ClinicalTrials.gg
TerminatedNCT01559129Updated Dec 1, 2023Results posted

Study of Pomalidomide (CC-4047) to Evaluate Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Effectiveness for Patients With Systemic Sclerosis With Interstitial Lung Disease

A Phase 2 interventional study of Pomalidomide (CC-4047) and Placebo in Scleroderma, Systemic, Sclerosis, Systemic and Systemic Scleroderma, sponsored by Celgene. Terminated at 56 sites in 10 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-12-01.

Sponsored by Celgene (part of Bristol-Myers Squibb) · Phase 2, Interventional, and Treatment

Why this study was terminated
Enrollment was stopped early (see limitations and caveats section).

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Phase
Phase 2
Study type
Interventional
Enrollment
23
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 165 studies in Scleroderma, Systemic with a site in United States — 40 open to participants now, 52 under way, 6 of them phase 3. Scleroderma, Systemic · United States.

Enrollment
93rd of 142
23 · median 34
Started
2012
with 2 others
Phase 2
54 of 165
10 open now
Registered
53rd of 165
by date

Among the 165 studies in Scleroderma, Systemic with a site in United States, this one is the 93rd largest by enrollment of the 142 interventional ones that give a count, is one of 3 that started in 2012, is one of 54 in phase 2, and was the 53rd registered.

Scleroderma, Systemic

613 studies on the registry are indexed under Scleroderma, Systemic; 221 are open to participants now.

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Open to participants now

40 of the 165 studies in Scleroderma, Systemic with a site in United States are open now. Recruiting first, the newest first:

35 more — sign in →

All 40 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 145 Scleroderma, Systemic studies recruiting now, 83 (57%) set no upper age limit and 49 (34%) stop at 75 or younger; 19 take children under 18; 16 take healthy volunteers.

This study: 18 Years to 80 Years · all sexes · no healthy volunteers.

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02

Study summary

The primary objective of this study is to evaluate the safety, tolerability, and efficacy of pomalidomide in the treatment of patients with systemic sclerosis with interstitial lung disease.

03

Conditions studied

  • Scleroderma, Systemic
  • Sclerosis, Systemic
  • Systemic Scleroderma
  • Systemic Sclerosis
  • Interstitial Lung Disease
04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or females between 18 and 80 years of age (inclusive) at the time of consent.
  • Diagnosis of systemic sclerosis (SSC) as defined by American College of Rheumatology (ACR) criteria.
  • Onset of the first non-Raynaud's manifestation of SSC within 7 years of Screening.
  • Subjects are required to meet at least one of the following 2 pulmonary-related criteria to be eligible for the study:.

    i) FVC readings ≥ 70% and ≤ 80% at Screening and Baseline (Visit 2) with a documented history of either or both of:.

A. A ≥ 5% decrease (expressed as percent predicted or in liters) in FVC in the 24-month period prior to Baseline (Visit 2) based on 3 or more assessments. Two assessments may be done during the Screening phase provided the assessments are completed at least 2 weeks apart.

B. A high resolution computed tomography (HRCT) fibrosis score > 20%.

ii) Forced vital capacity (FVC) ≥ 45% and \<70% at Screening and Baseline (Visit 2) [with or without a documented pre-specified FVC decline or fibrosis score].

  • FVC at Baseline (Visit 2) within 5% of the FVC measured at Screening.
  • Carbon monoxide diffusing capacity (DLco) ≥ 35% and ≤ 80% of predicted value at Screening.
  • Abnormalities on High-Resolution CT consistent with parenchymal changes encountered in SSc: honeycombing or reticular changes with or without ground glass.

Exclusion criteria

Exclusion Criteria

  • Oxygen saturation (SpO2) \< 92% (room air [sea level] at rest) at Screening or Baseline.
  • Known diagnosis of obstructive lung disease as defined by (FEV1)/FVC ratio \< 0.7.
  • Diagnosis of pulmonary arterial hypertension (PAH) requiring treatment.
  • Known diagnosis of other significant respiratory disorders (e.g., asthma, tuberculosis, sarcoidosis, aspergillosis, chronic bronchitis, neoplastic disease, cystic fibrosis, etc.).
  • Current clinical diagnosis of another inflammatory connective tissue disease (eg, systemic lupus erythematosus, rheumatoid arthritis, primary Sjogren's syndrome, etc.). Subjects having Sjogren's syndrome secondary to SSc are eligible.
  • Pregnant or lactating females.
  • History of a thromboembolic event (eg, deep vein thrombosis, thrombotic cerebrovascular or cardiovascular events).
  • History or current diagnosis of peripheral neuropathy.
  • Use of concomitant medication(s) which could increase the risk for developing deep vein thrombosis, including sex -based (oral, injectable or implanted) and hormone replacement therapies, if use of a low-dose aspirin regimen is .
  • Additional concomitant medications which prolong the /QTc interval (measure of heart's electrical cycle) during the course of the study.
  • Use of any anti-coagulant or anti-thrombotic medications (other than low dose-aspirin [≤ 100 mg/day]).
  • Use of any cytotoxic/ agent (other than prednisone ≤ 10 mg/day [mean dose] or equivalent), including but not limited to azathioprine, cyclophosphamide, methotrexate, mycophenolate and cyclosporine within 28 days (4 weeks) of Screening.
  • Use of any biologic agent within 84 days (12 weeks) or 5 half-lives of Screening. In the case of rituximab, use within 168 days (24 weeks) of Screening or no recovery of CD20-positive B lymphocytes if the last dose of rituximab has been more than 24 weeks prior to Screening.
  • Use of bosentan, ambrisentan, sildenafil, tadalafil and macitentan for PAH within 28 days (4 weeks) of Screening.
  • Use of medications (e.g., D-penicillamine, Potaba) with putative scleroderma disease-modifying properties within 4 weeks of Screening.
  • Use of melphalan within 52 weeks of Screening.
  • Use of any drug within 4 weeks of Screening or 5 pharmacodynamic/pharmacokinetic half-lives if known (whichever is longer).
  • Smoking of cigars, pipes or cigarettes within 24 weeks of Screening.
  • Other protocol-defined Inclusion/Exclusion criteria apply.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
23 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Drug: Placebo

  • Experimental
    Pomalidomide

    Participants received 1 mg pomalidomide orally once a day for 52 weeks during the treatment phase and for up to 2 years during the open-label extension phase.

    Drug: Pomalidomide (CC-4047)

Interventions

  • 1 mg orally every day for 52 weeks

  • DrugPlacebo

    Matching placebo capsules taken orally once a day

06

What researchers measure

Primary outcomes

  1. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    An adverse event (AE) is any noxious, unintended, or untoward medical occurrence that may appear or worsen during the course of a study. A TEAE is any AE that began or worsened on or after the start of study drug through 28 days after the last dose. A treatment-related TEAE is a TEAE which was considered by the investigator to be related to study drug. The severity/intensity of AEs was assessed by the investigator as Mild (asymptomatic or mild symptoms; intervention not indicated), Moderate (symptoms cause moderate discomfort, intervention may be required), or Severe (symptoms cause severe discomfort/pain, requiring medical intervention, inability to perform daily activities). A serious AE is any AE that: - Resulted in death; - Was life-threatening; - Required inpatient hospitalization or prolongation of existing hospitalization - Resulted in persistent or significant disability/incapacity; - Was a congenital anomaly/birth defect; - Constituted an important medical event.

    Time frame: From the start of study drug to 28 days after last dose; Treatment Phase median duration of treatment was 358 and 320 days for Placebo and Pomalidomide; Extension phase median duration of treatment was 161 days and 194 days for Placebo and pomalidomide.

  2. Change From Baseline in Percent Predicted Forced Vital Capacity (FVC) at Week 52

    Forced vital capacity (FVC) is a pulmonary function test and is the volume of air in the lungs that can forcibly be blown out after a full inhalation. Percent predicted values are based comparison between the participant's measured value with expected FVC for someone of the same sex, age and height (reference value). For the analysis of FVC, the baseline value was defined as the average of all values between Screening and Baseline (inclusive), and the average of Weeks 48 and 52 was treated as the Week 52 value, to reduce the total data variability at the key time points.

    Time frame: Baseline (defined as the average of all values between Screening and Baseline) and Weeks 48 and 52

  3. Change From Baseline in the Modified Rodnan Skin Score (mRSS) at Week 52/Early Termination

    Improvement in skin thickening is associated with improved survival and may be useful as a surrogate measurement in clinical studies. The mRSS is an assessment tool which is used to evaluate the extent and severity of the skin thickening associated with systemic sclerosis (SSc). Seventeen body areas were evaluated on a 4-point scale (0 \[normal\], 1 \[mild\], 2 \[moderate\]), or 3 \[severe\]). The total score, which is the sum of the 17 individual body assessments, can range from 0 to 51.

    Time frame: Baseline and Week 52 (or the Treatment Phase Early Termination visit)

  4. Change From Baseline in University of California, Los Angeles, Scleroderma Clinical Trial Consortium Gastrointestinal Tract (UCLA SCTC GIT 2.0) Total Score at Week 52/Early Termination

    The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets gastrointestinal (GI) activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health (except for Questions 15 and 31 which are scored as 0 (better health) or 1 (worse health). The total score is calculated as the average of the first 6 scale scores (excluding constipation) which captures overall burden (severity) of SSc-associated GIT. The overall score ranges from 0 to 3, where higher scores indicate more severe symptoms.

    Time frame: Baseline and Week 52 (or Treatment Phase Early Termination visit)

Secondary outcomes

  1. Change From Baseline in Percent Predicted Forced Vital Capacity Over Time

    Forced vital capacity (FVC) is a pulmonary function test and is the volume of air in the lungs that can forcibly be blown out after a full inhalation. Percent predicted values are based comparison between the participant's measured value with expected FVC for someone of the same sex, age and height (reference value).

    Time frame: Baseline (defined as the average of all values between Screening and Baseline) and Weeks 12, 24, 36, 64, 76, and 156

  2. Change From Baseline in Modified Rodnan Skin Score Over Time

    Improvement in skin thickening is associated with improved survival and may be useful as a surrogate measurement in clinical studies. The mRSS is an assessment tool which is used to evaluate the extent and severity of the skin thickening associated with systemic sclerosis (SSc). Seventeen body areas were evaluated on a 4-point scale (0 \[normal\], 1 \[mild\], 2 \[moderate\], or 3 \[severe\]). The total score, which is the sum of the 17 individual body assessments, can range from 0 to 51.

    Time frame: Baseline and Weeks 12, 24, 64, 76, and 156 (or the Extension Phase Early Termination visit).

  3. Change From Baseline in UCLA SCTC GIT 2.0 Total Score Over Time

    The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health (except for Questions 15 and 31 which are scored as 0 (better health) or 1 (worse health). The total score is calculated as the average of the first 6 scale scores (excluding constipation) which captures overall burden (severity) of SSc-associated GIT. The overall score ranges from 0 to 3, where higher scores indicate more severe symptoms.

    Time frame: Baseline and Weeks 12, 24, 64, 76, and 156 (or the Extension Phase Early Termination visit).

  4. Change From Baseline in UCLA SCTC GIT 2.0 Reflux Subscale Score Over Time

    The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health. The reflux subscale score is calculated as the average of eight reflux-related questions; the score ranges from 0 to 3, where higher scores indicate more frequent symptoms.

    Time frame: Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).

  5. Change From Baseline in UCLA SCTC GIT 2.0 Distension/Bloating Subscale Score Over Time

    The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health. The distension/bloating subscale score is calculated as the average of four distension/bloating-related questions; the score ranges from 0 to 3, where higher scores indicate more frequent symptoms.

    Time frame: Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).

  6. Change From Baseline in UCLA SCTC GIT 2.0 Fecal Soilage Subscale Score Over Time

    The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health. The fecal soilage subscale score is calculated from one soilage question; the score ranges from 0 to 3, where higher scores indicate more frequent symptoms.

    Time frame: Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).

  7. Change From Baseline in UCLA SCTC GIT 2.0 Diarrhea Subscale Score Over Time

    The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The diarrhea subscale score is calculated as the average of one diarrhea question about the frequency of loose stools (on a scale from 0 \[none\] to 3 \[5-7 days/week\] and one question about the presence of watery stools (scored as 0 \[No\] or 1 \[Yes\]); the score ranges from 0 to 2, where a higher score indicates more frequent symptoms.

    Time frame: Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).

  8. Change From Baseline in UCLA SCTC GIT 2.0 Social Functioning Subscale Score Over Time

    The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health. The social functioning subscale score is calculated as the average of six questions about how often symptoms interfered with social activities; the score ranges from 0 to 3, where higher scores indicate more frequent symptoms.

    Time frame: Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).

  9. Change From Baseline in UCLA SCTC GIT 2.0 Emotional Well Being Subscale Score Over Time

    The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health. The emotional well-being subscale score is calculated as the average of nine questions regarding the impact of bowel problems on emotional status; the score ranges from 0 to 3, where higher scores indicate more frequent problems.

    Time frame: Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).

  10. Change From Baseline in UCLA SCTC GIT 2.0 Constipation Subscale Score Over Time

    The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health. The constipation subscale score is calculated as the average of three questions regarding the frequency of constipation (scored from 0 \[no days\] to 3 \[5-7 days/week\] and one question about the presence of stools becoming harder (scored as 0 \[No\] or 1 \[Yes\]); the score ranges from 0 to 2.5, where higher scores indicate more frequent symptoms.

    Time frame: Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).

  11. Change From Baseline in Dyspnea Functional Impairment at Week 12

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. Changes in dyspnea functional impairment were assessed on a scale from Major Deterioration (formerly working but had to stop working and abandoned usual activities due to shortness of breath) to Major Improvement (able to return to work at former pace and return to full activities with only mild restriction due to improvement of shortness of breath). Further impairment for other reasons includes participants who gave up or reduced work or other activities for reasons other than shortness of breath.

    Time frame: Week 12

  12. Change From Baseline in Dyspnea Functional Impairment at Week 24

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. Changes in dyspnea functional impairment were assessed on a scale from Major Deterioration (formerly working but had to stop working and abandoned usual activities due to shortness of breath) to Major Improvement (able to return to work at former pace and return to full activities with only mild restriction due to improvement of shortness of breath). Further impairment for other reasons includes participants who gave up or reduced work or other activities for reasons other than shortness of breath.

    Time frame: Week 24

  13. Change From Baseline in Dyspnea Functional Impairment at Week 52/Early Termination

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. Changes in dyspnea functional impairment were assessed on a scale from Major Deterioration (formerly working but had to stop working and abandoned usual activities due to shortness of breath) to Major Improvement (able to return to work at former pace and return to full activities with only mild restriction due to improvement of shortness of breath). Further impairment for other reasons includes participants who gave up or reduced work or other activities for reasons other than shortness of breath.

    Time frame: Week 52 or at the Treatment Phase Early Termination visit

  14. Change From Baseline in Dyspnea Functional Impairment at Week 64

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. Changes in dyspnea functional impairment were assessed on a scale from Major Deterioration (formerly working but had to stop working and abandoned usual activities due to shortness of breath) to Major Improvement (able to return to work at former pace and return to full activities with only mild restriction due to improvement of shortness of breath). Further impairment for other reasons includes participants who gave up or reduced work or other activities for reasons other than shortness of breath.

    Time frame: Week 64

  15. Change From Baseline in Dyspnea Functional Impairment at Week 76

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. Changes in dyspnea functional impairment were assessed on a scale from Major Deterioration (formerly working but had to stop working and abandoned usual activities due to shortness of breath) to Major Improvement (able to return to work at former pace and return to full activities with only mild restriction due to improvement of shortness of breath). Further impairment for other reasons includes participants who gave up or reduced work or other activities for reasons other than shortness of breath.

    Time frame: Week 76

  16. Change From Baseline in Dyspnea Functional Impairment at Week 156/Early Termination

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. Changes in dyspnea functional impairment were assessed on a scale from Major Deterioration (formerly working but had to stop working and abandoned usual activities due to shortness of breath) to Major Improvement (able to return to work at former pace and return to full activities with only mild restriction due to improvement of shortness of breath). Further impairment for other reasons includes participants who gave up or reduced work or other activities for reasons other than shortness of breath.

    Time frame: Week 156 or the Extension Phase Early Termination visit

  17. Change From Baseline in Dyspnea Magnitude of Task at Week 12

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with extraordinary activity such as running or carrying very heavy loads). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (deteriorated ≥ 2 grades from Baseline) to Major Improvement (Improved ≥ 2 grades from Baseline). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath, for example musculoskeletal problems or chest pain.

    Time frame: Week 12

  18. Change From Baseline in Dyspnea Magnitude of Task at Week 24

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with extraordinary activity such as running or carrying very heavy loads). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (deteriorated ≥ 2 grades from Baseline) to Major Improvement (Improved ≥ 2 grades from Baseline). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath, for example musculoskeletal problems or chest pain.

    Time frame: Week 24

  19. Change From Baseline in Dyspnea Magnitude of Task at Week 52/Early Termination

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with extraordinary activity such as running or carrying very heavy loads). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (deteriorated ≥ 2 grades from Baseline) to Major Improvement (Improved ≥ 2 grades from Baseline). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath, for example musculoskeletal problems or chest pain.

    Time frame: Week 52 or at the Treatment Phase Early Termination visit

  20. Change From Baseline in Dyspnea Magnitude of Task at Week 64

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with extraordinary activity such as running or carrying very heavy loads). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (deteriorated ≥ 2 grades from Baseline) to Major Improvement (Improved ≥ 2 grades from Baseline). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath, for example musculoskeletal problems or chest pain.

    Time frame: Week 64

  21. Change From Baseline in Dyspnea Magnitude of Task at Week 76

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with extraordinary activity such as running or carrying very heavy loads). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (deteriorated ≥ 2 grades from Baseline) to Major Improvement (Improved ≥ 2 grades from Baseline). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath, for example musculoskeletal problems or chest pain.

    Time frame: Week 76

  22. Change From Baseline in Dyspnea Magnitude of Task at Week 156/Early Termination

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with extraordinary activity such as running or carry very heavy loads). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (deteriorated ≥ 2 grades from Baseline) to Major Improvement (Improved ≥ 2 grades from Baseline). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath, for example musculoskeletal problems or chest pain.

    Time frame: Week 156 or the Extension Phase Early Termination visit

  23. Change From Baseline in Dyspnea Magnitude of Effort at Week 12

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with greatest imaginable effort). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (severe decrease in effort from Baseline to avoid shortness of breath, activities take 50-100% longer to complete) to Major Improvement (able to do things with much greater effort than previously with few, if any, pauses). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath.

    Time frame: Week 12

  24. Change From Baseline in Dyspnea Magnitude of Effort at Week 24

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with greatest imaginable effort). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (severe decrease in effort from Baseline to avoid shortness of breath, activities take 50-100% longer to complete) to Major Improvement (able to do things with much greater effort than previously with few, if any, pauses). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath.

    Time frame: Week 24

  25. Change From Baseline in Dyspnea Magnitude of Effort at Week 52/Early Termination

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with greatest imaginable effort). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (severe decrease in effort from Baseline to avoid shortness of breath, activities take 50-100% longer to complete) to Major Improvement (able to do things with much greater effort than previously with few, if any, pauses). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath.

    Time frame: Week 52 or at the Treatment Phase Early Termination visit

  26. Change From Baseline in Dyspnea Magnitude of Effort at Week 64

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with greatest imaginable effort). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (severe decrease in effort from Baseline to avoid shortness of breath, activities take 50-100% longer to complete) to Major Improvement (able to do things with much greater effort than previously with few, if any, pauses). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath.

    Time frame: Week 64

  27. Change From Baseline in Dyspnea Magnitude of Effort at Week 76

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with greatest imaginable effort). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (severe decrease in effort from Baseline to avoid shortness of breath, activities take 50-100% longer to complete) to Major Improvement (able to do things with much greater effort than previously with few, if any, pauses). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath.

    Time frame: Week 76

  28. Change From Baseline in Dyspnea Magnitude of Effort at Week 156/Early Termination

    The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with greatest imaginable effort). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (severe decrease in effort from Baseline to avoid shortness of breath, activities take 50-100% longer to complete) to Major Improvement (able to do things with much greater effort than previously with few, if any, pauses). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath.

    Time frame: Week 156 or at the Extension Phase Early Termination visit

  29. Oxygen Saturation Over Time

    Oxygen saturation was measured by pulse oximetry.

    Time frame: Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).

  30. Pharmacokinetic Parameters of Pomalidomide in Plasma

    Pharmacokinetic (PK) analyses were not conducted as there were too few participants with available data.

    Time frame: Day 1 and week 4 pre-dose and up to 24 hours post-dose.

07

Results

Posted Oct 18, 2019
Limitations and caveats
Based upon interim analysis data, the study did not meet its primary endpoints for subjects who had completed blinded treatment. The IDMC recommended the study be stopped due to lack of efficacy and the sponsor agreed with this recommendation.

Participant flow

Treatment Phase
Participant flow — Treatment Phase
MilestonePlaceboPomalidomide
Started1211
Received treatment1210
Completed74
Not completed57
Withdrew: Adverse event02
Withdrew: Progressive disease11
Withdrew: Lack of efficacy01
Withdrew: Study terminated by sponsor32
Withdrew: Protocol exclusion criteria10
Withdrew: Did not receive study drug01
Open-label Extension Period
Participant flow — Open-label Extension Period
MilestonePlaceboPomalidomide
Started62
Completed00
Not completed62
Withdrew: Adverse event10
Withdrew: Study terminated by sponsor52

Outcome measures

PrimaryNumber of Participants With Treatment-Emergent Adverse Events (TEAEs)

An adverse event (AE) is any noxious, unintended, or untoward medical occurrence that may appear or worsen during the course of a study. A TEAE is any AE that began or worsened on or after the start of study drug through 28 days after the last dose. A treatment-related TEAE is a TEAE which was considered by the investigator to be related to study drug. The severity/intensity of AEs was assessed by the investigator as Mild (asymptomatic or mild symptoms; intervention not indicated), Moderate (symptoms cause moderate discomfort, intervention may be required), or Severe (symptoms cause severe discomfort/pain, requiring medical intervention, inability to perform daily activities). A serious AE is any AE that: - Resulted in death; - Was life-threatening; - Required inpatient hospitalization or prolongation of existing hospitalization - Resulted in persistent or significant disability/incapacity; - Was a congenital anomaly/birth defect; - Constituted an important medical event.

Time frame:
From the start of study drug to 28 days after last dose; Treatment Phase median duration of treatment was 358 and 320 days for Placebo and Pomalidomide; Extension phase median duration of treatment was 161 days and 194 days for Placebo and pomalidomide.
Reported as:
Number · participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
participantsTreatment Phase: PlaceboTreatment Phase: PomalidomideExtension Phase: Placebo/PomalidomideExtension Phase: Pomalidomide/Pomalidomide
Any TEAE12952
Drug-related TEAE8631
Severe TEAE1400
Serious TEAE1401
Serious Drug-related TEAE0100
TEAE Leading to Drug Interruption2100
TEAE Leading to Drug Withdrawal0400
TEAE Leading to Death0000
PrimaryChange From Baseline in Percent Predicted Forced Vital Capacity (FVC) at Week 52

Forced vital capacity (FVC) is a pulmonary function test and is the volume of air in the lungs that can forcibly be blown out after a full inhalation. Percent predicted values are based comparison between the participant's measured value with expected FVC for someone of the same sex, age and height (reference value). For the analysis of FVC, the baseline value was defined as the average of all values between Screening and Baseline (inclusive), and the average of Weeks 48 and 52 was treated as the Week 52 value, to reduce the total data variability at the key time points.

Time frame:
Baseline (defined as the average of all values between Screening and Baseline) and Weeks 48 and 52
Reported as:
Mean · percent predicted
Change From Baseline in Percent Predicted Forced Vital Capacity (FVC) at Week 52
percent predictedPlaceboPomalidomide
Change From Baseline in Percent Predicted Forced Vital Capacity (FVC) at Week 52-2.8 ± 4.02-5.2 ± 5.29
PrimaryChange From Baseline in the Modified Rodnan Skin Score (mRSS) at Week 52/Early Termination

Improvement in skin thickening is associated with improved survival and may be useful as a surrogate measurement in clinical studies. The mRSS is an assessment tool which is used to evaluate the extent and severity of the skin thickening associated with systemic sclerosis (SSc). Seventeen body areas were evaluated on a 4-point scale (0 \[normal\], 1 \[mild\], 2 \[moderate\]), or 3 \[severe\]). The total score, which is the sum of the 17 individual body assessments, can range from 0 to 51.

Time frame:
Baseline and Week 52 (or the Treatment Phase Early Termination visit)
Reported as:
Mean · units on a scale
Change From Baseline in the Modified Rodnan Skin Score (mRSS) at Week 52/Early Termination
units on a scalePlaceboPomalidomide
Change From Baseline in the Modified Rodnan Skin Score (mRSS) at Week 52/Early Termination-3.7 ± 6.99-2.7 ± 5.66
PrimaryChange From Baseline in University of California, Los Angeles, Scleroderma Clinical Trial Consortium Gastrointestinal Tract (UCLA SCTC GIT 2.0) Total Score at Week 52/Early Termination

The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets gastrointestinal (GI) activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health (except for Questions 15 and 31 which are scored as 0 (better health) or 1 (worse health). The total score is calculated as the average of the first 6 scale scores (excluding constipation) which captures overall burden (severity) of SSc-associated GIT. The overall score ranges from 0 to 3, where higher scores indicate more severe symptoms.

Time frame:
Baseline and Week 52 (or Treatment Phase Early Termination visit)
Reported as:
Mean · units on a scale
Change From Baseline in University of California, Los Angeles, Scleroderma Clinical Trial Consortium Gastrointestinal Tract (UCLA SCTC GIT 2.0) Total Score at Week 52/Early Termination
units on a scalePlaceboPomalidomide
Change From Baseline in University of California, Los Angeles, Scleroderma Clinical Trial Consortium Gastrointestinal Tract (UCLA SCTC GIT 2.0) Total Score at Week 52/Early Termination0.00 ± 0.180.1 ± 0.29
SecondaryChange From Baseline in Percent Predicted Forced Vital Capacity Over Time

Forced vital capacity (FVC) is a pulmonary function test and is the volume of air in the lungs that can forcibly be blown out after a full inhalation. Percent predicted values are based comparison between the participant's measured value with expected FVC for someone of the same sex, age and height (reference value).

Time frame:
Baseline (defined as the average of all values between Screening and Baseline) and Weeks 12, 24, 36, 64, 76, and 156
Reported as:
Mean · percent predicted
Change From Baseline in Percent Predicted Forced Vital Capacity Over Time
percent predictedPlaceboPomalidomide
Week 12-2.4 ± 3.07-1.8 ± 3.39
Week 24-1.3 ± 3.332.3 ± 12.58
Week 36-2.6 ± 2.48-4.4 ± 3.97
Week 64-7.0 ± 4.29-6.4 ± 4.49
Week 76-8.7 ± 10.34-5.2 ± NA
Week 156-6.7 ± 6.19-5.9 ± 2.31
SecondaryChange From Baseline in Modified Rodnan Skin Score Over Time

Improvement in skin thickening is associated with improved survival and may be useful as a surrogate measurement in clinical studies. The mRSS is an assessment tool which is used to evaluate the extent and severity of the skin thickening associated with systemic sclerosis (SSc). Seventeen body areas were evaluated on a 4-point scale (0 \[normal\], 1 \[mild\], 2 \[moderate\], or 3 \[severe\]). The total score, which is the sum of the 17 individual body assessments, can range from 0 to 51.

Time frame:
Baseline and Weeks 12, 24, 64, 76, and 156 (or the Extension Phase Early Termination visit).
Reported as:
Mean · units on a scale
Change From Baseline in Modified Rodnan Skin Score Over Time
units on a scalePlaceboPomalidomide
Week 12-1.8 ± 3.94-0.3 ± 1.83
Week 24-3.6 ± 5.68-2.0 ± 3.38
Week 64-4.3 ± 8.36-4.0 ± 2.83
Week 76-8.5 ± 7.78-7.0 ± NA
Week 156/Early Termination-3.7 ± 8.52-4.5 ± 3.54
SecondaryChange From Baseline in UCLA SCTC GIT 2.0 Total Score Over Time

The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health (except for Questions 15 and 31 which are scored as 0 (better health) or 1 (worse health). The total score is calculated as the average of the first 6 scale scores (excluding constipation) which captures overall burden (severity) of SSc-associated GIT. The overall score ranges from 0 to 3, where higher scores indicate more severe symptoms.

Time frame:
Baseline and Weeks 12, 24, 64, 76, and 156 (or the Extension Phase Early Termination visit).
Reported as:
Mean · units on a scale
Change From Baseline in UCLA SCTC GIT 2.0 Total Score Over Time
units on a scalePlaceboPomalidomide
Week 120.2 ± 0.36-0.1 ± 0.30
Week 240.1 ± 0.23-0.1 ± 0.20
Week 640.0 ± 0.200.4 ± 0.01
Week 76-0.1 ± 0.010.5 ± NA
Week 156/Early Termination0.0 ± 0.140.0 ± 0.14
SecondaryChange From Baseline in UCLA SCTC GIT 2.0 Reflux Subscale Score Over Time

The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health. The reflux subscale score is calculated as the average of eight reflux-related questions; the score ranges from 0 to 3, where higher scores indicate more frequent symptoms.

Time frame:
Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).
Reported as:
Mean · units on a scale
Change From Baseline in UCLA SCTC GIT 2.0 Reflux Subscale Score Over Time
units on a scalePlaceboPomalidomide
Week 120.1 ± 0.36-0.1 ± 0.51
Week 24-0.1 ± 0.270.0 ± 0.47
Week 52/Early Termination-0.1 ± 0.540.1 ± 0.38
Week 64-0.2 ± 0.140.2 ± 0.46
Week 76-0.5 ± 0.18-0.2 ± NA
Week 156/Early Termination0.0 ± 0.440.1 ± 0.28
SecondaryChange From Baseline in UCLA SCTC GIT 2.0 Distension/Bloating Subscale Score Over Time

The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health. The distension/bloating subscale score is calculated as the average of four distension/bloating-related questions; the score ranges from 0 to 3, where higher scores indicate more frequent symptoms.

Time frame:
Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).
Reported as:
Mean · units on a scale
Change From Baseline in UCLA SCTC GIT 2.0 Distension/Bloating Subscale Score Over Time
units on a scalePlaceboPomalidomide
Week 120.4 ± 0.560.2 ± 1.21
Week 240.0 ± 0.530.3 ± 0.80
Week 52/Early Termination0.0 ± 0.550.2 ± 1.07
Week 64-0.2 ± 0.701.0 ± 1.41
Week 760.0 ± 0.003.0 ± NA
Week 156/Early Termination-0.3 ± 0.300.9 ± 1.24
SecondaryChange From Baseline in UCLA SCTC GIT 2.0 Fecal Soilage Subscale Score Over Time

The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health. The fecal soilage subscale score is calculated from one soilage question; the score ranges from 0 to 3, where higher scores indicate more frequent symptoms.

Time frame:
Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).
Reported as:
Mean · units on a scale
Change From Baseline in UCLA SCTC GIT 2.0 Fecal Soilage Subscale Score Over Time
units on a scalePlaceboPomalidomide
Week 120.0 ± 0.000.0 ± 0.00
Week 240.2 ± 0.420.0 ± 0.00
Week 52/Early Termination0.0 ± 0.000.1 ± 0.33
Week 640.2 ± 0.410.0 ± 0.00
Week 760.0 ± 0.000.0 ± NA
Week 156/Early Termination0.2 ± 0.410.0 ± 0.00
SecondaryChange From Baseline in UCLA SCTC GIT 2.0 Diarrhea Subscale Score Over Time

The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The diarrhea subscale score is calculated as the average of one diarrhea question about the frequency of loose stools (on a scale from 0 \[none\] to 3 \[5-7 days/week\] and one question about the presence of watery stools (scored as 0 \[No\] or 1 \[Yes\]); the score ranges from 0 to 2, where a higher score indicates more frequent symptoms.

Time frame:
Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).
Reported as:
Mean · units on a scale
Change From Baseline in UCLA SCTC GIT 2.0 Diarrhea Subscale Score Over Time
units on a scalePlaceboPomalidomide
Week 120.4 ± 0.57-0.2 ± 0.65
Week 240.1 ± 0.21-0.3 ± 0.46
Week 52/Early Termination0.3 ± 0.340.0 ± 0.75
Week 640.1 ± 0.380.5 ± 0.71
Week 760.0 ± 0.00-0.5 ± NA
Week 156/Early Termination0.3 ± 0.42-0.8 ± 0.35
SecondaryChange From Baseline in UCLA SCTC GIT 2.0 Social Functioning Subscale Score Over Time

The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health. The social functioning subscale score is calculated as the average of six questions about how often symptoms interfered with social activities; the score ranges from 0 to 3, where higher scores indicate more frequent symptoms.

Time frame:
Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).
Reported as:
Mean · units on a scale
Change From Baseline in UCLA SCTC GIT 2.0 Social Functioning Subscale Score Over Time
units on a scalePlaceboPomalidomide
Week 120.3 ± 0.490.0 ± 0.28
Week 240.1 ± 0.30-0.1 ± 0.20
Week 52/Early termination0.0 ± 0.250.2 ± 0.45
Week 640.0 ± 0.180.3 ± 0.35
Week 760.2 ± NA0.0 ± NA
Week 156/Early Termination0.0 ± 0.25-0.2 ± 0.23
SecondaryChange From Baseline in UCLA SCTC GIT 2.0 Emotional Well Being Subscale Score Over Time

The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health. The emotional well-being subscale score is calculated as the average of nine questions regarding the impact of bowel problems on emotional status; the score ranges from 0 to 3, where higher scores indicate more frequent problems.

Time frame:
Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).
Reported as:
Mean · units on a scale
Change From Baseline in UCLA SCTC GIT 2.0 Emotional Well Being Subscale Score Over Time
units on a scalePlaceboPomalidomide
Week 120.2 ± 0.40-0.4 ± 0.80
Week 240.1 ± 0.16-0.3 ± 0.56
Week 52/Early Termination0.1 ± 0.25-0.1 ± 0.42
Week 640.0 ± 0.360.2 ± 0.00
Week 760.0 ± 0.000.3 ± NA
Week 156/Early Termination-0.1 ± 0.150.0 ± 0.00
SecondaryChange From Baseline in UCLA SCTC GIT 2.0 Constipation Subscale Score Over Time

The UCLA SCTC GIT 2.0 is a 34-item, health-related quality of life self-administered evaluation tool, which targets GI activity and severity in patients with SSc. Individual scales include reflux, distention/bloating, fecal soilage, diarrhea, social functioning, emotional well-being and constipation. The items are scored on a scale from 0 to 3, where 0 indicates better health and 3 indicates worse health. The constipation subscale score is calculated as the average of three questions regarding the frequency of constipation (scored from 0 \[no days\] to 3 \[5-7 days/week\] and one question about the presence of stools becoming harder (scored as 0 \[No\] or 1 \[Yes\]); the score ranges from 0 to 2.5, where higher scores indicate more frequent symptoms.

Time frame:
Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).
Reported as:
Mean · units on a scale
Change From Baseline in UCLA SCTC GIT 2.0 Constipation Subscale Score Over Time
units on a scalePlaceboPomalidomide
Week 12-0.1 ± 0.360.2 ± 0.98
Week 24-0.2 ± 0.310.3 ± 0.81
Week 52/Early Termination0.0 ± 0.250.3 ± 0.51
Week 640.0 ± 0.600.1 ± 0.18
Week 760.0 ± 0.000.0 ± NA
Week 156/Early Termination-0.2 ± 0.200.1 ± 0.18
SecondaryChange From Baseline in Dyspnea Functional Impairment at Week 12

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. Changes in dyspnea functional impairment were assessed on a scale from Major Deterioration (formerly working but had to stop working and abandoned usual activities due to shortness of breath) to Major Improvement (able to return to work at former pace and return to full activities with only mild restriction due to improvement of shortness of breath). Further impairment for other reasons includes participants who gave up or reduced work or other activities for reasons other than shortness of breath.

Time frame:
Week 12
Reported as:
Count of participants · Participants
Change From Baseline in Dyspnea Functional Impairment at Week 12
ParticipantsPlaceboPomalidomide
Major deterioration00
Moderate deterioration11
Minor deterioration01
No change73
Minor improvement21
Moderate improvement00
Major improvement00
Further impairment for other reasons01
SecondaryChange From Baseline in Dyspnea Functional Impairment at Week 24

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. Changes in dyspnea functional impairment were assessed on a scale from Major Deterioration (formerly working but had to stop working and abandoned usual activities due to shortness of breath) to Major Improvement (able to return to work at former pace and return to full activities with only mild restriction due to improvement of shortness of breath). Further impairment for other reasons includes participants who gave up or reduced work or other activities for reasons other than shortness of breath.

Time frame:
Week 24
Reported as:
Number · Participants
Change From Baseline in Dyspnea Functional Impairment at Week 24
ParticipantsPlaceboPomalidomide
Major deterioration10
Moderate deterioration02
Minor deterioration11
No change42
Minor improvement31
Moderate improvement10
Major improvement00
Further impairment for other reasons01
SecondaryChange From Baseline in Dyspnea Functional Impairment at Week 52/Early Termination

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. Changes in dyspnea functional impairment were assessed on a scale from Major Deterioration (formerly working but had to stop working and abandoned usual activities due to shortness of breath) to Major Improvement (able to return to work at former pace and return to full activities with only mild restriction due to improvement of shortness of breath). Further impairment for other reasons includes participants who gave up or reduced work or other activities for reasons other than shortness of breath.

Time frame:
Week 52 or at the Treatment Phase Early Termination visit
Reported as:
Number · Participants
Change From Baseline in Dyspnea Functional Impairment at Week 52/Early Termination
ParticipantsPlaceboPomalidomide
Major deterioration00
Moderate deterioration04
Minor deterioration11
No change84
Minor improvement31
Moderate improvement00
Major improvement00
Further impairment for other reasons00
SecondaryChange From Baseline in Dyspnea Functional Impairment at Week 64

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. Changes in dyspnea functional impairment were assessed on a scale from Major Deterioration (formerly working but had to stop working and abandoned usual activities due to shortness of breath) to Major Improvement (able to return to work at former pace and return to full activities with only mild restriction due to improvement of shortness of breath). Further impairment for other reasons includes participants who gave up or reduced work or other activities for reasons other than shortness of breath.

Time frame:
Week 64
Reported as:
Number · Participants
Change From Baseline in Dyspnea Functional Impairment at Week 64
ParticipantsPlaceboPomalidomide
Major deterioration01
Moderate deterioration01
Minor deterioration10
No change40
Minor improvement10
Moderate improvement00
Major improvement00
Further impairment for other reasons00
SecondaryChange From Baseline in Dyspnea Functional Impairment at Week 76

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. Changes in dyspnea functional impairment were assessed on a scale from Major Deterioration (formerly working but had to stop working and abandoned usual activities due to shortness of breath) to Major Improvement (able to return to work at former pace and return to full activities with only mild restriction due to improvement of shortness of breath). Further impairment for other reasons includes participants who gave up or reduced work or other activities for reasons other than shortness of breath.

Time frame:
Week 76
Reported as:
Number · Participants
Change From Baseline in Dyspnea Functional Impairment at Week 76
ParticipantsPlaceboPomalidomide
Major deterioration00
Moderate deterioration01
Minor deterioration10
No change00
Minor improvement10
Moderate improvement00
Major improvement00
Further impairment for other reasons00
SecondaryChange From Baseline in Dyspnea Functional Impairment at Week 156/Early Termination

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. Changes in dyspnea functional impairment were assessed on a scale from Major Deterioration (formerly working but had to stop working and abandoned usual activities due to shortness of breath) to Major Improvement (able to return to work at former pace and return to full activities with only mild restriction due to improvement of shortness of breath). Further impairment for other reasons includes participants who gave up or reduced work or other activities for reasons other than shortness of breath.

Time frame:
Week 156 or the Extension Phase Early Termination visit
Reported as:
Number · Participants
Change From Baseline in Dyspnea Functional Impairment at Week 156/Early Termination
ParticipantsPlaceboPomalidomide
Major deterioration00
Moderate deterioration01
Minor deterioration21
No change20
Minor improvement10
Moderate improvement10
Major improvement00
Further impairment for other reasons00
SecondaryChange From Baseline in Dyspnea Magnitude of Task at Week 12

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with extraordinary activity such as running or carrying very heavy loads). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (deteriorated ≥ 2 grades from Baseline) to Major Improvement (Improved ≥ 2 grades from Baseline). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath, for example musculoskeletal problems or chest pain.

Time frame:
Week 12
Reported as:
Number · Participants
Change From Baseline in Dyspnea Magnitude of Task at Week 12
ParticipantsPlaceboPomalidomide
Major deterioration00
Moderate deterioration00
Minor deterioration21
No change55
Minor improvement31
Moderate improvement00
Major improvement00
Further impairment for other reasons00
SecondaryChange From Baseline in Dyspnea Magnitude of Task at Week 24

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with extraordinary activity such as running or carrying very heavy loads). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (deteriorated ≥ 2 grades from Baseline) to Major Improvement (Improved ≥ 2 grades from Baseline). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath, for example musculoskeletal problems or chest pain.

Time frame:
Week 24
Reported as:
Number · Participants
Change From Baseline in Dyspnea Magnitude of Task at Week 24
ParticipantsPlaceboPomalidomide
Major deterioration00
Moderate deterioration11
Minor deterioration21
No change52
Minor improvement23
Moderate improvement00
Major improvement00
Further impairment for other reasons00
SecondaryChange From Baseline in Dyspnea Magnitude of Task at Week 52/Early Termination

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with extraordinary activity such as running or carrying very heavy loads). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (deteriorated ≥ 2 grades from Baseline) to Major Improvement (Improved ≥ 2 grades from Baseline). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath, for example musculoskeletal problems or chest pain.

Time frame:
Week 52 or at the Treatment Phase Early Termination visit
Reported as:
Number · Participants
Change From Baseline in Dyspnea Magnitude of Task at Week 52/Early Termination
ParticipantsPlaceboPomalidomide
Major deterioration00
Moderate deterioration03
Minor deterioration11
No change86
Minor improvement20
Moderate improvement00
Major improvement10
Further impairment for other reasons00
SecondaryChange From Baseline in Dyspnea Magnitude of Task at Week 64

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with extraordinary activity such as running or carrying very heavy loads). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (deteriorated ≥ 2 grades from Baseline) to Major Improvement (Improved ≥ 2 grades from Baseline). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath, for example musculoskeletal problems or chest pain.

Time frame:
Week 64
Reported as:
Number · Participants
Change From Baseline in Dyspnea Magnitude of Task at Week 64
ParticipantsPlaceboPomalidomide
Major deterioration01
Moderate deterioration00
Minor deterioration20
No change30
Minor improvement11
Moderate improvement00
Major improvement00
Further impairment for other reasons00
SecondaryChange From Baseline in Dyspnea Magnitude of Task at Week 76

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with extraordinary activity such as running or carrying very heavy loads). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (deteriorated ≥ 2 grades from Baseline) to Major Improvement (Improved ≥ 2 grades from Baseline). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath, for example musculoskeletal problems or chest pain.

Time frame:
Week 76
Reported as:
Number · Participants
Change From Baseline in Dyspnea Magnitude of Task at Week 76
ParticipantsPlaceboPomalidomide
Major deterioration00
Moderate deterioration00
Minor deterioration10
No change10
Minor improvement01
Moderate improvement00
Major improvement00
Further impairment for other reasons00
SecondaryChange From Baseline in Dyspnea Magnitude of Task at Week 156/Early Termination

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with extraordinary activity such as running or carry very heavy loads). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (deteriorated ≥ 2 grades from Baseline) to Major Improvement (Improved ≥ 2 grades from Baseline). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath, for example musculoskeletal problems or chest pain.

Time frame:
Week 156 or the Extension Phase Early Termination visit
Reported as:
Number · Participants
Change From Baseline in Dyspnea Magnitude of Task at Week 156/Early Termination
ParticipantsPlaceboPomalidomide
Major deterioration00
Moderate deterioration10
Minor deterioration11
No change20
Minor improvement21
Moderate improvement00
Major improvement00
Further impairment for other reasons00
SecondaryChange From Baseline in Dyspnea Magnitude of Effort at Week 12

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with greatest imaginable effort). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (severe decrease in effort from Baseline to avoid shortness of breath, activities take 50-100% longer to complete) to Major Improvement (able to do things with much greater effort than previously with few, if any, pauses). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath.

Time frame:
Week 12
Reported as:
Number · Participants
Change From Baseline in Dyspnea Magnitude of Effort at Week 12
ParticipantsPlaceboPomalidomide
Major deterioration00
Moderate deterioration10
Minor deterioration22
No change44
Minor improvement21
Moderate improvement10
Major improvement00
Further impairment for other reasons00
SecondaryChange From Baseline in Dyspnea Magnitude of Effort at Week 24

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with greatest imaginable effort). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (severe decrease in effort from Baseline to avoid shortness of breath, activities take 50-100% longer to complete) to Major Improvement (able to do things with much greater effort than previously with few, if any, pauses). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath.

Time frame:
Week 24
Reported as:
Number · Participants
Change From Baseline in Dyspnea Magnitude of Effort at Week 24
ParticipantsPlaceboPomalidomide
Major deterioration11
Moderate deterioration01
Minor deterioration10
No change43
Minor improvement32
Moderate improvement10
Major improvement00
Further impairment for other reasons00
SecondaryChange From Baseline in Dyspnea Magnitude of Effort at Week 52/Early Termination

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with greatest imaginable effort). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (severe decrease in effort from Baseline to avoid shortness of breath, activities take 50-100% longer to complete) to Major Improvement (able to do things with much greater effort than previously with few, if any, pauses). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath.

Time frame:
Week 52 or at the Treatment Phase Early Termination visit
Reported as:
Number · Participants
Change From Baseline in Dyspnea Magnitude of Effort at Week 52/Early Termination
ParticipantsPlaceboPomalidomide
Major deterioration00
Moderate deterioration03
Minor deterioration11
No change76
Minor improvement30
Moderate improvement10
Major improvement00
Further impairment for other reasons00
SecondaryChange From Baseline in Dyspnea Magnitude of Effort at Week 64

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with greatest imaginable effort). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (severe decrease in effort from Baseline to avoid shortness of breath, activities take 50-100% longer to complete) to Major Improvement (able to do things with much greater effort than previously with few, if any, pauses). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath.

Time frame:
Week 64
Reported as:
Number · Participants
Change From Baseline in Dyspnea Magnitude of Effort at Week 64
ParticipantsPlaceboPomalidomide
Major deterioration01
Moderate deterioration00
Minor deterioration30
No change21
Minor improvement10
Moderate improvement00
Major improvement00
Further impairment for other reasons00
SecondaryChange From Baseline in Dyspnea Magnitude of Effort at Week 76

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with greatest imaginable effort). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (severe decrease in effort from Baseline to avoid shortness of breath, activities take 50-100% longer to complete) to Major Improvement (able to do things with much greater effort than previously with few, if any, pauses). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath.

Time frame:
Week 76
Reported as:
Number · Participants
Change From Baseline in Dyspnea Magnitude of Effort at Week 76
ParticipantsPlaceboPomalidomide
Major deterioration00
Moderate deterioration00
Minor deterioration10
No change01
Minor improvement10
Moderate improvement00
Major improvement00
Further impairment for other reasons00
SecondaryChange From Baseline in Dyspnea Magnitude of Effort at Week 156/Early Termination

The Transition Dyspnea Index (TDI) provides interview-based measurements of breathlessness related to activities of daily living. The TDI is an evaluative instrument that includes specific criteria for each of three components (functional impairment, magnitude of task and magnitude of effort) to measure changes from a baseline state. At Baseline magnitude of task was assessed on a scale from Grade 0 (becomes short of breath at rest, while sitting or lying) to Grade 4 (becomes short of breath only with greatest imaginable effort). Changes in dyspnea magnitude of task were assessed on a scale from Major Deterioration (severe decrease in effort from Baseline to avoid shortness of breath, activities take 50-100% longer to complete) to Major Improvement (able to do things with much greater effort than previously with few, if any, pauses). Further impairment for other reasons includes participants with reduced exertion capacity for reasons other than shortness of breath.

Time frame:
Week 156 or at the Extension Phase Early Termination visit
Reported as:
Number · Participants
Change From Baseline in Dyspnea Magnitude of Effort at Week 156/Early Termination
ParticipantsPlaceboPomalidomide
Major deterioration00
Moderate deterioration10
Minor deterioration21
No change21
Minor improvement10
Moderate improvement00
Major improvement00
Further impairment for other reasons00
SecondaryOxygen Saturation Over Time

Oxygen saturation was measured by pulse oximetry.

Time frame:
Baseline and Weeks 12, 24, 52 (or at the Treatment Phase Early Termination visit), 64, 76, and 156 (or the Extension Phase Early Termination visit).
Reported as:
Mean · percent saturation
Oxygen Saturation Over Time
percent saturationPlaceboPomalidomide
Baseline97.5 ± 2.0796.8 ± 1.92
Week 1297.1 ± 2.1897.4 ± 1.51
Week 2497.6 ± 1.6596.5 ± 4.31
Week 52/Early Termination96.8 ± 2.1896.8 ± 1.86
Week 6496.3 ± 2.9494.0 ± 2.83
Week 7698.5 ± 0.7197.0 ± NA
Week 156/Early Termination95.8 ± 5.1297.5 ± 0.71
SecondaryPharmacokinetic Parameters of Pomalidomide in Plasma

Pharmacokinetic (PK) analyses were not conducted as there were too few participants with available data.

Time frame:
Day 1 and week 4 pre-dose and up to 24 hours post-dose.

No measurements were reported for this outcome.

Adverse events

Collected over From the start of study drug to 28 days after last dose; Treatment Phase median duration of treatment was 358 and 320 days for Placebo and Pomalidomide; Extension phase median duration of treatment was 161 days and 194 days for Placebo and Pomalidomide.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment Phase: Placebo—1/12 (8.3%)12/12 (100%)
Treatment Phase: Pomalidomide—4/10 (40%)9/10 (90%)
Extension Phase: Placebo/Pomalidomide—0/6 (0%)5/6 (83.3%)
Extension Phase: Pomalidomide/Pomalidomide—1/2 (50%)2/2 (100%)
Most frequent serious events
Most frequent serious events
EventTreatment Phase: PlaceboTreatment Phase: PomalidomideExtension Phase: Placebo/PomalidomideExtension Phase: Pomalidomide/Pomalidomide
Acute respiratory failureRespiratory, thoracic and mediastinal disorders0/120/100/61/2
Chronic respiratory failureRespiratory, thoracic and mediastinal disorders0/120/100/61/2
Pulmonary hypertensionRespiratory, thoracic and mediastinal disorders0/120/100/61/2
PneumoniaInfections and infestations1/121/100/60/2
Upper respiratory tract infectionInfections and infestations0/121/100/60/2
Renal failureRenal and urinary disorders0/121/100/60/2
Pulmonary embolismRespiratory, thoracic and mediastinal disorders0/121/100/60/2
SepsisInfections and infestations1/120/100/60/2
Most frequent other events
Showing 10 of 118
Most frequent other events
EventTreatment Phase: PlaceboTreatment Phase: PomalidomideExtension Phase: Placebo/PomalidomideExtension Phase: Pomalidomide/Pomalidomide
Gastrooesophageal reflux diseaseGastrointestinal disorders0/121/100/61/2
OedemaGeneral disorders1/120/100/61/2
PainGeneral disorders1/121/100/61/2
HyperglycaemiaMetabolism and nutrition disorders0/120/100/61/2
HypophosphataemiaMetabolism and nutrition disorders0/120/100/61/2
Pain in jawMusculoskeletal and connective tissue disorders0/120/100/61/2
DizzinessNervous system disorders1/120/100/61/2
DyspnoeaRespiratory, thoracic and mediastinal disorders2/120/100/61/2
Pulmonary hypertensionRespiratory, thoracic and mediastinal disorders1/120/101/61/2
ArthralgiaMusculoskeletal and connective tissue disorders4/124/100/60/2

Baseline characteristics

Age, Continuous
Age, Continuous(years)PlaceboPomalidomideTotal
Mean44.8 ± 13.7748.9 ± 9.8446.7 ± 11.97
Age, Customized
Age, Customized(Participants)PlaceboPomalidomideTotal
< 65 years101020
≥ 65 years213
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboPomalidomideTotal
Female101020
Male213
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PlaceboPomalidomideTotal
Asian022
Black or African American011
Native Hawaiian or Other Pacific Islanders101
White10818
Other101
Body Mass Index (BMI)
Body Mass Index (BMI)(kg/m^2)PlaceboPomalidomideTotal
Mean30.64 ± 5.39227.61 ± 9.429.19 ± 7.556
08

Study locations

56 sites
  • UCLA Division of Rheumatology
    Los Angeles, California 90095, United States
  • Advances in Medicine
    Rancho Mirage, California 92270, United States
  • Delaware Medical Care Associates, LLC
    Newark, Delaware 19713, United States
  • Georgetown University School of Medicine
    Washington, District of Columbia 20057, United States
  • USF Health Faculty Office Building-FOB
    Tampa, Florida 33612, United States
  • Arthritis Research and Treatment Center
    Stockbridge, Georgia 30281, United States
  • University of Illinois at Chicago
    Chicago, Illinois 60612, United States
  • LaPorte County Institute for Clinical Research, Inc
    Michigan City, Indiana 46360, United States
  • University of Kentucky
    Lexington, Kentucky 40536-0284, United States
  • Louisiana State University
    Shreveport, Louisiana 71103, United States
  • Boston University of Medicine BUMC
    Boston, Massachusetts 02118, United States
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
  • UMDNJ-Robert Wood Johnson Medical School Clinical Research Center
    New Brunswick, New Jersey 08903, United States
  • North Shore-LIJ Health System-Division of Rheumatology
    Great Neck, New York 11021, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • University of Toledo College of Medicine
    Toledo, Ohio 43614, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • University of Pittsburgh
    Pittsburgh, Pennsylvania 15261, United States
  • University of Texas Health Science Center at Houston
    Houston, Texas 77030, United States
  • Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
  • Monash Medical Centre
    Clayton, Victoria 3168, Australia
  • The Prince Charles Hospital
    Chermside, 4032, Australia
  • The Queen Elizabeth Hospital
    Woodville South, 5011, Australia
  • CHRU de Lille FR
    Lille, 59037, France
  • Hopital Saint Louis
    Paris, 75010, France
  • Groupe Hospitalier Saint Vincent de Paul
    Paris, 75014, France
  • Kerckhoff-Klinik gGmbH
    Bad Nauheim, 61231, Germany
  • Charite - Universitätsmedizin Berlin
    Berlin, 10117, Germany
  • University of Erlangen-Nuremberg
    Erlangen, 91054, Germany
  • Klinikum der J.W. Gothe-Universitat Frankfurt
    Frankfurt, 60590, Germany
  • Rheumazentrum Ruhrgebiet
    Herne, 44652, Germany
  • University Hospital of Ulm
    Ulm, 89081, Germany
  • Azienda Ospedaliera Universitaria S. Martino di Genova
    Genova, 16132, Italy
  • Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
    Milano, 20122, Italy
  • Ospedale Luigi Sacco
    Milano, 20157, Italy
  • IRCCS Policlinico S. Matteo di Pavia
    Pavia, 27100, Italy
  • Azienda Ospedaliera Universitaria Pisana
    Pisa, 56126, Italy
  • Policlinico Umberto I
    Roma, 00161, Italy
  • Policlinico Universitario Agostino Gemelli
    Roma, 00168, Italy
  • Centrum Miriada Prywatny Gabinet Specjalistyczny Profesora Dra Stanislawa Sierakowskiego
    Bialystok, 15-297, Poland
  • Szpital Uniwersytecki nr 2 im. Dr Jana Biziela w Bydgoszczy
    Bydgoszcz, 85-168, Poland
  • SPSK Nr 7 Slaskiego Uniwersytetu Medycznego, Oddzial Chorob Wewnetrznych i Reumatologii
    Katowice, 40-634, Poland
  • Samodzielny Publiczny Szpital Kliniczny nr 1 im. prof.Tadeusza Sokolowskiego Pomorskiego UM w Szczec
    Szczecin, 71-252, Poland
  • Instytut Reumatologii, Klinika i Poliklinika Ukladowych Chorób Tkanki Lacznej
    Warszawa, 02-637, Poland
  • Akademicki Szpital Kliniczny Klinika Reumatologii i Chorob Wewnetrznych
    Wroclaw, 50-556, Poland
  • Institution of the Russian Academy of Medical Sciences Research Institute of Rheumatology of the Ru
    Moscow, 115522, Russian Federation
  • Penza Regional Clinical Hospital n.a. N.N. Burdenko
    Penza, 440026, Russian Federation
  • St. Petersburg State Healthcare Institution "Clinical Rheumatology Hospital # 25"
    St. Petersburg, 190068, Russian Federation
  • Hospital Universitario Gregorio Maranon
    Madrid, 28007, Spain
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
  • Complejo Hospitalario de Santiago
    Santiago de Compostela, 15706, Spain
  • Hospital Universitario Dr. Peset
    Valencia, 46017, Spain
  • University Hospital Basel
    Basel, 4031, Switzerland
  • Chapel Allerton Hospital
    Leeds, LS7 4SA, United Kingdom
  • Royal Free Hospital
    London, NW3 2PF, United Kingdom
  • Royal Brompton Hospital - Interstitial Lung Disease Unit
    London, SW3 6NP, United Kingdom
09

References and documents

Publications

  • Hsu VM, Denton CP, Domsic RT, Furst DE, Rischmueller M, Stanislav M, Steen VD, Distler JHW, Korish S, Cooper A, Choi S, Schafer PH, Horan G, Hough DR. Pomalidomide in Patients with Interstitial Lung Disease due to Systemic Sclerosis: A Phase II, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Study. J Rheumatol. 2018 Mar;45(3):405-410. doi: 10.3899/jrheum.161040. Epub 2017 Nov 1. PubMed 29093152 ↗
  • Hsu V, et al. A Phase 2 Study of Pomalidomide (CC-4047) to Evaluate Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Effectiveness in Subjects with Systemic Sclerosis with Interstitial Lung Disease. Presented at the 2016 ACR/ARHP Annual Meeting, November 11-16, 2016, Washington, DC. Abstract No. 823.
10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2012 to primary completion in Nov 2016, 50 months.

Results were first posted in Oct 2019, 2 years 11 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 19, 2012
First posted
Mar 21, 2012
StartActual
Aug 9, 2012
Primary completionActual
Nov 3, 2016
CompletionActual
Nov 3, 2016
Results first posted
Oct 18, 2019
Last update
Dec 1, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01559129
Lead sponsor
Celgene
Responsible party
Sponsor
First posted
Mar 21, 2012
Start date
Aug 9, 2012
Primary completion
Nov 3, 2016
Completion
Nov 3, 2016
Results posted
Oct 18, 2019
Last update
Dec 1, 2023

Study contacts

Shimon Korish, MD
study director · Celgene Corporation

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Pomalidomide

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