A Study to Evaluate the Efficacy and Safety of LASN01 in Patients with Thyroid Eye Disease

2023-508161-32-00 Protocol LASN01-CL-2201 Therapeutic exploratory (Phase II) Ended

Start 28 Mar 2024 · End 22 Apr 2025 · Status Ended · 2 EU/EEA countries · 5 sites · Protocol LASN01-CL-2201

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 24
Countries 2
Sites 5

Thyroid Eye Disease

The primary objectives of this study are to evaluate the safety and efficacy of 2 dose levels of LASN01 administered IV in patients with thyroid eye disease (TED).

Key facts

Sponsor
Lassen Therapeutics 1 Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Eye Diseases [C11]
Trial duration
28 Mar 2024 → 22 Apr 2025
Decision date (initial)
2024-03-01
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
No

External identifiers

EU CT number
2023-508161-32-00
ClinicalTrials.gov
NCT06226545

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Efficacy, Pharmacodynamic, Therapy, Safety

The primary objectives of this study are to evaluate the safety and efficacy of 2 dose levels of LASN01 administered IV in patients with thyroid eye disease (TED).

Secondary objectives 1

  1. To assess changes in TED-related clinical parameters following IV administration of LASN01 (low or high dose) in patients with TED

Conditions and MedDRA coding

Thyroid Eye Disease

Study design 3 periods

#TitleAllocationBlindingRoles blindedArms
1 Screening Period
After signing the ICF, patients will undergo tests to determine if they are eligible for the study. The tests done for screening may be conducted across multiple days to accommodate the patient and scheduling needs. The screening period will last up to 30 days before Day 1 of the study.
Not Applicable None
2 Treatment Period
Evaluable patients with TED will be enrolled in 3 treatment arms. Patients will be randomized centrally by IRT upon enrollment into the study, to receive LASN01 in either a high-dose or low-dose treatment arm or to a placebo. Patients will attend several clinic visits until the EOS visit.
Randomised Controlled Double [{"id":119811,"code":3,"name":"Monitor"},{"id":119813,"code":1,"name":"Subject"},{"id":119812,"code":2,"name":"Investigator"}] Low-dose LASN01: Drug: LASN01
Low dose of LASN01 will be administered intravenously.
High-dose LASN01: Drug: LASN01
High dose of LASN01 will be administered intravenously.
Placebo Comparator: Placebo: Drug: Placebo
Placebo will be administered intravenously.
3 Follow Up
Once patients have stopped the study medication they will be asked to come to the clinic (or via telephone) to review and discuss all medications they are taking (including any changes since their last visit), as well as to discuss their general health.
Not Applicable None

Regulatory references

Scientific advice from competent authorities
Medicines And Healthcare Products Regulatory Agency
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Male or female patients ≥18 years of age at the time of Screening
  2. Clinical diagnosis of Graves’ disease associated with active TED
  3. Moderate-to-severe active TED
  4. Less than 15 months from day 1 of TED symptoms
  5. No previous: ● Medical treatment for TED, with the exception of: local supportive measures; mycophenolate, and oral or injectable steroids; immunomodulating therapies ● surgical treatment in the study eye ● any history of orbital radiation● any history of orbital surgery in the study eye
  6. Female patients must be nonpregnant, nonlactating, surgically sterile for ≥6 months, or agree to use a highly effective method of contraception. Males must be surgically sterile or agree to use a highly effective method of contraception.

Exclusion criteria 8

  1. Patients with 2 mm proptosis decrease between Screening and day 1, or a 1-point decrease on the CAS 7-point scale between during the Screening and Day 1
  2. Patients with a known decreased best corrected visual acuity due to optic neuropathy as defined by a decrease in vision of 3 lines on the ETDRS chart (or equivalent), new visual field defect, or color defect secondary to optic nerve involvement within the last 6 months before Screening; or any known optic neuropathy or compression or any neurologic or neuro-ophthalmologic condition that may result in visual field loss
  3. Previous or any planned orbital irradiation/radiotherapy or planned orbital surgery for TED during the study period (ie, treatment and FU)
  4. Use of oral and/or IV corticosteroid for conditions other than TED <6 weeks before day 1 (topical steroids for conditions other than TED are allowed)
  5. Active autoimmune disorder(s) requiring or likely to require treatment (other than Grave’s disease and TED) that would interfere with study assessments, as determined by the PI or designee
  6. Previous use of an anti-IGF-1R targeted treatment at any time
  7. Use of selenium within 3 weeks before day 1 or expected use during the clinical trial (multivitamins that include selenium are allowed in usual doses)
  8. Use or expected use of biotin (including multivitamins that include biotin) within 2 days before any laboratory collection

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Efficacy: To assess changes in proptosis in the study eye compared to baseline as assessed by Exophthalmometer
  2. Safety: To assess the safety and tolerability of LASN01 compared with placebo in patients with TED as assessed by changes in adverse events, concomitant medications, clinical laboratory evaluations, vital signs, ECGs, and physical examinations

Secondary endpoints 7

  1. Changes in TED-related clinical parameters (proptosis, CAS, lid retraction, lid aperture, lagophthalmos, Von Graefe’s sign, and diplopia) in the study eye compared to baseline
  2. PK parameter assessed by serum LASN01 concentration at specified timepoints for maximum plasma concentration (Cmax)
  3. PK parameter assessed by serum LASN01 concentration at specified timepoints for time to peak concentration (Tmax)
  4. PK parameter assessed by serum LASN01 concentration at specified timepoints for area under curve (AUC)
  5. PK parameter assessed by serum LASN01 concentration at specified timepoints for clearance volume (CL)
  6. PK parameter assessed by serum LASN01 concentration at specified timepoints for terminal phase volume (Vz)
  7. PK parameter assessed by serum LASN01 concentration at specified timepoints for half-life (t1/2)

Investigational products

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

Test 1

LASN01

PRD10859839 · Product

Active substance
LASN01
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENIOUS INFUSION
Max daily dose
600 mg milligram(s)
Max total dose
7800 mg milligram(s)
Max treatment duration
48 Week(s)
Authorisation status
Not Authorised
MA holder
LASSEN THERAPEUTICS 1 INC.
Paediatric formulation
No
Orphan designation
No

Placebo 1

Sodium Chloride 0.9% Intravenous Infusion BP

PRD382062 · Product

Active substance
Sodium Chloride
Substance synonyms
SODIUM CHLORID, SODIUM CHLORIDE (FOR PH ADJUSTMENT)
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
60 ml millilitre(s)
Max total dose
780 ml millilitre(s)
Max treatment duration
48 Week(s)
Authorisation status
Authorised
ATC code
B05XX — OTHER I.V. SOLUTION ADDITIVES
Marketing authorisation
PL 00116/0334
MA holder
BAXTER HEALTHCARE LTD.
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 1

Water for Injections BP.

PRD301329 · Product

Active substance
Water for Injection
Pharmaceutical form
INJECTION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
600 mg milligram(s)
Max total dose
7800 mg milligram(s)
Max treatment duration
48 Week(s)
Authorisation status
Authorised
ATC code
V07AB — SOLVENTS AND DILUTING AGENTS, INCL. IRRIGATING SOLUTIONS
Marketing authorisation
PL01502/0003R
MA holder
HAMELN PHARMA LTD
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Lassen Therapeutics 1 Inc.

Sponsor organisation
Lassen Therapeutics 1 Inc.
Address
5510 Morehouse Drive
City
San Diego
Postcode
92121-3788
Country
United States

Scientific contact point

Organisation
Lassen Therapeutics 1 Inc.
Contact name
Maria Fardis

Public contact point

Organisation
Lassen Therapeutics 1 Inc.
Contact name
Maria Fardis

Locations

2 EU/EEA countries · 5 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ended 4 2
Spain Ended 7 3
Rest of world
United Kingdom, United States
13

Investigational sites

Germany

2 sites · Ended
Universitaetsklinikum Essen AöR
Ophthalmology, Hufelandstrasse 55, Holsterhausen, Essen
Universitaetsklinikum Tuebingen AöR
Ophthalmology, Elfriede-Aulhorn-Strasse 7, Nordstadt, Tuebingen

Spain

3 sites · Ended
Hospital Universitario Virgen De La Macarena
Ophthalmology, Avenida Del Doctor Fedriani 3, 41009, Sevilla
Hospital Universitario Ramon Y Cajal
Ophthalmology, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Clinica De Oftalmologia De Cordoba S.L.
Ophthalmology, Avenida De La Arruzafa 9, 14012, Cordoba

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2024-07-09
Spain 2024-03-28 2024-05-02 2024-09-01

Results and documents

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

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
Justification for extension to submit summary of study result_21Aug2025
SUM-95136
2025-08-22T17:18:12 Submitted Summary of Results
LASN01-CL-2201_Full CSR
SUM-119861
2026-02-18T11:46:36 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Justification for request for extension to submit summary of study results 2025-08-22T17:18:23 Submitted Laypersons Summary of Results
LASN01-CL-2201 Lay summary of result 2026-02-18T11:46:56 Submitted Laypersons Summary of Results

Documents 11 files

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

TypeTitleVersion
Laypersons summary of results (for publication) LASN01-CL-2201_Laypersons Summary of Results - final_v1_12Jan2026 1.0
Laypersons summary of results (for publication) LASN01-CL-2201_Request for Extension to Submit Summary of Study Results_21Aug2025 N/A
Protocol (for publication) D1_Protocol_2023-508161-32-00_redacted 7.1
Recruitment arrangements (for publication) K1 and K2_Recruitment materials and procedures_redacted n/a
Subject information and informed consent form (for publication) L1_ SIS and ICF_Main_redacted 7.0.0
Subject information and informed consent form (for publication) L1_ SIS and ICF_Pregnant Partner_redacted 1.1.0
Summary of results (for publication) LASN01-CL-2201 Full CSR V1_18SEP2025_Redacted 1.0
Summary of results (for publication) LASN01-CL-2201_Request for Extension to Submit Summary of Study Results_21Aug2025 N/A
Synopsis of the protocol (for publication) D1_Protocol Synopsis_DE 2023-508161-32-00_redacted 5.3
Synopsis of the protocol (for publication) D1_Protocol Synopsis_ENG 2023-508161-32-00_redacted 7.1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_ES 2023-508161-32-00_redacted 7.1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-10-30 Germany Acceptable
2024-03-01
2024-03-01
2 SUBSTANTIAL MODIFICATION SM-1 2024-03-19 Germany Acceptable 2024-04-18
3 SUBSTANTIAL MODIFICATION SM-2 2024-04-30 Germany Acceptable
2024-07-22
2024-07-23
4 SUBSTANTIAL MODIFICATION SM-3 2024-09-04 Acceptable
2024-11-25
2024-11-29
5 SUBSTANTIAL MODIFICATION SM-4 2024-12-12 Acceptable
2025-03-17
2025-03-18
6 SUBSTANTIAL MODIFICATION SM-5 2025-04-07 Acceptable 2025-04-11