Study of COYA 302 for the Treatment of ALS
Start Date
10/1/2025
Completion Date
7/1/2027
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) 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.
Eligibility Criteria
Age Range: 18 years to 80 years
Interventions
COYA 302
Placebo
Conditions
Locations
Barrow Neurological Institute
Phoenix, Arizona 85013
United States
Cedars-Sinai Medical Center
Los Angeles, California 90048
United States
California Pacific Medical Center
San Francisco, California 94110
United States
Nova Southeastern University
Davie, Florida 33314
United States
University of Florida Clinical and Translational Research Center
Gainesville, Florida 32610
United States
University Of Miami
Miami, Florida 33136
United States
University of South Florida
Tampa, Florida 33612
United States
Emory University
Atlanta, Georgia 30322
United States
Northwestern
Chicago, Illinois 60611
United States
Johns Hopkins
Baltimore, Maryland 21287
United States
Massachusetts General Hospital
Boston, Massachusetts 02114
United States
University of Michigan
Ann Arbor, Michigan 48109
United States
Washington University
St Louis, Missouri 63110
United States
Neurology Associates, P.C. Somnos Clinical Research
Lincoln, Nebraska 68510
United States
Columbia University Medical Center ALS Center
New York, New York 10032
United States
Thomas Jefferson University-Weinberg ALS Center
Philadelphia, Pennsylvania 19107
United States
Temple Neurology
Philadelphia, Pennsylvania 19140
United States
Austin Neuromuscular Center; National Neuromuscular Research Institute, PLLC
Austin, Texas 78759
United States
Texas Neurology, PA
Dallas, Texas 75206
United States
Houston Methodist Stanley H. Appel Department of Neurology
Houston, Texas 77030
United States
The University of Texas Health Science Center
San Antonio, Texas 78229
United States
University of British Columbia
Vancouver, British Columbia V6T1Z3
Canada
London Health Sciences Center
London, Ontario N6A 3K7
Canada
University of Toronto/Sunnybrook Health Sciences Center
Toronto, Ontario M5S 3H2
Canada
Hopital Neurologique de Montreal
Montreal, Quebec H3A 2B4
Canada