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Not yet recruitingNCT07809724Updated Sep 9, 2026

Efficacy and Safety of Low-Dose IL-2 in Neuromyelitis Optica Spectrum Disorder

A Phase 2 interventional study of Placebo and IL-2 (interleukin 2) in Neuromyelitis Optica Spectrum Disorder (NMOSD), sponsored by Peking University People's Hospital. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 74 Years. Per ClinicalTrials.gov, last updated 2026-09-09.

Sponsored by Peking University People's Hospital · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 74 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 72 studies in Neuromyelitis Optica with a site in China — 37 open to participants now, 43 under way, 7 of them phase 3. Neuromyelitis Optica · China.

Planned enrollment
15th of 51
60 · median 23
Started
2026
with 11 others
Phase 2
8 of 72
2 open now
Primary completion
2028-08
later than 35 of 42 live
Registered
54th of 72
by date

Among the 72 studies in Neuromyelitis Optica with a site in China, this one is the 15th largest by planned enrollment of the 51 interventional ones that give a count, is one of 12 that started in 2026, is one of 8 in phase 2, reaches primary completion later than 35 of the 42 other live ones, and was the 54th registered.

Neuromyelitis Optica

178 studies on the registry are indexed under Neuromyelitis Optica; 78 are open to participants now.

Browse Neuromyelitis Optica studies →

Open to participants now

37 of the 72 studies in Neuromyelitis Optica with a site in China are open now. Recruiting first, the newest first:

32 more — sign in →

All 37 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 50 Neuromyelitis Optica studies recruiting now, 29 (58%) set no upper age limit and 16 (32%) stop at 75 or younger; 11 take children under 18; 9 take healthy volunteers.

This study: 18 Years to 74 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 72 studies in Neuromyelitis Optica with a site in China, or all of them as a file.
02

Study summary

Interleukin-2 (IL-2) is an essential cytokine for T-cell proliferation. Low-dose IL-2 has been shown to increase the proportion of regulatory T cells (Tregs), negatively regulate effector T cells such as Th17 and Tfh cells, and improve the peripheral Treg/Th17 balance, thus restoring immune homeostasis. Studies have demonstrated a positive correlation between the Th17/Treg ratio and the severity of various autoimmune diseases. Clinically, low-dose IL-2 has been successfully used in the treatment of diseases such as systemic lupus erythematosus and Sjögren's syndrome. However, the efficacy and safety of IL-2 in neuromyelitis optica spectrum disorder (NMOSD) remain unknown. This clinical trial aims to investigate the safety and biological efficacy of IL-2 in treating NMOSD.

Read the detailed description

In the NMOSD-IL2 trial, 60 patients with NMOSD will participate in a randomized, double-blind, placebo-controlled clinical study. The participants will be allocated in a 1:1 ratio to the intervention and placebo groups, with 30 patients in each group. The intervention group will receive subcutaneous injections of IL-2 (1 MIU) every other day for 4 weeks, followed by twice-weekly injections for an additional 20 weeks. The placebo group will receive parallel dosing.

The primary efficacy criteria will be the percentage change in Treg levels relative to baseline at week 4, indicating the biological response to IL-2.

Secondary efficacy endpoints will include: (i) the maintenance of regulatory T cells during the 24 weeks treatment period with low-dose IL-2 compared to placebo, and (ii) disease activity and relapse rates, as assessed by clinical scores and MRI evaluations, in the IL-2 treatment group compared to the placebo group.

Expected impact: This trial will determine whether NMOSD responds to IL-2 therapy.

03

Conditions studied

  • Neuromyelitis Optica Spectrum Disorder (NMOSD)

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04

Who can participate

Ages eligible
18 Years to 74 Years
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

  • Age: 18 to 74 years, inclusive at the time of .
  • Diagnosed with NMOSD according to the 2015 international consensus diagnostic criteria for NMOSD.
  • Expanded Disability Status Scale (EDSS) score between 0 and 6.5.
  • For women of , must be used for more than 2 weeks after meeting the inclusion criteria, and HCG must be negative at the time of enrollment.
  • Able to provide written informed consent and demonstrate the ability and willingness to comply with the study protocol requirements.

Exclusion criteria

Exclusion Criteria:

  • Any prior history of receiving whole-body irradiation or bone marrow transplantation.
  • Any treatment with drugs within 3 months prior to baseline.
  • Pregnancy or breastfeeding.
  • Any surgical procedure within 4 weeks prior to baseline (except minor surgeries).
  • Evidence of other demyelinating diseases or progressive multifocal leukoencephalopathy (PML).
  • Evidence of severe uncontrolled comorbidities that may hinder participation.
  • Other neurological disorders, hematological / hematopoietic disorders, congenital/acquired severe immunodeficiencies.
  • Heart failure (≥ Class III), renal insufficiency, liver insufficiency, or respiratory failure.
  • White blood cell count \<3000/ml, lymphocyte count \<1000/ml, count \<150,000/ml.
  • Evidence of chronic active or C.
  • Substance abuse or alcoholism history within 1 year prior to baseline.
  • Evidence of active tuberculosis (excluding participants undergoing chemoprophylaxis for latent tuberculosis infection).
  • Intolerance to IL-2: reactions to the active substance or any of its (e.g. shock, allergic reactions).
  • Active suicidal ideation within the past 6 months before screening, or a history of suicide attempts within the past 3 years.
Terms in these criteria, in plain language(9)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
60 participants (estimated)

Study arms

  • Placebo comparator
    Placebo Comparator

    placebo s.c. injection every other day for the first 4 weeks and then twice a week for an additional 20 weeks

    Drug: Placebo

  • Experimental
    Active Comparator

    IL-2 (1 MIU) s.c. injection every other day for the first 4 weeks and then twice a week for an additional 20 weeks

    Drug: IL-2 (interleukin 2)

Interventions

  • DrugPlacebo

    placebo s.c. injection every other day for the first 4 weeks and then twice a week for an additional 20 weeks. IL-2 (1 MIU) : placebo = 1:1

  • IL-2 (1 MIU) s.c. injection every other day for the first 4 weeks and then twice a week for an additional 20 weeks. IL-2 (1 MIU) : placebo = 1:1

    Also known as: Human recombinant IL-2

06

What researchers measure

Primary outcomes

  1. Change in the percentage of Tregs at week 4 compared to baseline (week 0)

    expressed as a percentage of the total CD4+ cells

    Time frame: Week 4

Secondary outcomes

  1. Change in the percentage of Tregs at week 2 compared to baseline (week 0)

    expressed as a percentage of the total CD4+ cells

    Time frame: Week 2

  2. Change in the percentage of Tregs at week 24 compared to baseline (week 0)

    expressed as a percentage of the total CD4+ cells

    Time frame: Week 8, 12, 16, 20, 24

  3. Change of Th1, Th2, and Th17 cells to low-dose IL-2 compared to baseline (week 0)

    expressed as a percentage of the total CD4+ cells

    Time frame: Week 2, 4, 8, 12, 16, 20, 24

  4. Cumulative number of active MRI lesions and/or changes in orbital optic nerve MRI lesions

    Measure the number of new gadolinium-enhancing lesions and new or enlarged T2 lesions using MRI.

    Time frame: Week 24

  5. Change of cumulative total activity (CUA)

    Cumulative number of new Gd-enhanced T1-weighted lesions and new or enlarged T2-weighted lesions, without repeat counting

    Time frame: Week 24

  6. Change in the Expanded Disability Status Scale (EDSS) compared to baseline (week 0)

    The Expanded Disability Status Scale (EDSS) ranges from 0 to 10, with higher scores indicating greater neurological disability and a worse outcome. A score of 0 indicates a normal neurological examination, whereas a score of 10 indicates death due to neurological disease. Change from baseline will be calculated as the score at each follow-up visit minus the baseline score; a negative change indicates improvement and a positive change indicates worsening.

    Time frame: Week 4, 8, 16, 24

  7. Change in the Modified Rankin Scale (mRS) score compared to baseline (week 0)

    The Modified Rankin Scale (mRS) ranges from 0 to 6, with higher scores indicating greater disability and a worse outcome. A score of 0 indicates no symptoms, whereas a score of 6 indicates death. Change from baseline will be calculated as the score at each follow-up visit minus the baseline score; a negative change indicates improvement and a positive change indicates worsening.

    Time frame: Week 4, 8, 16, 24

  8. Percentage of patients with relapses

    Time frame: Week 24

  9. Percentage of disease free patients, defined as those with no clinical symptoms and no active lesions on MRI

    Time frame: Week 24

  10. Safety endpoints: IL-2-related adverse events

    Assessment of IL-2-related adverse events (AEs) and recording of the AE incidence.

    Time frame: Week 2, 4, 8, 12, 24

07

Study locations

1 site
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Aug 2026; primary completion for Aug 2028, 23 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 23, 2025
First posted
Sep 9, 2026
StartEst.
Aug 30, 2026
Primary completionEst.
Aug 15, 2028
CompletionEst.
Dec 30, 2028
Last update
Sep 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07809724
Responsible party
Jing He (Professor, Peking University People's Hospital) — Principal investigator
First posted
Sep 9, 2026
Start date
Aug 30, 2026 (estimated)
Primary completion
Aug 15, 2028 (estimated)
Completion
Dec 30, 2028 (estimated)
Last update
Sep 9, 2026

Study contacts

Jing He
Contact
hejing1105@126.com
+86 010 88326452
Xue Li
Contact
lixue7976@163.com
+86 18810902920

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Interleukin-2

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