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
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 5 (estimated) |
| Sponsor | University of Miami Academic / other |
| Drugs / interventions | Emapalumab |
| Locations | 1 site (Miami, Florida) |
| Status | Recruiting |
| Started | July 23, 2026 |
| Main results expected | July 2027 |
| Study ends | July 2027 |
| Registry record updated | August 25, 2026 |
| Trial ID | NCT07486869 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
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.