RecruitingPhase 2NCT06984627

A Study to Investigate the Efficacy and Safety of Rilzabrutinib in Adult Participants With Graves' Disease

An Open-label Phase 2 Study to Investigate the Efficacy and Safety of Rilzabrutinib in Adult Participants With Graves' Disease


Sponsor

Sanofi

Enrollment

30 participants

Start Date

Sep 2, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This is a parallel group, Phase 2, 2-arm study to measure the treatment effect and safety of rilzabrutinib dose 1 or rilzabrutinib dose 2 in participants with Graves' disease, with and without Graves' orbitopathy, aged 18 years or older. Study details include: * Screening period (up to 4 weeks). * Treatment period (up to 16 weeks). * Follow-up period (4 weeks). The number of visits will be up to 13.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria3

  • Participants who have a confirmed diagnosis of Graves' disease with active hyperthyroidism, with or without active Graves' orbitopathy at the time of screening.
  • A subset of participants will have a diagnosis of active Graves' orbitopathy, as confirmed by ophthalmic exam at screening and a clinical activity score (CAS) ≥3 for the most severely affected eye, and associated with one or more of the following: lid retraction ≥2 mm, moderate or severe soft tissue involvement, proptosis ≥2 mm, and/or intermittent or constant diplopia.
  • Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.

Exclusion Criteria8

  • History of hyperthyroidism not caused by Graves' disease (eg, hyperthyroidism due to toxic multinodular goiter, autonomous thyroid nodule, acute inflammatory thyroiditis).
  • History of thyroid storm or at high risk of developing thyroid storm as determined by evaluating clinician.
  • Enlarged thyroid goiter causing upper airway obstruction and/or requiring surgical intervention during the study period.
  • For participant with Graves' orbitopathy, requires immediate surgical ophthalmological intervention or is planning corrective surgery/irradiation during the course of the study.
  • Sight threatening Graves' orbitopathy or decreased visual acuity due to optic neuropathy within the last 6 months.
  • Corneal decompensation unresponsive to medical management.
  • Onset of Graves' orbitopathy symptoms >9 months prior to baseline.
  • The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

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Interventions

DRUGRilzabrutinib dose 1

Pharmaceutical form:Tablet-Route of administration:Oral

DRUGRilzabrutinib dose 2

Pharmaceutical form:Tablet-Route of administration:Oral


Locations(13)

Investigational Site Number : 1240003

Calgary, Alberta, Canada

Investigational Site Number : 1240002

Surrey, British Columbia, Canada

Investigational Site Number : 1240001

Sherbrooke, Quebec, Canada

Investigational Site Number : 2760002

Essen, Germany

Investigational Site Number : 2760001

Frankfurt, Germany

Investigational Site Number : 3800001

Milan, Milano, Italy

Investigational Site Number : 3800003

Palermo, Italy

Investigational Site Number : 3800002

Pisa, Italy

Investigational Site Number : 7240002

Barcelona, Catalunya [Cataluña], Spain

Investigational Site Number : 7240001

Pamplona, Navarre, Spain

Investigational Site Number : 7240004

Seville, Sevilla, Spain

Investigational Site Number : 8260003

Milton Keynes, Buckinghamshire, United Kingdom

Investigational Site Number : 8260001

Newcastle upon Tyne, England, United Kingdom

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NCT06984627


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