Linsitinib in moderate to severe Thyroid Eye Disease (TED)
Official title: A Phase 3, Randomized, Double-mask, Placebo-controlled Study With Open-label Extension to Evaluate the Efficacy and Safety of Linsitinib in Participants With Moderate to Severe Active Thyroid Eye Disease (TED)
Run by Sling Therapeutics, Inc. · NCT07753603 · Data updated 2026-11-12
This study tests whether linsitinib can help people with moderate to severe TED associated with Graves' disease or Hashimoto's thyroiditis.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 130 (estimated) |
| Sponsor | Sling Therapeutics, Inc. Industry-sponsored |
| Drugs / interventions | linsitinib |
| Locations | 18 sites (Glendale, Arizona and 17 other locations) |
| Status | Recruiting |
| Started | August 4, 2026 |
| Main results expected | June 30, 2028 |
| Study ends | June 28, 2030 |
| Registry record updated | October 20, 2026 |
| Trial ID | NCT07753603 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 years or older with active moderate to severe TED (CAS ≥ 3) related to Graves' disease or Hashimoto's thyroiditis, and whose thyroid status is controlled or near normal.
✕Probably not a fit
Patients with sight-threatening TED or uncontrolled thyroid abnormalities may not benefit from this treatment.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase 3, interventional trial evaluates the safety and effectiveness of linsitinib versus placebo in adults with active moderate to severe TED. Eligible participants have Graves' disease and/or autoimmune Hashimoto's with active eye disease, a CAS of 3 or more, and thyroid function that is controlled or near-normal. Participants will be randomly assigned to receive either linsitinib or placebo and will be monitored for changes in eye symptoms and overall tolerability. The study is conducted at three U.S. sites and is sponsored by Sling Therapeutics, Inc. The trial aims to determine if targeted therapy can improve quality of life and reduce eye-related morbidity in TED.
Why it matters
Potential benefit: If successful, participants may experience improvement in eye symptoms and daily functioning due to reduced inflammation and tissue involvement.
How similar studies have gone: Previous approaches in similar pathways have shown signals of activity in TED, but results with IGF-1 receptor targeting are still being established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Participants must be ≥ 18 years of age at Screening 2. Clinical diagnosis of Graves' Disease and/or autoimmune Hashimoto's thyroiditis associated with active moderate to severe TED with a CAS ≥ 3 (on the 7-item scale) for the most severely affected eye (primary study eye) at Screening and Baseline. 3. Moderate to severe active TED (not sight-threatening but has an appreciable impact on daily life), with diagnosis of TED within 15 months prior to the Screening visit and usually associated with 1 or more of the following: lid retraction ≥ 2 mm, moderate or severe soft tissue involvement, proptosis ≥ 3 mm above normal for race and gender, and/or inconstant or constant diplopia. 4. Participants must be euthyroid with the participant's baseline disease under control or have mild hypo- or hyperthyroidism (defined as free thyroxine \[FT4\] and free triiodothyronine levels \[FT3\] \< 50% above or below the normal limits of the central laboratory) at Screening. 5. Does not require immediate ophthalmic surgery, radiotherapy to orbits or other ophthalmological intervention at the time of Screening and is not planning for any such treatment during the course of the study. Exclusion Criteria: 1. Any progressing optic neuropathy due to TED that has worsened in the last 6 months in the opinion of the investigator. 2. Corneal decompensation unresponsive to medical management. 3. Previous orbital irradiation or orbital surgery in either eye. 4. Any glucocorticoid use (IV or oral) with a cumulative dose equivalent to ≥ 1 g of methylprednisolone or equivalent for the treatment of TED within 8 weeks of Screening. 5. Prior IGF-1R inhibitor therapy for any condition.
Where it's running
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Sun City Clinical Research
Glendale, Arizona, United States Recruiting -
Thrive Health Research LLC
Beverly Hills, California, United States Recruiting -
Alliance Research Institute
Canoga Park, California, United States Recruiting -
Pasadena Clinical Trials
Pasadena, California, United States Recruiting -
Silkiss Eye Surgery
San Francisco, California, United States Recruiting -
Advancing Research International, LLC
Santa Monica, California, United States Recruiting
Show 12 more locations
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Florida International Medical Research
Coral Gables, Florida, United States Recruiting -
Rovia Clinical Research at Florida Eye Specialists
Jacksonville, Florida, United States Recruiting -
Ophthalmic Consultants of Boston, Inc
East Weymouth, Massachusetts, United States Recruiting -
Kahana Oculoplastic & Orbital Surgery
Livonia, Michigan, United States Recruiting -
Advancing Research International
Las Vegas, Nevada, United States Recruiting -
Vector Clinical Trials
Reno, Nevada, United States Recruiting -
The Center for Eye and Facial Plastic Surgery
Somerset, New Jersey, United States Recruiting -
Asheville Clinical Trials
Asheville, North Carolina, United States Recruiting -
Gulf Coast Clinical Trials
Houston, Texas, United States Recruiting -
Virginia Eye Consultants
Norfolk, Virginia, United States Recruiting -
WVU Eye Institute
Morgantown, West Virginia, United States Recruiting -
Columbia University Ophthalmology
New York, New York, United States Not yet recruiting
Study contacts
- Study coordinator: Cathy Radovich
- Email: cathy.radovich@slingtx.com
- Phone: (734) 223-1786
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.