Programs
Advancing Therapeutics with Purpose and Precision
Spero Therapeutics is developing novel immunology and inflammation medicines for patients with limited treatment options.

Our Programs
SP001
Rheumatology
Targeting CD40L to disrupt upstream immune signaling across multiple cell types, intervening earlier than traditional, downstream inflammatory treatments.
IgG4-Related Disease (IgG4-RD)
IgG4-RD is a chronic fibroinflammatory condition that can affect multiple organs and lead to irreversible tissue damage. By blocking CD40L, SP001 disrupts T-cell/B-cell collaboration upstream in the immune cascade, creating the potential for durable disease control while reducing reliance on steroids and repeated B-cell depletion-based treatment.
Other Development Opportunities
Spero is actively evaluating the opportunity to develop SP001 in Sjögren’s syndrome, as well as exploring differentiated upstream approaches to mitigating inflammatory and immunothrombotic injury.
SP001: Third-Generation Anti-CD40L Monoclonal Antibody
Intervening Early in the Pathogenic Immune Cascade
CD40L is a central immune activation signal involved in T-cell, B-cell, platelet, and antigen-presenting cell biology. SP001 combines several important attributes in one asset: a clinically relevant target, third-generation Fc-silent antibody engineering, and compelling potency signals. By targeting CD40L, SP001 is designed to intervene earlier in immune signaling than approaches focused primarily on downstream inflammatory mediators or single immune-cell populations.
SP001 is designed as an Fc-silent IgG1 monoclonal antibody to address Fc-mediated platelet activation concerns associated with first-generation molecules, while retaining important antibody properties, including long half-life.
SP001 has demonstrated strong potency signals, including potent B-cell blockade and supportive anti-KLH immune response data. Its potential best-in-class profile is based on the combination of potency, Fc-silent engineering, and early clinical experience.

IgG4-Related Disease (IgG4-RD)
Spero is advancing SP001 in IgG4-RD, a serious relapsing fibroinflammatory condition characterized by chronic tissue inflammation, tissue fibrosis, and relapsing disease activity. Patients often face prolonged glucocorticoids exposure, relapse during or after steroid tapering, and repeated B-cell-directed therapies that can add to cumulative immune suppression and infection risk. CD40L signaling sits at the intersection of T-cell help, B-cell activation, plasmablast expansion, and fibroinflammatory disease biology. By interrupting this pathway, SP001 is designed to target a central driver of pathogenic immune collaboration rather than depleting B cells after disease-driving immune activation has already occurred. This mechanism gives SP001 the potential to deliver durable disease control, reduce dependence on chronic steroids, and provide a differentiated alternative to repeated B-cell depletion-based treatment.

Future Development Opportunities
Spero is also evaluating SP001 in additional indications, including Sjögren’s syndrome, a chronic, systemic autoimmune disorder. Spero’s partner, Innovent, is planning to initiate a Phase 2 study in Sjögren’s syndrome patients in China by early 2027.
Expanded Access Statement
None of Spero’s investigational drug products are available for expanded access at this time. Spero’s Expanded Access policy is subject to change at Spero’s sole discretion. Updates to the policy will be posted here. For additional information about Spero’s clinical trials, please contact: expandedaccess@sperotherapeutics.com