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ZL-1109

Phase 3

Thyroid Eye Disease (TED) | Small molecule | Endocrine |Zai Lab Limited|Trials Updated: Sep 9, 2026

ZL-1109 target and mechanism

Molecular targetIGF-1R
ModalitySmall molecule

Also known as ZL-1109 (VRDN-003)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment108

FDA Designations

No designations recorded

ZL-1109 clinical trials

ZL-1109 · 1 trial · 1 indication

Phase 3 1
NCT07211776A Study to Assess the Efficacy and Safety of ZL-1109 in Chinese Participants With Active Thyroid Eye DiseaseThyroid Eye Disease (TED)
ACTIVE NOT_RECRUITING108 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Assess the Efficacy and Safety of ZL-1109 in Chinese Participants With Active Thyroid Eye Disease
Thyroid Eye Disease (TED)Unlock trial analytics

Study Endpoints

Primary Endpoints

Proptosis Responder Rate in the study eye
At Week 24

Proportion of participants with a ≥2 mm reduction from baseline in proptosis in the study eye \[without a corresponding increase of ≥2 mm in the fellow eye\]

Secondary Endpoints

Change from baseline in proptosis in the study eye
At Week 24
Overall Responder Rate in the study eye
At Week 24
Change from baseline in Clinical Activity Score (CAS) in the study eye
At Week 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Randomized controlled period: ZL-1109 every 4 weeksEXPERIMENTALParticipants will receive ZL-1109 per protocol defined dosing regimen.
Randomized controlled period: ZL-1109 every 8 weeksEXPERIMENTALParticipants will receive ZL-1109 and placebo per protocol defined dosing regimen.
Randomized controlled period: Placebo every 4 weeksPLACEBO_COMPARATORParticipants will receive placebo per protocol defined dosing regimen.
OLE treatment period: ZL-1109 every 4 weeksOTHERParticipants who not responded would receive ZL-1109 per protocol defined dosing regimen.

Interventions

NameTypeDescription
ZL-1109 (VRDN-003)DRUGZL-1109 subcutaneous injection
PlaceboDRUGMatching placebo subcutaneous injection
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites26

Key Inclusion Criteria: 1. Have moderate to severe TED 2. Must meet the clinical diagnosis criteria of active TED 3. Must agree to use highly effective contraception as specified in the protocol 4. Female TED participants must have a negative serum pregnancy test at screening Key Exclusion Criteri...

Countries:China
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Recent Changes (Last 90 Days)

MEDIUMSep 9, 2026NCT07211776Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMSep 9, 2026NCT07211776Status: RECRUITING → ACTIVE_NOT_RECRUITING

Frequently asked questions about ZL-1109

What is ZL-1109 used for?

ZL-1109 is being developed for the treatment of thyroid eye disease (TED), also known as Graves' orbitopathy. It is an investigational small molecule designed to target the IGF-1R pathway. ZL-1109 is currently in Phase 3 clinical development for active thyroid eye disease in Chinese participants.

What does ZL-1109 target?

ZL-1109 targets IGF-1R, the insulin-like growth factor 1 receptor. By binding to this receptor, ZL-1109 is designed to interfere with the signaling that contributes to inflammation and tissue expansion in thyroid eye disease. This mechanism is being evaluated in a Phase 3 trial for active TED.

Who is developing ZL-1109?

ZL-1109 is being developed by Zai Lab Limited, a biopharmaceutical company traded on the Nasdaq under the ticker ZLAB. Zai Lab is conducting a Phase 3 clinical trial of ZL-1109 in Chinese participants with active thyroid eye disease.

What phase is ZL-1109 in?

ZL-1109 is in Phase 3 clinical development. The ongoing trial is a randomized, double-blind, placebo-controlled study evaluating the efficacy and safety of ZL-1109 in Chinese participants with active thyroid eye disease. The trial is currently active but not recruiting.

What clinical trials is ZL-1109 in?

ZL-1109 is being studied in one Phase 3 clinical trial, NCT07211776, titled "A Study to Assess the Efficacy and Safety of ZL-1109 in Chinese Participants With Active Thyroid Eye Disease." The trial has an enrollment of 108 participants, is randomized, double-blind, and placebo-controlled, and is being conducted in China.

Is ZL-1109 the same as VRDN-003?

Yes, ZL-1109 is also known as ZL-1109 (VRDN-003). The two names refer to the same investigational drug candidate. ZL-1109 is the name used by Zai Lab, which is developing it for thyroid eye disease.