Table of contents
What is SPY072?
SPY072 is a protein-based substance classified under immune system diseases in the EU Clinical Trials Information System.[1] It is an investigational medicine, which means it has no marketing authorisation and is available only within clinical trials. The product is supplied by Spyre Therapeutics Inc. and appears in the registry only as a test substance, meaning it is the medicine being investigated rather than a comparison treatment.[1]
How does SPY072 work?
The registry records do not describe the molecular target or mechanism of action of SPY072. As a protein-based substance, it belongs to a class of medicines made from biological material rather than chemical synthesis. The trial is designed to measure whether SPY072 reduces disease activity in three rheumatologic conditions, but the specific biological pathway it acts on is not stated in the available data.[1]
Which conditions is SPY072 studied for?
- Rheumatoid arthritis (RA) — a long-term autoimmune condition that mainly causes pain, swelling and stiffness in the joints.
- Axial spondyloarthritis (axSpA) — an inflammatory disease that mainly affects the spine and the joints connecting the spine to the pelvis.
- Psoriatic arthritis (PsA) — a form of arthritis that affects some people with the skin condition psoriasis, causing joint pain, swelling and stiffness.
How is SPY072 given?
SPY072 is prepared as a solution for injection and is given by subcutaneous injection, meaning it is injected under the skin.[1] The trial record lists the dose as 00 mg, which indicates that the dose was not reported in the register. The comparison arm receives a placebo matched to SPY072.
What do the clinical trials show?
One Phase 2 trial is registered for SPY072, with 416 planned participants.[1] The trial is authorised but not yet reporting results. It is a placebo-controlled study, meaning participants are randomly assigned to receive either SPY072 or a placebo. The trial is divided into three substudies, one for each condition, and each substudy has its own main measurement of effect.
In the rheumatoid arthritis substudy, the main outcome is the change in DAS28-CRP from the start of treatment to week 12. DAS28-CRP is a score that combines counts of tender and swollen joints, a blood marker of inflammation (C-reactive protein, CRP) and the patient's own assessment of disease activity. A lower score means less disease activity.
In the axial spondyloarthritis substudy, the main outcome is the change in ASDAS from the start of treatment to week 16. ASDAS is a score used to measure disease activity in axial spondyloarthritis, combining patient-reported symptoms and a blood marker of inflammation.
In the psoriatic arthritis substudy, the main outcome is the proportion of participants who achieve an ACR20 response at week 16. ACR20 means a 20% improvement in a standard set of measures for arthritis, including joint counts and patient and doctor assessments.
What side effects are known?
No side effect information is available in the registry record or supplementary sources for SPY072. Because the trial is still ongoing and no results have been published, the safety profile of this investigational medicine is not yet described.