Platform Clinical Study for Conquering Scleroderma

NCT ID: NCT06195072

Last Updated: 2026-02-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-15

Study Completion Date

2026-11-30

Brief Summary

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The goal of this clinical trial is to test efficacy of different investigational products (IPs) compared with placebo on the change from baseline to the end of the treatment period at Week 52 in lung capacity in participants with Interstitial Lung Disease Secondary to Systemic Sclerosis.

Detailed Description

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Conditions

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Interstitial Lung Disease Due to Systemic Disease Scleroderma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants who have given informed consent for the Master Protocol and all available Regimen-specific Subprotocols for which they are eligible will be randomly assigned to a regimen. Within each regimen, participants will be assigned to active treatment or matching placebo in a ratio detailed in the randomization scheme.

Eligibility for the Regimen will be based on the inclusion and exclusion criteria in the Master Protocol and on the inclusion and exclusion criteria in the Regimen-specific Subprotocol.

Importantly, to preserve the integrity of randomization, participants will be consented to all possible Regimen-specific Subprotocols open at that time, for which they qualify. Eligible participants will then be randomized to only one Regimen-specific Subprotocol, followed by randomization to the active IP treatment or to the corresponding placebo within a Regimen-specific Subprotocol.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
There will be multiple interventional regimens, each consisting of the study participants receiving either the active IP or its matching placebo. Study participants, Investigators, and site staff will not be blinded to the regimen assignment, but they will be blinded to active product or matching placebo assignment. Enrollment to regimens may start at different time points during the study.

Study Groups

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Amlitelimab

Group Type EXPERIMENTAL

Amlitelimab

Intervention Type DRUG

IP will be administered subcutaneously by the Investigator or designee as follows:

* Amlitelimab or
* Matching placebo

Amlitelimab matching placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

see Experimental Arm intervention description

BI 1015550 (Nerandomilast)

Group Type EXPERIMENTAL

BI 1015550 (Nerandomilast)

Intervention Type DRUG

Study participants will take the active investigational product BI 1015550 (Nerandomilast) or matching placebo provided as film-coated tablets, administered orally BID.

BI 1015550 (Nerandomilast) matching placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

see Experimental Arm intervention description

Interventions

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Amlitelimab

IP will be administered subcutaneously by the Investigator or designee as follows:

* Amlitelimab or
* Matching placebo

Intervention Type DRUG

BI 1015550 (Nerandomilast)

Study participants will take the active investigational product BI 1015550 (Nerandomilast) or matching placebo provided as film-coated tablets, administered orally BID.

Intervention Type DRUG

Placebo

see Experimental Arm intervention description

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female 18+ years of age at the time of signed informed consent;
2. SSc classification as defined by the 2013 American College of Rheumatology/European League Against Rheumatism criteria. Participants with diffuse, limited or sine cutaneous skin involvement are eligible
3. Onset of SSc (defined by first non-Raynaud's symptom) 7 years or less prior to the Screening Visit;
4. A Modified Rodnan skin score (mRSS) less than 40
5. Presence of ILD with evidence of any fibrosis on HRCT (within 3 months or less of randomization)
6. Presence of an FVC 45% or more predicted normal;
7. Presence of a diffusing capacity of the lung for carbon monoxide (DLCO) 30% or more predicted normal, corrected for hemoglobin;

Exclusion Criteria

1. Presence of clinically significant pulmonary abnormalities inconsistent with ILD on HRCT (e.g., scarring due to previous active tuberculosis \[TB\], sarcoidosis, lung mass, or other findings unrelated to SSc-ILD, as determined by a local radiologist/Investigator);
2. Presence of infected ulcers or active gangrene at the Screening Visit;
3. History of scleroderma renal crisis within 6 months prior to the Screening Visit;
4. Forced expiratory volume in 1 second/FVC \<0.65 (pre-bronchodilator) at the Screening Visit
5. History of stem cell transplantation, bone marrow transplantation, chimeric antigen receptor T-cell therapy, or solid organ transplantation;
6. History of treatment with rituximab within the 6 months prior to the Screening Visit;
7. History treatment with cell-depleting therapies other than rituximab, including, but not limited to, CAMPATH®; anti-cluster of differentiation (CD)3, anti-CD4, anti-CD5, antiCD19, and anti-CD20 agents; and investigational agents
8. Treatment with tocilizumab, nintedanib, pirfenidone, abatacept, leflunomide, tacrolimus, tofacitinib, intravenous immunoglobulin (IVIG), or any biologic or cyclophosphamide within 3 months prior to Screening Visit
9. History of use of any investigational medication or device for any indication within 30 days or 5 half-lives (whichever is longer) prior to Screening Visit.
10. Presence of any of the following laboratory findings at the Screening Visit:

* Estimated glomerular filtration rate \<45 mL/min/1.73 m2, calculated using the Chronic Kidney Disease Epidemiology Collaboration equation;
* Alanine aminotransferase or aspartate aminotransferase level \> (2 x ULN);
* Platelets \<100 × 109/L (100,000/μL);
* White blood cell count \<2500/μL;
* Neutrophil blood count \<1500/μL;
* Prothrombin time and partial thromboplastin time \>1.5 × ULN, or international normalized ratio \>2; or
* Any other laboratory test result, that in the opinion of the Investigator, might place the study participant at risk for participation in the study.
11. Presence of a clinically significant disorder that, in the opinion of the Investigator, could contraindicate the administration of study product, affect compliance, interfere with study evaluations, or confound the interpretation of study results
12. Presence of a concomitant life-threatening disease with life expectancy \<12 months based on the Investigator's assessment;
13. Evidence of active tuberculosis (TB) or being at high risk for TB
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role collaborator

Boehringer Ingelheim

INDUSTRY

Sponsor Role collaborator

Scleroderma Research Foundation, Inc.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kevin O'Shea

Role: STUDY_CHAIR

Scleroderma Research Foundation

Locations

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University of Alabama - Division of Pulmonary and Critical Care Medicine

Birmingham, Alabama, United States

Site Status RECRUITING

Keck School of Medicine at USC Medical Center

Los Angeles, California, United States

Site Status RECRUITING

Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status RECRUITING

University of California, Los Angeles (UCLA) Ronald Reagan Medical Center

Los Angeles, California, United States

Site Status WITHDRAWN

Stanford University Medical Center

Palo Alto, California, United States

Site Status RECRUITING

Yale University School of Medicine - Epilepsy

New Haven, Connecticut, United States

Site Status WITHDRAWN

Georgetown University Medical Center - Department of Rheumatology

Washington D.C., District of Columbia, United States

Site Status RECRUITING

Emory University School of Medicine

Atlanta, Georgia, United States

Site Status RECRUITING

Northwestern University

Chicago, Illinois, United States

Site Status RECRUITING

The University of Chicago Medical Center (UCMC)

Chicago, Illinois, United States

Site Status RECRUITING

University of Kansas School of Medicine

Kansas City, Kansas, United States

Site Status RECRUITING

Johns Hopkins University School of Medicine

Baltimore, Maryland, United States

Site Status RECRUITING

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Boston University (BU)

Boston, Massachusetts, United States

Site Status RECRUITING

University of Michigan

Ann Arbor, Michigan, United States

Site Status RECRUITING

Mayo Clinic

Rochester, Minnesota, United States

Site Status RECRUITING

Washington University School of Medicine

St Louis, Missouri, United States

Site Status WITHDRAWN

Robert Wood Johnson Medical School

New Brunswick, New Jersey, United States

Site Status RECRUITING

Northwell Health

Great Neck, New York, United States

Site Status RECRUITING

Hospital for Special Surgery

New York, New York, United States

Site Status RECRUITING

Columbia University Medical Center

New York, New York, United States

Site Status RECRUITING

Duke University Medical Center

Durham, North Carolina, United States

Site Status RECRUITING

Cleveland Clinic

Cleveland, Ohio, United States

Site Status WITHDRAWN

Oregon Health &amp; Science University (OHSU)

Portland, Oregon, United States

Site Status RECRUITING

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Temple University Hospital

Philadelphia, Pennsylvania, United States

Site Status WITHDRAWN

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status WITHDRAWN

Medical University of South Carolina (MUSC)

Charleston, South Carolina, United States

Site Status RECRUITING

Meharry Medical College

Nashville, Tennessee, United States

Site Status WITHDRAWN

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status NOT_YET_RECRUITING

University of Texas Houston - Division of Rheumatology and Clinical Immunogenetics

Houston, Texas, United States

Site Status RECRUITING

The University of Utah Health Sciences Center

Salt Lake City, Utah, United States

Site Status WITHDRAWN

Froedtert Hospital and the Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Gabrielle Khedr

Role: CONTACT

415.834.9444

Kevin O'Shea

Role: CONTACT

415.834.9444

References

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Khanna D, Evnin LB, Assassi S, Benton WW, Gordon G, Maslova K, Steffgen J, Maher TM. Design of CONQUEST, a novel, randomized, placebo-controlled, Phase 2b platform clinical trial to investigate new treatments for patients with early active systemic sclerosis with interstitial lung disease. J Scleroderma Relat Disord. 2024 Nov 5:23971983241278079. doi: 10.1177/23971983241278079. Online ahead of print.

Reference Type DERIVED
PMID: 39544897 (View on PubMed)

Other Identifiers

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SRF201

Identifier Type: -

Identifier Source: org_study_id

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