ClinicalTrials.gg
CompletedNCT03267277Updated Nov 26, 2024Results posted

Sodium Thiosulfate for Treatment of Calcinosis Associated With Juvenile and Adult Dermatomyositis

A Phase 2/3 interventional study of Sodium Thiosulfate in Dermatomyositis and Idiopathic Inflammatory Myopathies, sponsored by National Institute of Environmental Health Sciences (NIEHS). Completed at 1 site in United States. Open to participants aged 7 Years and older. Per ClinicalTrials.gov, last updated 2024-11-26.

Sponsored by National Institute of Environmental Health Sciences (NIEHS) · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
7 Years and older
Sex
All
01

Study summary

Background:

Dermatomyositis (DM) and juvenile dermatomyositis (JDM) cause inflammation in the muscles. People with DM and JDM can develop calcium deposits in places they should not, known as calcinosis. Calcinosis can be painful and cause disabilities and other problems. Researchers want to learn more about calcinosis to find treatments for it.

Objective:

To test if sodium thiosulfate (STS) can treat people with DM with calcinosis.

Eligibility:

People ages 7 and older who have moderate or severe calcinosis. They must have stable DM and calcium deposits in the torso or at least 2 limbs.

Design:

Participants will be screened with:

  • Medical history
  • Physical exam
  • Muscle strength and function tests
  • Blood and urine tests

Participants will have several visits:

  • 7-day pre-treatment visit about 10 weeks before starting STS
  • Treatment visits over 10 weeks. They will get STS 3 times a week through IV infusion. They may be hospitalized the whole time. If they tolerate the drug, they may be discharged at certain times. During these times, they will return for the infusions.
  • 3- to 5-day post-treatment visits 24 weeks and 62 weeks after starting STS.

Visits may include repeats of screening tests and:

  • Questionnaires
  • Scans: They lie in a machine that takes pictures of the body. They may be injected with a radioactive agent.
  • Durometry: A small instrument applies pressure on the skin or exposed calcinosis.
  • Measurements of blood flow in the arms and fingernail blood vessels
  • Photographs of the skin
  • Kidney ultrasound
  • Tests of kidney function
  • Calcinosis aspiration: A needle placed into areas of calcinosis removes liquid.
Read the detailed description

Calcinosis, a serious complication of dermatomyositis, involves deposition of calcium (carbonate apatite) in soft tissue, and can result in negative impacts on quality of life and physical function. To date, there are no known effective therapies that are approved for the treatment of dermatomyositis-associated calcinosis, and there is no consensus within the medical community on the optimum treatment strategy for this often-debilitating condition.

A few reports in the literature describe treatment successes with a variety of therapeutics; however, these data are from anecdotal reports or case series and thus provide limited scientific evidence of effectiveness. Recently published reports as well as personal observations within our group have suggested that intravenous sodium thiosulfate treatment may benefit calcinosis patients. In order to gather more robust data on the utility of this medication in the treatment of calcinosis associated with adult and juvenile dermatomyositis, we propose to evaluate its effects in the context of a prospective clinical trial.

We plan to enroll participants at a single center into a single-arm, open-label study, with the overall objective of evaluating the efficacy and safety of intravenous sodium thiosulfate use in patients with moderate to severe extensive calcinosis associated with juvenile and adult dermatomyositis.

The study will enroll a maximum of 18 participants over 4 years into the full study, but up to 250 patients may screen for study entry. Eligible patients will be age 7 or older, and will have extensive calcinosis (defined as calcinosis involving the torso or 2 extremities) and moderate to severe calcinosis (indicated by a calcinosis activity visual analogue scale score of greater than or equal to 3.5 cm out of 10 cm).

Two separate evaluations performed at the NIH prior to initiation of therapy will be used as baseline data to compare in a pairwise manner to the change in assessments following treatment with sodium thiosulfate, with all other medications remaining stable. Study treatment will be 16 g/m2 sodium thiosulfate administered 3 times weekly over a period of 10 weeks at the NIH. Subjects who complete 10 weeks of treatment or reach the primary end point by week 6 will be considered completers. Following the treatment period, all participants will return to the NIH for evaluations at weeks 24 and 62.

The primary outcome will be change in calcinosis activity visual analogue scale score from week 0 to week 10 on therapy, compared to the baseline change in calcinosis activity visual analogue scale score from week -10 to week 0 pre-treatment. Secondary measures will evaluate safety and changes in components of the Calcinosis Assessment Tool, clinical assessments of calcinosis, Mawdsley Calcinosis Questionnaire, quality of life, functional disability, muscle testing (manual and quantitative), laboratory parameters (muscle enzymes, inflammatory markers, and endothelial activation markers), gene expression, calcification pathogenesis, time to improvement, and imaging. Myositis disease activity and damage will also be assessed by validated measures.

A number of research studies will be incorporated into this clinical trial in an attempt to understand the immunologic markers associated with calcification in dermatomyositis as well as the immunologic effects of sodium thiosulfate treatment.

02

Conditions studied

  • Dermatomyositis
  • Idiopathic Inflammatory Myopathies

Keywords

  • Calcinosis
  • Dermatomyositis
  • Juvenile Dermatomyositis
  • Idiopathic Inflammatory Myopathies
  • Sodium Thiosulfate
03

In context

Dermatomyositis

184 studies on the registry are indexed under Dermatomyositis; 63 are open to participants now.

This study's enrollment of 15 is below the median of 35 across 130 interventional studies indexed under Dermatomyositis.

Browse Dermatomyositis studies →

Lead sponsor

National Institute of Environmental Health Sciences (NIEHS) is the lead sponsor of 183 studies on the registry; 18 are open to participants now.

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

04

Who can participate

Ages eligible
7 Years and older
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

  1. At least 7 years of age

    1. Meets Bohan and Peter criteria, as modified by the International Myositis Assessment and Clinical Studies Group (IMACS), for probable or definite DM or JDM
    2. Has extensive calcinosis, defined as calcinosis involving at least 2 extremities or the torso
    3. Has moderate to severe calcinosis, defined as having a calcinosis activity visual analogue scale score of greater than or equal to 3.5 cm out of 10 cm
    4. Is willing and able to comply with the requirements of the protocol and to undergo all testing
    5. Can have IV access established to receive study infusions
    6. Myositis disease activity is stable*
    7. Medications for myositis are stable for at least 6 weeks prior to study entry**
    8. Men and women of must agree to use a reliable form of during the 62-week duration of the study
    9. Subjects or their legal guardian must sign a written

      • Stable myositis disease activity will be defined by physician global and patient/parent global VAS that are \<4 cm, as well as creatine kinase (CK), lactate dehydrogenase (LDH), aldolase, (AST), and alanine aminotransferase (ALT) that are less than or equal to 2X (ULN).

        • If a patient has a medication for myositis changed in this window for reasons besides their myositis activity and has returned to their baseline medication use prior to enrollment they will still be eligible.

Exclusion criteria

EXCLUSION CRITERIA:

  1. Is pregnant or breastfeeding
  2. Has known allergies to sodium thiosulfate, any of its components, or dextrose
  3. Has severe myositis disease activity as defined by patient/parent or physician global activity visual analogue scale score >4 cm out of 10 cm
  4. Has had an escalation of therapy in the 2 months prior to enrollment for the purpose of treating active myositis disease activity, including the addition of a new agent to treat the patients underlying disease or an increase in dose of an existing medication used to treat the patient's disease (other than an adjustment for weight or body surface area in children)
  5. Has a or had a malignancy within 5 years of diagnosis of their DM (except for benign skin lesions or basal cell carcinoma)
  6. Known or suspected history of alcohol or drug abuse in the 6 months prior to study enrollment
  7. Has systemic lupus erythematosus, scleroderma, or a condition other than DM that is associated with calcinosis as a complication
  8. Has had a change in medications used specifically for calcinosis in the 2 months prior to enrollment, including but not limited to alendronate, etidronate, pamidronate, probenecid, colchicine, diltiazem, thalidomide, and aluminum hydroxide
  9. Has used probenecid, diltiazem, aluminum hydroxide, or hydrochlorothiazide in the 2 months prior to enrollment
  10. Has currently or has a history of any of the following: heart failure, renal impairment ( less than 30 representing severe renal disease), liver disease ( class C), arrhythmias (that are symptomatic or are concerning for progression to symptomatic arrhythmias), or recurrent kidney stones (more than one episode of symptomatic kidney stones separated by at least 1 month), or , or hypocalcemia, or metabolic acidosis, or hypotension
  11. Has severe osteoporosis or has had a bone fracture within a year prior to enrollment. For adults, severe osteoporosis as defined by the World Health Organization (WHO) as bone mineral density (BMD) 2.5 standard deviations below that of a young, normal adult (T-score at or below -2.5 and one or more fractures). For individuals, less than age 18, severe osteoporosis as defined by the First Pediatric Consensus Development Conference as a Z-score below -2 and one or more fractures.
  12. Has a psychiatric illness or medical non-compliance that the study team feels will make the patient unlikely to complete the study
  13. Has dysphagia where non-oral feeding alternatives are needed.
  14. Requires supplemental oxygen therapy
  15. Has >3 episodes of cellulitis requiring IV antibiotics related to calcinosis within a year prior to enrollment or cellulitis within 1 month of enrollment
  16. Previously received or currently receiving sodium thiosulfate by any route
  17. Is on an oral prednisone dose of more than 1mg/kg/day or other oral equivalent.
  18. Is taking any concomitant medications that are thought to alter sodium thiosulfate s effects or pharmacokinetics. Once patients have met all other inclusion criteria and no other exclusion criteria this criteria will be checked. A PharmD will evaluate the patient's current medication list for medications with the potential for interaction with sodium thiosulfate. Methodology is as follows: He or she will perform a search in two individual validated medication interaction software programs. He or she will also perform a literature search via PubMed for case reports of interactions with sodium thiosulfate. As an additional safeguard, the PharmD will evaluate the medication list utilizing principles of pharmacology and pharmacokinetics to attempt to identify any potential interactions not yet documented in the literature.
  19. Has any health conditions that, in the opinion of the investigator, significantly increase the risk of taking sodium thiosulfate or participating in any of the study procedures
  20. Weighs less than 26 kilograms.**
  21. Has a regimen of pulse steroids or intravenous immunoglobulin (IVIG) that is at an interval besides every 1, 2, or 5 weeks.
  22. Has a chronic infection that makes assessment of muscle disease difficult including, but not limited to, hepatitis, , HTLV 1, and HTLV 2.
  23. Has had a severe complication of diabetes in the past year prior to enrollment.
  24. Anemia with a (HgB) less than 10 at time of screening or deemed to be too low to safely complete study by hematology consult team.
  25. We will attempt to enroll patients at a weight greater than 28 kg as these patients will be able to obtain all lab work for the study. Patients weighing 26 to 28 kg will only be able to obtain some of the research blood work. Patients less than 26 kg of body weight will be unable to obtain all safety labs, so will not be able to enroll.
Terms in these criteria, in plain language(13)

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.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

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.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    Treatment

    Participants received intravenous sodium thiosulfate 16 g/m\^2 three times weekly for 10 weeks

    Drug: Sodium Thiosulfate

Interventions

06

What researchers measure

Primary outcomes

  1. Change in Calcinosis Activity Visual Analogue Scale Score

    Calcinosis activity is defined by the metabolic activity and the inflammation associated with calcinosis. In evaluating calcinosis activity, the study physicians take into account the change in extent of calcinosis and the location of calcinosis lesions, the consistency and texture of calcinosis lesions, the presence of erythema surrounding calcinosis lesion, and any pain associated with the calcinosis lesions. A 10 cm visual analogue scale (VAS) was scored by a physician with a vertical line on the scale marking calcinosis activity where 0 cm indicates no evidence of calcinosis, and 10 cm mark indicates severe calcinosis activity. The change in calcinosis activity VAS score from week 0 to week 10 on therapy was compared to the change in calcinosis activity VAS score from week -10 to week 0 on baseline therapy. The baseline score was calculated by taking the week 0 score minus the week -10 score. The on therapy score was calculated by taking the week 10 score minus the week 0 score.

    Time frame: Week 10 minus week 0 (on therapy) and week 0 minus week -10 (baseline)

Secondary outcomes

  1. Change in Quality of Life Measured by the Child Health Questionnaire-Parent Form 50 (CHQ-PF50): Physical Function Domain

    The Child Health Questionnaire-Parent Form 50 (CHQ-PF50) is a 50-item survey with 14 domains that parents complete to assess their child's physical and mental well-being. The change in quality of life was measured by the physical functioning domain score on the CHQ-PF50. The CHQ-PF50 physical functioning domain scale was transformed to 0 to 100 score with higher score indicating better health or more positive functioning. The change in quality of life using the CHQ-PF50 score was measured as the mean difference in scores between time points.

    Time frame: Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment)

  2. Change in Quality of Life Measured by the 36-Item Short Form Health Survey (SF-36) Score: General Health Domain

    36-Item Short Form Health Survey (SF-36) is a 36-item patient-reported survey of patient health status that consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale. The Change in quality of life measured was assessed using the general health domain of SF-36. The higher the score the less disability. The change in quality of life using the SF-36 general health domain was measured as the mean difference in scores between time points.

    Time frame: Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)

  3. Improvement of Calcinosis Lesions Measured by the Change in Mawdsley Calcinosis Questionnaire (MCQ) Score

    The Mawdsley Calcinosis Questionnaire (MCQ) is a 17-item questionnaire scale that measures the severity and impact of calcinosis. Each item is scored on 11-point scale of 0 to 10. Total score is the the average of the cumulative measure ranging from 0-10. Higher score indicates worse severity and impact of calcinosis. Improvement of calcinosis lesions was measured by the MCQ. The change in score was measured as the mean difference between time points.

    Time frame: Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)

  4. Change in Quality of Life Measured by Skindex-29 Score

    The Skindex-29 scale is 29-item questionnaire that measures the quality of life. Each item is scored 0 (Never) to 4 (All the time). All responses are transformed to a linear scale of 100, varying from 0 (no effect) to 100 (effect experienced all the time) and overall score is the mean of the responses. Higher score indicates more severe impact on quality of life. The change in quality of life was measured as the mean difference in Skindex-29 scores between time points.

    Time frame: Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)

  5. Change in Muscle Strength Over Time Measured by Manual Muscle Test-8 (MMT-8) Score

    Manual Muscle Test-8 (MMT-8) is a measure of muscle strength. The MMT-8 uses a 10-point scale to score each muscle group, with 0 indicating extreme weakness and 10 indicating normal strength. The scores for each muscle group are then added together to get a total score ranging from 0 to 80, with higher scores indicating greater muscle strength. Change in muscle strength over time was measured as the mean difference in MMT-8 scores between time points.

    Time frame: Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)

  6. Change in Muscle Strength Over Time Measured by Quantitative Muscle Assessment (QMA): Hip Abductor Muscle

    Quantitative muscle assessment (QMA) tests how much force participant can be exerted by the hip abductor muscle. It is measured as the kilograms of force produced. Higher score indicates more force. Change in hip abductor muscle strength over time was measured by the quantitative muscle assessment (QMA) as the mean difference in QMA scores between time points.

    Time frame: Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)

  7. Change in Myositis Activity Measured by Physician Global Activity (PGA)

    The Physician Global Activity (PGA) is an index that uses a 10-cm Visual Analog Scale (VAS) to score a patient's disease activity. Higher score indicates more activity. Change in myositis activity was measured as the mean difference in disease activity scores between time points.

    Time frame: Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)

  8. Change in Myositis Damage Measured by Physician Global Damage (PGD)

    The Physician Global Damage (PGD) is an index that uses a 10-cm Visual Analog Scale (VAS) to score a patient's disease damage. Higher score indicates more global damage. Change in myositis damage was measured as the mean difference in disease damage scores between time points.

    Time frame: Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)

  9. Change in Total Percent Body Surface Area (BSA) Involved With Calcinosis

    Total percent of body surface area (BSA) involved with calcinosis was measured by physician assessment. Improvement of calcinosis lesions was measured as the mean difference in total percent of BSA scores between time points

    Time frame: Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)

07

Results

Posted Feb 26, 2024

Participant flow

15 participants were consented but one participant was a screen failure so was not enrolled to the treatment phase of the study.

Participant flow — Overall Study
MilestoneTreatment
Started14
Completed13
Not completed1
Withdrew: Withdrawal by subject1

Outcome measures

PrimaryChange in Calcinosis Activity Visual Analogue Scale Score

Calcinosis activity is defined by the metabolic activity and the inflammation associated with calcinosis. In evaluating calcinosis activity, the study physicians take into account the change in extent of calcinosis and the location of calcinosis lesions, the consistency and texture of calcinosis lesions, the presence of erythema surrounding calcinosis lesion, and any pain associated with the calcinosis lesions. A 10 cm visual analogue scale (VAS) was scored by a physician with a vertical line on the scale marking calcinosis activity where 0 cm indicates no evidence of calcinosis, and 10 cm mark indicates severe calcinosis activity. The change in calcinosis activity VAS score from week 0 to week 10 on therapy was compared to the change in calcinosis activity VAS score from week -10 to week 0 on baseline therapy. The baseline score was calculated by taking the week 0 score minus the week -10 score. The on therapy score was calculated by taking the week 10 score minus the week 0 score.

Time frame:
Week 10 minus week 0 (on therapy) and week 0 minus week -10 (baseline)
Reported as:
Mean · Units on a scale
Change in Calcinosis Activity Visual Analogue Scale Score
Units on a scaleTreatment
Change in Calcinosis Activity Visual Analogue Scale Score-3.45 ± 0.89
SecondaryChange in Quality of Life Measured by the Child Health Questionnaire-Parent Form 50 (CHQ-PF50): Physical Function Domain

The Child Health Questionnaire-Parent Form 50 (CHQ-PF50) is a 50-item survey with 14 domains that parents complete to assess their child's physical and mental well-being. The change in quality of life was measured by the physical functioning domain score on the CHQ-PF50. The CHQ-PF50 physical functioning domain scale was transformed to 0 to 100 score with higher score indicating better health or more positive functioning. The change in quality of life using the CHQ-PF50 score was measured as the mean difference in scores between time points.

Time frame:
Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment)
Reported as:
Mean · Units on a scale
Change in Quality of Life Measured by the Child Health Questionnaire-Parent Form 50 (CHQ-PF50): Physical Function Domain
Units on a scaleTreatment
Pre-treatment-1.00 ± 6.15
On treatment-8.00 ± 11.60
SecondaryChange in Quality of Life Measured by the 36-Item Short Form Health Survey (SF-36) Score: General Health Domain

36-Item Short Form Health Survey (SF-36) is a 36-item patient-reported survey of patient health status that consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale. The Change in quality of life measured was assessed using the general health domain of SF-36. The higher the score the less disability. The change in quality of life using the SF-36 general health domain was measured as the mean difference in scores between time points.

Time frame:
Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)
Reported as:
Mean · Units on a scale
Change in Quality of Life Measured by the 36-Item Short Form Health Survey (SF-36) Score: General Health Domain
Units on a scaleTreatment
Pre-treatment2.50 ± 7.17
On treatment-1.00 ± 6.15
Post treatment-8.00 ± 11.60
SecondaryImprovement of Calcinosis Lesions Measured by the Change in Mawdsley Calcinosis Questionnaire (MCQ) Score

The Mawdsley Calcinosis Questionnaire (MCQ) is a 17-item questionnaire scale that measures the severity and impact of calcinosis. Each item is scored on 11-point scale of 0 to 10. Total score is the the average of the cumulative measure ranging from 0-10. Higher score indicates worse severity and impact of calcinosis. Improvement of calcinosis lesions was measured by the MCQ. The change in score was measured as the mean difference between time points.

Time frame:
Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)
Reported as:
Mean · Units on a scale
Improvement of Calcinosis Lesions Measured by the Change in Mawdsley Calcinosis Questionnaire (MCQ) Score
Units on a scaleTreatment
Pre-treatment0.33 ± 1.54
On treatment-0.74 ± 2.18
Post treatment-0.17 ± 0.86
SecondaryChange in Quality of Life Measured by Skindex-29 Score

The Skindex-29 scale is 29-item questionnaire that measures the quality of life. Each item is scored 0 (Never) to 4 (All the time). All responses are transformed to a linear scale of 100, varying from 0 (no effect) to 100 (effect experienced all the time) and overall score is the mean of the responses. Higher score indicates more severe impact on quality of life. The change in quality of life was measured as the mean difference in Skindex-29 scores between time points.

Time frame:
Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)
Reported as:
Mean · Units on a scale
Change in Quality of Life Measured by Skindex-29 Score
Units on a scaleTreatment
Pre-treatment1.77 ± 6.30
On treatment-8.15 ± 10.63
Post treatment-0.38 ± 6.53
SecondaryChange in Muscle Strength Over Time Measured by Manual Muscle Test-8 (MMT-8) Score

Manual Muscle Test-8 (MMT-8) is a measure of muscle strength. The MMT-8 uses a 10-point scale to score each muscle group, with 0 indicating extreme weakness and 10 indicating normal strength. The scores for each muscle group are then added together to get a total score ranging from 0 to 80, with higher scores indicating greater muscle strength. Change in muscle strength over time was measured as the mean difference in MMT-8 scores between time points.

Time frame:
Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)
Reported as:
Mean · Units on a scale
Change in Muscle Strength Over Time Measured by Manual Muscle Test-8 (MMT-8) Score
Units on a scaleTreatment
Pre-treatment-0.08 ± 3.40
On treatment1.38 ± 2.79
Post treatment-0.27 ± 3.29
SecondaryChange in Muscle Strength Over Time Measured by Quantitative Muscle Assessment (QMA): Hip Abductor Muscle

Quantitative muscle assessment (QMA) tests how much force participant can be exerted by the hip abductor muscle. It is measured as the kilograms of force produced. Higher score indicates more force. Change in hip abductor muscle strength over time was measured by the quantitative muscle assessment (QMA) as the mean difference in QMA scores between time points.

Time frame:
Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)
Reported as:
Mean · Kilograms
Change in Muscle Strength Over Time Measured by Quantitative Muscle Assessment (QMA): Hip Abductor Muscle
KilogramsTreatment
Pre-treatment0.16 ± 1.26
On treatment0.74 ± 1.75
Post treatment1.35 ± 1.77
SecondaryChange in Myositis Activity Measured by Physician Global Activity (PGA)

The Physician Global Activity (PGA) is an index that uses a 10-cm Visual Analog Scale (VAS) to score a patient's disease activity. Higher score indicates more activity. Change in myositis activity was measured as the mean difference in disease activity scores between time points.

Time frame:
Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)
Reported as:
Mean · Units on a scale
Change in Myositis Activity Measured by Physician Global Activity (PGA)
Units on a scaleTreatment
Pre-treatment0.36 ± 1.54
On treatment-0.87 ± 1.27
Post treatment-0.32 ± 0.47
SecondaryChange in Myositis Damage Measured by Physician Global Damage (PGD)

The Physician Global Damage (PGD) is an index that uses a 10-cm Visual Analog Scale (VAS) to score a patient's disease damage. Higher score indicates more global damage. Change in myositis damage was measured as the mean difference in disease damage scores between time points.

Time frame:
Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)
Reported as:
Mean · Units on a scale
Change in Myositis Damage Measured by Physician Global Damage (PGD)
Units on a scaleTreatment
Pre-treatment-0.02 ± 1.09
On treatment-1.07 ± 1.09
Post treatment-0.18 ± 0.53
SecondaryChange in Total Percent Body Surface Area (BSA) Involved With Calcinosis

Total percent of body surface area (BSA) involved with calcinosis was measured by physician assessment. Improvement of calcinosis lesions was measured as the mean difference in total percent of BSA scores between time points

Time frame:
Week -10 to 0 (pre-treatment); Week 0 to 10 (on treatment); Week 24 to 62 (post-treatment)
Reported as:
Mean · percentage of Body Surface Area (BSA)
Change in Total Percent Body Surface Area (BSA) Involved With Calcinosis
percentage of Body Surface Area (BSA)Treatment
Pre-treatment2.79 ± 4.06
On treatment-10.18 ± 5.01
Post treatment-0.45 ± 2.24

Adverse events

Collected over 62 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment0/14 (0%)6/14 (42.9%)14/14 (100%)
Most frequent serious events
Most frequent serious events
EventTreatment
AnemiaBlood and lymphatic system disorders2/14
Catheter site infectionInfections and infestations2/14
Device related infectionInfections and infestations1/14
Foreign bodyInjury, poisoning and procedural complications1/14
Lymphocyte count decreasedInvestigations1/14
HypokalemiaMetabolism and nutrition disorders1/14
HypomagnesemiaMetabolism and nutrition disorders1/14
Blood calcium decreasedInvestigations1/14
Calcium ionized decreasedInvestigations1/14
Red blood cell count decreasedInvestigations1/14
Most frequent other events
Showing 10 of 237
Most frequent other events
EventTreatment
Flow cytometryInvestigations14/14
Venous oxygen saturation decreasedInvestigations14/14
Venous oxygen saturation increasedInvestigations14/14
HypertensionVascular disorders14/14
Systolic hypertensionVascular disorders14/14
AnemiaBlood and lymphatic system disorders13/14
Blood chloride increasedInvestigations13/14
Blood lactate dehydrogenase increasedInvestigations13/14
Creatinine urine decreasedInvestigations13/14
Red blood cell count decreasedInvestigations13/14

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Treatment
<=18 years4
Between 18 and 65 years10
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Treatment
Female10
Male4
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Treatment
Hispanic or Latino3
Not Hispanic or Latino11
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Treatment
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American4
White7
More than one race2
Unknown or Not Reported0
08

Study locations

1 site
  • National Institutes of Health Clinical Center
    Bethesda, Maryland 20892, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2017 to primary completion in Nov 2022, 60 months.

Results were first posted in Feb 2024, 1 year 3 months after primary completion.

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

Registered
Aug 29, 2017
First posted
Aug 30, 2017
StartActual
Oct 5, 2017
Primary completionActual
Nov 4, 2022
CompletionActual
Nov 9, 2023
Results first posted
Feb 26, 2024
Last update
Nov 26, 2024
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 Nov 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03267277
Responsible party
Sponsor
First posted
Aug 30, 2017
Start date
Oct 5, 2017
Primary completion
Nov 4, 2022
Completion
Nov 9, 2023
Results posted
Feb 26, 2024
Last update
Nov 26, 2024

Study contacts

Adam I Schiffenbauer, M.D.
principal investigator · National Institute of Environmental Health Sciences (NIEHS)

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Sodium thiosulfate

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