Actively Recruiting

Phase 2
Age: 18Years - 89Years
All Genders
NCT06857240

Topical Ruxolitinib Cream for Refractory Cutaneous Dermatomyositis

Led by The Cleveland Clinic · Updated on 2025-10-08

15

Participants Needed

1

Research Sites

130 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study will assess the safety and efficacy of topical ruxolitinib for treating the refractory cutaneous manifestations in patients with dermatomyositis. The investigators' hypothesis is that topical ruxolitinib will be both safe and effective for such patients.

CONDITIONS

Official Title

Topical Ruxolitinib Cream for Refractory Cutaneous Dermatomyositis

Who Can Participate

Age: 18Years - 89Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients 18 years and older with refractory cutaneous symptoms related to classic dermatomyositis, juvenile dermatomyositis, or amyopathic dermatomyositis
  • Diagnosis based on Bohan and Peter criteria (CD and JD) or Sontheimer's criteria (AD)
  • Skin biopsy confirming dermatomyositis with current skin symptoms consistent with dermatomyositis
  • Refractory disease defined by persistent skin symptoms despite systemic corticosteroids and at least one other steroid-sparing systemic treatment
  • Active skin involvement with body surface area >1% to <20%, CDASI activity score >6, and Physician Global Assessment score >2
  • Prior failure of at least one commonly prescribed topical medication, with last use over 2 weeks before enrollment
  • Stable systemic medication regimen for at least 60 days and agreement to keep it stable during the study
  • Agreement to use contraceptive measures during the study, including monthly pregnancy tests for women of childbearing potential
  • Women of childbearing potential willing to practice abstinence or use oral contraceptives or IUD if sexually active
  • Men of childbearing potential willing to practice abstinence or use condoms if sexually active
Not Eligible

You will not qualify if you...

  • Minimal or no active cutaneous dermatomyositis (body surface area <1% or CDASI activity score <6)
  • Extensive skin involvement with >20% body surface area
  • Use of prescription topical medication within 2 weeks prior to enrollment
  • Skin findings inconsistent with dermatomyositis or biopsy suggesting another diagnosis
  • Unstable systemic medication regimen or unwillingness to keep regimen stable
  • Prior poor response to systemic Janus kinase inhibitors, current use of systemic Janus kinase inhibitors, or poor response to topical Janus kinase inhibitors
  • Inflammatory myositis other than dermatomyositis such as polymyositis or inclusion body myositis
  • Overlap autoimmune myositis or inflammatory myositis not consistent with dermatomyositis
  • Active cancer other than non-melanoma skin cancer or malignancy-associated dermatomyositis
  • Age younger than 18 years

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Cleveland Clinic

Cleveland, Ohio, United States, 44195

Actively Recruiting

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Research Team

A

Anthony Fernandez, MD

CONTACT

R

Rothy Rim

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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