A Safety and Tolerability Study of VRDN-001 in Persons with Thyroid Eye Disease (TED)

2023-507563-19-00 Protocol VRDN-001-303 Therapeutic confirmatory (Phase III) Ended

Start 5 Nov 2024 · End 20 Jan 2026 · Status Ended · 5 EU/EEA countries · 19 sites · Protocol VRDN-001-303

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 297
Countries 5
Sites 19

Thyroid eye disease

To confirm the safety and tolerability of VRDN-001 when given as 5 intravenous (IV) infusions of 10 mg/kg every three weeks in participants with TED of any duration.

Key facts

Sponsor
Viridian Therapeutics Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Eye Diseases [C11], Diseases [C] - Immune System Diseases [C20]
Trial duration
5 Nov 2024 → 20 Jan 2026
Decision date (initial)
2024-10-31
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Viridian Therapeutics, Inc.

External identifiers

EU CT number
2023-507563-19-00
WHO UTN
U1111-1299-4825
ClinicalTrials.gov
NCT06384547

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others, Safety, Dose response

To confirm the safety and tolerability of VRDN-001 when given as 5 intravenous (IV) infusions of 10 mg/kg every three weeks in participants with TED of any duration.

Conditions and MedDRA coding

Thyroid eye disease

VersionLevelCodeTermSystem organ class
20.1 PT 10060742 Endocrine ophthalmopathy 100000004853
23.1 LLT 10084358 Thyroid eye disease 100000004848

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Be an adult male or female participant, >18 to ≤75 years of age
  2. Have a clinical diagnosis of TED with or without proptosis and with any CAS (0 – 7) and in the opinion of the investigator may benefit from treatment
  3. If female, have a negative serum pregnancy test at screening and further negative urine tests immediately before each dose of study medication and following the last dose of study medication
  4. Be surgically sterile males for at least 6 weeks prior to the first dose of VRDN-001, or agree to use an acceptable method of contraception such as a condom and a second highly effective method of contraception

Exclusion criteria 10

  1. Have received prior treatment with another anti-IGF-1R therapy
  2. Have used systemic corticosteroids for any condition, including TED, or selenium within 2 weeks prior to the first dose of study medication (topical steroids including eye drops or multivitamins that contain selenium are permitted). Also exclusionary is periocular (including intraorbital) or intraocular administration of corticosteroids within 3 months prior to the first dose of study medication or having received greater than 3 periocular or intraocular corticosteroid injections at any time
  3. Have received other immunosuppressive agents, including rituximab, tocilizumab, secukimumab, satralizumab or anti-FcRn’s for any condition (including TED) within 8 weeks prior to the first dose of study medication or have received intraorbital administration of other such immunosuppressive agents at any time
  4. Have received any other therapy for TED within 8 weeks prior to the first dose of study medication (artificial tears are permitted)
  5. Have received an investigational agent for any condition within 8 weeks prior to the first dose of study medication
  6. Have had previous orbital irradiation or decompression surgery involving excision of fat for TED to the study eye’s orbit
  7. Have a pre-existing ophthalmic condition in the study eye which in the opinion of the Investigator, would confound interpretation of the study results
  8. Have abnormal baseline audiometry Pure Tone Average (PTA) assessment or history of significant (as determined by the Investigator) ear pathology, relevant ear surgery or hearing loss
  9. Have inflammatory bowel disease
  10. Be a pregnant or lactating woman

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Treatment Emergent Adverse Event (TEAE) incidence rate through Week 15

Secondary endpoints 2

  1. Change from baseline in proptosis in the study eye as measured by exophthalmometer at Week 15
  2. Treatment Emergent Adverse Event (TEAE) incidence rate through Week 52

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

VRDN-001 (Insulin-like growth factor-1 receptor [IGF-1R] inhibitor)

PRD10829291 · Product

Active substance
VRDN-001
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENIOUS INFUSION
Max daily dose
10 mg/kg milligram(s)/kilogram
Max total dose
50 mg/kg milligram(s)/kilogram
Max treatment duration
12 Week(s)
Authorisation status
Not Authorised
MA holder
VIRIDIAN THERAPEUTICS, INC.
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Viridian Therapeutics Inc.

Sponsor organisation
Viridian Therapeutics Inc.
Address
221 Crescent Street Suite 103a
City
Waltham
Postcode
02453-3425
Country
United States

Scientific contact point

Organisation
Viridian Therapeutics S.à.r.l.
Contact name
Chief Development Officer

Public contact point

Organisation
Viridian Therapeutics S.à.r.l.
Contact name
Chief Development Officer

Third parties 14

OrganisationCity, countryDuties
CluePoints INC
ORL-000002186
King of Prussia, United States Other
Medidata Solutions Inc.
ORG-100016256
New York, United States E-data capture
Xerimis B.V.
ORG-100033795
Rozenburg Nh, Netherlands Other
Scout Clinical
ORG-100042228
Dallas, United States Other
The Doctor's Laboratory
ORL-000009500
London, United Kingdom Laboratory analysis
Acm Global Central Laboratory (Singapore) Pte Ltd
ORG-100043849
Singapore, Singapore Laboratory analysis
WCG Clinical Inc.
ORG-100040730
Princeton, United States Other
Suvoda LLC
ORG-100043523
Conshohocken, United States Interactive response technologies (IRT)
Acm Global Central Laboratory Limited
ORG-100042459
York, United Kingdom Laboratory analysis
Parexel International (IRL) Limited
ORG-100022780
Dublin 8, Ireland On site monitoring, Code 11, Code 12, Code 13, Code 2, Code 5, Data management, Code 8
HearX SA (PTY) LTD
ORL-000003765
Pretoria, South Africa Other
Kcas LLC
ORG-100043073
Olathe, United States Other
Acm Medical Laboratory Inc.
ORG-100042792
Rochester, United States Laboratory analysis
Leapcure Inc.
ORL-000003865
Redwood City, CA, United States Other

Locations

5 EU/EEA countries · 19 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ended 25 4
Germany Ended 40 3
Netherlands Ended 5 1
Poland Ended 25 5
Spain Ended 60 6
Rest of world
Australia, United Kingdom, United States
142

Investigational sites

France

4 sites · Ended
Centre Hospitalier Universitaire De Nice
1505:Ophtalmologie, 30 Voie Romaine, 06000, Nice
Assistance Publique Hopitaux De Paris
1512:Service des Pathologies Thyroidiennes - Tumeurs Endocrines, Num Voie 47 A 83, 47 Boulevard De L Hopital, Paris
Centre Hospitalier Regional D'Angers
1502:Service Endocrinologie, Diabetologie et Nutrition, 4 Rue Larrey, 49100, Angers
Quinze-Vingts National Ophthalmology Hospital
1509:Medecine Interne, 28 Rue De Charenton, 75012, Paris

Germany

3 sites · Ended
Buergerhospital und Clementine Kinderhospital gGmbH
1607:Augenklinik, Nibelungenallee 37-41, Nordend-West, Frankfurt Am Main
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz KöR
1605:Endokrinologie & Stoffwechselerkranknugen, Langenbeckstrasse 1, Oberstadt, Mainz
Universitaetsmedizin Goettingen
1602:Klinik für Augenheilkunde, Robert-Koch-Strasse 40, Weende, Goettingen

Netherlands

1 site · Ended
Stichting Amsterdam UMC
2801:Ophthalmology, Meibergdreef 9, 1105 AZ, Amsterdam

Poland

5 sites · Ended
4 Wojskowy Szpital Kliniczny Z Poliklinika Samodzielny Publiczny Zaklad Opieki Zdrowotnej We Wroclawiu
2207: Klinika Okulistyki, Ul. Rudolfa Weigla 5, 53-114, Wroclaw
Santa Sp. z o.o.
2208: Ophthalmology, Pilota Stanislawa Wigury 19, 90-302, Lodz
Oculomedica Sp. z o.o.
2205: Ophthalmology, Gorzyskowo 14, 85-157, Bydgoszcz
Panstwowy Instytut Medyczny Ministerstwa Spraw Wewnetrznych I Administracji
2211: Klinika Chorob Wewnetrznych, Endokrynologii i Diabetologii, Oddział Okulistyki, Ul. Woloska 137, 02-507, Warsaw
NZOZ E-Vita
2206: Ophthalmology, ul. Sw. Rocha 12A, 15-879, Bialystok

Spain

6 sites · Ended
Metavision Arruzafa S.L.
UC-1597043: Oftalmología, Avenida De La Arruzafa 9, 14012, Cordoba
Hospital Universitario Ramon Y Cajal
UC-1593040: Oftamología, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Hospital Universitario Y Politecnico La Fe
UC-1591039: Oftalmología, Avenida De Fernando Abril Martorell 106, 46026, Valencia
Complexo Hospitalario Universitario De Santiago
UC-1598041: Oftalmología, Calle Choupana Da S/n, 15706, Santiago De Compostela
Hospital Universitario Miguel Servet
UC-1593042: Oftalmología, Paseo De Isabel La Catolica 1-3, 50009, Zaragoza
Hospital Universitario Virgen De La Macarena
UC-1591038: Oftalmología, Avenida Del Doctor Fedriani 3, 41009, Sevilla

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2024-11-21 2026-01-06 2024-11-25 2024-12-16
Germany 2024-11-20 2026-01-15 2024-11-27 2024-12-20
Poland 2024-11-08 2026-01-12 2024-12-03 2024-12-18
Spain 2024-11-05 2026-01-19 2024-11-14 2024-12-18

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 45 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol Amendment Administrative Changes Main English VRDN-001-303 Public 1.0
Protocol (for publication) D1_Protocol Main English VRDN-001-303_2023-507563-19-00 Public 4.2
Protocol (for publication) D1_Protocol SoC Main English VRDN-001-303 4.2
Recruitment arrangements (for publication) K1_DEU Recruitment Brochure German VRDN-001-303_Public 2.0
Recruitment arrangements (for publication) K1_DEU Recruitment Flyer about the study German VRDN-001-303_Public 2.0
Recruitment arrangements (for publication) K1_DEU Recruitment Flyer who can participate German VRDN-001-303_Public 2.0
Recruitment arrangements (for publication) K1_DEU Recruitment Poster German VRDN-001-303_Public 2.0
Recruitment arrangements (for publication) K1_DEU Recruitment Procedure Description English VRDN-001-303_Public 1.0
Recruitment arrangements (for publication) K1_ESP Recruitment Brochure Spanish VRDN-001-303 Public 3.0
Recruitment arrangements (for publication) K1_ESP Recruitment Flyer about the study Spanish VRDN-001-303 Public 2.0
Recruitment arrangements (for publication) K1_ESP Recruitment Flyer who can participate Spanish VRDN-001-303 Public 2.0
Recruitment arrangements (for publication) K1_ESP Recruitment Poster Spanish VRDN-001-303 Public 2.0
Recruitment arrangements (for publication) K1_ESP Recruitment Procedure Description English VRDN-001-303 Public 1.0
Recruitment arrangements (for publication) K1_FRA Recruitment Brochure French VRDN-001-303 Public 2.0
Recruitment arrangements (for publication) K1_FRA Recruitment Flyer About the study French VRDN-001-303 Public 2.0
Recruitment arrangements (for publication) K1_FRA Recruitment Flyer Who can participate French VRDN-001-303 Public 2.0
Recruitment arrangements (for publication) K1_FRA Recruitment Poster French VRDN-001-303 Public 2.0
Recruitment arrangements (for publication) K1_FRA Recruitment Procedure Description French VRDN-001-303 Public 1.0
Recruitment arrangements (for publication) K1_NLD Recruitment Procedure Description English VRDN-001-303_Public 2.0
Recruitment arrangements (for publication) K1_POL Recruitment Brochure Polish VRDN-001-303 Public 2.0
Recruitment arrangements (for publication) K1_POL Recruitment Flyer_about the study Polish VRDN-001-303 Public 2.0
Recruitment arrangements (for publication) K1_POL Recruitment Flyer_who can participate Polish VRDN-001-303 Public 2.0
Recruitment arrangements (for publication) K1_POL Recruitment Poster Polish VRDN-001-303 Public 2.0
Recruitment arrangements (for publication) K1_POL Recruitment Procedure Description Polish-English VRDN-001-303 Public 1.0
Recruitment arrangements (for publication) K2_NLD Recruitment Brochure Dutch VRDN-001-303_Public 2.0
Recruitment arrangements (for publication) K2_NLD Recruitment Flyer About the Study Dutch VRDN-001-303_Public 2.0
Recruitment arrangements (for publication) K2_NLD Recruitment Flyer Who can participate Dutch VRDN-001-303_Public 2.0
Recruitment arrangements (for publication) K2_NLD Recruitment Poster Dutch VRDN-001-303_Public 2.0
Subject information and informed consent form (for publication) L1_DEU Country ICF Main German VRDN-001-303_Public 1.1
Subject information and informed consent form (for publication) L1_DEU Country ICF Other Pregnant Particip Partner German VRDN-001-303_Public 1.1
Subject information and informed consent form (for publication) L1_DEU Country ICF Procedure English VRDN-001-303_Public 1.0
Subject information and informed consent form (for publication) L1_ESP Country ICF Main Spanish VRDN-001-303 Public 1.1
Subject information and informed consent form (for publication) L1_ESP Country ICF Other Pregnancy ICF Spanish VRDN-001-303 Public 1.1
Subject information and informed consent form (for publication) L1_FRA Country ICF Main French VRDN-001-303 Public 1.1
Subject information and informed consent form (for publication) L1_FRA Country ICF Other Pregnancy French VRDN-001-303 Public 1.1
Subject information and informed consent form (for publication) L1_NLD Country ICF Main Dutch VRDN-001-303_Public 1.1
Subject information and informed consent form (for publication) L1_NLD Country ICF Other Pregnant Partner Dutch VRDN-001-303_Public 1.1
Subject information and informed consent form (for publication) L1_NLD Country ICF Other Pregnant Subject Dutch VRDN-001-303_Public 1.1
Subject information and informed consent form (for publication) L1_POL Country ICF Main Polish VRDN-001-303 Public 1.0
Subject information and informed consent form (for publication) L1_POL Country ICF Other Pregnant Partner Polish VRDN-001-303 Public 1.0
Synopsis of the protocol (for publication) D1_ESP Lay Protocol Synopsis Main Spanish VRDN-001-303_2023-507563-19-00 Public 1.0
Synopsis of the protocol (for publication) D1_FRA Lay Protocol Synopsis Main French VRDN-001-303_2023-507563-19-00 Public 1.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis Main English VRDN-001-303_2023-507563-19-00 Public 4.0
Synopsis of the protocol (for publication) D1_NLD Lay Protocol Synopsis Main Dutch VRDN-001-303_2023-507563-19-00 Public 1.0
Synopsis of the protocol (for publication) D1_POL Lay Protocol Synopsis Main Polish VRDN-001-303_2023-507563-19-00 Public 1.0

Application history

10 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-16 Spain Acceptable
2024-10-28
2024-10-28
2 SUBSTANTIAL MODIFICATION SM-1 2024-11-14
3 SUBSTANTIAL MODIFICATION SM-2 2024-11-14 Acceptable 2024-12-20
4 SUBSTANTIAL MODIFICATION SM-3 2024-11-15 2025-01-13
5 SUBSTANTIAL MODIFICATION SM-5 2024-11-19 Acceptable 2024-12-05
6 SUBSTANTIAL MODIFICATION SM-4 2024-11-25 Spain Acceptable 2025-01-13
7 SUBSTANTIAL MODIFICATION SM-6 2025-02-20 Spain Acceptable
2025-03-03
2025-03-03
8 SUBSTANTIAL MODIFICATION SM-7 2025-04-25 Spain Acceptable 2025-05-22
9 NON SUBSTANTIAL MODIFICATION NSM-1 2025-05-28 Spain Acceptable 2025-05-28
10 SUBSTANTIAL MODIFICATION SM-8 2025-10-22 Acceptable 2025-12-02