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Thyroid Eye DiseasePhase 4NCT05002998

TEPEZZA® (Teprotumumab-trbw) Post-Marketing Requirement Study

A Phase 4 study testing Teprotumumab in people with Thyroid Eye Disease, run by Amgen at 28 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a double-masked, randomized, parallel-assignment, multicenter trial examining the safety and tolerability of teprotumumab in the treatment of Thyroid Eye Disease (TED) in adult participants. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Thyroid Eye Disease
What is being tested?
Teprotumumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
313 participants
Where
28 sitesin 6 countries
Study dates
16 Sep 2021to 19 Dec 2025
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Written informed consent.
  • Male or female between the ages of 18 and 80 years, inclusive, at Screening.
  • Initial diagnosis of TED within 7 years prior to Screening.
  • Proptosis ≥3 mm from baseline (prior to diagnosis of TED), as estimated by treating physician, and/or proptosis >3 mm above normal for race and gender.
  • Participants must be euthyroid with the baseline disease under control or have mild hypo or hyperthyroidism (defined as free thyroxine and free triiodothyronine levels <50% above or below the normal limits) at Screening. Every effort should be made to correct the mild hypo- or hyperthyroidism promptly and to maintain the euthyroid state for the duration of the trial.
  • Does not require immediate surgical ophthalmological intervention and is not planning corrective surgery/irradiation during the course of the trial.
Show all 10Show fewer
  • Diabetic participants must have HbA1c ≤8.0% at Screening.
  • Participants with a history of IBD (ulcerative colitis or Crohn's disease) must be in clinical remission for at least 3 months, with no history of bowel surgery within 6 months prior to Screening and no planned surgery during the trial. Concomitant stable therapies for IBD without modifications in the 3 months prior to Screening are allowed.
  • Women of childbearing potential (including those with an onset of menopause <2 years prior to Screening, non-therapy-induced amenorrhea for <12 months prior to Screening or not surgically sterile [absence of ovaries and/or uterus]) must have a negative serum pregnancy test at Screening and negative urine pregnancy tests at all protocol-specified time points (i.e., prior to each dose and throughout the participant's participation in the Follow-up Period); participants who are sexually active with a non-vasectomized male partner must agree to use 2 reliable forms of contraception during the trial, 1 of which is recommended to be hormonal, such as an oral contraceptive. Hormonal contraception must be started at least 1 full cycle prior to Baseline and continue for 180 days after the last dose of teprotumumab. Highly effective contraceptive methods (with a failure rate <1% per year), when used consistently and correctly, include implants, injectables, combination oral contraceptives, some intrauterine devices, tubal ligation, sexual abstinence or vasectomized partner.
  • Willing and able to comply with the prescribed treatment protocol and evaluations for the duration of the trial.

Who cannot join

  • Decreased best-corrected visual acuity due to optic neuropathy, as defined by a decrease in vision of 2 lines on the Snellen chart, new visual field defect or color defect secondary to optic nerve involvement within the last 6 months.
  • Corneal decompensation unresponsive to medical management.
  • Decrease in proptosis of ≥2 mm in the study eye between Screening and Baseline.
  • Prior orbital irradiation, orbital decompression or strabismus surgery.
  • Planned eyelid surgery during the course of the trial.
  • Alanine aminotransferase or aspartate aminotransferase >3 × the upper limit of normal or estimated glomerular filtration rate ≤30 mL/min/1.73m2 at Screening.
Show all 19Show fewer
  • Use of any steroid (intravenous [IV], oral, steroid eye drops) for the treatment of TED or other conditions within 3 weeks prior to Screening. Steroids cannot be initiated during the trial. Exceptions include topical and inhaled steroids, as well as steroids used to treat infusion reactions.
  • Any treatment with rituximab (Rituxan® or MabThera®) within 12 months prior to the first infusion of teprotumumab or tocilizumab (Actemra® or Roactemra®) within 6 months prior to the first infusion of teprotumumab. Use of any other non-steroid immunosuppressive agent within 3 months prior to the first infusion of teprotumumab.
  • Any previous treatment with teprotumumab, including previous enrollment in this trial or participation in a prior teprotumumab trial.
  • Treatment with any mAb within 3 months prior to Screening.
  • Identified pre-existing ophthalmic disease that, in the judgment of the Investigator, would preclude trial participation or complicate interpretation of trial results.
  • Use of an investigational agent for any condition within 60 days or 5 half-lives, whichever is longer, prior to Screening or anticipated use during the course of the trial.
  • Malignant condition in the past 5 years (except successfully treated basal/squamous cell carcinoma of the skin or cervical cancer in situ).
  • Pregnant or lactating women.
  • Current drug or alcohol abuse or history of either within the previous 2 years, in the opinion of the Investigator or as reported by the participant.
  • Known hypersensitivity to any of the components of teprotumumab or prior hypersensitivity reactions to mAbs.
  • Human immunodeficiency virus, untreated or positive viral load for hepatitis C or hepatitis B infections.
  • Any other condition that, in the opinion of the Investigator, would preclude inclusion in the trial.
  • After 150 participants with a CAS <3 at Baseline have been randomized, an additional exclusion criterion will apply: CAS <3 at Baseline.

Trial locations and contacts

28 sites in 6 countries.

28 sites in 6 countries

United States7 sites
  • University of Colorado - Eye Center - PPDS

    Aurora, Colorado, 80045-2517

  • The Private Practice of Raymond Douglas, MD - Beverly Hills

    Beverly Hills, California, 90210-5192

  • USC Roski Eye Institute - Los Angeles

    Los Angeles, California, 90033

  • Bascom Palmer Eye Institute

    Miami, Florida, 33136-1119

  • Stanford University

    Palo Alto, California, 94303-3216

  • Casey Eye Institute - OHSU

    Portland, Oregon, 97239-3130

  • Mayo Clinic - PPDS

    Rochester, Minnesota, 55905-0001

Other trials in United States

Germany5 sites
  • Universitätsklinikum Essen

    Essen, 45122

  • University Medicine Göttingen Germany

    Göttingen, Lower Saxony, 37075

  • Universitätsmedizin der Johannes Gutenberg-Universität Mainz

    Mainz, Rhineland-Palatinate, 55131

  • Universitätsklinikum Münster

    Münster, 48149

  • Universitätsklinikum Tübingen

    Tübingen, Baden-Wurttemberg, 72076

Other trials in Germany

United Kingdom5 sites
  • University Hospital of Cardiff

    Cardiff, South Glamorgan, CF11 0SN

  • Moorfields Eye Hospital - PPDS

    London, London, City of, EC1V 2PD

  • Imperial College Healthcare NHS Trust - PPDS

    London, London, City of, W21 1NY

  • Royal Victoria Infirmary

    Newcastle upon Tyne, Tyne and Wear, NE7 7DN

  • Southampton University Hospitals NHS Trust

    Southampton, SO16 9YD

Other trials in United Kingdom

France4 sites
  • Hopital Jean Minjoz

    Besançon, Doubs, 25030

  • Hospices Civils de Lyon - Hôpital Louis Pradel

    Bron, Rhône, 69677

  • Hôpital Claude Huriez-Lille-Rue Michel Polonovski

    Lille, 59000

  • Centre Hospitalier National D'ophtalmologie Des Quinze Vingts

    Paris, 75571

Other trials in France

Italy4 sites
  • ARNAS Garibaldi - PO Garibaldi-Centro

    Catania, Sicily, 95124

  • Azienda Ospedaliera Universitaria Federico II

    Naples, Campania, 80131

  • Azienda Ospedaliero Universitaria Pisana - Stabilimento Santa Chiara

    Pisa, Tuscany, 56126

  • ASST dei Sette Laghi - Ospedale Di Circolo E Fondazione Macchi

    Varese, Lombardy, 21100

Other trials in Italy

Spain3 sites
  • Hospital La Arruzafa

    Córdoba, Córdoba, 14012

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034

  • Hospital Universitario Virgen Macarena

    Seville, 41009

Other trials in Spain

About this study

Official title: A Phase 3b/4, Double-masked, Randomized, International, Parallel-assignment, Multicenter Trial in Patients With Thyroid Eye Disease to Evaluate the Safety and Tolerability of Different Dosing Durations of Teprotumumab

This is a double-masked, randomized, parallel-assignment, multicenter trial examining the safety and tolerability of teprotumumab in the treatment of Thyroid Eye Disease (TED) in adult participants. This international, Phase 3b/4 trial is being conducted to fulfill an FDA post-marketing requirement for a descriptive trial to evaluate the safety, efficacy and need for re-treatment of 3 different teprotumumab treatment durations for TED. In addition, serum samples from participants with a Baseline Clinical Activity Score (CAS) ≥3 will be evaluated for biomarkers of disease.

Read the detailed description

Participants will be screened for eligibility within 4 weeks prior to the Baseline (Day 1) Visit. Approximately 300 participants who meet the trial eligibility criteria will be randomized on Day 1 in a 1:1:1 ratio in a double-masked fashion (stratified by CAS(clinical activity score) [≥3 (active) or <3 (inactive)] and disease severity [severe disease, defined as both proptosis above normal for race and gender with binocular diplopia at Baseline vs. non-severe disease]) to receive:

  • 4 infusions of teprotumumab (10 mg/kg for the first infusion and 20 mg/kg for the remaining 3 infusions) (Cohort 1) followed by 4 infusions of:
  • Placebo if a participants is a treatment responder at Week 12 or
  • Teprotumumab 20 mg/kg if a participant is a treatment non-responder at Week 12
  • 8 infusions of teprotumumab (10 mg/kg for the first infusion and 20 mg/kg for the remaining 7 infusions) (Cohort 2)
  • 16 infusions of teprotumumab (10 mg/kg for the first infusion and 20 mg/kg for the remaining 15 infusions) (Cohort 3)

Three weeks following the final infusion of the Initial Treatment Period, there will be a comprehensive End-of-Initial Treatment Visit at Week 24 (Cohorts 1 and 2)/Week 48 (Cohort 3). At this visit, all participants will be assessed for treatment response.

Proptosis responders in all cohorts and non-responders in Cohorts 1 and 2 who choose not to receive a second treatment course, will enter a 52 week Initial Follow-up Period.

Proptosis non-responders in Cohorts 1 and 2 who choose to receive a second treatment course (8 infusions) of teprotumumab will receive an infusion q3W.

Proptosis non-responders in Cohort 3 are not eligible for a second treatment course following initial treatment.

Participants in any of the 3 cohorts who are proptosis responders following the Initial Treatment Period and who flare during the Initial Follow up Period will be eligible to receive re treatment.

Acquired from Horizon in 2024

Being tested
Teprotumumab, Placebo
Keywords
TED
Medical subject headings
Graves Ophthalmopathy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TeprotumumabDrug

    Also called TEPEZZA

    Teprotumumab is a fully human anti-IGF-1R mAb. Teprotumumab will be provided in single-dose 20-mL glass vials as a freeze-dried powder containing, in addition to the drug substance, 20 mmol/L histidine-histidine chloride, 250 mmol/L trehalose and 0.01% polysorbate 20 (w/w).

    Prior to administration, each vial containing 500 mg teprotumumab freeze-dried powder will be reconstituted with 10 mL of sterile water for injection. The resulting solution will have a concentration of 47.6 mg/mL teprotumumab-trbw antibody. The reconstituted teprotumumab solution must be further diluted in 0.9% (w/v) sodium chloride (NaCl) solution prior to administration

  • PlaceboDrug

    Also called Saline Solution

    Placebo will consist of a normal saline (0.9% NaCl) solution and will be administered in 100 mL or 250 mL infusion bags, as appropriate, per weight-based dosing volumes.

Study groups in NCT05002998
Study groupRoleWhat they receive
Teprotumumab 4 InfusionsOther• 4 infusions of teprotumumab (10 mg/kg for the first infusion and 20 mg/kg for the remaining 3 infusions) (Cohort 1) followed by 4 infusions of: * Placebo if a participant is a treatment responder at Week 12 or * Teprotumumab 20 mg/kg if a participant is a treatment non-responder at Week 12
Receives: Drug: Teprotumumab; Drug: Placebo
Teprotumumab 8 InfusionsOther8 infusions of teprotumumab (10 mg/kg for the first infusion and 20 mg/kg for the remaining 7 infusions) (Cohort 2)
Receives: Drug: Teprotumumab
Teprotumumab 16 InfusionsOther16 infusions of teprotumumab (10 mg/kg for the first infusion and 20 mg/kg for the remaining 15 infusions) (Cohort 3)
Receives: Drug: Teprotumumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants who experience at least 1 treatment-emergent adverse event (TEAE) and the percentage of participants who experience at least 1 treatment emergent AESI during treatment with teprotumumab

    Treatment emergent adverse events and treatment emergent adverse events of special interest will be evaluated from the beginning of the study until follow up.

    Measured: Screening to End of Study (last visit possible is Week 136)

  2. Percentage of Participants who receive re-treatment

    Participants who are not proptosis responders after initial treatment or participants who are proptosis responders after initial treatment but who have flared during follow-up (relapsed).

    Measured: Week 27 to Week 136

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Aug 2021
  2. Study start16 Sep 2021
  3. Primary completion19 Dec 2025
  4. Study completion19 Dec 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
* 4 infusions of teprotumumab (10 mg/kg for the first infusion and 20 mg/kg for the remaining 3 infusions) (Cohort 1) followed by 4 infusions of: * Placebo if a participant is a treatment responder at Week 12 or * Teprotumumab 20 mg/kg if a participant is a treatment non-responder at Week 12 * 8 infusions of teprotumumab (10 mg/kg for the first infusion and 20 mg/kg for the remaining 7 infusions) (Cohort 2) * 16 infusions of teprotumumab (10 mg/kg for the first infusion and 20 mg/kg for the remaining 15 infusions) (Cohort 3)
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
313 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05002998
Sponsor's protocol ID
HZNP-TEP-402
Other IDs
2020-005999-36, 2024-515090-96-00
Status last verified
Aug 2026
First submitted
19 Jul 2021
Last updated
21 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Teprotumumab in people with Thyroid Eye Disease, run by Amgen at 28 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in United States, Germany, United Kingdom, France, Italy and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants who experience at least 1 treatment-emergent adverse event (TEAE) and the percentage of participants who experience at least 1 treatment emergent AESI during treatment with teprotumumab (time frame: Screening to End of Study (last visit possible is Week 136)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Aug 2026.

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