Market reactionShares fell 11% on Nov 2.
Coya Therapeutics is a clinical-stage company developing COYA 302, a combination of low-dose IL-2 and CTLA4-Ig meant to boost regulatory T cells, for ALS and frontotemporal dementia; it is not approved.
Coya's case rests on COYA 302, a low-dose IL-2/CTLA-4 Ig biologic combination, showing benefit in ALS. ALSTARS Phase 2/3 has completed planned enrollment; topline data are expected in early Q2 2027. Dr. Reddy's holds ALS commercial rights outside Japan, South America and Mexico. Coya prioritizes ALS, plans an open-label extension and delays FTD Phase 2 initiation to 2027. June 30, 2026 cash was $43.2 million; management expects funding beyond the readout into the second half of 2027. Randomized efficacy results remain pending.
Thesis checklist
1 risk needs attention
Why it is in this state
The evidence, what would weaken it and the source filing
Why it is in this state
The evidence, what would weaken it and the source filing
Why it is in this state
The evidence, what would weaken it and the source filing
Next decision point
Tests: COYA 302 slows ALS progression versus placebo
Does COYA 302 slow functional decline versus placebo with acceptable safety?
Strong, inconclusive and weak outcomes
What to look for in the result and how each would move the checklist
Price and material events
Select an event marker to read the update below. Marker colors show Thesis status.
Coya prioritizes ALS; FTD start moves to 2027, runway guidance unchanged
COYA 302's Treg-expansion mechanism in ALS and FTD enters Phase 2 testing; clinical efficacy data will determine whether immunomodulation is disease-modifying
About this history: every entry shows when the Thesis moved and what it said. The reasoning behind each move (the evidence, the analysis and the source filing) and the earnings write-ups are part of a subscription.
Dates, trials and completed outcomes are open to everyone. What each upcoming milestone hinges on is part of a subscription.
Disease areas: Neurology and pain, Autoimmune and inflammatory diseases
Catalyst calendar · Upcoming FDA decisions · Thesis changes
Competitive landscape
13 peers tracked
Cash: Market-data provider estimate; measurement period unavailable.
Debt: Market-data provider estimate; a complete comparable filing balance is unavailable.
Quarterly burn: Estimated from trailing free cash flow; measurement period unavailable.
Net cash and estimated runway require verified matching measurement periods. Missing debt components are not assumed to be zero.
Runway: No underlying guidance available.