An Open-label Extension Study for Participants who Completed Study IMVT-1401-3203 - Assess the Efficacy and Safety of Batoclimab for the Treatment of Thyroid Eye Disease (TED).
Recipient organisationNIHR Moorfields Biomedical Research Centre
NIHR supportRecorded as supported by this research centre
PeriodFeb 2025 — May 2025
In plain English
AI plain-English summary
A drug that strips away disease-causing antibodies is being tested in people with thyroid eye disease to see if it can prevent them from needing surgery. Thyroid eye disease pushes the eyes forward, causing pain, double vision, and sometimes blindness. Current treatments offer only short-term relief, and there are no approved therapies that safely control the underlying immune attack over months or years. Batoclimab works by blocking a receptor that IgG antibodies need to survive, lowering their levels in the blood. Since IgG antibodies are thought to drive the inflammation behind the eyes, reducing them could halt disease progression. This extension study follows patients from an earlier trial. One group tracks whether those who initially responded to batoclimab maintain their improvement over six months. Another tests whether non-responders can still benefit from a longer course of treatment over seven months. If batoclimab proves safe and effective, it could become the first drug to reliably suppress thyroid eye disease without resorting to surgery, offering patients a medical alternative to correct their vision and appearance.
View original technical description
Thyroid Eye Disease (TED) is a rare autoimmune disorder in which the eye muscles, eyelids, tear glands and fatty tissues behind the eye become inflamed. This can cause the eyes and eyelids to become red, swollen, and the eyes can be pushed forward. For most, the same autoimmune condition that causes TED also results in Graves’ disease (GD). The current treatment options available for active, moderate or severe disease can give short-term relief. There is unmet need for treatments with an optimal safety profile and long-term benefits. GD is typically characterised by the presence of autoantibodies (antibodies that mistakenly target and react with a person’s own tissues/organs). Studies have also indicated that a type of antibody called IgG, which activates a receptor called IGF-1R in patients with GD, may contribute to TED. Batoclimab works by binding to a receptor that IgG antibodies usually bind to, causing the levels of IgG to be reduced in the body. The aim of treatment with Batoclimab is to decrease disease-causing antibody levels quickly and reliably, and then to maintain low levels, which should reduce the symptoms of TED and prevent progression to more serious complications that could require surgical intervention. This study is an extension of IMVT-1401-3201 and has 2 cohorts – an observation cohort (OC) and a treatment cohort (TC). The purpose of the OC is to measure how the efficacy of batoclimab continues in those who had a positive response to it in the previous study. The purpose of the TC is see if batoclimab is safe and improves TED symptoms for those who were classified as a non-responder in the previous study. Participation in the OC will last about 6 months, and in the TC about 7 months.
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