ≥ 2 mm compared with that at screening;
  2. Participants previously diagnosed with dysthyroid optic neuropathy (DON), or with DON as determined by the investigator at screening;
  3. Patients with corneal ulcers that are not relieved after treatment at the investigator's discretion;
  4. Scheduled orbital radiotherapy at any time before baseline or during the study, or surgical treatment for TED, including orbital decompression, strabismus surgery, and eyelid surgery;
  5. Participants with poorly controlled thyroid function, defined as free triiodothyronine (FT3) or free thyroxine (FT4) deviating from the normal reference range of the local laboratory by more than 50% at screening;
  6. Any other pre-existing disease, metabolic disorder, or physical examination or clinical laboratory abnormality that leads to a reasonable suspicion of a disease or condition that contraindicates the use of the drug, affects the interpretation of study results, or places the participant at high risk of treatment complications;
  7. History of tinnitus or other hearing impairment in either ear during the screening period; or abnormal pure tone audiometry results (defined as an average bone conduction hearing threshold of ≥ 25 dB at 0.5, 1, 2, and 4 kHz, or a bone conduction hearing threshold of ≥ 40 dB at any frequency);
  8. Poorly controlled diabetes mellitus (defined as glycosylated ≥ 8.0% at screening);
  9. Cumulative dose of used to treat TED ≥ 1 g methylprednisolone equivalents at any time before baseline;
  10. Oral or intravenous glucocorticoids within 30 days prior to screening;
  11. Peribulbar/periorbital injection of glucocorticoids within 90 days prior to screening;
  12. Oral or intravenous administration of any other non-steroidal within 90 days prior to screening;
  13. Use of glucocorticoid eye drops/ointments or use of non-steroidal immunosuppressant eye drops within 30 days prior to screening;
  14. Received TEPEZZA or Teprotumumab N01 Injection at any time before screening;
  15. Received CD20 antibody or interleukin-6 receptor (IL-6R) antibody at any time before screening;
  16. Have received any other TED therapeutic drugs under development (including but not limited to biologics targeting IGF-1R, FcRn, and TSHR) at any time before screening;
  17. Use of any other monoclonal antibody within 90 days prior to screening;
  18. Female participants in pregnancy or lactation.
Terms in these criteria, in plain language(6)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
92 participants (estimated)

Study arms

  • Active comparator
    Intravenous glucocorticoid (IVGC) group

    Drug: Methylprednisolone

  • Experimental
    Teprotumumab N01 group

    Biological: Teprotumumab N01

Interventions

  • BiologicalTeprotumumab N01

    A total of 8 intravenous infusions of Teprotumumab N01 injection will be administered: 10 mg/kg on Day1, followed by 20 mg/kg in Week3-21, once every 3 weeks(Q3W).

  • A total of 12 intravenous infusions of methylprednisolone will be administered: 500 mg for the first six doses (on Day 1 and weekly throughout Weeks 1-5), and then 250 mg for the following six doses (weekly throughout Weeks 6-11). Based on disease deterioration and treatment response, participants will receive individualized treatment after IVGC therapy.

06

What researchers measure

Primary outcomes

  1. The proptosis responder rate of the study eye

    The proptosis response rate of the study eye was defined as the percentage of participants with a ≥ 2 mm reduction in proptosis of the study eye from baseline and without a ≥ 2 mm increase in proptosis of the fellow eye. Proptosis assessment: protrusion of the eye from the orbital rim as measured using a Hertel exophthalmometer.

    Time frame: Week15

Secondary outcomes

  1. Change from baseline in proptosis of the study eye

    Proptosis assessment: protrusion of the eye from the orbital rim as measured using a Hertel exophthalmometer.

    Time frame: Weeks 15, 24 and 48

  2. The overall response rate of the study eye

    The overall response rate of the study eye was defined as the percentage of participants with a decrease in Clinical Activity Score \[CAS\] of ≥ 2 points from baseline in the study eye and a decrease in proptosis of ≥ 2 mm from baseline in the study eye, without deterioration in the fellow eye \[deterioration is defined as an increase in CAS of ≥ 2 points or an increase in proptosis of ≥ 2 mm\].

    Time frame: Weeks 15, 24 and 48

  3. Change from baseline in proptosis of the study eye on MRI imaging

    Proptosis of the study eye as measured on orbital MRI imaging.

    Time frame: Week15

  4. The proptosis response rate of the study eye

    The proptosis response rate of the study eye was defined as the percentage of participants with a ≥ 2 mm reduction in proptosis of the study eye from baseline and without a ≥ 2 mm increase in proptosis of the fellow eye.

    Time frame: Weeks 24 and 48

  5. The composite effective rate of the study eye

    The composite effective rate of the study eye was defined as the percentage of participants with improvement in 2 or more of the 4 indicators \[a. ≥2 mm reduction of lid aperture; b. ≥1 point decrease in the five-item CAS (redness of eyelids, swelling of eyelids, redness of conjunctiva, chemosis, and swelling of caruncle or plica); c. ≥2 mm reduction in proptosis; d. ≥8° improvement in ocular motility\] in the study eye and without corresponding deterioration in the fellow eye.

    Time frame: Weeks 15, 24 and 48

  6. Change from baseline in CAS of the study eye

    According to the 7-item European Group on Graves' Ophthalmopathy (EUGOGO) amendment, CAS was used to evaluate clinical activity. For each of the following items, one point is given: spontaneous orbital pain, gaze evoked orbital pain, eyelid swelling, eyelid erythema, conjunctival redness, chemosis, and inflammation of caruncle or plica. The sum of these points is the total score, with 0 indicating no clinical activity and 7 indicating the most severe clinical activity.

    Time frame: Weeks 15, 24 and 48

  7. Rate of CAS of 0 or 1 in the study eye

    According to the 7-item European Group on Graves' Ophthalmopathy (EUGOGO) amendment, CAS was used to evaluate clinical activity. For each of the following items, one point is given: spontaneous orbital pain, gaze evoked orbital pain, eyelid swelling, eyelid erythema, conjunctival redness, chemosis, and inflammation of caruncle or plica. The sum of these points is the total score, with 0 indicating no clinical activity and 7 indicating the most severe clinical activity.

    Time frame: Weeks 15, 24 and 48

  8. The diplopia response rate

    The diplopia response rate was defined as the percentage of participants with an improvement in Gorman diplopia score of ≥ 1 grade

    Time frame: Weeks 15, 24 and 48

  9. The diplopia resolution rate

    The diplopia resolution rate was defined as the percentage of participants with Gorman diplopia score = 0

    Time frame: Weeks 15, 24 and 48

  10. Change from baseline in proptosis of the fellow eye

    Proptosis assessment: protrusion of the eye from the orbital rim as measured using a Hertel exophthalmometer.

    Time frame: Weeks 15, 24 and 48

  11. Change from baseline of the Graves' Ophthalmopathy Quality of Life (GO-QoL) questionnaire score

    Change from baseline of the total GO-QoL score, GO-QoL visual functioning subscale and appearance subscale scores. The scores for the visual functioning and appearance subscales should be considered independently. A higher score on each subscale denotes a better quality of life.

    Time frame: Weeks 15, 24 and 48

  12. Number, incidence, severity, and correlation with the investigational drug or treatment of all ocular and systemic adverse events (AE), treatment-emergent adverse events (TEAE), and serious adverse events (SAE).

    All AE,TEAE and SAE listed above are reference data used to support the safety and tolerability assessment of the drug.

    Time frame: After receiving Teprotumumab N01 or IVGC treatment for 48 weeks

07

Study locations

1 of 1 sites recruiting
  • Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine
    Shanghai, Shanghai Municipality 200125, China
    Recruiting
08

References and documents

Publications

  • Zhang H, Sun J, Li Y, Huang Y, Zhang S, Zhong S, Deng J, Zhu B, Lu S, Zhang W, Han-Zhang H, Jin Y, Qian L, Zhou H, Fan X. Head-to-Head Comparison of an IGF-1R Inhibitor Versus Intravenous Glucocorticoid for Active Thyroid Eye Disease: Design of a Randomized Clinical Trial. Ophthalmol Ther. 2026 Jul 14. doi: 10.1007/s40123-026-01451-9. Online ahead of print. PubMed 42448986 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2026 (actual). Primary completion is estimated for Jun 2028, 23 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 24, 2025
First posted
Dec 4, 2025
StartActual
Jul 30, 2026
Primary completionEst.
Jun 30, 2028
CompletionEst.
Dec 30, 2028
Last update
Aug 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07265258
Responsible party
Sponsor
First posted
Dec 4, 2025
Start date
Jul 30, 2026
Primary completion
Jun 30, 2028 (estimated)
Completion
Dec 30, 2028 (estimated)
Last update
Aug 13, 2026

Study contacts

Lily Zhang
Contact
lily.zhang@innoventbio.com
13603216253

Oversight

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

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