Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 and up

Emapalumab for MDA5-positive RP-ILD in adults

Official title: Emapalumab for the Treatment of Anti-MDA5 Antibody Positive Rapidly Progressive Interstitial Lung Disease

Run by University of Miami · NCT07486869 · Data updated 2026-11-12

This study tests whether emapalumab can help adults with anti-MDA5 positive rapidly progressive interstitial lung disease who have dermatomyositis-related conditions.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment5 (estimated)
SponsorUniversity of Miami
Academic / other
Drugs / interventionsEmapalumab
Locations1 site (Miami, Florida)
StatusRecruiting
StartedJuly 23, 2026
Main results expectedJuly 2027
Study endsJuly 2027
Registry record updatedAugust 25, 2026
Trial IDNCT07486869 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) with anti-MDA5–positive, rapidly progressive ILD related to dermatomyositis who meet the ILD progression criteria and have elevated ferritin.

Probably not a fit

Patients with active uncontrolled infections or other disqualifying conditions may not benefit or could be harmed.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a phase 2, proof-of-concept interventional study evaluating emapalumab for anti-MDA5 antibody–positive rapidly progressive interstitial lung disease associated with dermatomyositis. Eligible participants are adults with progressive ILD and evidence of MDA5 antibodies, including worsening respiratory status or imaging/functional decline, and elevated ferritin. The trial will monitor response to emapalumab and safety in a small, focused cohort at the University of Miami with collaboration from Swedish Orphan Biovitrum. Primary outcomes will reflect changes in respiratory status and lung function, with safety assessments throughout treatment. Enrollment is limited to patients without active uncontrolled infections and without pregnancy or other exclusions described.

Why it matters

Potential benefit: If successful, participants may experience slowed disease progression and improved lung function and symptoms.

How similar studies have gone: This is a proof-of-concept in a rare, high-need condition; prior proof-of-concept use of emapalumab in related hyperinflammatory settings informs the approach but results in this specific indication are not yet established.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Progressive interstitial lung disease as determined by at least 2/4 of the following:

  1. worsening respiratory symptoms;
  2. worsening or new oxygen requirement;
  3. worsening disease on CT chest;
  4. worsening Forced Vital Capacity (FVC1) or Diffusing Capacity for Carbon Monoxide (DLCO) on pulmonary function tests
* MDA5 antibodies present
* Elevated ferritin above the upper limit of normal (ULN)
* Participant at least 18 years old

Exclusion Criteria:

* Active, untreated bacterial, mycobacterial or fungal infection
* Active herpes zoster infection
* Currently requiring extracorporeal membrane oxygenation (ECMO)
* Participant refusal to participate in the study
* Pregnant women
* Prisoners

Where it's running

  • University of Miami Hospital and Clinics
    Miami, Florida, United States
    Recruiting

Study contacts

  • Principal investigator: Kelly Corbitt, D.O. — University of Miami
  • Study coordinator: Kelly Corbitt, D.O.
  • Email: KKC51@miami.edu
  • Phone: 305-243-7545

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.