Trial Outcomes & Findings for An Open-label, Phase 2 Study to Assess the Efficacy and Safety of Nemolizumab in Subjects With Systemic Sclerosis (NCT NCT05214794)
NCT ID: NCT05214794
Last Updated: 2026-02-13
Results Overview
Compare pre- and post-treatment total mRSS at Week 24. The investigator assessed the degree of skin thickening for each of 17 sites (fingers of both hands, dorsum of both hands, both forearms, both upper arms, face, anterior chest, abdomen, both thighs, both lower legs, and dorsum of both feet) with a 4-point scale from 0 to 3; where 0 = normal skin, 1 = mild thickness, 2 = moderate thickness, and 3 = severe thickness. The total mRSS is the sum of the mRSS of 17 site
COMPLETED
PHASE2
6 participants
Baseline and week 24
2026-02-13
Participant Flow
The study was conducted at one site in Japan from April 2022 to July 2024
Participant milestones
| Measure |
Nemolizumab
Nemolizumab (60mg) was administered subcutaneously every 4 weeks.
|
|---|---|
|
Overall Study
STARTED
|
6
|
|
Overall Study
COMPLETED
|
6
|
|
Overall Study
NOT COMPLETED
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
An Open-label, Phase 2 Study to Assess the Efficacy and Safety of Nemolizumab in Subjects With Systemic Sclerosis
Baseline characteristics by cohort
| Measure |
Nemolizumab
n=6 Participants
nemolizumab: nemolizumab will be administered subcutaneous injection
|
|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=41 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
5 Participants
n=41 Participants
|
|
Age, Categorical
>=65 years
|
1 Participants
n=41 Participants
|
|
Age, Continuous
|
53.5 year
n=41 Participants
|
|
Sex: Female, Male
Female
|
6 Participants
n=41 Participants
|
|
Sex: Female, Male
Male
|
0 Participants
n=41 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
0 Participants
n=41 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
0 Participants
n=41 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
6 Participants
n=41 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=41 Participants
|
|
Race (NIH/OMB)
Asian
|
6 Participants
n=41 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=41 Participants
|
|
Race (NIH/OMB)
Black or African American
|
0 Participants
n=41 Participants
|
|
Race (NIH/OMB)
White
|
0 Participants
n=41 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=41 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=41 Participants
|
|
Region of Enrollment
Japan
|
6 participants
n=41 Participants
|
|
Classification of Primary Disease
Diffuse Cutaneous SSc
|
4 Participants
n=41 Participants
|
|
Classification of Primary Disease
Limited Cutaneous SSc
|
2 Participants
n=41 Participants
|
|
Modified Rodnan Total Skin Thickness Score (Total mRSS)
|
16 scores on scale
n=41 Participants
|
|
percent forced vital capacity (%FVC)
|
99.7 percentage of actual to predicted FCV
n=41 Participants
|
|
percent diffusing capacity of lung for carbon monoxide (% DLco)
|
101.75 percentage of actual to predicted DLco
n=41 Participants
|
PRIMARY outcome
Timeframe: Baseline and week 24Population: FAS population included all participants who were enrolled.
Compare pre- and post-treatment total mRSS at Week 24. The investigator assessed the degree of skin thickening for each of 17 sites (fingers of both hands, dorsum of both hands, both forearms, both upper arms, face, anterior chest, abdomen, both thighs, both lower legs, and dorsum of both feet) with a 4-point scale from 0 to 3; where 0 = normal skin, 1 = mild thickness, 2 = moderate thickness, and 3 = severe thickness. The total mRSS is the sum of the mRSS of 17 site
Outcome measures
| Measure |
Nemolizumab
n=6 Participants
nemolizumab: nemolizumab will be administered subcutaneous injection
|
|---|---|
|
Change From Baseline in Modified Rodnan Total Skin Thickness Score (Total mRSS) at Week 24
|
-9.5 scores on scale
Interval -13.0 to -6.0
|
SECONDARY outcome
Timeframe: From baseline up to Week 52Population: FAS population included all participants who were enrolled.
Compare pre- and post-treatment total mRSS at Week 52. The investigator assessed the degree of skin thickening for each of 17 sites (fingers of both hands, dorsum of both hands, both forearms, both upper arms, face, anterior chest, abdomen, both thighs, both lower legs, and dorsum of both feet) with a 4-point scale from 0 to 3; where 0 = normal skin, 1 = mild thickness, 2 = moderate thickness, and 3 = severe thickness. The total mRSS is the sum of the mRSS of 17 site
Outcome measures
| Measure |
Nemolizumab
n=6 Participants
nemolizumab: nemolizumab will be administered subcutaneous injection
|
|---|---|
|
Change From Baseline in Modified Rodnan Total Skin Thickness Score (Total mRSS) at Week 52
|
-10.0 scores on scale
Interval -14.0 to -7.0
|
SECONDARY outcome
Timeframe: From baseline up to Week 24Population: FAS population included all participants who were enrolled.
Compare pre- and post-treatment HAQ-DI at Week 24. The HAQ is a questionnaire that patients with chronic diseases answer themselves to assess physical function related to activities of daily living. The questionnaire consists of 20 questions divided into eight categories (dressing and grooming, standing, eating, walking, hygiene, movement, grip strength, and others), which are rated on a four-point scale from 0 to 3. 0 = without any difficulty, 1 = with some difficulty, 2 = with much difficulty, and 3 = unable to do. The highest value in each category is the index for that category, and the average of these is the HAQ-DI. The higher the HAQ-DI, the greater the degree of functional impairment.
Outcome measures
| Measure |
Nemolizumab
n=6 Participants
nemolizumab: nemolizumab will be administered subcutaneous injection
|
|---|---|
|
Change From Baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 24
|
0.000 scores on scale
Interval -0.13 to 0.38
|
SECONDARY outcome
Timeframe: From baseline up to Week 52Population: FAS population included all participants who were enrolled.
Compare pre- and post-treatment HAQ-DI at Week 52. The HAQ is a questionnaire that patients with chronic diseases answer themselves to assess physical function related to activities of daily living. The questionnaire consists of 20 questions divided into eight categories (dressing and grooming, standing, eating, walking, hygiene, movement, grip strength, and others), which are rated on a four-point scale from 0 to 3. 0 = without any difficulty, 1 = with some difficulty, 2 = with much difficulty, and 3 = unable to do. The highest value in each category is the index for that category, and the average of these is the HAQ-DI. The higher the HAQ-DI, the greater the degree of functional impairment.
Outcome measures
| Measure |
Nemolizumab
n=6 Participants
nemolizumab: nemolizumab will be administered subcutaneous injection
|
|---|---|
|
Change From Baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 52
|
0.063 scores on scale
Interval -0.13 to 0.25
|
SECONDARY outcome
Timeframe: From baseline up to Week 24Population: FAS population included all participants who were enrolled.
Compare pre- and post-treatment %FVC at Week 24. %FVC is the ratio of the actual measured FVC to the predicted FVC (predicted based on gender, age, and height).
Outcome measures
| Measure |
Nemolizumab
n=6 Participants
nemolizumab: nemolizumab will be administered subcutaneous injection
|
|---|---|
|
Change From Baseline in Percent Forced Vital Capacity (% FVC) at Week 24
|
-1.30 percentage of actual to predicted FCV
Interval -3.5 to 5.7
|
SECONDARY outcome
Timeframe: From baseline up to Week 52Population: FAS population included all participants who were enrolled.
Compare pre- and post-treatment %FVC at Week 52. %FVC is the ratio of the actual measured FVC to the predicted FVC (predicted based on gender, age, and height).
Outcome measures
| Measure |
Nemolizumab
n=6 Participants
nemolizumab: nemolizumab will be administered subcutaneous injection
|
|---|---|
|
Change From Baseline in Percent Forced Vital Capacity (% FVC) at Week 52
|
-0.35 percentage of actual to predicted FCV
Interval -6.4 to 5.7
|
SECONDARY outcome
Timeframe: From baseline up to Week 24Population: FAS population included all participants who were enrolled.
Compare pre- and post-treatment %DLco at Week 24. Pulmonary diffusion capacity refers to the ability to supply gases such as oxygen from alveoli to the alveolar capillaries. DLco is measured for carbon monoxide (CO) and is expressed as the volume (mL) of CO that transfers from alveolar air to the blood per minute per 1mmHg of alveolar partial pressure. %DLco is the ratio of the actual measured DLco to the predicted DLco (predicated based on age, sex, and height)
Outcome measures
| Measure |
Nemolizumab
n=6 Participants
nemolizumab: nemolizumab will be administered subcutaneous injection
|
|---|---|
|
Change From Baseline in Percent Diffusing Capacity of Lung for Carbon Monoxide (%DLco) at Week 24
|
0.55 percentage of actual to predicted DLco
Interval -4.5 to 8.8
|
SECONDARY outcome
Timeframe: From baseline up to Week 52Population: FAS population included all participants who were enrolled.
Compare pre- and post-treatment %DLco at Week 52. Pulmonary diffusion capacity refers to the ability to supply gases such as oxygen from alveoli to the alveolar capillaries. DLco is measured for carbon monoxide (CO) and is expressed as the volume (mL) of CO that transfers from alveolar air to the blood per minute per 1mmHg of alveolar partial pressure. %DLco is the ratio of the actual measured DLco to the predicted DLco (predicated based on age, sex, and height)
Outcome measures
| Measure |
Nemolizumab
n=6 Participants
nemolizumab: nemolizumab will be administered subcutaneous injection
|
|---|---|
|
Change From Baseline in Percent Diffusing Capacity of Lung for Carbon Monoxide (%DLco) at Week 52
|
-3 percentage of actual to predicted DLco
Interval -6.6 to 4.4
|
SECONDARY outcome
Timeframe: From baseline up to Week 24Population: FAS population included all participants who were enrolled.
Compare pre- and post-treatment physician's global assessment at Week 24. Physician's global assessment is a visual analogue scale in which the attending physician assess the condition of systemic sclerosis based on severity, damage, and overall disease status. 0 is the best condition and 10 is the worst condition.
Outcome measures
| Measure |
Nemolizumab
n=6 Participants
nemolizumab: nemolizumab will be administered subcutaneous injection
|
|---|---|
|
Change From Baseline in Physician's Global Assessment at Week 24
|
-3.30 scores on scale
Interval -5.4 to -0.9
|
SECONDARY outcome
Timeframe: From baseline up to Week 52Population: FAS population included all participants who were enrolled.
Compare pre- and post-treatment physician's global assessment at Week 52. Physician's global assessment is a visual analogue scale in which the attending physician assess the condition of systemic sclerosis based on severity, damage, and overall disease status. 0 is the best condition and 10 is the worst condition.
Outcome measures
| Measure |
Nemolizumab
n=6 Participants
nemolizumab: nemolizumab will be administered subcutaneous injection
|
|---|---|
|
Change From Baseline in Physician's Global Assessment at Week 52
|
-3.10 scores on scale
Interval -6.5 to -0.6
|
SECONDARY outcome
Timeframe: From baseline up to Week 24Population: FAS population included all participants who were enrolled.
Compare pre- and post-treatment patient's global assessment at Week 24. Patient's Global Assessment is a visual analogue scale in which patients rate their systemic sclerosis condition, with 0 being the best and 10 being the worst.
Outcome measures
| Measure |
Nemolizumab
n=6 Participants
nemolizumab: nemolizumab will be administered subcutaneous injection
|
|---|---|
|
Change From Baseline in Patient's Global Assessment at Week 24
|
1.30 scores on scale
Interval -1.8 to 3.8
|
SECONDARY outcome
Timeframe: From baseline up to Week 52Population: FAS population included all participants who were enrolled.
Compare pre- and post-treatment patient's global assessment at Week 52. Patient's Global Assessment is a visual analogue scale in which patients rate their systemic sclerosis condition, with 0 being the best and 10 being the worst.
Outcome measures
| Measure |
Nemolizumab
n=6 Participants
nemolizumab: nemolizumab will be administered subcutaneous injection
|
|---|---|
|
Change From Baseline in Patient's Global Assessment at Week 52
|
1.70 scores on scale
Interval -0.1 to 5.1
|
Adverse Events
Nemolizumab
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Nemolizumab
n=6 participants at risk
nemolizumab: nemolizumab will be administered subcutaneous injection
|
|---|---|
|
Infections and infestations
Nasopharyngitis
|
50.0%
3/6 • From baseline up to Week 52
|
|
Infections and infestations
Adenoviral conjunctivitis
|
16.7%
1/6 • From baseline up to Week 52
|
|
Infections and infestations
Gastroenteritis
|
16.7%
1/6 • From baseline up to Week 52
|
|
Infections and infestations
Paronychia
|
16.7%
1/6 • From baseline up to Week 52
|
|
Infections and infestations
Tinea pedis
|
16.7%
1/6 • From baseline up to Week 52
|
|
Infections and infestations
Oral herpes
|
16.7%
1/6 • From baseline up to Week 52
|
|
Infections and infestations
COVID-19
|
16.7%
1/6 • From baseline up to Week 52
|
|
Injury, poisoning and procedural complications
Animal bite
|
16.7%
1/6 • From baseline up to Week 52
|
|
Injury, poisoning and procedural complications
Ligament sprain
|
16.7%
1/6 • From baseline up to Week 52
|
|
Injury, poisoning and procedural complications
Vaccination complication
|
16.7%
1/6 • From baseline up to Week 52
|
|
Injury, poisoning and procedural complications
Contusion
|
16.7%
1/6 • From baseline up to Week 52
|
|
Injury, poisoning and procedural complications
Skin laceration
|
16.7%
1/6 • From baseline up to Week 52
|
|
General disorders
Malaise
|
16.7%
1/6 • From baseline up to Week 52
|
|
Musculoskeletal and connective tissue disorders
Tenosynovitis
|
16.7%
1/6 • From baseline up to Week 52
|
|
Nervous system disorders
Neuralgia
|
16.7%
1/6 • From baseline up to Week 52
|
Additional Information
Maruho Co.,Ltd. Kyoto R&D Center
Clinical Development Dept.
Results disclosure agreements
- Principal investigator is a sponsor employee If the PI intends to disclose information obtained through the clinical trial to external parties such as academic societies, prior approval from the Sponsor is required. The Sponsor must not unreasonably withhold such approval. There is no time limit imposed on the Sponsor for granting prior approval.
- Publication restrictions are in place
Restriction type: OTHER