This is a multicenter, randomized, double-masked, placebo-controlled Phase 3 study to evaluate the efficacy, safety, immunogenicity, and population pharmacokinetic (PopPK) characteristics of KHN939 in Chinese patients with moderate-to-severe active thyroid eye disease (TED). Approximately 60 participants who meet the study eligibility criteria will be randomized in a 2:1 ratio (stratified by smoking status) to receive 8 infusions of KHN939 or placebo q3W.
Inclusion Criteria:
Aged 18-70 years (inclusive) at the time of signing the informed consent form (ICF), male or female
Weight between 45 kg and 100 kg
Diagnosed with moderate-to-severe active TED:
Female participants of childbearing potential must have a negative serum pregnancy test during screening and agree to use an effective method of contraception from screening until 90 days after the last dose of the study drug. (Note: Women of non-childbearing potential, defined as surgically sterile or postmenopausal, are exempt.) Male participants must agree to use birth control from screening until at least 90 days after the dose of study drug.
Able to comply with all protocol-required procedures, examinations, and symptom reporting.
Exclusion Criteria:
Known hypersensitivity to any component of the study drug formulation, or prior hypersensitivity to any monoclonal antibodies
Proptosis at Day 1 (pre-dose) that has decreased by ≥2 mm relative to screening
CAS at Day 1 (pre-dose) that has decreased by ≥2 points relative to screening
Ocular conditions:
Prior/concomitant treatments:
Medical history/conditions:
Laboratory exclusions at screening:
Clinically significant ear disease, prior ear surgery, hearing impairment, or abnormal pure-tone audiometry (defined as a mean bone conduction threshold ≥25 dB at 0.5, 1, 2, 4 kHz, or ≥40 dB at any frequency)
Positive for HBsAg with HBV-DNA >1000 IU/mL or currently receiving anti-HBV therapy; positive for HIV antibody or HCV antibody; or active syphilis
Participation in any drug, vaccine, or device clinical trial within 3 months prior to screening, or currently within follow-up or within 5 half-lives of another study
Female subjects who are pregnant or lactating
Any other condition deemed by the investigator as inappropriate for study participation
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8 infusions of KHN939 q3W for a total of 21 weeks
8 infusions of placebo q3W for a total of 21 weeks
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