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Veligrotug

Phase 3FDA approved

Thyroid Eye Disease | Small molecule | Endocrine |Viridian Therapeutics, Inc.|Trials Updated: Aug 14, 2026

Veligrotug development status

FDA approval on record Jun 26, 2026
Highest phase Phase 3
Registered trials 4 across 1 sponsor since Jan 2022

Veligrotug target and mechanism

Molecular targetIGF1R
Target classAntagonist
ModalitySmall molecule

Also known as VRDN-001

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment671

FDA Designations

BREAKTHROUGH_THERAPYPRIORITY_REVIEW

Veligrotug clinical trials

Veligrotug · 4 trials · 1 indication

Phase 3 4
NCT06384547A Randomized, Controlled, Safety and Tolerability Study of VRDN-001 in Participants With Thyroid Eye Disease (TED)Thyroid Eye Disease
COMPLETED231 Analytics
NCT06179875An Open-label Study (OLE) for Non-responders of VRDN-001-101 and VRDN-001-301Thyroid Eye Disease
COMPLETED139 Analytics
NCT06021054An Efficacy, Safety, and Tolerability Study of Veligrotug (VRDN-001), in Participants With Chronic Thyroid Eye Disease (TED)Thyroid Eye Disease
COMPLETED188 Analytics
NCT05176639A Safety, Tolerability, and Efficacy Study of Veligrotug (VRDN 001) in Participants With Thyroid Eye Disease (TED)Thyroid Eye Disease
COMPLETED113 Analytics
PHASE3COMPLETED
A Randomized, Controlled, Safety and Tolerability Study of VRDN-001 in Participants With Thyroid Eye Disease (TED)
Thyroid Eye DiseaseUnlock trial analytics
PHASE3COMPLETED
An Open-label Study (OLE) for Non-responders of VRDN-001-101 and VRDN-001-301
Thyroid Eye DiseaseUnlock trial analytics
PHASE3COMPLETED
An Efficacy, Safety, and Tolerability Study of Veligrotug (VRDN-001), in Participants With Chronic Thyroid Eye Disease (TED)
Thyroid Eye DiseaseUnlock trial analytics
PHASE3COMPLETED
A Safety, Tolerability, and Efficacy Study of Veligrotug (VRDN 001) in Participants With Thyroid Eye Disease (TED)
Thyroid Eye DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment-emergent Adverse Events (TEAEs) Through Week 15
Baseline through Week 15

An adverse event (AE) was defined as any untoward medical occurrence that developed or worsened in severity during the conduct of a clinical study and did not necessarily have a causal relationship to study drug. TEAE was defined as an AE occurring on or after the day of the first dose of study medication through the end of the study. A summary of all Serious Adverse Events (SAEs) and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.

Proptosis Responder Rate (PRR) in the Most Proptotic Eye as Measured by Exophthalmometer
Baseline to Week 15

Proptosis response in the most proptotic eye was defined as a reduction of proptosis of ≥2 millimeters (mm) from baseline in the most proptotic eye (without a corresponding increase of ≥2 mm in the other eye) as measured by exophthalmometer. Missing data were not imputed.

Proptosis Responder Rate (PRR) in the Study Eye As Measured by Exophthalmometer
Baseline to Week 15

Proptosis responder in the study eye was defined as a reduction of proptosis of ≥2 millimeters (mm) from baseline in the study eye (without a corresponding increase of ≥2 mm in the fellow eye) as measured by exophthalmometer. Missing data were imputed with the Multiple Imputation method.

Secondary Endpoints

Change From Baseline in Proptosis in the Study Eye as Measured by Exophthalmometer
Baseline, Week 15
Number of Participants With TEAEs Through Week 52
Baseline through Week 52
Change From Baseline in Proptosis in the Most Proptotic Eye as Measured by Exophthalmometer
Baseline, Week 15
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Veligrotug 10 mg/kgEXPERIMENTALParticipants will receive 5 intravenous (IV) infusions of veligrotug 10 milligrams (mg)/kilogram (kg) at 3-week intervals for 12 weeks.
Veligrotug 3 mg/kgEXPERIMENTALParticipants will receive 5 IV infusions of veligrotug 3 mg/kg at 3-week intervals for 12 weeks.
Veligrotug/VeligrotugEXPERIMENTALNon-responder participants who received veligrotug in the parent Study VRDN-001-101 or VRDN-001-301 will receive veligrotug 10 milligrams (mg)/kilogram (kg) every 3 weeks (Q3W) for 12 weeks.
Placebo/VeligrotugEXPERIMENTALNon-responder participants who received placebo in the parent Study VRDN-001-101 or VRDN-001-301 will receive veligrotug 10 mg/kg Q3W for 12 weeks.
VeligrotugEXPERIMENTALParticipants will receive veligrotug 10 mg/kg as an intravenous (IV) infusion every 3 weeks (Q3W) for 12 weeks.
PlaceboEXPERIMENTALParticipants will receive placebo matched to veligrotug as an IV infusion Q3W for 12 weeks.

Interventions

NameTypeDescription
VeligrotugDRUG5 infusions of veligrotug
PlaceboDRUG5 IV Infusions of veligrotug matched placebo
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites50

Inclusion Criteria: * Have a clinical diagnosis of TED with or without proptosis and with any clinical activity score (CAS) (0 - 7) and in the opinion of the investigator may benefit from treatment * Must agree to use highly effective contraception method as specified in the protocol * Female TED p...

Countries:United StatesAustraliaFranceGermanyPolandSpainUnited KingdomNetherlandsTurkey (Türkiye)Hungary
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Recent Changes (Last 90 Days)

MEDIUMSep 14, 2026NCT06179875TRIAL_REMOVED: changed
MEDIUMSep 13, 2026NCT05176639TRIAL_REMOVED: changed
MEDIUMSep 13, 2026NCT06384547TRIAL_REMOVED: changed
MEDIUMSep 13, 2026NCT06021054TRIAL_REMOVED: changed
MEDIUMSep 13, 2026NCT05176639TRIAL_REMOVED: changed
MEDIUMSep 13, 2026NCT06384547TRIAL_REMOVED: changed
MEDIUMSep 13, 2026NCT06021054TRIAL_REMOVED: changed

Frequently asked questions about Veligrotug

What is Veligrotug used for?

Veligrotug is an investigational therapy being developed for the treatment of thyroid eye disease (TED), an autoimmune condition affecting the tissues around the eyes. It is not yet approved for any indication and remains in clinical development. The clinical program has enrolled adults 18 years and older with TED across multiple countries.

What does Veligrotug target?

Veligrotug targets the insulin-like growth factor 1 receptor, or IGF1R. It acts as an antagonist, meaning it blocks signaling through this receptor. IGF1R is implicated in the inflammation and tissue expansion that occur in thyroid eye disease, and antagonizing it is the intended mechanism of action for Veligrotug in this condition.

Who is developing Veligrotug?

Veligrotug is being developed by Viridian Therapeutics, Inc., which trades under the ticker VRDN. The company is the sponsor of the clinical program evaluating the drug in thyroid eye disease. Viridian Therapeutics has advanced Veligrotug into Phase 3 development for this indication.

What phase is Veligrotug in?

Veligrotug is in Phase 3 clinical development for thyroid eye disease. It is an investigational drug and has not been approved by the FDA for any use. The Phase 3 program includes four completed trials with a total enrollment of 671 participants, all randomized, double-blind, and placebo-controlled.

What clinical trials is Veligrotug in?

Veligrotug has been evaluated in four completed Phase 3 trials in thyroid eye disease: NCT06384547, NCT06179875, NCT06021054, and NCT05176639. These studies enrolled a combined 671 participants across sites in the United States, Europe, Australia, and Turkey, and all trials have completed their planned enrollment and follow-up.

Does Veligrotug have FDA designations?

Veligrotug has received Breakthrough Therapy and Priority Review designations from the FDA for thyroid eye disease. These designations are intended to expedite the development and review of drugs that may offer significant improvements over existing therapies. Veligrotug remains investigational and is not approved for commercial use.