ClinicalTrials.gg
Active, not recruitingNCT02682511Updated Sep 2, 2026

Oral Ifetroban to Treat Diffuse Cutaneous Systemic Sclerosis (SSc) or SSc-associated Pulmonary Arterial Hypertension

A Phase 2 interventional study of Oral Ifetroban and Oral Placebo in Scleroderma, Diffuse, Scleroderma, Systemic and Scleroderma, Limited, sponsored by Cumberland Pharmaceuticals. Active, not recruiting at 13 sites in 2 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-09-02.

Sponsored by Cumberland Pharmaceuticals · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
34
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The purpose of this phase 2 multicenter, randomized, double-blind, placebo-controlled, study is to assess the safety and efficacy of ifetroban in patients with diffuse cutaneous systemic SSc (dcSSc) or SSc-associated pulmonary arterial hypertension (SSc-PAH).

Read the detailed description

This study is a randomized, placebo-controlled, double-blind phase 2 trial of patients with dcSSc or SSc-PAH. Twenty participants with SSc-PAH and 14 participants with dcSSc will be randomized to receive either oral ifetroban daily or matching placebo. Study participants will be treated for 12 months, followed by a 30-day follow-up period. The study will test whether ifetroban is safe and statistically superior to placebo in reducing the effects of their disease at month 12 and explore the ability of ifetroban to prevent or reverse progression in patients with early disease duration and reverse established disease in patients with longer disease duration.

02

Conditions studied

  • Scleroderma, Diffuse
  • Scleroderma, Systemic
  • Scleroderma, Limited
  • Sclerosis, Progressive Systemic
  • Skin Diseases
  • Connective Tissue Diseases
  • Pathologic Processes
  • Autoimmune Diseases

Keywords

  • Ifetroban
  • Scleroderma
  • Systemic Sclerosis
03

In context

Scleroderma, Diffuse

310 studies on the registry are indexed under Scleroderma, Diffuse; 76 are open to participants now.

This study's planned enrollment of 34 is below the median of 38 across 227 interventional studies indexed under Scleroderma, Diffuse.

Browse Scleroderma, Diffuse studies →

Lead sponsor

Cumberland Pharmaceuticals is the lead sponsor of 49 studies on the registry; 1 is open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 5 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

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

Diffuse Cutaneous Criterion:

1. Systematic Sclerosis (SSc), as defined using the 2013 American College of Rheumatology/ European Union League Against Rheumatism Classification Criteria and dcSSc within 7 years following initial diagnosis as defined by the onset of the first non-Raynaud symptom.

SSc-PAH Criteria:

  1. Adults fulfilling the 2013 American College of Rheumatology/ European Union League Against Rheumatism Classification Criteria with confirmed SSc-PAH (limited or dcSSc) confirmed via previous cardiac catheterization
  2. Stable oral therapy for PAH for at least 30 days (monotherapy or combination)
  3. (NYHA) Class I-III Heart Failure

Exclusion criteria

Exclusion Criteria:

  1. Have a diagnosis of systemic sclerosis sine scleroderma;
  2. Be less than 18 years of age or greater than or equal to 80 years of age;
  3. Be pregnant, nursing, or planning to become pregnant;
  4. Current or planned treatment with prostanoid therapy;
  5. Current or planned treatment with pirfenidone;
  6. Use of rituximab in the last 3 months;
  7. Use of mycophenolic acid (Myfortic, CellCept) at a stable dose for less than 3 months;
  8. Current or planned therapy greater than 15mg per day of prednisone or prednisone equivalent;
  9. Significant lung disease, defined as FVC \< 50% predicted or DLCO \<40% predicted;
  10. Significant kidney disease, defined as (GFR) \< 60 ml/min;
  11. Have moderate or severe hepatic impairment;
  12. to MRI (e.g., implanted magnetic material, claustrophobia);
  13. Known to gadolinium;
  14. Any cause of pulmonary hypertension other than World Health Organization (WHO) Group I associated with SSc;
  15. Use of aspirin > 81 mg per day in the last two weeks;
  16. Use of warfarin, heparin or other anticoagulants in the last 30 days;
  17. Recent (within 6 weeks) myocardial infarction or persistent atrial arrhythmias;
  18. Have a history of allergy or hypersensitivity to ifetroban;
  19. Have taken drugs within 30 days before study treatment administration;
  20. Inability to understand the requirements of the study, inability to understand spoken English and abide by the study restrictions and to return for the required treatments and assessments;
  21. Be otherwise unsuitable for the study, in the opinion of the investigator.
Terms in these criteria, in plain language(6)

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
34 participants (estimated)

Study arms

  • Experimental
    Patients with dcSSc

    Patients with dcSSc will be randomized to receive either oral ifetroban or oral placebo daily for 365 days

    Drug: Oral Ifetroban · Drug: Oral Placebo

  • Experimental
    Patients with SSc-PAH

    Patients with SSc-PAH will be randomized to receive either oral ifetroban or oral placebo daily for 365 days

    Drug: Oral Ifetroban · Drug: Oral Placebo

Interventions

  • Subjects will be treated with oral ifetroban or placebo daily for 365 days

    Also known as: Ifetroban

  • DrugOral Placebo

    Subjects will be treated with oral ifetroban or placebo daily for 365 days

    Also known as: Ifetroban

06

What researchers measure

Primary outcomes

  1. Incidence of adverse events (AEs) and Serious AEs (SAEs)

    Safety is measured using AEs, including clinical significant changes in vital signs, laboratory test abnormalities and clinical tolerability of ifetroban.

    Time frame: 56 weeks

Secondary outcomes

  1. Change from baseline in forced vital capacity (FVC)

    To determine if ifetroban improves pulmonary function in subjects with diffuse cutaneous SSc or SSc-PAH compared to placebo as measured by a change from baseline FVC.

    Time frame: Baseline, 12, 26, and 52 weeks

  2. Change from baseline in diffusion capacity for carbon monoxide (DLCO)

    To determine if ifetroban improves pulmonary function in subjects with diffuse cutaneous SSc or SSc-PAH compared to placebo as measured by a change from baseline diffusion capacity for carbon monoxide (DLCO)

    Time frame: Baseline, 12, 26, and 52 weeks

  3. Change from baseline in the modified Rodnan skin score (mRSS)

    The efficacy of treatment on skin fibrosis will be measured by changes from baseline in mRSS, a measure of skin thickness, at 52 weeks.

    Time frame: Baseline, 12, 26, 39, and 52 weeks

Other outcomes

  1. Change from baseline in ventricular function as determined by cardiac MRI

    Time frame: Baseline, 26, and 52 weeks

  2. Change from baseline in ventricular function as determined by echocardiography

    Time frame: Baseline, 26, and 52 weeks

  3. Improve skin and peripheral vascular disease as measured by active digital ulcer count

    Time frame: Baseline, 12, 26, 39, and 52 weeks

  4. Improve skin and peripheral vascular disease as measured by the subject's self-assessment of pain in digits by a visual analog scale (VAS), if active digital ulcers are present.

    Time frame: Baseline, 12, 26, 39, and 52 weeks

  5. Change from baseline in blood biomarkers

    Time frame: Baseline, 26, and 52 weeks

  6. Change from baseline in skin biomarkers

    Time frame: Baseline, 26, and 52 weeks

  7. Change from baseline in erythrocyte sedimentation rate

    Time frame: Baseline, 26, and 52 weeks

  8. Change from baseline in subject-reported health status assessed by the Scleroderma Health Assessment Questionnaire (SHAQ)

    Time frame: Baseline, 12, 26, 39, and 52 weeks

  9. Change from baseline in subject health and disability measurements as assessed by the World Health Organization Disability Assessment Assessment Schedule 2.0 (WHODAS 2.0)

    Time frame: Baseline, 12, 26, 39, and 52 weeks

  10. Change from baseline in subject-reported gastro-intestinal tract symptoms as assessed by the University of California, Los Angles (UCLA) Scleroderma Clinical Trial Consortium (SCTC) Gastrointestinal Tract (GIT) Questionnaire

    Time frame: Baseline, 12, 26, 39, and 52 weeks

  11. Change from baseline in subject-reported outcomes as assessed by the short-form health survey (SF-36)

    Time frame: Baseline, 12, 26, 39, and 52 weeks

07

Study locations

13 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02682511
Responsible party
Sponsor
First posted
Feb 15, 2016
Start date
Jan 2017
Primary completion
Mar 2026
Completion
Sep 2026 (estimated)
Last update
Sep 2, 2026

Study contacts

Evan Brittain, MD
principal investigator · Vanderbilt University Medical Center

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Ifetroban

Start the discussion