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SPY002-072

Phase 2

Rheumatoid Arthritis | Small molecule | Immunology |Spyre Therapeutics, Inc.|Last Updated: Aug 25, 2026

Target and mechanism

Molecular targetTL1A
Target classProtein
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment285

FDA Designations

No designations recorded

Clinical trial landscape

SPY002-072 · 2 trials · 9 indications

Phase 2 1Phase 1 1
NCT07148414A Study of SPY072 in Rheumatic DiseaseRheumatoid Arthritis
ACTIVE NOT_RECRUITING285 Analytics
PHASE2ACTIVE NOT_RECRUITING
A Study of SPY072 in Rheumatic Disease
Rheumatoid ArthritisUnlock trial analytics

Study Endpoints

Primary Endpoints

Rheumatoid Arthritis: Change from baseline in Disease Activity Score in 28 joints (c-reactive protein) (DAS-CRP)
Week 12

The score is calculated based on the number of tender and swollen joints out of 28 assessed (TJC28 and SJC28), a measure of inflammation in the blood (c-reactive protein, CRP), and the subject's overall assessment of their health (patient global assessment). Scores range from 0-10. Higher scores indicate greater disease activity.

Axial Spondyloarthritis: Change from baseline in Ankylosing Spondylitis Disease Activity Score (ADAS)
Week 16

The score combines 5 disease activity variables (back pain, duration of morning stiffness, patient global assessment of disease activity, peripheral pain/swelling and measure of inflammation) to measure disease activity. Lowest score is 0.6 and increases as disease worsens. Higher scores indicate greater disease activity.

Psoriatic Arthritis: Proportion of participants who achieve an American College of Rheumatology 20 Response Criteria (ACR20) response
Week 16

The proportion of subjects who achieve at least 20% improvement in tender and swollen joint counts (TJC and SJC), and at least 20% improvement in 3 out of 5 other disease activity measures (patient global assessment, physician global assessment, patient pain assessment, health assessment questionnaire, and measure of inflammation) will be assessed.

Treatment emergent adverse events
Up to 40 weeks

Incidence, severity, and causal relationship of TEAEs

Secondary Endpoints

Rheumatoid Arthritis: Proportion of participants who achieve an ACR20 response
Week 12
Axial Spondyloarthritis: Proportion of participants who achieve an Assessment of Spondyloarthritis International Society (40% improvement) (ASAS40) response
Week 16
Psoriatic Arthritis: Change from baseline in Disease Activity Index for Psoriatic Arthritis (DAPSA)
Week 16
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Rheumatoid Arthritis, Dose Regimen 1EXPERIMENTALParticipants will receive double-blind dosing regimen 1 of SPY072
Rheumatoid Arthritis, Dose Regimen 2EXPERIMENTALParticipants will receive double-blind dosing regimen 2 of SPY072
Psoriatic ArthritisEXPERIMENTALParticipants will receive double-blind dose of SPY072
Axial SpondyloarthritisEXPERIMENTALParticipants will receive double-blind dose of SPY072
Rhematoid Arthritis PlaceboPLACEBO_COMPARATORParticipants will receive matching placebo
Psoriatic Arthritis PlaceboPLACEBO_COMPARATORParticipants will receive matching placebo
Axial Spondyloarthritis PlaceboPLACEBO_COMPARATORParticipants will receive matching placebo
SAD Cohorts, Experimental ArmEXPERIMENTALParticipants will receive a single dose of SPY002-072 in a dose escalation format
SAD Cohorts, Placebo ArmPLACEBO_COMPARATORParticipants will receive a single dose of placebo

Interventions

NameTypeDescription
SPY002-072DRUGExperimental
PlaceboDRUGMatching Placebo
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites64

Inclusion Criteria: For rheumatoid arthritis: * Moderate-to-severely active RA as defined by the presence of ≥4 swollen joints (based on 28 joint count) and ≥4 tender joints (based on 28 joint count) at Screening and Day 1. * Documentation of ≥1 of the following: 1. Positive test results for rh...

Countries:United StatesBulgariaCzechiaGeorgiaMoldovaPolandSpainUkraineCanada
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Recent Changes (Last 90 Days)

HIGHAug 25, 2026NCT06622070Status: RECRUITING → COMPLETED
HIGHAug 25, 2026NCT06622070Status: RECRUITING → COMPLETED

Frequently asked questions about SPY002-072

What is SPY002-072 used for?

SPY002-072 is an investigational small molecule being studied for rheumatic diseases, including rheumatoid arthritis, psoriatic arthritis, and axial spondyloarthritis. It is also being evaluated in healthy volunteers to assess its safety and tolerability. The drug is in clinical development and has not been approved by the FDA.

What does SPY002-072 target?

SPY002-072 targets TL1A, a protein involved in inflammatory pathways. By targeting TL1A, the drug aims to modulate the immune response associated with rheumatic conditions. This mechanism is being investigated in clinical trials for diseases such as rheumatoid arthritis and psoriatic arthritis.

Who makes SPY002-072?

SPY002-072 is being developed by Spyre Therapeutics, Inc., a biopharmaceutical company traded under the ticker SYRE. The company is conducting clinical trials to evaluate the drug's safety and efficacy in healthy volunteers and patients with rheumatic diseases.

What phase is SPY002-072 in?

SPY002-072 is in Phase 1 and Phase 2 clinical development. A Phase 1 study in healthy volunteers has been completed, and a Phase 2 study in rheumatic diseases is active but not recruiting. The drug is investigational and has not received FDA approval.

What clinical trials is SPY002-072 in?

SPY002-072 has two clinical trials. NCT06622070 is a completed Phase 1 study in healthy volunteers with 40 participants. NCT07148414 is an active Phase 2 study in rheumatic diseases with 285 participants, covering conditions like rheumatoid arthritis and psoriatic arthritis across multiple countries.

Is SPY002-072 the same as SPY072?

SPY002-072 is also referred to as SPY072 in clinical trial documentation. The Phase 2 study NCT07148414 uses the name SPY072, while the Phase 1 study uses SPY002-072. Both names refer to the same investigational drug being developed by Spyre Therapeutics.