Comparison of the Efficacy and Safety of 4 vs. 8 Treatments With Tepezza (Teprotumumab) for Thyroid Eye Disease

NCT ID: NCT07308964

Last Updated: 2025-12-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE4

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-31

Study Completion Date

2028-05-31

Brief Summary

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The goal of this interventional study is to compare the clinical outcomes of shortened 4-infusion course versus the standard 8-infusion course of Teprotumumab (Tepezza) in patients with active Thyroid Eye Disease (TED).

The main question it aims to answer is:

\* Is a shorter course equally effective and safe for patients who respond well early in treatment.

Participants who demonstrate an early clinical response as part of their treatment with Teprotumumab will receive a shorter protocol of 4 infusions instead of the standard 8.

Detailed Description

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Conditions

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Thyroid Eye Disease Thyroid Eye Disease, TED Thyroid Eye Disease (TED)

Keywords

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thyroid eye disease TED Tepezza Teprotumumab

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Standard of Care

Participants in this arm will receive the full standard-of-care course of Teprotumumab. This consists of a total of 8 intravenous (IV) infusions.

Group Type ACTIVE_COMPARATOR

Teprotumumab Injection [Tepezza]

Intervention Type DRUG

As a standard of care Teprotumumab is administered intravenously every 3 weeks for a total of 8 infusions (24 weeks).

In the Shortened Arm participants receive a total of 4 infusions (12 weeks) provided they met the "Early Optimal Clinical Response" criteria at Week 12.

Shortened Treatment

Participants in this arm will receive a shortened course of Teprotumumab. After demonstrating an "Early Optimal Clinical Response" following the first 4 infusions, treatment will be discontinued. These participants will receive a total of 4 intravenous (IV) infusions instead of the standard 8.

Group Type EXPERIMENTAL

Teprotumumab Injection [Tepezza]

Intervention Type DRUG

As a standard of care Teprotumumab is administered intravenously every 3 weeks for a total of 8 infusions (24 weeks).

In the Shortened Arm participants receive a total of 4 infusions (12 weeks) provided they met the "Early Optimal Clinical Response" criteria at Week 12.

Interventions

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Teprotumumab Injection [Tepezza]

As a standard of care Teprotumumab is administered intravenously every 3 weeks for a total of 8 infusions (24 weeks).

In the Shortened Arm participants receive a total of 4 infusions (12 weeks) provided they met the "Early Optimal Clinical Response" criteria at Week 12.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants must have a confirmed diagnosis of active Thyroid Eye Disease (TED).
* Participants must be eligible for and have started the standard Teprotumumab (Tepezza) treatment protocol.
* Participants must demonstrate a significant clinical response by the 4th infusion.
* Ability to understand and provide signed written informed consent.

Exclusion Criteria

* Previous use of Teprotumumab or other biologic therapies for TED.
* Participants who do not show early clinical response after the 4th infusion.
* Participants who have any medical contraindications to Teprotumumab or any of its components.
* Participants who have any known hearing problems.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sheba Medical Center

OTHER_GOV

Sponsor Role lead

Responsible Party

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Prof. Landau Prat Daphna

Oculoplastic and Orbital surgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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SMC-2514-25

Identifier Type: -

Identifier Source: org_study_id