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) in a 1:1:1 ratio for 24 weeks in the double-blind (DB) period. Those who complete this part of the study will 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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
120
Barrow Neurological Institute
Phoenix, Arizona, United States
RECRUITINGCedars-Sinai Medical Center
Los Angeles, California, United States
RECRUITINGCalifornia Pacific Medical Center
San Francisco, California, United States
RECRUITINGNova Southeastern University
Davie, Florida, United States
The change in disease progression as measured by the Revised ALS Functional Rating Scale (ALSFRS-R)
The ALSFRS-R is an ordinal rating scale used to determine a participant's subjective assessment of their capability and independence with 12 functional activities. The maximal score is 48.
Time frame: Baseline to Week 24
Serum neurofilament light chain (NfL)
Serum NfL will be quantified as a biomarker of neuroaxonal injury.
Time frame: Baseline to Week 24
Maximal Inspiratory Pressure (MIP)
MIP is a measure of respiratory muscle strength and will be evaluated as an indicator of pulmonary function decline.
Time frame: Baseline to Week 24
Combined Assessment of Function and Survival (CAFS)
CAFS is a ranked analysis combining functional decline (ALSFRS-R change) and survival status to provide a composite efficacy endpoint.
Time frame: Baseline to Week 24
Slow Vital Capacity (SVC)
SVC is a measure of respiratory function.
Time frame: Baseline to Week 24
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University of Florida Clinical and Translational Research Center
Gainesville, Florida, United States
RECRUITINGUniversity Of Miami
Miami, Florida, United States
RECRUITINGUniversity of South Florida
Tampa, Florida, United States
RECRUITINGEmory University
Atlanta, Georgia, United States
RECRUITINGNorthwestern
Chicago, Illinois, United States
RECRUITINGJohns Hopkins
Baltimore, Maryland, United States
RECRUITING...and 15 more locations