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

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

6 participants

Primary outcome timeframe

Baseline and week 24

Results posted on

2026-02-13

Participant Flow

The study was conducted at one site in Japan from April 2022 to July 2024

Participant milestones

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

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 24

Population: 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

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 52

Population: 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

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 24

Population: 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

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 52

Population: 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

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 24

Population: 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

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 52

Population: 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

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 24

Population: 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

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 52

Population: 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

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 24

Population: 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

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 52

Population: 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

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 24

Population: 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

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 52

Population: 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

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 events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

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.

Phone: +81-75-325-3255

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