Actively Recruiting
A Multicenter, Double-blinded, Randomized, Placebo Controlled Phase 3 Trial to Evaluate the Efficacy and Safety of ZL-1109 in Chinese Participants With Thyroid Eye Disease (TED)
Led by Zai Lab (Shanghai) Co., Ltd. · Updated on 2025-12-29
99
Participants Needed
27
Research Sites
45 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are conducting a multicenter, Phase 3, randomized, double-blinded, placebo-controlled trial to study the effects of ZL-1109 on Chinese participants with active Thyroid Eye Disease (TED). This study aims to assess the efficacy, safety, and tolerability of ZL-1109 in improving symptoms of TED, a condition that affects the eyes. The trial is sponsored by Zai Lab (Shanghai) Co., Ltd. and focuses on participants aged 18 to 75 years with moderate to severe and active TED. Participants will be randomly assigned to receive either ZL-1109 or a matching placebo through subcutaneous injections. The study includes a screening period of up to 28 days, followed by a 24-week double-blinded treatment period. After this, participants may enter an extension phase, lasting either up to 52 weeks for those who decline open-label treatment or up to 70 weeks for those who agree to receive open-label ZL-1109 if they do not respond initially. Dosing regimens vary, with ZL-1109 given every 4 or 8 weeks during the randomized period and every 4 weeks during the open-label extension. Throughout the trial, participants will undergo assessments including measurement of proptosis (eye bulging), Clinical Activity Score (CAS), and diplopia (double vision) responses at Week 24. Researchers will monitor treatment safety and tolerability, with follow-up visits during the extension period. The total participation duration depends on response status and consent to open-label treatment, ensuring detailed evaluation of outcomes and safety over an extended timeframe.
CONDITIONS
Brief Title
A Study to Assess the Efficacy and Safety of ZL-1109 in Chinese Participants With Active Thyroid Eye Disease
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Have moderate to severe Thyroid Eye Disease (TED)
- Meet the clinical diagnosis criteria of active TED
- Agree to use highly effective contraception as specified in the protocol
- Female participants must have a negative serum pregnancy test at screening
You will not qualify if you...
- Prior treatment with anti-IGF-1R or anti-thyroid stimulating hormone receptor (TSHR) monoclonal antibodies
- Recent use of systemic corticosteroids, steroid eye drops, other immunosuppressive drugs, or radioactive iodine treatment before first dose
- Corneal decompensation in the study eye not responding to medical treatment
- Pre-existing eye conditions in the study eye that could confuse study results according to the investigator
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 24 weeks
Participants receive ZL-1109 or placebo injections according to the randomized dosing schedule.
Visits every 4 or 8 weeks for injections during the 24-week double-blinded period
Duration - Up to 46 weeks after the initial 24-week period, totaling up to 70 weeks from first dose
Participants who respond or do not respond and decline open-label treatment continue observation, while eligible non-responders may receive open-label ZL-1109 treatment.
Visit schedule varies depending on treatment and response status during extension
Trial Site Locations
Total: 27 locations
1
Site01006
Beijing, China
Not Yet Recruiting
2
Site01009
Beijing, China
Actively Recruiting
3
Site01010
Beijing, China
Not Yet Recruiting
4
Site01029
Bengbu, China
Not Yet Recruiting
5
Site01020
Changsha, China
Not Yet Recruiting
6
Site01022
Chengdu, China
Not Yet Recruiting
7
Site01031
Chongqing, China
Actively Recruiting
8
Site01011
Dalian, China
Not Yet Recruiting
9
Site01008
Foshan, China
Actively Recruiting
10
Site01004
Fuzhou, China
Actively Recruiting
11
Site01007
Guangzhou, China
Actively Recruiting
12
Site01027
Guiyang, China
Actively Recruiting
13
Site01018
Hangzhou, China
Not Yet Recruiting
14
Site01002
Hefei, China
Actively Recruiting
15
Site01024
Jinan, China
Actively Recruiting
16
Site01005
Luoyang, China
Actively Recruiting
17
Site01017
Nanchang, China
Not Yet Recruiting
18
Site01001
Shanghai, China
Actively Recruiting
19
Site01012
Shenyang, China
Not Yet Recruiting
20
Site01023
Taiyuan, China
Not Yet Recruiting
21
Site01013
Tianjin, China
Not Yet Recruiting
22
Site01016
Wuxi, China
Not Yet Recruiting
23
Site01028
Xi'an, China
Not Yet Recruiting
24
Site01025
Xuzhou, China
Not Yet Recruiting
25
Site01026
Yangzhou, China
Not Yet Recruiting
26
Site01019
Zhengzhou, China
Not Yet Recruiting
27
Site01030
Zhengzhou, China
Not Yet Recruiting
Research Team
Z
ZL-1109-002 Study Team
How is the study designed?
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
4
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