Actively Recruiting

Phase 3
Age: 18Years - 75Years
All Genders
ID07211776

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

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

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
Not Eligible

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

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

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

Extension 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

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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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