Rilzabrutinib treatment for adults with Graves' disease
Official title: An Open-label Phase 2 Study to Investigate the Efficacy and Safety of Rilzabrutinib in Adult Participants With Graves' Disease
Run by Sanofi · NCT06984627 · Data updated 2026-11-12
This trial will test two doses of the oral drug rilzabrutinib in adults with Graves' disease, with or without Graves' orbitopathy, to see which dose better controls hyperthyroidism and is safe.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Sanofi Industry-sponsored |
| Drugs / interventions | rilzabrutinib |
| Locations | 24 sites (Buenos Aires and 23 other locations) |
| Status | Recruiting |
| Started | September 2, 2025 |
| Main results expected | February 11, 2027 |
| Study ends | March 11, 2027 |
| Registry record updated | October 28, 2026 |
| Trial ID | NCT06984627 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) with a confirmed diagnosis of Graves' disease and active hyperthyroidism, including those with or without active Graves' orbitopathy (a subset requires CAS ≥3).
✕Probably not a fit
People whose hyperthyroidism is caused by conditions other than Graves' disease or those at high risk for thyroid storm are not expected to benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 2, parallel-group, two-arm study comparing two doses of rilzabrutinib in adults (age ≥18) who have active Graves' disease, with or without active Graves' orbitopathy. Participants undergo up to 4 weeks of screening, up to 16 weeks of treatment, and a 4-week follow-up, with as many as 13 clinic visits. A subset of participants will have active Graves' orbitopathy confirmed by ophthalmic exam and a clinical activity score (CAS) ≥3. The main focus is to measure the treatment effect and safety of each dose over the treatment period.
Why it matters
Potential benefit: If successful, rilzabrutinib could provide a new oral option that helps control hyperthyroidism and may improve orbitopathy symptoms with an acceptable safety profile.
How similar studies have gone: Using BTK inhibitors like rilzabrutinib for Graves' disease is relatively novel; related BTK inhibitors have shown promise in other autoimmune conditions but are not established treatments for Graves' disease.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Participants who have a confirmed diagnosis of Graves' disease with active hyperthyroidism, with or without active Graves' orbitopathy at the time of screening. * A subset of participants will have a diagnosis of active Graves' orbitopathy, as confirmed by ophthalmic exam at screening and a clinical activity score (CAS) ≥3 for the most severely affected eye, and associated with one or more of the following: lid retraction ≥2 mm, moderate or severe soft tissue involvement, proptosis ≥2 mm, and/or intermittent or constant diplopia. * Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Exclusion Criteria: * History of hyperthyroidism not caused by Graves' disease (eg, hyperthyroidism due to toxic multinodular goiter, autonomous thyroid nodule, acute inflammatory thyroiditis). * History of thyroid storm or at high risk of developing thyroid storm as determined by evaluating clinician. * Enlarged thyroid goiter causing upper airway obstruction and/or requiring surgical intervention during the study period. * For participant with Graves' orbitopathy, requires immediate surgical ophthalmological intervention or is planning corrective surgery/irradiation during the course of the study. * Sight threatening Graves' orbitopathy or decreased visual acuity due to optic neuropathy within the last 6 months. * Corneal decompensation unresponsive to medical management. * Onset of Graves' orbitopathy symptoms \>9 months prior to baseline. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Where it's running
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Investigational Site Number : 0320002
Buenos Aires, Argentina Recruiting -
Investigational Site Number : 0320001
Buenos Aires, Argentina Recruiting -
Investigational Site Number : 0320003
Córdoba, Argentina Recruiting -
Investigational Site Number : 1240003
Calgary, Alberta, Canada Recruiting -
Investigational Site Number : 1240002
Surrey, British Columbia, Canada Recruiting -
Investigational Site Number : 1240001
Sherbrooke, Quebec, Canada Recruiting
Show 18 more locations
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Investigational Site Number : 1520001
Concepción, Biobio, Chile Recruiting -
Investigational Site Number : 1520002
Iquique, Tarapacá, Chile Recruiting -
Investigational Site Number : 3000002
Athens, Greece Recruiting -
Investigational Site Number : 3000001
Athens, Greece Recruiting -
Investigational Site Number : 3000003
Larissa, Greece Recruiting -
Investigational Site Number : 3800001
Milan, Milano, Italy Recruiting -
Investigational Site Number : 3800004
Milan, Milano, Italy Recruiting -
Investigational Site Number : 3800005
Merano, Italy Recruiting -
Investigational Site Number : 3800003
Palermo, Italy Recruiting -
Investigational Site Number : 3800002
Pisa, Italy Recruiting -
Investigational Site Number : 7240004
Seville, Sevilla, Spain Recruiting -
Investigational Site Number : 8260003
Milton Keynes, Buckinghamshire, United Kingdom Recruiting -
Investigational Site Number : 8260001
Newcastle upon Tyne, England, United Kingdom Recruiting -
Investigational Site Number : 2760002
Essen, Germany Completed -
Investigational Site Number : 2760001
Frankfurt, Germany Completed -
Investigational Site Number : 3480001
Pécs, Hungary Active not recruiting -
Investigational Site Number : 7240002
Barcelona, Catalunya [Cataluña], Spain Completed -
Investigational Site Number : 7240001
Pamplona, Navarre, Spain Completed
Study contacts
- Study coordinator: Trial Transparency email recommended (Toll free for US & Canada)
- Email: Contact-US@sanofi.com
- Phone: 800-633-1610
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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.