RecruitingPhase 2NCT07148414
A Study of SPY072 in Rheumatic Disease
Phase 2 Study to Assess the Efficacy and Safety of SPY002-072 in Adults With Moderately to Severely Active Rheumatologic Disease
Sponsor
Spyre Therapeutics, Inc.
Enrollment
285 participants
Start Date
Aug 21, 2025
Study Type
INTERVENTIONAL
Conditions
Summary
This is a multi-center, double-blind, placebo-controlled, Phase 2, proof-of-concept basket study with the goal of assessing the efficacy and safety of SPY072 compared to placebo in adults (aged ≥18 years) with rheumatic disease (RD).
Eligibility
Min Age: 18 Years
Inclusion Criteria22
- 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:
- Positive test results for rheumatoid factor or anti-citrullinated peptide antibodies at Screening, OR
- Radiology report documenting bony erosions in hands or feet consistent with RA on previous radiographs
- Inadequate response (defined as signs and symptoms of persistently active disease, loss of response, or intolerance) to:
- ≥1 csDMARD treatment; AND/OR
- ≤2 classes of bDMARD/tsDMARD treatment (\>2 classes of bDMARDs and/or tsDMARDs is exclusionary)
- For axial spondyloarthritis:
- Moderate-to-severely active axSpA defined by BOTH of the following at Screening AND Day 1:
- BASDAI ≥4, AND
- Back pain ≥4 (from BASDAI Item 2)
- hsCRP greater than the ULN per the central laboratory at Screening
- Inadequate response (defined as signs and symptoms of persistently active disease, loss of response, or intolerance) to:
- different NSAIDs given at the maximum tolerated dose for ≥4 weeks or intolerant to or has a contraindication to NSAID therapy; AND/OR
- ≤2 classes of bDMARD (anti-TNF or anti-IL-17)/tsDMARD at an approved dose for ≥12 weeks (\>2 classes of bDMARDs/tsDMARDs is exclusionary)
- For psoriatic arthritis:
- Screening and Day 1 TJC ≥3 out of 68 and SJC ≥3 out of 66 (dactylitis counts as 1 joint each)
- ≥1 active plaque psoriasis lesion and/or a documented history of psoriasis
- Inadequate response (defined as signs and symptoms of persistently active disease, loss of response, or intolerance) to:
- ≥1 NSAID treatment; AND
- ≥1 csDMARD treatment; AND/OR ≤2 classes of bDMARD/tsDMARD treatment (\>2 classes of bDMARDs and/or tsDMARDs is exclusionary)
Exclusion Criteria2
- Inadequate response to \>2 classes of bDMARDs/tsDMARDs
- Other autoimmune, rheumatologic, inflammatory diseases or pain-amplification syndromes that might confound the evaluations of efficacy of SPY072
Interventions
DRUGSPY002-072
Experimental
DRUGPlacebo
Matching Placebo
Locations(41)
View Full Details on ClinicalTrials.gov
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NCT07148414
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