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Teprotumumab

Phase 3

Thyroid Eye Disease | Monoclonal antibody | Endocrine |Amgen Inc.|Last Updated: Jan 28, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment239
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06248619A Trial to Investigate Teprotumumab Subcutaneous Administration Compared With Placebo in Male and Female Adult Participants With Moderate-to-severe Active Thyroid Eye DiseasePHASE3 ACTIVE NOT_RECRUITING 89Jul 5, 2024Sep 2, 2026Jan 28, 202638 United States, Argentina +9
NCT03461211Treatment of Graves' Orbitopathy to Reduce Proptosis With Teprotumumab Infusions in an Open-Label Clinical Extension StudyPHASE3 COMPLETED 51Apr 16, 2018Feb 17, 2021Jun 28, 202413 United States, Germany +1
NCT03298867Treatment of Graves' Orbitopathy (Thyroid Eye Disease) to Reduce Proptosis With Teprotumumab Infusions in a Randomized, Placebo-Controlled, Clinical StudyPHASE3 COMPLETED 83Oct 4, 2017Nov 30, 2020Jul 11, 202414 United States, Germany +1
NCT06389578A Study of TEPEZZA® Treatment in Participants With Thyroid Eye DiseasePHASE1 COMPLETED 16Jul 14, 2022Sep 12, 2023Jun 21, 20243 United States
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Study Endpoints
Primary Endpoints
Proptosis responder rate (percentage of participants with a ≥ 2-mm reduction from baseline in proptosis in the study eye without deterioration [≥ 2-mm increase] of proptosis in the fellow eye).
Week 24
Percentage of Participants With a ≥ 2 mm Reduction From Baseline in the Study Eye Without Deterioration of Proptosis in the Fellow Eye at Week 24
Baseline, Week 24

Proptosis responders were defined as participants with a ≥ 2 mm reduction from study baseline in proptosis in the study eye, without deterioration (≥ 2 mm increase) of proptosis in the fellow eye at Week 24. Participants missing Week 24 values were considered non-responders, aside from those with missing data related to the COVID-19 pandemic.

Percentage of Participants Who Were Proptosis Responders at Week 24
Week 24

Proptosis responders were defined as participants with a ≥2 mm reduction from Baseline in proptosis in the study eye, without deterioration (≥2 mm increase) of proptosis in the fellow eye at Week 24.

Pharmacokinetics (PK): Area Under the Curve (AUC) of Teprotumumab
Pre dose through Week 6

AUC will be evaluated from the collected PK samples.

PK: Maximum Serum Concentration (Cmax) of Teprotumumab
Pre dose through Week 6

Cmax will be evaluated from the collected PK samples.

Number of Participants With Adverse Events (AE)
Up to Week 6

An AE is any untoward medical occurrence in a participant or clinical investigation subject administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can, therefore, be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom or disease temporally associated with the use of a medicinal (investigational) product, whether or not considered related to the medicinal (investigational) product.

Secondary Endpoints
Mean change from Baseline in proptosis measurement in the study eye
Week 24
Overall responder rate (percentage of participants with ≥ 2-point reduction in CAS AND ≥ 2-mm reduction in proptosis from Baseline, provided there is no corresponding deterioration [≥ 2-point/mm increase] in CAS or proptosis in the fellow eye)
Week 24
Percentage of participants with a CAS value of 0 or 1
Week 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
TeprotumumabEXPERIMENTALTeprotumumab administered SC
PlaceboPLACEBO_COMPARATORPlacebo for teprotumumab administered SC
Teprotumumab 20 mg/kgACTIVE_COMPARATORApproximately 38 participants will receive 8 infusions of teprotumumab q3W for a total of 21 weeks. Teprotumumab 10 mg/kg will be administered on Day 1 and teprotumumab 20 mg/kg will be administered q3W for the remaining 7 infusions.
Cohort 1EXPERIMENTALParticipants will receive a single dose of lyophilized teprotumumab by subcutaneous (SC) administration on Day 1 followed by intravenous (IV) infusions of teprotumumab at the approved dosing regimen.
Cohort 2EXPERIMENTALParticipants will receive a single high concentration formulation teprotumumab by SC administration on Day 1 followed by IV infusions of teprotumumab at the approved dosing regimen.
Interventions
NameTypeDescription
TeprotumumabBIOLOGICALSC injection
PlaceboOTHERSC injection
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Eligibility Criteria
Age Range18 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites38

Inclusion Criteria: 1. Participant must provide written informed consent. 2. Participant can be male or female and must be between the ages of 18 and 80 years, inclusive, at Screening. 3. Participant must have a clinical diagnosis of Graves' disease associated with active TED with a CAS ≥ 3 (on the...

Countries:United StatesArgentinaAustraliaCanadaFranceGermanyItalyJapanSpainTaiwanUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06248619primaryCompletionDate: changed
LOWMay 24, 2026NCT06248619studyFirstPostDate: changed