New hope for rare disease: can NS-229 help patients reduce steroids?
NCT ID NCT06046222
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new medicine, NS-229, in 45 adults with a rare disease called eosinophilic granulomatosis with polyangiitis (EGPA), which causes inflammation in blood vessels. The goal is to see if NS-229 can help patients achieve remission while lowering their daily steroid dose. Participants will receive either NS-229 or a placebo, and doctors will check disease activity and steroid use after 28 weeks.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 45 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2023
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Ability to provide written informed consent prior to participation in the study. * Male or female subjects aged ≥18 years at the time the informed consent form is signed. * Diagnosis of EGPA: Subjects who have been diagnosed with EGPA based on the history or presence of eosinophilia plus at least a history or presence of 2 of additional features of EGPA. * Subjects receive background OGC dose of ≥7.5 mg/day with or without stable treatment with Mepolizumab/Benralizumab. * Use of adequate contraception. * Other inclusion criteria may apply. Exclusion Criteria: * Current diagnosis of either granulomatosis with polyangiitis or microscopic polyangiitis * Imminently life-threatening EGPA at the time of screening. * History or presence of any form of cancer within 5 years prior to screening. * Serious liver, renal, blood, or psychiatric disease * Severe or clinically significant cardiovascular disease uncontrolled with standard treatment * Active systemic infections (including TB, pneumonia, Pneumocystis pneumonia, sepsis, and opportunistic infections) * Parasitic infection: Subjects with a known parasitic infestation within 6 months prior to screening. * HIV positive status * Active hepatitis due to hepatitis B virus or hepatitis C virus * Known history or presence of venous thromboembolism/venous thrombotic events (deep vein thrombosis and/or pulmonary embolus) * laboratory parameter exclusions: 1. Estimated glomerular filtration rate of \<30 mL/min/1.73 m2 by Chronic Kidney Disease Epidemiology Collaboration equations 2. WBC count \<4 × 109/L 3. Absolute lymphocyte count \<500 cells/mm3 4. Absolute neutrophil count \<1000 cells/mm3 5. Platelet count \<120,000/mm3 6. Hemoglobin \<8 g/dL (\<80 g/L) * Subjects who are pregnant, breastfeeding, or planning to become pregnant during the time of study participation * History of clinically significant drug or alcohol abuse within the last 6 months * Other exclusion criteria may apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Addenbrookes Hospital
Cambridge, CB2 2QQ, United Kingdom
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Azienda Ospedaliera Universitaria Integrata Verona
Verona, 37126, Italy
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Azienda Provinciale per i Servizi Sanitari Provincia Autonoma Trento
Trento, 38122, Italy
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CHU Nice
Nice, 06202, France
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Chiba University Hospital
Chuo-ku, Chiba-shi, Chiba, 260-8677, Japan
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Chu Rangueil
Toulouse, 31059, France
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Cleveland Clinic
Cleveland, Ohio, 44195, United States
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Complejo Hospitalario Universitario de Santiago de Compostela
Santiago de Compostela, A Coruna, 15706, Spain
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Complejo Hospitalario de Navarra
Pamplona, 31008, Spain
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Fondazione Policlinico Universitario Campus Bio-Medico
Roma, 00128, Italy
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Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648, Japan
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Hopital Cochin
Paris, 75014, France
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Hospital of the University of Occupational and Environmental Health, Japan
Kitakyushu, Fukuoka, 807-8555, Japan
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Istituto Auxologico Italiano IRCCS
Milan, 20145, Italy
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Juntendo University Hospital
Bunkyo-ku, Tokyo, 113-8431, Japan
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Kyorin University Hospital
Mitaka, Tokyo, 181-8611, Japan
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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Medical University of South Carolina
Charleston, South Carolina, 29425, United States
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Medius Kliniken gGmbh
Kirchheim unter Teck, Studienzentrale, 73230, Germany
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NHO Sagamihara National Hospital
Sagamihara, Kanagawa, 252-0392, Japan
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National Hospital Organization Yokohama Medical Center
Yokohama, Kanagawa, 245-8575, Japan
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National Jewish Health
Denver, Colorado, 80206, United States
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Osaka Habikino Medical Center
Habikino, Osaka, 583-8588, Japan
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Queen Elizabeth Hospital Birmingham
Edgbaston, Birmingham, B15 2GW, United Kingdom
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Royal Berkshire NHS Foundation Trust
Reading, RG1 5AN, United Kingdom
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Saitama Medical Center
Kawagoe, Saitama, 350-8550, Japan
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St Joseph's Healthcare Hamilton
Hamilton, Ontario, L8N4A6, Canada
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The Ohio State University Wexner Medical Center
Columbus, Ohio, 43210, United States
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Toho University Omori Medical Center
Ōta-ku, Tokyo, 143-8541, Japan
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Tohoku University Hospital
Sendai, Miyagi, 980-8574, Japan
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University of Alberta
Edmonton, Alberta, T6G 2B7, Canada
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University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
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University of Toronto
Toronto, Ontario, M5G 1X5, Canada
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Vanderbilt University Medical Center
Nashville, Tennessee, 37232, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Hydroxychloroquine trial for rare vasculitis halted early
- New study tracks Nucala's Long-Term impact on rare inflammatory disease
- Scientists build tissue bank to unlock vasculitis mysteries
- Scientists hunt for clues to rare immune disease
- New drug aims to tame rare inflammatory disease EGPA
- New drug MT-2990 tested in rare blood vessel disease