- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07287670
EncompaSSc: Evaluation of MTX-474 in Participants With Diffuse Cutaneous Systemic Sclerosis (dcSSc)
A Phase 2 Randomized, Double-blind, Placebo-Controlled Study to Assess the Safety and Efficacy of MTX-474 in the Treatment of Participants With Diffuse Cutaneous Systemic Sclerosis (dcSSc)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Jeffrey Bornstein, MD
- Phone Number: 803 (617) 936-0960
- Email: Jeffrey@mediartx.com
Study Locations
-
-
Queensland
-
Southport, Queensland, Australia, 4222
- Not yet recruiting
- EncompaSSc site in Southport, Australia
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Woolloongabba, Queensland, Australia, 4102
- Not yet recruiting
- EncompaSSc site in Woolloongabba, Australia
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
Victoria
-
Heidelberg, Victoria, Australia, 3084
- Recruiting
- Austin Health
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Principal Investigator:
- Jessica Leung
-
-
-
-
-
La Tronche, France, 38700
- Not yet recruiting
- EncompaSSc site in La Tronche, France
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Montpellier, France, 34090
- Not yet recruiting
- EncompaSSc site in Montpellier, France
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Paris, France, 75014
- Not yet recruiting
- EncompaSSc site in Paris, France
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Strasbourg, France, 67000
- Not yet recruiting
- EncompaSSc site in Strasbourg, France
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Toulouse, France, 31059
- Not yet recruiting
- EncompaSSc site in Toulouse, France
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Vandœuvre-lès-Nancy, France, 54500
- Not yet recruiting
- EncompaSSc site in Vandœuvre-lès-Nancy, France
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
-
-
-
Ancona, Italy, 60126
- Not yet recruiting
- EncompaSSc site in Ancona, Italy
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Catania, Italy, 95123
- Not yet recruiting
- EncompaSSc site in Catania, Italy
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Genoa, Italy, 16132
- Not yet recruiting
- EncompaSSc site in Genoa, Italy
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Milan, Italy, 20122
- Not yet recruiting
- EncompaSSc site in Milan, Italy
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Modena, Italy, 41124
- Not yet recruiting
- EncompaSSc site in Modena, Italy
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Roma, Italy, 00128
- Not yet recruiting
- EncompaSSc site in Roma, Italy
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
-
-
-
Groningen, Netherlands, 9713 GZ
- Not yet recruiting
- EncompaSSc site in Groningen, Netherlands
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
-
-
-
Auckland, New Zealand, 2025
- Recruiting
- Aotearoa Clinical Trials
-
Principal Investigator:
- Mark Sapsford
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Hamilton, New Zealand, 3204
- Not yet recruiting
- EncompaSSc site in Hamilton, NZ
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
-
-
-
Bydgoszcz, Poland, 85-168
- Not yet recruiting
- EncompaSSc site in Bydgoszcz, Poland
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Nowa Sól, Poland, 67-100
- Not yet recruiting
- EncompaSSc site in Nowa Sól, Poland
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Warsaw, Poland, 00-874
- Not yet recruiting
- EncompaSSc site in Warszawa, Poland
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Warsaw, Poland, 02-507
- Not yet recruiting
- EncompaSSc site in Warszawa, Poland
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
-
-
-
Brasov, Romania, 500283
- Not yet recruiting
- EncompaSSc site in Brasov, Romania
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Bucharest, Romania, 030463
- Not yet recruiting
- EncompaSSc site in Bucharest, Romania
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Bucharest, Romania, 041303
- Not yet recruiting
- EncompaSSc site in Bucharest, Romania
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Timișoara, Romania, 300133
- Not yet recruiting
- EncompaSSc site in Timişoara, Romania
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
-
-
-
Barcelona, Spain, 08003
- Not yet recruiting
- EncompaSSc site in Barcelona, Spain
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Barcelona, Spain, 08025
- Not yet recruiting
- EncompaSSc site in Barcelona, Spain
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Córdoba, Spain, 14004
- Not yet recruiting
- EncompaSSc site in Córdoba, Spain
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Málaga, Spain, 29004
- Not yet recruiting
- EncompaSSc site in Malaga, Spain
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Valencia, Spain, 46026
- Not yet recruiting
- EncompaSSc site in Valencia, Spain
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
-
-
-
Coventry, United Kingdom, CV2 2DX
- Not yet recruiting
- EncompaSSc site in Walsgrave Coventry, UK
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Liverpool, United Kingdom, L7 8XP
- Not yet recruiting
- EncompaSSc site in Liverpool, UK
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
London, United Kingdom, SW8 3RN
- Not yet recruiting
- EncompaSSc site in London, UK
-
Contact:
- EncompaSSc contact
- Phone Number: 617 802 6568
- Email: EncompaSSc@mediartx.com
-
Westcliff-on-Sea, United Kingdom, SS0 0RY
- Not yet recruiting
- EncompaSSc site in Westcliff-on-Sea, UK
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
-
-
Arizona
-
Phoenix, Arizona, United States, 85054
- Not yet recruiting
- EncompaSSc site in Phoenix, AZ
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
California
-
La Jolla, California, United States, 92037
- Not yet recruiting
- EncompaSSc site in La Jolla, CA
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Loma Linda, California, United States, 92350
- Not yet recruiting
- EncompaSSc site in Loma Linda, CA
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Los Angeles, California, United States, 90095
- Recruiting
- University of California Los Angeles Scleroderma Center
-
Principal Investigator:
- Elizabeth Volkmann
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Newport Beach, California, United States, 92663
- Recruiting
- NewportNativeMD, Inc.
-
Principal Investigator:
- Ryan Klein
-
Contact:
- Jennifer Gonzolez
- Phone Number: 617 802 6568
- Email: jennifer@newportnativemd.com
-
Palo Alto, California, United States, 94304
- Not yet recruiting
- EncompaSSc site in Palo Alto, CA
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
Colorado
-
Aurora, Colorado, United States, 80045
- Recruiting
- University of Colorado Center for Lungs/Breathing/Scleroderma Clinic
-
Contact:
- Chong Pedrick
- Phone Number: 617-802-6568
- Email: CHONG.PEDRICK@CUANSCHUTZ.EDU
-
Principal Investigator:
- Melissa Griffith
-
-
Florida
-
Clearwater, Florida, United States, 33765
- Recruiting
- Clinical Research of West Florida
-
Principal Investigator:
- Rodney Daniel
-
Contact:
- Amber Tipker
- Phone Number: 617 802 6568
- Email: atipker@crwf.com
-
Sarasota, Florida, United States, 34239
- Not yet recruiting
- EncompaSSc site in Sarasota, FL
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Tampa, Florida, United States, 33606
- Recruiting
- Clinical Research of West Florida
-
Principal Investigator:
- John Carter
-
Contact:
- Michelle Villela
- Phone Number: 617 802 6568
- Email: mvillela@crwf.com
-
-
Kansas
-
Kansas City, Kansas, United States, 66103
- Not yet recruiting
- EncompaSSc site in Kansas City, KS
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
Maryland
-
Baltimore, Maryland, United States, 21205
- Recruiting
- Johns Hopkins University
-
Principal Investigator:
- Laura Hummers
-
Contact:
- Gwen Leatherman
- Phone Number: 617 802 6568
- Email: gleathe1@jh.edu
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02115
- Recruiting
- Brigham and Women's Hospital
-
Contact:
- Joyce Shen
- Phone Number: 617-802-6568
- Email: jshen0@bwh.harvard.edu
-
Principal Investigator:
- Avery LaChance
-
Boston, Massachusetts, United States, 02118
- Recruiting
- Boston Medical Center
-
Contact:
- Kimberly Finch
- Phone Number: 617 802 6568
- Email: kimtobin@bu.edu
-
Principal Investigator:
- Andreea Bujor
-
-
Minnesota
-
Minneapolis, Minnesota, United States, 55455
- Not yet recruiting
- EncompaSSc site in Minneapolis, MN
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
New York
-
Brooklyn, New York, United States, 11201
- Not yet recruiting
- EncompaSSc site in Brooklyn, NY
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
Ohio
-
Cleveland, Ohio, United States, 44195
- Not yet recruiting
- EncompaSSc site in Cleveland, OH
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
Oklahoma
-
Oklahoma City, Oklahoma, United States, 73104
- Not yet recruiting
- EncompaSSc site in Oklahoma City, OK
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, United States, 19107
- Not yet recruiting
- EncompaSSc site in Philadelphia, PA
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
Pittsburgh, Pennsylvania, United States, 15219
- Not yet recruiting
- EncompaSSc site in Pittsburgh, PA
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
Texas
-
Allen, Texas, United States, 75013
- Recruiting
- Stryde Research - DFW
-
Principal Investigator:
- John Lavery
-
Contact:
- Moraima Avalos
- Phone Number: 617-802-6568
- Email: patients@stryderesearch.com
-
Dallas, Texas, United States, 75246
- Recruiting
- Baylor Scott & White Research Institute
-
Contact:
- Felicia Padilla
- Phone Number: 617-802-6568
- Email: felicia.padilla@bswhealth.org
-
Principal Investigator:
- Susan Mathai
-
Houston, Texas, United States, 77030
- Not yet recruiting
- EncompaSSc site in Houston, TX
-
Contact:
- EncompaSSc contact
- Phone Number: 617-802-6568
- Email: EncompaSSc@mediartx.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Diagnosis of diffuse cutaneous systemic sclerosis, classified according to 2013 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR)
Participant is either:
- Within 2 years of their first non-Raynaud's symptom and their mRSS is >7; OR
- >2 and ≤5 years from their first non-Raynaud's symptom, their mRSS is between 10 and 30, they are negative for the RNA polymerase 3 autoantibody, and (1) they have never had any previous spontaneous improvement in skin thickening of ≥4 points by mRSS on exams performed by the same clinician, or (2) they were never clinically noted to have a meaningful spontaneous reduction in skin thickness if mRSS was never done; OR
- >5 and ≤10 years from their first non-Raynaud's symptom, their mRSS is between >15 and ≤25, they are negative for the RNA polymerase 3 autoantibody, and (1) they have never had any previous spontaneous improvement in skin thickening of ≥4 points by mRSS, or (2) were never clinically noted to have a meaningful spontaneous reduction in skin thickness if mRSS was never done.
- Participant is ≥18 years of age at time of signing the ICF.
- Able to understand the study and provide a signed, written ICF
- Able to read and understand the language of the ICF and other study-related materials
- Forced vital capacity (FVCpp) of ≥45 pp10
- Have diffusing capacity of the lungs for carbon monoxide (DLCO) of ≥30 percent predicted at Screening
- Willing and able to complete all protocol-required study visits and procedures
- Participants of childbearing potential must have a negative serum pregnancy test at Screening.
- All participants with reproductive potential must agree to use and follow medically approved, highly effective methods of contraception during treatment and until 5 half-lives or 125 days after the last dose, whichever is longer
Exclusion Criteria:
- Concomitantly have another serious medical illness, which, in the opinion of the Investigator, would interfere with the participant's ability to complete the study
Participant is currently on immunosuppressive therapy, systemic glucocorticoids or other antifibrotic agents detailed as follows:
- Immunosuppresive agents: Cyclophosphamide (IV or oral if used in the 6 months prior to Screening), calcineurin inhibitors (if used in the 30 days prior to Screening), azathioprine (if used in the 30 days prior to Screening), Janus-kinase inhibitors (if used in the 30 days prior to Screening), rituximab (if used in the 6 months prior to Screening), tocilizumab (if used in the 60 days prior to Screening) or any other biologic Disease-Modifying Antirheumatic Drugs (DMARD, if used in the last 30 days or 3 half-lives prior to Screening, whichever is longer)
- Antifibrotic agents: nintedanib or pirfenidone (if used in the 30 days prior to Screening). Also, exclusionary if used within 3 months of Screening are tyrosine-kinase inhibitors with recognized anti-fibrotic activity (imatinib, nilotinib, etc.)
- Systemic glucocorticoids: equivalent doses of prednisone greater than 10 mg/day (≤10 mg/day allowed). Has received any pulse intramuscular (IM) or intravenous (IV) steroid within 1 month of Screening
- Other agents:
i. mycophenolate mofetil unless on a stable dose for at least 6 months prior to Screening and there are no plans to adjust the dose during the study; ii. mycophenolic acid unless on a stable dose for at least 6 months prior to Screening and there are no plans to adjust the dose during the study; iii. hydroxychloroquine unless on a stable dose for at least 3 months prior to Screening and there are no plans to adjust the dose during the study; and iv. methotrexate unless on a stable dose for at least 3 months prior to Screening and there are no plans to adjust the dose during the study.
- Previous or planned hematopoietic stem cell or solid organ transplantation
- Previous treatment with chimeric antigen receptor (CAR)-T/CAR-NK therapy
- Clinically significant PAH as determined by the Investigator at, or prior to first day of dosing (Baseline)
- Current use of PAH medication (endothelin receptor antagonists, prostacyclin analogues, soluble guanylate cyclase stimulators) excluding calcium channel blockers and phosphodiesterase-5 inhibitors
- Pregnant or currently breastfeeding
- Aspartate transaminase (AST) or alanine transaminase (ALT) >2.0 upper limit of normal
- Creatinine clearance <45mL/min
- History of myocardial infarction, angina or congestive heart failure
- International normalized ratio >2 or partial thromboplastin time >1.5 × upper limit of normal
- Active infection with human immunodeficiency virus (HIV), hepatitis B, or hepatitis C
- History of clinically significant thrombotic event within 12 months prior to Screening
- Positive anticentromere antibody
- Systemic sclerosis renal crisis within 12 months prior to Screening
- Confirmed diagnosis of overlap syndrome, systemic lupus erythematosus with anti-double strand (ds)DNA antibody, rheumatoid arthritis with anti-cyclic citrullinated peptide (anti-CCP) antibody, or systemic sclerosis mimics (eosinophilic fasciitis, scleromyxedema) at the time of inclusion in the study
- Known malignancy or history of malignancy within 5 years of Screening other than non-melanoma skin cancer and in situ cervical cancer
- Major surgery within 8 weeks prior to Screening or planned surgery during study period
- Unable to routinely access veins for blood draws and IV infusions
- Currently receiving another experimental agent or participating in another clinical trial. If a participant has recently received another experimental agent, then the last dose must have been at least 5 half-lives or 30 days (whichever is longer) prior to Screening
- History of myocardial infarction, angina or congestive heart failure
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
|
Placebo
|
|
Experimental: MTX-474
|
Dosage level: 4 mg/kg Unit dose strength: 50mg/ml MTX-474 is a human immunoglobulin G1 (IgG1) monoclonal antibody that binds the human EphrinB2 with high specificity and high affinity.
MTX-474 is being developed as a therapy for patients with systemic sclerosis (SSc).
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline in Modified Rodnan Skin Score (mRSS)
Time Frame: Baseline to week 24
|
Mean change from baseline to week 24 in the modified Rodnan Skin Score, a clinician-assessed measure of skin thickness across 17 body areas. Unit of measure: Score (range 0-51) |
Baseline to week 24
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion of participants with a gene signature response in skin biopsy
Time Frame: 12 weeks
|
Proportion of participants in each arm (MTX-474 and placebo) demonstrating a dcSSc gene expression signature response on skin biopsy at Week 12. Unit of Measure: Participants (%) |
12 weeks
|
|
Number of participants with clinically significant findings on physical examination, vital signs, and clinical laboratory tests
Time Frame: Baseline through end of study (week 28)
|
Number of participants with clinically significant findings on physical examination, vital signs, and clinical laboratory tests Unit of Measure: Participants (%)
|
Baseline through end of study (week 28)
|
|
Number of participants with dose interruptions or treatment discontinuations due to adverse events
Time Frame: Baseline through end of study (week 28)
|
Number of participants with dose interruptions or treatment discontinuations due to adverse events Unit of Measure: Participants (%)
|
Baseline through end of study (week 28)
|
|
Safety and tolerability of MTX-474 in participants with dcSSc: Number of participants with treatment-emergent adverse events (TEAEs) and treatment-related adverse events (TRAEs)
Time Frame: Baseline through end of study (week 28)
|
Incidence, seriousness, and severity of TEAEs and TRAEs as determined by investigator assessment. Unit of measure: Participants (%) |
Baseline through end of study (week 28)
|
|
Serum concentration of MTX-474 at sparse PK time points
Time Frame: Baseline to week 28
|
Serum MTX-474 concentrations collected at predefined sparse PK time points to support population pharmacokinetic (popPK) analysis Unit of Measure: ng/mL
|
Baseline to week 28
|
|
Clearance (CL) of MTX-474
Time Frame: Baseline to week 28
|
Clearance of MTX-474 calculated from serial PK sampling using noncompartmental analysis Unit of Measure: L/hour
|
Baseline to week 28
|
|
Terminal elimination half-life (t½) of MTX-474
Time Frame: Baseline to week 28
|
Terminal elimination half-life of MTX-474 derived from serial PK sampling.
Unit of Measure: Hours
|
Baseline to week 28
|
|
Area under the plasma concentration-time curve (AUC) of MTX-474
Time Frame: Baseline to week 28
|
AUC of MTX-474 calculated from serial PK sampling using noncompartmental analysis. Unit of Measure: ng·h/mL |
Baseline to week 28
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline in expression of total and phosphorylated EphB2, EphB3, and EphB4 receptors in skin
Time Frame: Baseline to Week 12
|
Mean change from baseline to Week 12 in total and phosphorylated EphB2, EphB3, and EphB4 receptor expression in skin biopsy samples. Unit of Measure: Relative expression units (fold change from baseline) |
Baseline to Week 12
|
|
Change from baseline in transcriptomic profile
Time Frame: Baseline to Week 12
|
Change from baseline to Week 12 in global transcriptomic profile via bulk RNA sequencing analysis of skin biopsies in each arm. Unit of Measure: Differential gene expression (log₂ fold change) |
Baseline to Week 12
|
|
Proportion of participants with a response on the revised American College of Rheumatology Composite Response Index in Systemic Sclerosis (rACR-CRISS)
Time Frame: Baseline to week 24
|
Proportion of participants achieving rACR-CRISS composite response Unit of Measure: Participants (%)
|
Baseline to week 24
|
|
Change from baseline in Physician Global Assessment (PhGA) of disease status
Time Frame: Baseline to week 24
|
Mean change from baseline to week 24 in the physician global assessment (phGA) of disease status in each arm Unit of Measure: Units on 0-10 visual analog scale (higher score = worse disease)
|
Baseline to week 24
|
|
Change from baseline in Patient Global Assessment (PtGA) of disease status
Time Frame: Baseline to week 24
|
Mean change from baseline to week 24 in the patient global assessment (PtGA) of disease status in each arm Unit of Measure: Units on 0-10 visual analog scale (higher score = worse disease)
|
Baseline to week 24
|
|
Change from baseline in percent predicted forced vital capacity (FVCpp)
Time Frame: Baseline to week 24
|
Mean change from baseline to week 24 on percent predicted forced vital capacity (FVCpp) Unit of Measure: Percent predicted (%)
|
Baseline to week 24
|
|
Change from baseline in quantitative interstitial lung disease (QILD) score by high-resolution computed tomography (HRCT)
Time Frame: Baseline to week 24
|
Mean change from baseline to week 24 in the QILD score by high resolution computed tomography scan (HRCT) in each arm Unit of Measure: Units on QILD score (0-100 scale; higher score = greater fibrosis)
|
Baseline to week 24
|
|
Change from Baseline in free EphrinB2 levels
Time Frame: Baseline to week 24
|
Median change from baseline to Week 24 in serum free EphrinB2 levels in each treatment arm. Unit of Measure: pg/mL |
Baseline to week 24
|
|
Change from baseline in forced vital capacity (FVC) by EphrinB2 levels
Time Frame: Baseline to week 24
|
Mean change from baseline to Week 24 in FVC, analyzed by baseline EphrinB2 levels, in the subset of participants with interstitial lung disease (ILD). Unit of Measure: Percent predicted (%) |
Baseline to week 24
|
|
Proportion of participants achieving rACR-CRISS response by EphrinB2 levels
Time Frame: Up to 24 weeks
|
Proportion of participants achieving a response on the revised ACR Composite Response Index in Systemic Sclerosis (rACR-CRISS), stratified by baseline EphrinB2 levels. Unit of Measure: Participants (%) |
Up to 24 weeks
|
|
To assess the presence, titer and impact of antidrug antibodies (ADA) against MTX-474
Time Frame: Baseline to week 28
|
Samples will be collected from baseline until Week 28 to assess the rate at which antibodies develop to the study drug Unit of Measure: Titer units
|
Baseline to week 28
|
|
Change from baseline in serum biomarkers of organ involvement
Time Frame: Baseline to weeks 12 and 24
|
Change from baseline to Weeks 12 and 24 in serum levels biomarkers, including but not limited to, ProC3 and IL-6 associated with organ involvement Unit of Measure: ng/mL (or unit per biomarker)
|
Baseline to weeks 12 and 24
|
|
Change from baseline in fatigue symptoms (FACIT-Fatigue score)
Time Frame: Baseline to week 24
|
Mean change from baseline to Week 24 in fatigue symptoms as measured by the Functional Assessment of Chronic Illness Therapy-Fatigue Scale. Unit of Measure: Units on FACIT-Fatigue scale (range 0-52; higher score = less fatigue) |
Baseline to week 24
|
|
Change from baseline in gastrointestinal (GI) symptoms (UCLA SCTC GIT 2.0 score)
Time Frame: Baseline to week 24
|
Mean change from baseline to Week 24 in GI symptom burden assessed by the UCLA SCTC GIT 2.0 questionnaire. Unit of Measure: Units on UCLA SCTC GIT 2.0 total score (range 0-3; higher score = worse symptoms) |
Baseline to week 24
|
|
Change from baseline in anxiety and depression symptoms (HADS)
Time Frame: Baseline to week 24
|
Mean change from baseline to Week 24 in symptoms of anxiety and depression measured by the HADS instrument. Unit of Measure: Units on Hospital Anxiety and Depression Scale (HADS total and subscale scores; range 0-21 per subscale; higher score = worse symptoms) |
Baseline to week 24
|
|
Change from baseline in HAQ-DI
Time Frame: Baseline to week 24
|
Mean change from Baseline in functional disability as assessed by HAQ-DI.
Unit of measure: Score (0-3 scale)
|
Baseline to week 24
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- MTX-474-S201
- 2025-523288-39 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.