Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT05785065

Mycophenolate Mofetil in Systemic Sclerosis With Subclinical Interstitial Lung Disease

Led by Centre hospitalier de l'Université de Montréal (CHUM) · Updated on 2025-04-11

35

Participants Needed

3

Research Sites

222 weeks

Total Duration

On this page

Sponsors

C

Centre hospitalier de l'Université de Montréal (CHUM)

Lead Sponsor

M

McGill University

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this pilot study is to assess the feasibility of a larger study on the efficacy of mycophenolate mofetil in people diagnosed with systemic sclerosis with mild lung involvement. Participants will be recruited over 12 months at 3 academic centers and assigned randomly to receive either mycophenolate mofetil or placebo, a look-alike substance that contains no active drug, for 96 weeks.

CONDITIONS

Official Title

Mycophenolate Mofetil in Systemic Sclerosis With Subclinical Interstitial Lung Disease

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Able and willing to provide informed consent and follow the study protocol
  • Adults aged 18 years and older, any gender or ethnicity
  • Diagnosed with systemic sclerosis based on 2013 ACR-EULAR criteria
  • Evidence of interstitial lung disease affecting less than 20% of lungs on HRCT scan within 12 months
  • ILD diagnosis made within 7 years before screening
  • Forced vital capacity of 80% predicted or higher on pulmonary tests within 6 months
  • Able to communicate in French or English
Not Eligible

You will not qualify if you...

  • Progressive pulmonary fibrosis with worsening symptoms, radiological or physiological progression in past year without other explanation
  • Current use of MMF, mycophenolic acid, azathioprine, calcineurin inhibitors, tocilizumab, nintedanib, pirfenidone, or corticosteroids over prednisone 10 mg/day
  • Cyclophosphamide use within 1 year before screening
  • Rituximab use within 6 months before screening
  • Cell therapies including stem cell transplant within 1 year before screening
  • Use of other biological, targeted synthetic, or investigational immunosuppressive drugs at screening
  • Contraindications to MMF including pregnancy or breastfeeding
  • Female of childbearing potential not using reliable contraception
  • Persistent low white blood cell count (<3.0 x10^3/µL), low platelets (<100 x10^3/µL), or anemia (hemoglobin <100 g/L)
  • Elevated liver enzymes or bilirubin >1.5 times normal except Gilbert's disease
  • Uncontrolled congestive heart failure
  • Active infection
  • Active cancer except certain skin or cervical cancers fully removed
  • Active peptic ulcer disease
  • Serious other medical illnesses or drug abuse affecting safety
  • Use of drugs with major interactions with MMF

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 3 locations

1

Centre hospitalier de l'Université de Montréal (CHUM)

Montreal, Quebec, Canada, H2X 3E4

Actively Recruiting

2

Jewish General Hospital - CIUSSS-COMTL

Montreal, Quebec, Canada, H3T 1E2

Not Yet Recruiting

3

Institut Universitaire de Cardiologie et Pneumologie de Québec

Québec, Quebec, Canada

Not Yet Recruiting

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Research Team

S

Sabrina Hoa, MD MSc

CONTACT

U

Unité d'innovation thérapeutique, CHUM

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

OTHER

Number of Arms

2

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