Emapalumab for MDA5 Rapidly Progressive Interstitial Lung Disease

This study is looking at whether Emapalumab, a medication currently used for a severe immune system problem, might help people with a condition called anti-MDA5 antibody positive rapidly progressive interstitial lung disease (MDA5 RP-ILD). This condition causes scarring in the lungs. You might be able to join if you are 18 or older, have worsening lung symptoms, and have MDA5 antibodies present in your blood. Researchers will give Emapalumab intravenously (through a vein) over several weeks. They will measure changes in your oxygen needs and lung function (like how much air you can breathe in and out) to see if the treatment is effective. This is a small study, planning to enroll 5 participants.

Study design
This is a proof-of-concept study, meaning it's an early look at whether Emapalumab might be effective. It plans to enroll 5 participants.
What's involved
You would receive Emapalumab intravenously on a specific schedule over several weeks. Researchers will measure your oxygen requirements and lung function at different times.
Compensation
Not stated in the trial record.
Follow-up
Researchers will measure your oxygen requirements and lung function at 4 weeks and 12 weeks after starting the study.

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NCT07486869

Emapalumab MDA5 Rapidly Progressive Interstitial Lung Disease (RP-ILD) Study

Recruiting
PHASE2Ages 18+InterventionalTreatment
University of Miami
~5 participants
Updated 2026-08-25 on ClinicalTrials.gov
What's tested:Emapalumab

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in oxygen requirement
Measured over Baseline, 4 weeks, 12 weeks
+3 more outcomes measured
Dermatomyositis
Dermatomyositis Sine Myositis
Dermatomyositis With Myopathy
Dermatomyositis With Respiratory Involvement
Dermatomyositis With Organ Involvement
Interstitial Lung Disease
Interstitial Lung Disease Due to Connective Tissue Disease (Disorder)
1 sites across 1 states
Florida1
  • Kelly Corbitt, D.O. · PRINCIPAL_INVESTIGATOR · University of Miami

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Eligibility criteria

Inclusion

Progressive interstitial lung disease as determined by at least 2/4 of the following:
MDA5 antibodies present
Elevated ferritin above the upper limit of normal (ULN)
Participant at least 18 years old

Exclusion

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
  • Change in oxygen requirementBaseline, 4 weeks, 12 weeks

    Supplemental oxygen requirement assessed as the oxygen flow rate (reported in liters per minute \[L/min\]) while the participant is at rest and, when feasible, while the participant is ambulating during the 6-Minute Walk Test (6MWT). Values are compared with baseline to assess change over time.

  • Forced Vital Capacity (FVC)Baseline, 12 weeks

    Pulmonary function assessed using forced vital capacity (FVC) measured by standard pulmonary function testing (spirometry). The outcome is expressed as percent change from baseline (%) in FVC.

  • Diffusing capacity of the lungs for carbon monoxide (DLCO)Baseline, 12 weeks

    Pulmonary gas exchange capacity assessed using diffusing capacity of the lungs for carbon monoxide (DLCO) measured by standard pulmonary function testing. The outcome is expressed as percent change from baseline (%) in DLCO

  • Change in chest computed tomography (CT) consolidationsBaseline, 4 weeks, 12 weeks

    Pulmonary consolidations assessed on chest computed tomography (CT) scans. CT images are reviewed by a radiologist and pulmonologist, and percentage of lung affected by consolidations will be documented. Percentage change of affected lung will be evaluated.