ClinicalTrials.gg
RecruitingNCT07305818Updated Oct 29, 2026

NEXUS Study: A Study to Test Single and Multiple Doses of MER511 Given to Adults With Graves' Disease

A Phase 1 interventional study of MER511 (IV) and Placebo comparator (IV) in Graves Disease, sponsored by Merida Biosciences. Recruiting at 17 sites in 2 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by Merida Biosciences · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2025; still recruiting 10 months later.
Updated Oct 29, 20264 sites added2 sites removedGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate how well MER511 is tolerated and what side effects may occur in adults who have Graves' disease. The study drug will be administered either intravenously (into a vein in the arm) or subcutaneously (under the skin).

Blood tests will be performed to investigate how the body processes the study drug and how the study drug affects the body.

Read the detailed description

This Phase 1, first-in-human, multicenter study will evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of single and multiple ascending doses of MER511 administered to adults (18 to 65 years of age, inclusive) with GD (Graves' disease).

The study will consist of 2 sequential parts: a single ascending dose (SAD) part (Part A) followed by a multiple ascending dose (MAD) part (Part B).

Part A will employ a placebo-controlled, sponsor-open, participant- and investigator-blind design to evaluate the safety, tolerability, PK, PD, and immunogenicity of single ascending intravenous doses and a single subcutaneous dose of MER511.

Part B will employ a placebo-controlled, sponsor-open, participant- and investigator-blind design to assess the safety, tolerability, PK, PD, and immunogenicity of multiple subcutaneous doses of MER511.

02

Conditions studied

  • Graves Disease

Keywords

  • Graves' Disease
  • Hyperthyroidism
  • Basedow disease
  • Exophthalmic goitre
  • TSHR
  • Autoimmune
  • Anti-thyroid drugs
  • Autoimmune thyroid disease
03

In context

Graves Disease

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

This study's planned enrollment of 100 is above the median of 60 across 104 interventional studies indexed under Graves Disease.

Browse Graves Disease studies →

Lead sponsor

This is the only study on the registry with Merida Biosciences as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 65 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

  1. Adults 18 to 65 years of age, inclusive, at the time of signing the ICF
  2. Documented GD diagnosis,
  3. Receiving stable dose of ATD (Antithyroid drug)
  4. Body weight at least 50 kg (110 lb) and (BMI) 18.0-35.0 kg/m2, inclusive
  5. Women of must agree to use highly effective methods
  6. Men with partners of childbearing potential or who are pregnant must agree to use a condom or strict abstinence
  7. Signed to participate in the study
  8. Willingness and ability, in the opinion of the investigator, to comply with protocol requirements and restrictions (eg, dosing, schedule of assessments).

Exclusion criteria

Exclusion Criteria:

  1. History of:

    1. total thyroidectomy.
    2. History of hyperthyroidism not caused by GD (eg, toxic adenoma, toxic multinodular goiter).
    3. History of thyroid storm.
    4. History of agranulocytosis, anemia, leukopenia, thrombocytopenia, vasculitis, or liver toxicity due to prior ATD therapy Treatment with RAI therapy within 12 months prior to Screening
  2. Likely to require definitive treatment for GD (RAI therapy or thyroidectomy) during the study, based on GD history and anticipated prognosis.
  3. Use of levothyroxine, desiccated thyroid extract, or T3 at any dose within 6 weeks prior to Screening.
  4. Current active or chronic moderate-to-severe TED per EUropean Group On Graves' Orbitopathy (EUGOGO) criteria as judged by the investigator at Screening
  5. History of TED-directed medical treatment (including IV/oral , , or teprotumumab), surgical treatment, and/or orbital radiation within 3 months prior to Screening, or per required prohibited concomitant therapy washout criteria in the protocol (whichever is longer)
  6. Major surgery or use of iodinated contrast within 3 months prior to planned IMP dosing.
  7. Active systemic disease requiring treatment that causes undue risk in the opinion of the investigator.
  8. History of cardiovascular, respiratory, renal, gastrointestinal, endocrinological (other than GD), hematological, immunodeficiency, or neurological disorders that may constitute a risk when taking the IMP or interfere with data interpretation.
  9. History of liver disease
  10. Pregnant, breastfeeding, or planning to become pregnant during the study
  11. Treatment with prohibited medications prior to planned IMP dosing or likely to require prohibited concomitant therapy during the study
  12. (s) or mRNA vaccine(s) within 1 month prior to IMP dosing, or plans to receive such vaccines during the study
  13. Treatment with any drug within within 3 months or 5 half-lives (whichever is longer) prior to enrollment
  14. Total IgG level \<700 mg/dL at Screening
  15. Any of the following at Screening (confirmed by single repeat measurement, if deemed necessary):

    • or AST >1.5 ×
    • Total >1.5 × ULN
  16. Estimated (eGFR) \<75 mL/min/1.73 m2 using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) creatinine equation
  17. Positive result for antibody, , or antibody with detectable viral RNA levels at Screening
  18. Positive drug screen or positive test for alcohol
  19. 12-lead demonstrating any of the following at Screening:

    • interval >450 ms
    • QRS interval >120 ms
    • PR interval >220 ms
  20. Blood pressure measurements demonstrating any of the following at Screening:

    • Systolic blood pressure ≥140 mmHg
    • Diastolic blood pressure ≥90 mmHg
  21. Heart rate \<45 bpm or >100 bpm
  22. Donated more than 500 mL of blood in the 2 months prior to signing the ICF
  23. Current enrollment or past participation within 3 months or 5 half-lives (whichever is longer) prior to signing the ICF in any other clinical trial involving an IMP
  24. Refusal to adhere to lifestyle considerations as defined in the protocol
  25. Employee of the investigator, clinic, or sponsor with direct involvement in the proposed study or other studies under the direction of the investigator or clinic, as well as family members of the employee or investigator
  26. Any other conditions that, in the opinion of the investigator or the sponsor, could interfere with participation in or completion of the study
Terms in these criteria, in plain language(18)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

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.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Double (Participant, Investigator)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Part A (SAD) MER511 IV

    For Cohorts 1-7 , each cohort participant will receive a single ascending dose of MER511 via IV administration on Day 1

    Biological: MER511 (IV)

  • Placebo comparator
    Part A (SAD) placebo IV

    For Cohorts 1-7, each cohort participant will receive a single dose of placebo via IV administration on Day 1

    Biological: Placebo comparator (IV)

  • Experimental
    Part A (SAD) MER511 SC

    For Cohort 8, participants will receive a single dose of MER511 (determined from Cohort 1-7) via SC administration on Day 1

    Biological: MER511 (SC)

  • Placebo comparator
    Part A (SAD) placebo SC

    For Cohort 8, participants will receive a single dose of placebo (determined from Cohort 1-7) via SC administration on Day 1

    Biological: Placebo comparator (SC)

  • Experimental
    Part B (MAD) MER511 SC

    Up to 3 cohorts of participants will receive multiple ascending doses of MER511 via SC administration assigned for their cohort on Day 1 and Day 29

    Biological: MER511 (SC) for MAD

  • Placebo comparator
    - Part B (MAD) placebo SC

    Up to 3 cohorts of participants will receive multiple doses of placebo via SC administration assigned for their cohort on Day 1 and Day 29

    Biological: Placebo comparator (SC) for MAD

Interventions

  • BiologicalMER511 (IV)

    Participants will receive a single dose of MER511 on Day 1

  • BiologicalPlacebo comparator (IV)

    Participants will receive a single dose of Placebo on Day 1

  • BiologicalMER511 (SC)

    Participants will receive a single dose of MER511 on Day 1

  • BiologicalPlacebo comparator (SC)

    Participants will receive a single dose of Placebo on Day 1

  • BiologicalMER511 (SC) for MAD

    Participants will receive multiple ascending doses of MER511 via SC administration assigned for their cohort on Day 1 and Day 29

  • BiologicalPlacebo comparator (SC) for MAD

    Participants will receive multiple doses of placebo via SC administration assigned for their cohort on Day 1 and Day 29

06

What researchers measure

Primary outcomes

  1. Number of participants with TEAEs (Treatment-emergent adverse events)

    Adverse events that start or worsen in severity after the start of study drug will be categorized as TEAEs

    Time frame: - Part A (SAD) Cohorts: Day 1 up to Week 16 - Part B (MAD) Cohorts: Day 1 up to Week 24

  2. Number of participants with clinically significant changes in ECGs, vital signs, clinical laboratory values, and physical examination

    Incidence of clinically significant abnormalities in ECGs, vital signs, clinical laboratory values, and physical examination

    Time frame: - Part A (SAD) Cohorts: Day 1 up to Week 16 - Part B (MAD) Cohorts: Day 1 up to Week 24

Secondary outcomes

  1. Serum Cmax (Maximum observed concentration)

    Measurement of the maximum observed concentration

    Time frame: - Part A (SAD) Cohorts: Day 1 (Week 0 dosing day) through Week 16- Part B (MAD) Cohorts: Day 1 (Week 0 dosing Day) Through Week 24

  2. Serum tmax (Time to maximum concentration)

    Measurement of the time to maximum observed concentration

    Time frame: - Part A (SAD) Cohorts: Day 1 (Week 0 dosing day) Through Week 16 - Part B (MAD) Cohorts: Day 1 (Week 0 dosing day) Through Week 24

  3. Serum AUCinf (area under concentration-time curve from time zero to infinity)

    Measurement of area under concentration-time curve from time zero to infinity

    Time frame: Part A (SAD) Only: Day 1 (Week 0) Dosing Through Week 16

  4. Serum AUC0-tau (area under concentration-time curve during the dosing interval)

    Measurement of area under concentration-time curve during the dosing interval

    Time frame: Part B (MAD) Only: Day 1 (Week 0) Dosing Through Week 24

  5. Number of participants with ADAs (Anti-drug antibody)

    Blood samples will be collected to evaluate the immunogenicity of MER511 in participants with GD (Graves' disease)

    Time frame: - Part A (SAD) Cohorts: Day 1 (Week 0) Dosing Through Week 16 or Early Discontinuation - Part B (MAD) Cohorts: Day 1 (Week 0) Dosing Through Week 24

07

Study locations

17 of 17 sites recruiting
  • Site # 1111
    Torrance, California 90502, United States
    Recruiting
  • Site # 1101
    Hollywood, Florida 33024, United States
    Recruiting
  • Site # 1112
    Miami, Florida 33125, United States
    Recruiting
  • Site # 1109
    Wesley Chapel, Florida 33544, United States
    Recruiting
  • Site # 1107
    Boston, Massachusetts 02114, United States
    Recruiting
  • Site # 1102
    Rochester, Minnesota 55905, United States
    Recruiting
  • Site # 1106
    Morehead City, North Carolina 28557, United States
    Recruiting
  • Site # 1104
    Columbus, Ohio 43203, United States
    Recruiting
  • Site # 1108
    Philadelphia, Pennsylvania 19107, United States
    Recruiting
  • Site # 1113
    DeSoto, Texas 75115, United States
    Recruiting
  • Site # 1105
    Webster, Texas 77598, United States
    Recruiting
  • Site # 2204
    Barcelona, Barcelona 08017, Spain
    Recruiting
  • Site # 2202
    Santander, Cantabria 39008, Spain
    Recruiting
  • Site # 2205
    A Coruña, 15006, Spain
    Recruiting
  • Site # 2206
    Barcelona, 08023, Spain
    Recruiting
  • Site # 2201
    Seville, 41009, Spain
    Recruiting
  • Site # 2203
    Seville, 41013, Spain
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Dec 2025 (actual). Primary completion is estimated for Jul 2028, 31 months after the start.

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

Registered
Dec 12, 2025
First posted
Dec 26, 2025
StartActual
Dec 19, 2025
Primary completionEst.
Jul 24, 2028
CompletionEst.
Jul 24, 2028
Last update
Oct 29, 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.
Sites
4 sites added, 2 sites removed
Show 4 added (4 Spain)
  • Site # 2202 · Santander, Spain
  • Site # 2204 · Barcelona, Spain
  • Site # 2202 · Santander, Spain
  • Site # 2203 · Seville, Spain
Show 2 removed
  • Site # 2204 · Barcelona, Spain
  • Site # 2202 · Santander, Spain
across 2 updates, Sep 30, 2026 – Oct 29, 2026
Site contacts
Changed at 2 sites. See the sites
Show 2 sites
  • Site # 1101 · Hollywood, United StatesContact •••3030→•••3030
  • Site # 1113 · DeSoto, United StatesContact •••3030→•••3030
Oct 29, 2026
Show all 2 updates
  1. Oct 29, 2026
    3 sites added, 2 sites removed
    Show 3 added (3 Spain)
    • Site # 2204 · Barcelona, Spain
    • Site # 2202 · Santander, Spain
    • Site # 2203 · Seville, Spain
    Show 2 removed
    • Site # 2204 · Barcelona, Spain
    • Site # 2202 · Santander, Spain
    Site contacts Changed at 2 sites. See the sites
    Show 2 sites
    • Site # 1101 · Hollywood, United StatesContact •••3030→•••3030
    • Site # 1113 · DeSoto, United StatesContact •••3030→•••3030
    + 1 other change: verification date
  2. Sep 30, 2026
    1 site added
    Show site
    • Site # 2202 · Santander, Spain
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07305818
Lead sponsor
Merida Biosciences
Responsible party
Sponsor
First posted
Dec 26, 2025
Start date
Dec 19, 2025
Primary completion
Jul 24, 2028 (estimated)
Completion
Jul 24, 2028 (estimated)
Last update
Oct 29, 2026

Study contacts

Clinical Operations
Contact
clinicaltrials@meridabio.com
+1 339-255-3030

Oversight

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

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