UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000061620
Receipt number R000070499
Scientific Title A prospective study on changes in insulin resistance during the early phase of teprotumumab administration
Date of disclosure of the study information 2026/05/18
Last modified on 2026/05/18 22:12:20

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Basic information

Public title

A study evaluating changes in insulin resistance during the early phase of teprotumumab administration for thyroid eye disease

Acronym

Teprotumumab and Insulin Resistance Study

Scientific Title

A prospective study on changes in insulin resistance during the early phase of teprotumumab administration

Scientific Title:Acronym

Prospective study of insulin resistance changes with early teprotumumab administration

Region

Japan


Condition

Condition

Thyroid eye disease

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To verify the hypothesis that insulin resistance (HOMA-IR) increases from baseline to after the third dose in patients receiving teprotumumab for thyroid eye disease.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in HOMA-IR (homeostasis model assessment of insulin resistance) from baseline to after the third dose of teprotumumab (approximately 6-9 weeks).

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients meeting all of the following criteria:
1.Diagnosed with thyroid eye disease (TED).
2.Scheduled to initiate treatment with teprotumumab.
3.Judged to have active disease based on the teprotumumab appropriate use guide (satisfying either a Clinical Activity Score (CAS) of >= 3 out of 7 points, or inflammatory findings on orbital MRI).
4.Able to provide written informed consent for study participation.
5.18 years of age or older.

Key exclusion criteria

Patients meeting any of the following criteria are excluded:
1.Type 1 diabetes mellitus or severe diabetes with suspected pancreatic beta-cell depletion.
2.Currently receiving high-dose steroid therapy.
3.Active inflammatory bowel disease (Crohn's disease or ulcerative colitis).
4.Obvious acute infection.
5.Pregnant or breastfeeding women.
6.Patients otherwise deemed inappropriate for the study by the investigator.

Target sample size

10


Research contact person

Name of lead principal investigator

1st name Eri
Middle name
Last name Harada

Organization

Kagawa University Hospital

Division name

Department of Endocrinology and Metabolism

Zip code

761-0793

Address

1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa

TEL

087-891-2230

Email

muraeri0217@gmail.com


Public contact

Name of contact person

1st name Eri
Middle name
Last name Harada

Organization

Kagawa University Hospital

Division name

Department of Endocrinology and Metabolism

Zip code

761-0793

Address

1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa

TEL

087-891-2230

Homepage URL


Email

muraeri0217@gmail.com


Sponsor or person

Institute

Kagawa univercity

Institute

Department

Personal name



Funding Source

Organization

Kagawa univercity

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kagawa University Faculty of Medicine Ethics Committee

Address

1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa

Tel

087-898-5111

Email

kenkyushien-m@kagawa-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 05 Month 18 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2026 Year 03 Month 16 Day

Date of IRB

2026 Year 04 Month 20 Day

Anticipated trial start date

2026 Year 04 Month 20 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a prospective observational study targeting patients receiving teprotumumab as standard clinical care for thyroid eye disease. Participation in the study will not alter the medical treatment provided, such as dosage or administration intervals. Data will be collected from blood tests (glucose indices, IGF-1/GH axis, etc.), body composition measurements (InBody), and ophthalmological evaluations (CAS, etc.) performed before treatment, and after the 3rd and 8th doses (approximately 24-30 weeks). In addition, evaluation of glycemic variability using continuous glucose monitoring (CGM: FreeStyle Libre) and glucose tolerance using a 75g oral glucose tolerance test (OGTT) will be conducted within the scope of routine clinical practice.
This study is conducted using research funds (management expenses grants, donations) from the Department of Endocrinology and Metabolism, without funding or benefits from corporate entities, and the researchers have no conflicts of interest to disclose.


Management information

Registered date

2026 Year 05 Month 18 Day

Last modified on

2026 Year 05 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070499