ClinicalTrials.gg
RecruitingNCT05892614Updated May 7, 2025

Study to Evaluate the Efficacy, Safety, and Tolerability of Efzofitimod in Patients With Systemic Sclerosis (SSc)-Related Interstitial Lung Disease (ILD) (SSc-ILD)

A Phase 2 interventional study of efzofitimod 450 mg and efzofitimod 270 mg in Interstitial Lung Disease, sponsored by aTyr Pharma, Inc.. Recruiting at 15 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-07.

Sponsored by aTyr Pharma, Inc. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Apr 2026, 7 months ago, but the record still lists the study as recruiting.
  • Started Oct 2023; still recruiting 3 years later.
Phase
Phase 2
Study type
Interventional
Enrollment
25
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a 2-Part study with Part A, a double-blind, randomized, placebo-controlled, PoC study to evaluate the efficacy, safety, and tolerability of efzofitimod in patients with SSc-ILD. The primary objective of the study is to evaluate the PoC for efficacy in a population with SSc-ILD. While improvement of ILD is the outcome of interest, the study will also evaluate changes in the skin. After initial screening (up to 4 weeks), approximately 25 eligible participants will be randomized 2:2:1 to 1 of 2 active (experimental) dose arms or placebo, administered every 4 weeks up to and including Week 20. Part B is an optional open-label extension to Part A in which participants can receive 450 mg efzofitimod every 4 weeks for 6 doses.

02

Conditions studied

  • Interstitial Lung Disease

Keywords

  • ILD
  • SSc-ILD
  • Interstitial Lung Disease
  • lung inflammation
  • fibrosis
  • pulmonary function
  • efzofitimod
  • systemic sclerosis
03

In context

Lung Diseases, Interstitial

680 studies on the registry are indexed under Lung Diseases, Interstitial; 246 are open to participants now.

This study's planned enrollment of 25 is below the median of 60 across 384 interventional studies indexed under Lung Diseases, Interstitial.

Browse Lung Diseases, Interstitial studies →

Lead sponsor

aTyr Pharma, Inc. is the lead sponsor of 9 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Diagnosis of SSc based on ACR/ EULAR criteria (2013)
  2. Overall duration of SSc \< 84 months from the first non-Raynaud symptom manifestation prior to Day 1
  3. HRCT obtained at the Screening Visit or within the 3 months prior to Screening consistent with SSc-ILD (adjudicated by a central reader) AND with pulmonary involvement > 10%
  4. Clinical presentation at Screening consistent with lcSSc (up to 40% of patients) or dcSSc
  5. MMF of ≥ 2 gm/day (or equivalent doses of other mycophenolate based compounds) for 3 months prior to Day 1 OR When documented intolerance to mycophenolates (in discussion with the Medical Monitor): treatment with maximum tolerated dose of MMF is acceptable, if \< 2 gm/day, provided the cumulative duration of dosing has exceeded 3 months, OR An adequate dose and duration of an alternate with a stable dose for the 4 weeks prior to baseline is also allowed.

Exclusion criteria

Exclusion Criteria:

  1. Pulmonary disease with FVC %pred ≤ 45% OR DLco %pred ≤ 30%; /FVC ratio \< 0.7
  2. Participants with pulmonary artery hypertension on parenteral therapy or with clinical evidence of right heart failure
  3. HRCT obtained in the 3 months prior to Screening consistent with other confounding pathology.
  4. Treatment with (> 10 mg/day of prednisone or equivalent) within 2 weeks prior to Day 1
  5. Treatment with more than 1 (e.g., MMF, methotrexate [MTX], azathioprine [AZA], or leflunomide)
  6. Any treatment in the 12 months prior to Day 1 with any of the following: rituximab, intravenous immune globulin (IVIG), tocilizumab, cyclophosphamide, pirfenidone, tyrosine-kinase inhibitors (e.g., imatinib, nilotinib, dasatinib)
  7. Rheumatic disease other than SSc, Is an active, heavy smoker of tobacco/nicotine-containing products
  8. History of (anti-Jo-1) anti-synthetase syndrome or Jo-1 positive at Screening
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
25 participants (estimated)

Study arms

  • Experimental
    efzofitimod 450 mg

    Administered IV infusion

    Drug: efzofitimod 450 mg

  • Experimental
    efzofitimod 270 mg

    Administered IV infusion

    Drug: efzofitimod 270 mg

  • Placebo comparator
    Placebo

    Administered IV infusion

    Drug: Placebo

Interventions

  • IV infusion over approximately 60 minutes every 4 weeks

  • IV infusion over approximately 60 minutes every 4 weeks

  • DrugPlacebo

    IV infusion over approximately 60 minutes every 4 weeks

06

What researchers measure

Primary outcomes

  1. Absolute change from baseline in forced vital capacity (FVC) in mL

    Time frame: 24 weeks

  2. Annual rate of decline in FVC in mL

    Time frame: 24 weeks

  3. Annual rate of decline in FVC in percent predicted

    Time frame: 24 weeks

  4. Change in HRCT fibrosis score

    Time frame: Baseline to Week 24

07

Study locations

15 of 15 sites recruiting
  • aTyr Investigative Site
    Los Angeles, California 90024, United States
    Recruiting
  • aTyr Investigative Site
    San Diego, California 92093, United States
    Recruiting
  • aTyr Investigative Site
    Miami, Florida 33146, United States
    Recruiting
  • aTyr Investigative Site
    Chicago, Illinois 60153, United States
    Recruiting
  • aTyr Investigative Site
    Chicago, Illinois 60611, United States
    Recruiting
  • aTyr Investigative Site
    Chicago, Illinois 60612, United States
    Recruiting
  • aTyr Investigative Site
    New Orleans, Louisiana 70115, United States
    Recruiting
  • aTyr Investigative Site
    New York, New York 10027, United States
    Recruiting
  • aTyr Investigative Site
    Cleveland, Ohio 44195, United States
    Recruiting
  • aTyr Investigative Site
    Oklahoma City, Oklahoma 73104, United States
    Recruiting
  • aTyr Investigative Site
    Charleston, South Carolina 29425, United States
    Recruiting
  • aTyr Investigative Site
    Dallas, Texas 75204, United States
    Recruiting
  • aTyr Investigative Site
    Houston, Texas 77204, United States
    Recruiting
  • aTyr Investigative Site
    Salt Lake City, Utah 84112, United States
    Recruiting
  • aTyr Investigative Site
    Richmond, Virginia 23284, United States
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 7, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05892614
Lead sponsor
aTyr Pharma, Inc.
Responsible party
Sponsor
First posted
Jun 7, 2023
Start date
Oct 26, 2023
Primary completion
Apr 2026 (estimated)
Completion
Apr 2026 (estimated)
Last update
May 7, 2025

Study contacts

aTyr Pharma Clinical Research
Contact
clinicaltrials@atyrpharma.com
877-215-5731
Lisa Carey
study director · aTyr Pharma, Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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