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MSTT1041A

Phase 3

Asthma | Small molecule | Respiratory |Roche Holding AG|Trials Updated: Oct 16, 2026

MSTT1041A development status

Highest phase Phase 3 (NCT05878769)
Phase scored for RHHBYPhase 2
Registered trials 7 across 2 sponsors since Sep 2016

MSTT1041A target and mechanism

ModalitySmall molecule

Also known as Astegolimab, RG6149, RO7187807

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials6
Total Enrollment5,602

FDA Designations

No designations recorded

MSTT1041A clinical trials

MSTT1041A · 6 trials · 5 indications

Phase 3 2Phase 2 4
NCT05878769A Study to Evaluate the Long-Term Safety of Astegolimab in Participants With Chronic Obstructive Pulmonary Disease (COPD)Chronic Obstructive Pulmonary Disease
ACTIVE NOT_RECRUITING2,000 Analytics
NCT05595642A Study to Evaluate Astegolimab in Participants With Chronic Obstructive Pulmonary DiseaseChronic Obstructive Pulmonary Disease (COPD)
ACTIVE NOT_RECRUITING1,290 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Evaluate the Long-Term Safety of Astegolimab in Participants With Chronic Obstructive Pulmonary Disease (COPD)
Chronic Obstructive Pulmonary DiseaseUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Evaluate Astegolimab in Participants With Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of all adverse events (AEs)
Up to 12 weeks after last dose of study treatment
Annualized rate of moderate and severe COPD exacerbations over the 52-week treatment period
52 weeks
Time to Recovery, Defined as the Time to a Clinical Status Score of 1 or 2 on the 7-Category Ordinal Scale (Whichever Occurs First) by Day 28
From Baseline up to 28 days

The time to recovery was defined as the time from baseline to a clinical status score of 1 or 2 on the 7-category ordinal scale (whichever occurs first); clinical status scores are defined as follows: 1. Discharged (or "ready for discharge" as evidenced by normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or ≤2 Litres supplemental oxygen); 2. Non-Intensive Care Unit (ICU) hospital ward (or "ready for hospital ward") not requiring supplemental oxygen; 3. Non-ICU hospital ward (or "ready for hospital ward") requiring supplemental oxygen; 4. ICU or non-ICU hospital ward, requiring non-invasive ventilation or high-flow oxygen; 5. ICU, requiring intubation and mechanical ventilation; 6. ICU, requiring extracorporeal membrane oxygenation (ECMO) or mechanical ventilation and additional organ support (e.g., vasopressors, renal replacement therapy); 7. Death.

Percent Change of Total Eczema Area and Severity Index (EASI) Score
Baseline, Week 16

The Eczema Area and Severity Index (EASI) is a standardized instrument to evaluate the extent and severity of atopic dermatitis. An area score comprised of the percentage of skin affected by eczema for each of 4 body regions (head/neck, trunk, upper extremities, and lower extremities) is calculated with 0 = none, 1 = 1-9%, 2 = 10-29%, 3 = 30-49%, 4 = 50-69%, 5 = 70-89%, and 6 = 90-100%. Severity is scored for each of the 4 body regions by the summation of the intensity scores for 4 signs (redness, thickness, scratching, and lichenification), with 0 = none/absent, 1 = mild, 2 = moderate, and 3 = severe. The minimum final EASI score is 0 and the maximum score is 72.

Reduction in Rate of Asthma Exacerbations
Baseline to Week 54

Asthma exacerbation was defined as new or increased asthma symptoms (wheezing, coughing, dyspnea, chest tightness, and/or nighttime awakenings due to these symptoms) that result in one or both of the following: Hospitalization or emergency department visit with administration of systemic corticosteroid treatment; Treatment with systemic corticosteroids for at least 3 days, or a long-acting depot corticosteroid preparation with a therapeutic effectiveness of at least 3 days. Adjusted rates for the overall mITT population (all participants that received at least one dose of study drug) were estimated using Poisson regression and adjusted for blood eosinophil level at the first visit, the number of asthma exacerbations requiring systemic corticosteroids in the 12 months prior to study entry, the total daily ICS dose at the first visit, and geographic region, with patient time at risk used as an offset term.

Secondary Endpoints

Time to first moderate or severe COPD exacerbation during the 52-week treatment period
52 weeks
Absolute change from baseline in health-related quality of life (HRQoL) at Week 52 as assessed through the St. George's Respiratory Questionnaire-COPD (SGRQ-C) total score
Week 52
Absolute change from baseline in post-bronchodilator forced expiratory volume (FEV1) at Week 52
Week 52
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Open-Label ExtensionEXPERIMENTALEligible participants from parent studies GB43311 and GB44332 will receive subcutaneous (SC) astegolimab every 2 weeks (Q2W) until the end of the study
Astegolimab SC Q2WEXPERIMENTALParticipants will receive subcutaneous (SC) astegolimab every 2 weeks (Q2W)
Astegolimab SC Q4WEXPERIMENTALParticipants will receive alternating SC astegolimab and placebo Q2W, thus receiving SC astegolimab Q4W.
Placebo SC Q2WPLACEBO_COMPARATORParticipants will receive SC placebo Q2W
Astegolimab Q2WEXPERIMENTALParticipants will receive subcutaneous (SC) astegolimab every 2 weeks (Q2W).
Astegolimab Q4WEXPERIMENTALParticipants will receive alternating SC astegolimab and placebo Q2W, thus receiving astegolimab every 4 weeks (Q4W).
PlaceboPLACEBO_COMPARATORParticipants will receive SC placebo Q2W.
All PlaceboPLACEBO_COMPARATORParticipants randomized to this arm received one intravenous (IV) infusion of either MSTT1041A-matched placebo or UTTR1147A-matched placebo on Day 1. A second IV infusion of either MSTT1041A-matched placebo or UTTR1147A-matched placebo (same placebo as the first infusion) was given on Day 15 if the participant remained hospitalized with a requirement for supplemental oxygen. Study treatment was given in combination with the standard of care for COVID-19 pneumonia.
MSTT1041AEXPERIMENTALParticipants randomized to this arm received one intravenous (IV) infusion of MSTT1041A 700 milligrams (mg) on Day 1. A second IV dose of MSTT1041A 350 mg was given on Day 15 if the participant remained hospitalized with a requirement for supplemental oxygen. Study treatment was given in combination with the standard of care for COVID-19 pneumonia.
UTTR1147AEXPERIMENTALParticipants randomized to this arm received one intravenous (IV) infusion of UTTR1147A 90 micrograms/kilogram body weight (μg/kg) on Day 1. A second IV dose of UTTR1147A 90 μg/kg was given on Day 15 if the participant remained hospitalized with a requirement for supplemental oxygen. Study treatment was given in combination with the standard of care for COVID-19 pneumonia.
TreatmentEXPERIMENTALParticipants will receive MSTT1041A
MSTT1041A 210 mgEXPERIMENTALParticipants will receive MSTT1041A 210 milligrams (mg), subcutaneously every 4 weeks from randomization through Week 50.
MSTT1041A 490 mgEXPERIMENTALParticipants will receive MSTT1041A 490 mg, subcutaneously every 4 weeks from randomization through Week 50.
MSTT1041A 70 mgEXPERIMENTALParticipants will receive MSTT1041A 70 mg, subcutaneously every 4 weeks from randomization through Week 50.

Interventions

NameTypeDescription
AstegolimabDRUGParticipants will receive SC astegolimab Q2W
PlaceboDRUGParticipants will receive SC placebo Q2W
MSTT1041ADRUGParticipants received one intravenous (IV) infusion of MSTT1041A 700 milligrams (mg) on Day 1. A second IV dose of MSTT1041A 350 mg was given on Day 15 if the participant remained hospitalized with a requirement for supplemental oxygen.
MSTT1041A-matched PlaceboDRUGParticipants received up to 2 intravenous infusions of MSTT1041A-matched placebo.
UTTR1147ADRUGParticipants received one intravenous (IV) infusion of UTTR1147A 90 micrograms/kilogram body weight (μg/kg) on Day 1. A second IV dose of UTTR1147A 90 μg/kg was given on Day 15 if the participant remained hospitalized with a requirement for supplemental oxygen.
UTTR1147A-matched PlaceboDRUGParticipants received up to 2 intravenous infusions of UTTR1147A-matched placebo.
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Eligibility Criteria

Age Range40 Years to 90 Years
SexALL
Healthy VolunteersNo
Study Sites481

Inclusion Criteria: * Completion of the 52-week treatment period in either parent GB43311 or GB44332 Exclusion Criteria: * Withdrawal of consent and/or premature discontinuation from parent study * Any permanent discontinuation of study drug in parent study * Significant non-compliance in the par...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilBulgariaCanadaChileChinaCzechiaDenmarkFranceGermanyGreeceHong KongHungaryIndiaIsraelItalyJapanKenyaLatviaMexicoNetherlandsNew ZealandPeruPhilippinesPolandPuerto RicoRomaniaSouth AfricaSouth KoreaSpainSwedenSwitzerlandTaiwanThailandTurkey (Türkiye)United KingdomRussiaUkraine
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Recent Changes (Last 90 Days)

MEDIUMAug 14, 2026NCT05878769Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMAug 14, 2026NCT05878769Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWAug 5, 2026NCT05878769lastUpdatePostDate: changed

Frequently asked questions about MSTT1041A

What is MSTT1041A used for?

MSTT1041A is an investigational drug being studied for atopic dermatitis, COVID-19 pneumonia, and asthma. It is developed by Roche Holding AG (RHHBY) and is currently in Phase 2 clinical development.

What does MSTT1041A target?

MSTT1041A is a small molecule being studied for respiratory and other conditions. Its specific molecular target has not been disclosed in the available information.

Who makes MSTT1041A?

MSTT1041A is developed by Roche Holding AG, which trades under the ticker RHHBY. The drug is currently in Phase 2 clinical trials for multiple indications.

What phase is MSTT1041A in?

MSTT1041A is in Phase 2 clinical development. It is not FDA approved and remains investigational. Clinical trials have been completed for asthma, atopic dermatitis, and COVID-19 pneumonia.

What clinical trials is MSTT1041A in?

MSTT1041A has completed three Phase 2 trials: NCT02918019 for uncontrolled severe asthma, NCT03747575 for moderate to severe atopic dermatitis, and NCT04386616 for severe COVID-19 pneumonia. All trials are completed.

Is MSTT1041A the same as astegolimab?

Yes, MSTT1041A is also known as astegolimab. In the COVID-19 pneumonia trial, the drug is referred to as MSTT1041A (Astegolimab), confirming they are the same compound.