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Study of COYA 302 for the Treatment of ALS
NCT07161999 · Coya Therapeutics
In plain English
Click the button to translate this study into plain language — what it is, who qualifies, and what participation looks like.
Official title
Phase 2, Randomized, Double-Blind, Placebo-Controlled, Multi-Center, 24-Week Study With Additional 24-Week Blinded Active Extension to Evaluate the Safety and Efficacy of COYA 302 for the Treatment of Amyotrophic Lateral Sclerosis (ALS)
About this study
The ALSTARS trial will be conducted across 20-25 sites in the US and Canada, and will evaluate the safety and efficacy of an investigational treatment called COYA 302 for adults with Amyotrophic Lateral Sclerosis (ALS).
COYA 302 is an investigational and proprietary biologic combination therapy with a dual immunomodulatory mechanism of action intended to enhance the anti-inflammatory function of regulatory T cells (Tregs) and suppress the inflammation produced by activated monocytes and macrophages. It is comprised of low dose interleukin-2 (LD IL-2) and DRL\_AB (a biosimilar candidate for abatacept). Participants will be randomly assigned to receive one of 2 regimens of COYA 302 or placebo (an inactive substance) for 24-weeks in the double-blind (DB) period. Those who complete this part of the study may be eligible to receive one of the two regimens of COYA 302 for an additional 24 weeks in a blinded active extension phase (EXT).
The study will assess changes in disease progression using established ALS clinical outcome measures, including the ALS Functional Rating Scale-Revised (ALSFRS-R), neurofilament (NfL), maximal inspiratory pressure (MIP), slow vital capacity (SVC), and neurological assessments. Additional objectives include evaluation of biomarkers and safety through routine clinical assessments and adverse event monitoring.
Eligibility criteria
Key Inclusion Criteria:
1. Sporadic or familial ALS, diagnosed as clinically probable, lab-supported probable, or definite ALS according to the revised El Escorial criteria
2. Male or female participants aged 18 to 80
3. Time since onset of ALS symptoms ≤28 months from Screening.
4. ALSFRS-R total score ≥35 at Screening
5. Rate of progression at baseline between -0.5 and -1.5 points per month on ALSFRS-R total score.
6. SVC ≥70% of predicted capacity.
7. Participants receiving riluzole must be on a stable dose for at least 30 days prior to Screening, with intent to stay on stable dosage throughout the study. If not on a stable dose of riluzole for at least 30 days prior to Screening, willing to refrain from initiation of the agent for the duration of the trial.
8. Participants receiving edaravone (intravenous \[IV\] or oral, RADICAVA®) must have completed at least one treatment cycle prior to Screening, with intent to remain on stable dosage throughout the study. If participant has not completed at least one treatment cycle of edaravone at the time of Screening, willing to refrain from initiation of the agent for the duration of the trial.
9. Participants receiving tofersen (QALSODY®) must have completed 90 days of treatment prior to Screening, with intent to remain on stable dosage throughout the study. If participant has not completed at least 90 days of tofersen at the time of Screening, willing to refrain from initiation of the agent for the duration of the trial.
Key Exclusion Criteria:
1. Any clinically significant and/or unstable medical (including active systemic infections requiring treatment), surgical, or psychiatric condition or laboratory abnormality other than ALS, in the judgement of the Investigator.
2. Active suicidality (e.g., any suicide attempts within the past 12 months or any current suicidal intent, including a plan, as assessed by the C-SSRS, score of "YES" on questions 4 or 5; and/or based on clinical evaluation by the Investigator).
3. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels greater than 3 times the upper limit of normal (ULN).
4. Significant renal impairment as determined by estimated glomerular filtration rate (eGFR) of \<60 mL/min.
5. Pre-existing chronic obstructive pulmonary disease or significant pulmonary impairment including those with an FEV1 ≤ 2 liters or \< 75% predicted for height and age, in the judgement of the Investigator.
6. Clinically significant history of cardiac function impairment including cardiac ejection fraction below 40%, ventricular wall motion abnormalities, or coronary artery disease.
7. Any organ allografts.
8. A positive tuberculosis (TB) test indicating a latent TB infection or a positive test for viral hepatitis.
9. Currently receiving or have received abatacept treatment within 75 days prior to Screening.
10. Currently receiving or have received interleukin-2 (IL-2) treatment within 30 days prior to Screening.
11. Currently receiving or expected to receive immunosuppressant therapy (e.g., cyclosporine, sirolimus, tacrolimus, mycophenolate mofetil, systemic steroids) over the course of the study.
12. Planning to receive a live vaccine during the study or within 3 months of discontinuation.
13. Current participation in another interventional clinical trial and/or participation in any investigational medication or device clinical trial within 30 days prior to Screening or 5 half-lives of elimination of the investigational medication, whichever is longer.
14. Previous participation in any COYA 302 (LD rhIL-2 and DRL\_AB) study.
15. Uncontrolled autoimmune condition.
16. Presence of an indwelling central catheter.
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Study design
Enrollment target: 120 participants
Allocation: randomized
Masking: quadruple
Age groups: adult, older_adult
Timeline
Starts: 2025-10-01
Estimated completion: 2027-07
Last updated: 2026-04-15
Interventions
Drug: COYA 302Drug: Placebo
Primary outcomes
- • The change in disease progression as measured by the Revised ALS Functional Rating Scale (ALSFRS-R) (Baseline to Week 24)
Sponsor
Coya Therapeutics · industry
Contacts & investigators
ContactMedical Director · contact · clinicaltrials@coyatherapeutics.com · 800-587-8170
All locations (25)
Barrow Neurological InstituteRecruiting
Phoenix, Arizona, United States
Cedars-Sinai Medical CenterRecruiting
Los Angeles, California, United States
California Pacific Medical CenterRecruiting
San Francisco, California, United States
Nova Southeastern UniversityRecruiting
Davie, Florida, United States
University of Florida Clinical and Translational Research CenterRecruiting
Gainesville, Florida, United States
University Of MiamiRecruiting
Miami, Florida, United States
University of South FloridaRecruiting
Tampa, Florida, United States
Emory UniversityRecruiting
Atlanta, Georgia, United States
NorthwesternRecruiting
Chicago, Illinois, United States
Johns HopkinsRecruiting
Baltimore, Maryland, United States
Massachusetts General HospitalRecruiting
Boston, Massachusetts, United States
University of MichiganRecruiting
Ann Arbor, Michigan, United States
Washington UniversityRecruiting
St Louis, Missouri, United States
Neurology Associates, P.C. Somnos Clinical ResearchActive Not Recruiting
Lincoln, Nebraska, United States
Columbia University Medical Center ALS CenterRecruiting
New York, New York, United States
Thomas Jefferson University-Weinberg ALS CenterRecruiting
Philadelphia, Pennsylvania, United States
Temple NeurologyRecruiting
Philadelphia, Pennsylvania, United States
Austin Neuromuscular Center; National Neuromuscular Research Institute, PLLCRecruiting
Austin, Texas, United States
Texas Neurology, PARecruiting
Dallas, Texas, United States
Houston Methodist Stanley H. Appel Department of NeurologyRecruiting
Houston, Texas, United States
The University of Texas Health Science CenterRecruiting
San Antonio, Texas, United States
University of British ColumbiaRecruiting
Vancouver, British Columbia, Canada
London Health Sciences CenterRecruiting
London, Ontario, Canada
University of Toronto/Sunnybrook Health Sciences CenterRecruiting
Toronto, Ontario, Canada
Hopital Neurologique de MontrealRecruiting
Montreal, Quebec, Canada