Clinical trial Recruiting at 19 sites Phase 2 Interventional Ages 18 to 75

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.

More Graves Disease trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment30 (estimated)
SponsorSanofi
Industry-sponsored
Drugs / interventionsrilzabrutinib
Locations24 sites (Buenos Aires and 23 other locations)
StatusRecruiting
StartedSeptember 2, 2025
Main results expectedFebruary 11, 2027
Study endsMarch 11, 2027
Registry record updatedOctober 28, 2026
Trial IDNCT06984627 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

  • 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
  • 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

Similar studies

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

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.