Clinical trial Recruiting at 17 sites Phase 3 Interventional Ages 18 and up

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

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment130 (estimated)
SponsorSling Therapeutics, Inc.
Industry-sponsored
Drugs / interventionslinsitinib
Locations18 sites (Glendale, Arizona and 17 other locations)
StatusRecruiting
StartedAugust 4, 2026
Main results expectedJune 30, 2028
Study endsJune 28, 2030
Registry record updatedOctober 20, 2026
Trial IDNCT07753603 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Early risk stratification of thyroid eye disease in newly diagnosed Graves' disease

    This study tests whether early eye-related signs, blood and tear biomarkers, or eye surface features can predict who with Graves’ disease will develop thyroid eye disease within a year.

    Recruiting University of Copenhagen · Herlev · NCT07812194

  • Tofacitinib for steroid‑resistant moderate-to-severe thyroid eye disease

    This will test whether taking oral tofacitinib (5 mg twice daily) for 24 weeks can reduce eye bulging and inflammation in adults with moderate-to-severe thyroid eye disease who don't respond to or cannot take high-dose steroids.

    Recruiting Phase 2 The First Affiliated Hospital of Xiamen University · Xiamen, Fujian · NCT07547930

  • Evaluating linsitinib for thyroid eye disease

    This study is testing if a new drug called linsitinib can help people with moderate to severe thyroid eye disease who haven't improved with other treatments.

    Recruiting at 2 sites Phase 2/3 Sling Therapeutics, Inc. · Miami, Florida and 1 other locations · NCT06112340

  • ETHY-001 safety and activity in Thyroid Eye Disease (TED)

    This study tests ETHY-001 versus placebo to see if it is safe, tolerable, and shows activity in people with thyroid eye disease.

    Recruiting at 2 sites Phase 1 Ethyreal Bio, Inc. · Orland Park, Illinois and 2 other locations · NCT07885605

  • MHB018A injections for chronic moderate-to-severe thyroid eye disease

    This study tests whether MHB018A injections work better than a placebo for adults with chronic moderate-to-severe thyroid eye disease.

    Recruiting Phase 3 Minghui Pharmaceutical (Hangzhou) Ltd · Coral Gables, Florida · NCT07622121

  • Treating Active Thyroid Eye Disease with MHB018A vs placebo

    In people with active moderate-to-severe TED, this study tests whether an antibody called MHB018A can help reduce eye inflammation and swelling compared with a placebo.

    Recruiting Phase 3 Minghui Pharmaceutical (Hangzhou) Ltd · Coral Gables, Florida · NCT07622108

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.