ClinicalTrials.gg
RecruitingNCT07753603ORBITUpdated Oct 20, 2026

Study to Assess Linsitinib in Participants With Moderate to Severe Active Thyroid Eye Disease (TED)

A Phase 3 interventional study of linsitinib and Placebo in Thyroid Eye Disease, TED and Graves Orbitopathy, sponsored by Sling Therapeutics, Inc.. Recruiting at 18 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-20.

Sponsored by Sling Therapeutics, Inc. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2026; still recruiting 3 months later.
Updated Oct 19, 202617 sites addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
130
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to evaluate the efficacy, safety, and tolerability of linsitinib in participants with moderate to severe Thyroid Eye Disease (TED).

02

Conditions studied

  • Thyroid Eye Disease, TED
  • Graves Orbitopathy

Keywords

  • Thyroid Eye Disease
  • TED
  • Graves Orbitopathy
  • Graves' Disease
  • Hashimoto's thyroiditis
03

In context

Graves Ophthalmopathy

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

This study's planned enrollment of 130 is above the median of 63 across 146 interventional studies indexed under Graves Ophthalmopathy.

Browse Graves Ophthalmopathy studies →

Lead sponsor

Sling Therapeutics, Inc. is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

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

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. Participants must be ≥ 18 years of age at Screening
  2. Clinical diagnosis of Graves' Disease and/or Hashimoto's thyroiditis associated with active moderate to severe TED with a CAS ≥ 3 (on the 7-item scale) for the most severely affected eye (primary study eye) at Screening and Baseline.
  3. Moderate to severe active TED (not sight-threatening but has an appreciable impact on daily life), with diagnosis of TED within 15 months prior to the Screening visit and usually associated with 1 or more of the following: lid retraction ≥ 2 mm, moderate or severe soft tissue involvement, proptosis ≥ 3 mm above normal for race and gender, and/or inconstant or constant diplopia.
  4. Participants must be euthyroid with the participant's baseline disease under control or have mild hypo- or hyperthyroidism (defined as free thyroxine [FT4] and free triiodothyronine levels [FT3] \< 50% above or below the normal limits of the central laboratory) at Screening.
  5. Does not require immediate ophthalmic surgery, radiotherapy to orbits or other ophthalmological intervention at the time of Screening and is not planning for any such treatment during the course of the study.

Exclusion criteria

Exclusion Criteria:

  1. Any progressing optic neuropathy due to TED that has worsened in the last 6 months in the opinion of the investigator.
  2. Corneal decompensation unresponsive to medical management.
  3. Previous orbital irradiation or orbital surgery in either eye.
  4. Any use (IV or oral) with a cumulative dose equivalent to ≥ 1 g of methylprednisolone or equivalent for the treatment of TED within 8 weeks of Screening.
  5. Prior IGF-1R inhibitor therapy for any condition.
Terms in these criteria, in plain language(2)

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.

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.

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 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
130 participants (estimated)

Study arms

  • Experimental
    Double-mask Treatment Arm

    Participants receive linsitinib 150 mg twice daily for 24 weeks.

    Drug: linsitinib

  • Placebo comparator
    Double-mask Placebo Arm

    Participants receive placebo 0 mg twice daily for 24 weeks.

    Drug: Placebo

  • Experimental
    Open-label Extension Treatment Arm

    Proptosis non-responders/relapsed proptosis responders receive linsitinib 150 mg twice daily for 24 weeks.

    Drug: linsitinib

Interventions

  • 150 mg linsitinib is taken twice daily by mouth for 24 weeks

  • DrugPlacebo

    0 mg placebo taken twice daily by mouth for 24 weeks

06

What researchers measure

Primary outcomes

  1. Measure percentage of participants who are Proptosis Responders at Week 24

    The proptosis responder rate is the percentage of participants with a ≥ 2 mm reduction of proptosis from Baseline in the primary study eye without deterioration (≥ 2 mm increase) of proptosis in the contralateral non-study eye.

    Time frame: 24 weeks

Secondary outcomes

  1. Mean change from Baseline in Proptosis to Week 24

    Evaluate the effect of linsitinib 150 mg twice daily versus placebo on the mean change from Baseline to Week 24 in proptosis measurement in the primary study eye.

    Time frame: 24 Weeks

  2. Evaluate the effect of linsitinib 150 mg twice daily versus placebo on the overall responder rate at Week 24

    Overall responder rate (percentage of participants with ≥ 2-point reduction in 7 point CAS and ≥ 2 mm reduction in proptosis from Baseline in the primary study eye), provided there is no corresponding deterioration (≥ 2-point/mm increase) in CAS or proptosis in the contralateral non-study eye at Week 24.

    Time frame: 24 Weeks

  3. Evaluate the effect of linsitinib 150 mg twice daily versus placebo on the mean change from Baseline to Week 24 in the GO-QoL questionnaire overall score.

    Mean change from Baseline to Week 24 in the Graves' Orbitopathy Quality of Life questionnaire (GO-QoL) questionnaire overall score (0-100 where higher scores are a better outcome).

    Time frame: 24 Weeks

  4. Evaluate the effect of linsitinib 150 mg twice daily versus placebo on the percentage of participants with a CAS value of 0 or 1 at Week 24 in the primary study eye.

    Percentage of participants with a CAS value of 0 or 1 at Week 24 in the primary study eye.

    Time frame: 24 Weeks

Other outcomes

  1. To assess the safety and tolerability of linsitinib 150 mg twice daily as compared to placebo over a 24-week period.

    Incidence of TEAEs (defined as AEs that begin or worsen after the first dose of study drug), treatment-emergent SAEs, deaths, discontinuation due to AEs, clinical safety laboratory results, vital signs, physical and ophthalmic examinations, and ECG parameters.

    Time frame: 24 Weeks

07

Study locations

17 of 18 sites recruiting
08

Updates

2 registry updates since Sep 25, 2026
Sites
17 sites added
Show 17 added (17 United States)
  • Sun City Clinical Research · Glendale, United States
  • Thrive Health Research LLC · Beverly Hills, United States
  • Alliance Research Institute · Canoga Park, United States
  • Pasadena Clinical Trials · Pasadena, United States
  • Silkiss Eye Surgery · San Francisco, United States
  • Advancing Research International, LLC · Santa Monica, United States
  • Florida International Medical Research · Coral Gables, United States
  • Rovia Clinical Research at Florida Eye Specialists · Jacksonville, United States
  • Ophthalmic Consultants of Boston, Inc · East Weymouth, United States
  • Kahana Oculoplastic & Orbital Surgery · Livonia, United States
  • Vector Clinical Trials · Reno, United States
  • The Center for Eye and Facial Plastic Surgery · Somerset, United States
  • Columbia University Ophthalmology · New York, United States
  • Asheville Clinical Trials · Asheville, United States
  • Gulf Coast Clinical Trials · Houston, United States
  • Virginia Eye Consultants · Norfolk, United States
  • WVU Eye Institute · Morgantown, United States
Oct 19, 2026
Site contacts
Changed at 18 sites. See the sites
Show 18 sites
  • Sun City Clinical Research · Glendale, United StatesContact added r•••@suncitytrials.com · •••9777
  • Thrive Health Research LLC · Beverly Hills, United StatesContact added t•••@thrivehealthiv.com · •••6173
  • Alliance Research Institute · Canoga Park, United StatesContact added p•••@allianceri.org · •••9085
  • Pasadena Clinical Trials · Pasadena, United StatesContact added y•••@pasadenatrials.com · •••6554
  • Silkiss Eye Surgery · San Francisco, United StatesContact added T•••@ariclinicaltrials.com · •••1199
  • Advancing Research International, LLC · Santa Monica, United StatesContact added L•••@ariclinicaltrials.com · •••6076
  • Florida International Medical Research · Coral Gables, United StatesContact added l•••@gmail.com · •••3467
  • Rovia Clinical Research at Florida Eye Specialists · Jacksonville, United StatesContact added a•••@roviaclinical.com · •••3940
  • Ophthalmic Consultants of Boston, Inc · East Weymouth, United StatesContact added m•••@eyeboston.com · •••2732
  • Kahana Oculoplastic & Orbital Surgery · Livonia, United StatesContact added k•••@mioculoplastics.com · •••1180
  • Advancing Research International · Las Vegas, United StatesContact added J•••@ariclinicaltrials.com · •••7951
  • Vector Clinical Trials · Reno, United StatesContact added S•••@vectorclinicaltrials.com · •••9777
  • The Center for Eye and Facial Plastic Surgery · Somerset, United StatesContact added l•••@centerfacialplastics.com · •••0142
  • Columbia University Ophthalmology · New York, United StatesContact added l•••@cumc.columbia.edu · •••9535
  • Asheville Clinical Trials · Asheville, United StatesContact added K•••@ashevilleclinicaltrials.com · •••2273
  • Gulf Coast Clinical Trials · Houston, United StatesContact added v•••@gulfcoasttrials.com · •••2940
  • Virginia Eye Consultants · Norfolk, United StatesContact added a•••@cvphealth.com · •••9988
  • WVU Eye Institute · Morgantown, United StatesContact added e•••@wvumedicine.org · •••6135
Oct 20, 2026
Show all 2 updates
  1. Oct 20, 2026
    Site contacts Changed at 18 sites. See the sites
    Show 18 sites
    • Sun City Clinical Research · Glendale, United StatesContact added r•••@suncitytrials.com · •••9777
    • Thrive Health Research LLC · Beverly Hills, United StatesContact added t•••@thrivehealthiv.com · •••6173
    • Alliance Research Institute · Canoga Park, United StatesContact added p•••@allianceri.org · •••9085
    • Pasadena Clinical Trials · Pasadena, United StatesContact added y•••@pasadenatrials.com · •••6554
    • Silkiss Eye Surgery · San Francisco, United StatesContact added T•••@ariclinicaltrials.com · •••1199
    • Advancing Research International, LLC · Santa Monica, United StatesContact added L•••@ariclinicaltrials.com · •••6076
    • Florida International Medical Research · Coral Gables, United StatesContact added l•••@gmail.com · •••3467
    • Rovia Clinical Research at Florida Eye Specialists · Jacksonville, United StatesContact added a•••@roviaclinical.com · •••3940
    • Ophthalmic Consultants of Boston, Inc · East Weymouth, United StatesContact added m•••@eyeboston.com · •••2732
    • Kahana Oculoplastic & Orbital Surgery · Livonia, United StatesContact added k•••@mioculoplastics.com · •••1180
    • Advancing Research International · Las Vegas, United StatesContact added J•••@ariclinicaltrials.com · •••7951
    • Vector Clinical Trials · Reno, United StatesContact added S•••@vectorclinicaltrials.com · •••9777
    • The Center for Eye and Facial Plastic Surgery · Somerset, United StatesContact added l•••@centerfacialplastics.com · •••0142
    • Columbia University Ophthalmology · New York, United StatesContact added l•••@cumc.columbia.edu · •••9535
    • Asheville Clinical Trials · Asheville, United StatesContact added K•••@ashevilleclinicaltrials.com · •••2273
    • Gulf Coast Clinical Trials · Houston, United StatesContact added v•••@gulfcoasttrials.com · •••2940
    • Virginia Eye Consultants · Norfolk, United StatesContact added a•••@cvphealth.com · •••9988
    • WVU Eye Institute · Morgantown, United StatesContact added e•••@wvumedicine.org · •••6135
  2. Oct 19, 2026
    17 sites added
    Show 17 added (17 United States)
    • Sun City Clinical Research · Glendale, United States
    • Thrive Health Research LLC · Beverly Hills, United States
    • Alliance Research Institute · Canoga Park, United States
    • Pasadena Clinical Trials · Pasadena, United States
    • Silkiss Eye Surgery · San Francisco, United States
    • Advancing Research International, LLC · Santa Monica, United States
    • Florida International Medical Research · Coral Gables, United States
    • Rovia Clinical Research at Florida Eye Specialists · Jacksonville, United States
    • Ophthalmic Consultants of Boston, Inc · East Weymouth, United States
    • Kahana Oculoplastic & Orbital Surgery · Livonia, United States
    • Vector Clinical Trials · Reno, United States
    • The Center for Eye and Facial Plastic Surgery · Somerset, United States
    • Columbia University Ophthalmology · New York, United States
    • Asheville Clinical Trials · Asheville, United States
    • Gulf Coast Clinical Trials · Houston, United States
    • Virginia Eye Consultants · Norfolk, United States
    • WVU Eye Institute · Morgantown, United States
    + 1 other change: date precision

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 ↗

09

Registry details

Key details

Study ID
NCT07753603
Lead sponsor
Sling Therapeutics, Inc.
Responsible party
Sponsor
First posted
Aug 7, 2026
Start date
Aug 4, 2026
Primary completion
Jun 30, 2028 (estimated)
Completion
Jun 28, 2030 (estimated)
Last update
Oct 20, 2026

Study contacts

Cathy Radovich
Contact
cathy.radovich@slingtx.com
(734) 223-1786

Oversight

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

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