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Study of COYA 302 for the Treatment of ALS
Sponsor: Coya Therapeutics
Summary
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.
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)
Key Details
Gender
All
Age Range
18 Years - 80 Years
Study Type
INTERVENTIONAL
Enrollment
120
Start Date
2025-10-01
Completion Date
2027-07
Last Updated
2026-04-03
Healthy Volunteers
No
Conditions
Interventions
COYA 302
Administered as specified in the treatment arm.
Placebo
Administered as specified in the treatment arm.
Locations (25)
Barrow Neurological Institute
Phoenix, Arizona, United States
Cedars-Sinai Medical Center
Los Angeles, California, United States
California Pacific Medical Center
San Francisco, California, United States
Nova Southeastern University
Davie, Florida, United States
University of Florida Clinical and Translational Research Center
Gainesville, Florida, United States
University Of Miami
Miami, Florida, United States
University of South Florida
Tampa, Florida, United States
Emory University
Atlanta, Georgia, United States
Northwestern
Chicago, Illinois, United States
Johns Hopkins
Baltimore, Maryland, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
University of Michigan
Ann Arbor, Michigan, United States
Washington University
St Louis, Missouri, United States
Neurology Associates, P.C. Somnos Clinical Research
Lincoln, Nebraska, United States
Columbia University Medical Center ALS Center
New York, New York, United States
Thomas Jefferson University-Weinberg ALS Center
Philadelphia, Pennsylvania, United States
Temple Neurology
Philadelphia, Pennsylvania, United States
Austin Neuromuscular Center; National Neuromuscular Research Institute, PLLC
Austin, Texas, United States
Texas Neurology, PA
Dallas, Texas, United States
Houston Methodist Stanley H. Appel Department of Neurology
Houston, Texas, United States
The University of Texas Health Science Center
San Antonio, Texas, United States
University of British Columbia
Vancouver, British Columbia, Canada
London Health Sciences Center
London, Ontario, Canada
University of Toronto/Sunnybrook Health Sciences Center
Toronto, Ontario, Canada
Hopital Neurologique de Montreal
Montreal, Quebec, Canada