Study of Intravenous ATYR1923 (Efzofitimod) for Pulmonary Sarcoidosis
Pulmonary Sarcoidosis
About this trial
This is an interventional treatment trial for Pulmonary Sarcoidosis focused on measuring Pulmonary Sarcoidosis, Resokine, Sarcoidosis, Granulomas, Inflammation, Lymphoproliferative Disorders, Interstitial Lung Disease, Neuropilin-2, Steroids, Oral corticosteroids, Immunomodulatory, tRNA Synthetase, ATYR1923 (efzofitimod)
Eligibility Criteria
Key Inclusion Criteria:
Diagnosis of pulmonary sarcoidosis for ≥6 months (cutaneous and ocular involvement allowed), defined as:
- Histologically proven diagnosis of sarcoidosis by bronchoscopy, biopsy (any organ) or bronchioalveolar lavage
- Parenchymal lung involvement by historical radiological evidence
Must have symptomatic and/or active pulmonary sarcoidosis as evidence by:
- Modified Medical Research Council Dyspnea Scale grade of >= 1; and
- Forced vital capacity ≥50%; and
- Receiving treatment with 10 to 25 mg/day of oral prednisone (or equivalent), at a stable dose for ≥4 weeks prior to Day 1, and capable of undergoing the protocol-specified steroid taper regimen.
- Body weight ≥45 kg and <160 kg.
Key Exclusion Criteria:
- Current disease presentation consistent with Lofgren's syndrome.
- History of severe allergic or anaphylactic reactions to therapeutic proteins or known sensitivity to ATYR1923 or to its inactive components (L-histidine, sodium chloride, sucrose, L-methionine, and polysorbate-20).
- Treatment with biological immunomodulators such as tumor necrosis factor-alpha inhibitors.
- Current evidence of clinically significant cardiovascular, hepatic, renal, hematological, metabolic, or gastrointestinal disease, or has a condition that requires other treatment.
- Clinically significant pulmonary hypertension requiring vasodilator treatment.
- Any history of tuberculosis or evidence of active systemic non-tuberculosis fungal or mycobacterial infection within 1 year of Screening.
- History of clinically significant cardiac, neurological, gastrointestinal, and/or renal manifestations of their sarcoidosis.
- Any condition that necessitated hospitalization within the 3 months prior to Day 1 or is likely to require so during the study.
- Participation in another clinical study of an investigational agent or device within 3 months (small molecules) / 6 months (biologics) or 5 half-lives (if known) of the agent, whichever is longer.
- History of or positive results of screening for hepatitis B, hepatitis C or human immunodeficiency virus.
- Is an active, heavy smoker of tobacco/nicotine-containing products (defined as >20 cigarettes/day or e-cigarette equivalent).
- Active substance abuse or history of substance abuse within the 12 months prior to Screening.
- Patient has received a live vaccination within 8 weeks before Day 1 or inoculation with a live vaccine is planned during study participation.
- Positive for Jo-1 antibodies (Ab) at Screening, or past history of Jo-1 Ab positivity.
- Significant and/or acute illness within 5 days prior to drug administration that may impact safety assessments, in the opinion of the Investigator.
Sites / Locations
- University of Alabama
- aTyr Investigative Site
- National Jewish Health
- aTyr Investigative Site
- Emory University
- Northwestern University
- aTyr Investigative Site
- University of Iowa
- University of Louisville
- East Carolina University
- University of Cincinnati
- Cleveland Clinic
- Medical University of South Carolina
- UT Southwestern Medical Center
- Inova Fairfax Medical Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Placebo Comparator
Experimental
Experimental
Experimental
Placebo
Efzofitimod 1.0 mg/kg
Efzofitimod 3.0 mg/kg
Efzofitimod 5.0 mg/kg
Participants will receive placebo matched to efzofitimod via intravenous (IV) infusion every 4 weeks until Week 20.
Participants will receive efzofitimod 1.0 milligrams/kilogram (mg/kg) via IV infusion every 4 weeks until Week 20.
Participants will receive efzofitimod 3.0 mg/kg via IV infusion every 4 weeks until Week 20.
Participants will receive efzofitimod 5.0 mg/kg via IV infusion every 4 weeks until Week 20.