About this trial
This protocol studies the clinical outcome of patients with active thyroid disease with visually significant signs and symptoms of proptosis, pain, diplopiam lid/orbital edema, or lid/orbital erythema recommended for treatment with teprotumumab infusion (Tepezza®). Patients recommended for treatment will be evaluated by an oculoplastic surgeon (Dr. Eva Chou) and endocrinologist (Dr. Thanh Hoang).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
only DOD beneficiaries
adult patients 18 years of age or older
adult patients with proptosis, ocular/orbital pain, diplopia, lid/orbital edema, or lid/orbital erythema associated with autoimmune thyroid disease
Disqualifiers
Patients with evidence of compressive optic neuropathy necessitating urgent orbital decompression or external beam radiation
patients with a history of uncontrolled diabetes mellitus
patients with a history/diagnosis of uncontrolled inflammatory bowel disease
patients under age 18 years
Trial population
The study participants were 18-80 years old at the time of treatment with teprotumumab, diagnosed with autoimmune thyroid disease (positive stimulating thyroid receptor antibodies or elevated TSI), presenting with active eye disease (associated with at least one of the following: lid retraction of ≥2 mm, moderate or severe soft-tissue involvement, proptosis of ≥3 mm above the normal values for race and sex, and periodic or constant diplopia), and treated with at least one dose of teprotumumab.
Trial design
Cohort
Retrospective
Treatments tested in this trial
Teprotumumab Injection [Tepezza]
DrugIGF1 monoclonal antibody
Treatment groups
Trial outcomes
Primary outcomes
Ophthalmological Clinical Activity Score (CAS) scoring
CAS scoring (1 to 10)
Thyroid stimulating immunoglobulin
TSI (IU/L)
Secondary outcomes
HLA subtypes
HLA subtypes
Sponsors and contacts
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