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COYA 302

Phase 2/3

Amyotrophic Lateral Sclerosis (ALS) | Small molecule | Neurology |Coya Therapeutics, Inc.|Trials Updated: Oct 13, 2026

COYA 302 development status

Highest phase Phase 2/3 (NCT07161999)
Phase scored for COYAPhase 2
Registered trials 1 across 1 sponsor since Sep 2025

COYA 302 target and mechanism

Molecular targetIL-2/CTLA-4
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment120

FDA Designations

FAST_TRACK

COYA 302 clinical trials

COYA 302 · 1 trial · 1 indication

Phase 2/3 1
NCT07161999Study of COYA 302 for the Treatment of ALSAmyotrophic Lateral Sclerosis (ALS)
ACTIVE NOT_RECRUITING120 Analytics
PHASE2/PHASE3ACTIVE NOT_RECRUITING
Study of COYA 302 for the Treatment of ALS
Amyotrophic Lateral Sclerosis (ALS)Unlock trial analytics

Study Endpoints

Primary Endpoints

The change in disease progression as measured by the Revised ALS Functional Rating Scale (ALSFRS-R)
Baseline to Week 24

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.

Secondary Endpoints

Serum neurofilament light chain (NfL)
Baseline to Week 24
Maximal Inspiratory Pressure (MIP)
Baseline to Week 24
Combined Assessment of Function and Survival (CAFS)
Baseline to Week 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
DB: COYA 302 Regimen 1EXPERIMENTALRegimen 1: 125 mg DRL\_AB and Placebo LD rhIL-2 on Week 1, and LD rhIL-2 (0.10 mg \[1M IU\]) and Placebo DRL\_AB on Week 3 administered via subcutaneous (SC) injection for 5 consecutive days every other week. This dosing regimen will be repeated until completing 6 (six) 4-week cycles, for a total of 24 weeks.
DB: COYA 302 Regimen 2EXPERIMENTALRegimen 2: 0.10 mg (1M IU) LD rhIL-2 and 125 mg DRL\_AB on both Weeks 1 and 3 administered via SC injection for 5 consecutive days every other week. This dosing regimen will be repeated until completing 6 (six) 4-week cycles, for a total of 24 weeks.
DB: PlaceboPLACEBO_COMPARATORPlacebo LD IL-2 and Placebo DRL\_AB (Weeks 1 and 3) administered via SC injection for 5 consecutive days every other week. This dosing regimen will be repeated until completing 6 (six) 4-week cycles, for a total of 24 weeks.
EXT: Regimen 1EXPERIMENTALRegimen 1: 125 mg DRL\_AB and Placebo LD rhIL-2 on Week 1, and LD rhIL-2 (0.10 mg \[1M IU\]) and Placebo DRL\_AB on Week 3 administered via SC injection for 5 consecutive days every other week. This dosing regimen will be repeated until completing 6 (six) 4-week cycles, for a total of 24 weeks.
EXT: Regimen 2EXPERIMENTALRegimen 2: 0.10 mg (1M IU) LD rhIL-2 and 125 mg DRL\_AB on both Weeks 1 and 3 administered via SC injection for 5 consecutive days every other week. This dosing regimen will be repeated until completing 6 (six) 4-week cycles, for a total of 24 weeks.

Interventions

NameTypeDescription
COYA 302DRUGAdministered as specified in the treatment arm.
PlaceboDRUGAdministered as specified in the treatment arm.
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites25

Key Inclusion Criteria: 1. Sporadic or familial ALS, diagnosed as clinically probable, lab-supported probable, or definite ALS according to the revised El Escorial criteria 2. Male or female participants aged 18 to 80 3. Time since onset of ALS symptoms ≤28 months from Screening. 4. ALSFRS-R total ...

Countries:United StatesCanada
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Recent Changes (Last 90 Days)

MEDIUMOct 13, 2026NCT07161999Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMOct 13, 2026NCT07161999Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWAug 6, 2026NCT07161999lastUpdatePostDate: changed
LOWAug 6, 2026NCT07161999lastUpdatePostDate: changed

Frequently asked questions about COYA 302

What is COYA 302?

COYA 302 is an investigational small molecule therapeutic being developed by Coya Therapeutics, Inc. for the treatment of amyotrophic lateral sclerosis (ALS). It is currently in Phase 2 clinical development and has received a Fast Track designation from the FDA. It is not yet approved for commercial use.

What is COYA 302 used for in ALS?

COYA 302 is being studied as a treatment for amyotrophic lateral sclerosis (ALS), a progressive neurological disease. The Phase 2 trial is evaluating the drug in adults with ALS across sites in the United States and Canada. It remains investigational and has not been approved for any indication.

What does COYA 302 target?

COYA 302 targets the IL-2 and CTLA-4 pathways. By engaging both targets, the therapy is designed to modulate immune regulatory function, which is the proposed mechanism under investigation in ALS. The drug is a small molecule and is being studied in a Phase 2 clinical program.

Who is developing COYA 302?

COYA 302 is being developed by Coya Therapeutics, Inc., a biotechnology company that trades under the ticker COYA. The company is sponsoring the Phase 2 clinical trial of the drug in amyotrophic lateral sclerosis. No partnership or licensing arrangement for COYA 302 has been disclosed.

What phase is COYA 302 in?

COYA 302 is in Phase 2 clinical development. The ongoing trial is a randomized, double-blind, placebo-controlled study in amyotrophic lateral sclerosis. The drug has received a Fast Track designation from the FDA, but it is investigational and has not been approved for marketing.

What clinical trials is COYA 302 in?

COYA 302 is being evaluated in one active Phase 2 trial, NCT07161999, titled Study of COYA 302 for the Treatment of ALS. The trial is active but not recruiting, has an enrollment of 120 participants, and is being conducted in the United States and Canada.