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RECRUITING
NCT07161999
PHASE2

Study of COYA 302 for the Treatment of ALS

Sponsor: Coya Therapeutics

View on ClinicalTrials.gov

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

Interventions

DRUG

COYA 302

Administered as specified in the treatment arm.

DRUG

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