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Actively Recruiting

Phase 2
Age: 18Years - 70Years
All Genders
ID06470048

A Randomized, Double-blind, Placebo-controlled Study to Evaluate Efficacy, Safety, and Tolerability of Ianalumab in Adults With Diffuse Cutaneous Systemic Sclerosis

Led by Novartis Pharmaceuticals · Updated on 2026-06-05

200

Participants Needed

128

Research Sites

365 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the efficacy, safety, and tolerability of subcutaneous ianalumab in adults with diffuse cutaneous systemic sclerosis, a serious autoimmune condition. This Phase 2 study compares ianalumab against a placebo to better understand its effects on this disease. The study is sponsored by Novartis Pharmaceuticals and aims to assess how ianalumab impacts disease activity and progression. The study includes multiple periods a screening period lasting up to 6 weeks a first treatment period of 52 weeks where participants receive either ianalumab or placebo injections followed by a second open-label treatment period of an additional 52 weeks where all participants receive ianalumab. After treatment, there is a post-treatment follow-up period lasting at least 20 weeks and up to 2 years to monitor long-term effects. Participants will undergo regular assessments including measuring their response using the 35 rCRISS25 scale at Week 52, lung function changes, skin thickness scores, and physical disability indexes. Blood samples will be collected throughout the study to monitor drug levels and antibodies. Safety is closely monitored by recording any adverse events during the entire study duration, which can last up to 208 weeks. The study involves detailed clinical evaluations and laboratory tests to fully assess the impact of ianalumab on this condition.

CONDITIONS

Brief Title

A Clinical Study to Evaluate Ianalumab in Participants With Diffuse Cutaneous Systemic Sclerosis

Who Can Participate

Age: 18Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Male and female participants aged 18 to 70 years at screening
  • Diagnosis of systemic sclerosis meeting 2013 ACR/EULAR criteria and classified as diffuse cutaneous systemic sclerosis
  • Disease duration of 60 months or less from first non-Raynaud symptom
  • Modified Rodnan Skin Score (mRSS) between 15 and 45 at screening
  • Active disease defined by specific criteria including recent disease progression or elevated inflammatory markers
  • Positive for at least one of the following autoantibodies: anti-topoisomerase I (ATA), anti-RNA polymerase III (anti-RNAP3), or anti-nuclear antibody (ANA) with specific limits
Not Eligible

You will not qualify if you...

  • Presence of other rheumatic diseases besides diffuse cutaneous systemic sclerosis
  • Positive anti-centromere antibody without ATA or anti-RNAP3 positivity at screening
  • Previous improvement in mRSS greater than 10 units
  • Pulmonary disease with predicted FVC 50% or less or DLCO 40% or less at screening
  • WHO Functional Class 3 or higher for pulmonary arterial hypertension or receiving IV therapy for PAH
  • Treatment with cyclophosphamide within 12 weeks before baseline
  • Prior B-cell depleting therapy other than ianalumab within 36 weeks or low B cell count
  • Use of biologic agents or investigational drugs within specified timeframes before baseline
  • Use of anti-fibrotic agents within 4 weeks before baseline or need for these during the study
  • Previous treatment with chlorambucil, bone marrow transplant, or total lymphoid irradiation
  • Women of childbearing potential not using highly effective contraception during and for 6 months after treatment

Research Team

N

Novartis Pharmaceuticals

N

Novartis Pharmaceuticals

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