ClinicalTrials.gg
TerminatedNCT04837131Updated Apr 6, 2025Results posted

A Study to Evaluate the Safety and Tolerability of Oral Ixazomib in Scleroderma-related Lung Disease Patients

A Phase 2 interventional study of Ixazomib in Systemic Sclerosis, Scleroderma and Diffuse Systemic Sclerosis, sponsored by Michael M. Pham. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-06.

Primary conditionScleroderma, DiffuseRegistry: Scleroderma, SystemicReclassifiedWhy we changed it
Registry
Scleroderma, Systemic — the first condition term the registry derived for this study.
ClinicalTrials.gg
Scleroderma, Diffuse
Why
  1. The study's listed conditions name Scleroderma, Diffuse, a narrower term within Scleroderma, Systemic.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Michael M. Pham · Phase 2, Interventional, and Treatment

Why this study was terminated
Low enrollment
Phase
Phase 2
Study type
Interventional
Enrollment
4
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 153 studies in Scleroderma, Diffuse with a site in United States — 29 open to participants now, 39 under way, 5 of them phase 3. Scleroderma, Diffuse · United States.

Enrollment
108th of 120
4 · median 29
Started
2021
with 9 others
Phase 2
41 of 153
8 open now
Registered
111th of 153
by date

Among the 153 studies in Scleroderma, Diffuse with a site in United States, this one is the 108th largest by enrollment of the 120 interventional ones that give a count, is one of 10 that started in 2021, is one of 41 in phase 2, and was the 111th registered.

Scleroderma, Diffuse

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

Browse Scleroderma, Diffuse studies →

Open to participants now

29 of the 153 studies in Scleroderma, Diffuse with a site in United States are open now. Recruiting first, the newest first:

24 more — sign in →

All 29 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 55 Scleroderma, Diffuse studies recruiting now, 28 (51%) set no upper age limit and 20 (36%) stop at 75 or younger; 10 take children under 18; 10 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 153 studies in Scleroderma, Diffuse with a site in United States, or all of them as a file.
02

Study summary

The purpose of this research study is to learn about the effects of the medication ixazomib in participants with scleroderma/systemic sclerosis including its safety and tolerability, its effects on skin, lungs and other organs, and its effects on overall health and quality of life.

Read the detailed description

The primary objective of this study is to assess the safety and tolerability of oral ixazomib taken on days 1, 8, and 15 of each 28-day treatment cycle for 6 cycles in 12 participants having diffuse systemic sclerosis/scleroderma of less than 5 years duration with non-severe interstitial lung involvement as identified from chest CT scan completed within the preceding 3 months or at study screening visit. All 12 participants will receive oral ixazomib. Reflecting the common use of mycophenolate in the management of scleroderma with complicating interstitial lung disease, 6 of 12 participants who will be enrolled will be already taking mycophenolate at a stable dose for the preceding 3 months and will be allowed to continue taking mycophenolate throughout the entire study prescribed as routine care. Ixazomib will be added to their medications. The remaining 6 of 12 participants meeting the same eligibility criteria will not be using mycophenolate or any other treatment for scleroderma interstitial lung disease at the time of enrollment and will subsequently take ixazomib study medication during participation in this study. Ixazomib dose modification or interruption is allowed for safety and tolerability reasons at any time during the study.

The secondary objective of this study is to assess the effect of ixazomib on scleroderma skin tightness/thickening and its effect on scleroderma interstitial lung disease.

The study includes approximately 13 clinic visits over up to approximately 10 months. Study procedures include medical examinations, blood tests, chest CT scans, pulmonary function tests, echocardiogram, EKG, skin biopsies, and questionnaires.

There is no cost for participation in this study.

03

Conditions studied

  • Systemic Sclerosis
  • Scleroderma
  • Diffuse Systemic Sclerosis
  • Diffuse Scleroderma
  • Diffuse Cutaneous Systemic Sclerosis
  • Diffuse Cutaneous Scleroderma
  • Progressive Systemic Sclerosis
  • Progressive Scleroderma
  • Scleroderma, Systemic
  • Scleroderma, Diffuse
  • Scleroderma;Progressive
  • Systemic Sclerosis, Diffuse
  • Systemic; Sclerosis, Progressive
  • Scleroderma of Lung
  • Scleroderma With Pulmonary Involvement
  • Systemic Sclerosis Pulmonary
  • Systemic Sclerosis With Lung Involvement
  • Interstitial Lung Disease
  • Pulmonary Fibrosis Interstitial

Keywords

  • Scleroderma
  • Systemic Sclerosis
  • Interstitial Lung Disease
  • Ixazomib
  • Mycophenolate
  • Treatment
04

In context

Scleroderma, Diffuse Reclassified

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

This study's enrollment of 4 is below the median of 38 across 227 interventional studies indexed under Scleroderma, Diffuse.

Browse Scleroderma, Diffuse studies →

Lead sponsor

This is the only study on the registry with Michael M. Pham as lead sponsor.

Compared within Scleroderma, Diffuse, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Scleroderma, Systemic. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
18 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

  • Male and female patients, age ≥18 years at time of signing informed written consent
  • Confirmed diagnosis of diffuse cutaneous systemic sclerosis/scleroderma
  • Disease duration not longer than 60 months defined as the time from the first non-Raynaud phenomenon manifestation
  • Scleroderma skin thickness score (modified Rodnan skin score) between 15 and 45
  • Evidence of scleroderma-related lung involvement on chest CT scan completed within the preceding 3 months or at screening study visit
  • Pulmonary function testing demonstrating FVC ≥45% predicted and DLCO ≥40% predicted at screening study visit
  • Resting transthoracic echocardiogram within the preceding 6 months or at screening study visit without evidence of pulmonary artery hypertension
  • Stable mycophenolate dose during the preceding 3 months for those who are taking mycophenolate. Mycophenolate use is not an eligibility requirement to participate; but those participants already using mycophenolate at screening study visit will continue taking the medication throughout the entire study.
  • Willingness to undergo supervised withdrawal during the first 90 days of the study of any other medication besides mycophenolate used specifically as treatment of scleroderma-related interstitial lung disease with confirmed stable pulmonary status.
  • Willingness to undergo supervised withdrawal during the first 90 days of the study of any other prohibited medications with confirmed stable status.
  • Able to understand and sign a written form
  • Able to understand the importance of adhering to study treatment and the study protocol, and willing and able to follow all study requirements, including the concomitant medication restrictions, throughout the study
  • Practice requirements for sexually active female participants including option of abstinence for the entire study and for at least 90 days after the last dose of study medication
  • Practice birth control requirements for sexually active male participants or partners including option of abstinence for the entire study and for at least 90 days after the last dose of study medication

Exclusion criteria

Exclusion Criteria:

  • Pulmonary artery hypertension under treatment
  • Evidence of pulmonary hypertension or left ventricular dysfunction with \< 40% from either prior heart catheterization or resting transthoracic echocardiography within the preceding 6 months.
  • Evidence of significant gastrointestinal involvement by scleroderma as assessed by the University of California, Los Angeles, Scleroderma Clinical Trial Consortium Gastrointestinal Tract multi-item questionnaire, 2.0 ([UCLA SCTC GIT 2.0) at screening study visit.
  • Known esophageal stricture sufficient to limit the ability to swallow oral medication
  • Prior history of scleroderma renal crisis
  • Another connective-tissue disorder (eg, rheumatoid arthritis, systemic lupus erythematosus)
  • Any other significant pulmonary disorder (e.g., , emphysema, adult moderate to severe asthma)
  • Significant environmental exposure known to cause pulmonary fibrosis including, but not limited to, drugs (e.g., amiodarone), asbestos, beryllium, radiation, or domestic birds or other exposures associated with pneumonitis
  • Unstable or deteriorating cardiac disease within the preceding 6 months including but not limited to unstable angina pectoris, myocardial infarction (heart attack), heart failure requiring hospitalization, poorly controlled heart arrhythmia, or significant pericardial effusion/fluid collection around the heart
  • Known liver disease (e.g., chronic hepatitis or cirrhosis)
  • Significant abnormality of liver function tests
  • Significant kidney function impairment of any cause as evidenced by \<30 mL/min
  • Known active or suspected peptic (stomach) ulcer
  • Known active hematologic blood-related disorder other than anemia of chronic disease or iron deficiency anemia
  • Significant abnormality of blood count including ≤ 8.0 gm/dl, ≤ 1000, or count ≤ 75,000
  • Known hematologic blood-related
  • Prior stem cell or bone marrow transplant
  • History of any malignancy within the last 5 years other than non-melanoma skin cell cancer cured by local resection or a carcinoma-in-situ
  • Any condition likely to result in death within 12 months.
  • Any condition which might be significantly worsened by the known side effects associated with ixazomib including known ≥ grade 2 peripheral neuropathy
  • Tobacco smoking within 3 months of screening study visit or unwillingness to avoid smoking throughout the study (e.g., cigarette, pipe, or cigar)
  • History of alcohol or substance abuse in the previous 2 years
  • Any active infection including, but not limited to, bronchitis, pneumonia, sinusitis, or urinary tract infection
  • Pregnancy or lactation/breast feeding
  • Expectation of study participation being interrupted on account of a foreseeable medical or surgical event
  • Prior use of ixazomib or other proteasome inhibitor medication
  • Suspected intolerance, allergy, or hypersensitivity to ixazomib or any of its
  • Any prior use of rituximab
  • Any prior use of cyclophosphamide
  • Ongoing use within the preceding 28 days or expected use of an drug (an investigational drug is defined as any drug that has not been FDA approved for marketing)
  • Ongoing use or expected use of any of the following therapies: Strong inducers of a cytochrome drug metabolizing enzyme in the liver ( ). (e.g. rifampin, rifapentine, rifabutin, carbamazepine, enzalutamide, phenytoin, fosphenytoin, phenobarbital, St. John's wort)
  • Ongoing use or expected use of any of the following medications: cyclophosphamide, rituximab, abatacept, nintedanib, tocilizumab, intravenous immunoglobulin (IVIG), methotrexate, leflunomide, azathioprine, sirolimus, tacrolimus, oral at a dose >10 mg/d prednisone equivalent, D-penicillamine, minocycline, interferon-γ, bosentan, ambrisentan, macitentan, phosphodiesterase inhibitors (sildenafil or tadalafil for uses other than erectile dysfunction or Raynaud phenomenon), riociguat, tumor necrosis factor-α (TNF-α) inhibitors (infliximab, etanercept, adalimumab, certolizumab, golimumab), and cyclosporine, .
Terms in these criteria, in plain language(15)

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.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

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.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

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).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

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.

06

Study design

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

Study arms

  • Experimental
    Ixazomib in patients with scleroderma-interstitial lung disease (ILD)

    Participants will be administered oral ixazomib for six cycles (each cycle is 28 days duration).

    Drug: Ixazomib

Interventions

  • Ixazomib 4 mg capsule taken orally on days 1, 8, and 15 of a 28-day treatment cycle repeated for 6 cycles

07

What researchers measure

Primary outcomes

  1. Treatment-emergent Adverse Event (AE)

    The number of participants with at least one treatment-emergent adverse event. Defined as any of the following: Treatment-emergent AEs; Treatment-emergent serious adverse events (SAEs); Treatment-emergent treatment-related AEs; or Treatment-emergent treatment-related SAEs.

    Time frame: 7 months

  2. Adverse Events Leading to Ixazomib Dose Modifications

    Number of participants with treatment-emergent AEs leading to ixazomib dose modifications.

    Time frame: 7 months

  3. Adverse Events Leading to Ixazomib Early Discontinuation

    Number of participants with treatment-emergent AEs leading to ixazomib early discontinuation.

    Time frame: 7 months

  4. Change in the UCLA Scleroderma Clinical Trials Consortium Gastrointestinal 2.0 (UCLA SCTC GIT 2.0) Questionnaire Score

    The UCLA SCTC GIT 2.0 is a self-administered survey consisting of 34 questions (Reflux 1 to 8, Distention/Bloating 9 to 12, Fecal Soilage 13, Diarrhea 14 to 15, Social functioning 16 to 21, Emotional well-being 22 to 30, Constipation 31 to 34). 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) and 1 (worse health). Scores from all scales except the constipation scale are averaged to form a total GIT score from 0 (no gastrointestinal problems) to 3 (most severe) that captures overall burden of severity of scleroderma-associated gastrointestinal involvement.

    Time frame: Baseline, 7 months

Secondary outcomes

  1. Change From Baseline in Modified Rodnan Skin Score (MRSS)

    MRSS is a validated clinical semiquantitative assessment of scleroderma skin thickness at 17 prespecified sites on the body, with thickness at each site scored from 0 (uninvolved) to 3 (severe thickening) that are tabulated for a total numerical skin score ranging 0-51. Lower scores indicate less involvement, and higher scores indicate more severe thickening.

    Time frame: Baseline, 24 weeks

  2. Change From Baseline in High Resolution Chest CT Scan Goh Score

    Staging extent of scleroderma lung involvement on high resolution chest CT scan by the application of Goh criteria which identified a severity extent threshold of 20% lung involvement yields two cohorts with significantly different 10 year survivorship. Goh scores range 0-100% with a higher score indicating greater extent of lung involvement.

    Time frame: Baseline, 24 weeks

  3. Change in Forced Vital Capacity (FVC) % Predicted.

    FVC is the maximum amount of air a person can forcefully exhale from their lungs after taking a deep breath.

    Time frame: Baseline, 7 months

  4. Change in Total Lung Capacity (TLC) % Predicted

    TLC is the total maximum amount of air that lungs can hold.

    Time frame: Baseline, 24 weeks

  5. Severity of Dyspnea at Baseline (Mahler Baseline Dyspnea Index)

    Severity of dyspnea at baseline is measured with the Mahler Baseline Dyspnea Index (BDI). BDI includes 5 grades of severity from 0 (severe impairment) to 4 (no impairment ) for each of 3 categories (functional impairment; magnitude of task; magnitude of effort) yielding a summation focal score (0-12). Higher scores indicate lower impairment.

    Time frame: Baseline

  6. Dyspnea Status Rating (Mahler Transitional Dyspnea Index)

    Mahler Transitional Dyspnea Index (TDI) rates a participant's dyspnea status relative to baseline. TDI scores range from -3 (major deterioration) to +3 (major improvement) including 0 to indicate no change in status for each of the 3 BDI categories (functional impairment; magnitude of task; magnitude of effort) yielding a summation focal score (-9 to +9). Higher scores indicate major improvement.

    Time frame: 12 weeks, 24 weeks

  7. Change in Scleroderma Health Assessment Questionnaire (SHAQ) Score

    SHAQ self-assesses function in 8 domains of the Health Assessment Questionnaire Disability Index (HAQ-DI): dressing and grooming, arising, eating, walking, hygiene, reach, grip, and activities. Highest domain scores 0 (no difficulty) to 3 (unable to do) are summed and divided by 8 to yield Disability Index score as a continuous variable ranging 0 to 3. SHAQ has:1) a 15-cm Visual Analog Scale (VAS) rating pain with anchors "No Pain" and "Very Severe Pain"; 2) four 15-cm VAS assessing Raynaud phenomenon, digital ulcers, gastrointestinal and lung symptoms with anchors "Does Not Interfere" and "Very Severe Limitation"; and 3) overall disease severity 15-cm VAS with anchors "No Disease" and "Very Severe Disease"

    Time frame: Baseline, 24 weeks

  8. Change in Patient Global Assessment of Disease Activity (PtGA)

    Patient-reported outcome that represents the participant's assessment of his or her current overall health (Question: How was your overall health in the last week?) rated on an 11-point numeric scale anchored at 0 (excellent) to 10 (extremely poor) with higher scores indicating worse disease in terms of severity and damage.

    Time frame: Baseline, 24 weeks

  9. Change in Physician Global Assessment of Disease Activity (MDGA)

    Physician-reported outcome that represents an assessment of the participant's current overall health rated on an 11-point numeric scale anchored at 0 (excellent) to 10 (extremely poor) with higher scores indicating worse disease in terms of severity and damage.

    Time frame: Baseline, 24 weeks

  10. Change in American College of Rheumatology Composite Response Index for Clinical Trials in Early Diffuse Cutaneous Systemic Sclerosis (ACR CRISS)

    ACR CRISS calculates the predicted probability of improvement in a 2-step process. Four possible outcomes in Step 1 include worsening of FVC % predicted by at least 15%, new decline of left ventricular ejection fraction to 45% or less attributable to scleroderma and needing treatment, new onset pulmonary arterial hypertension attributable to scleroderma and scleroderma renal crisis. If any one of these outcomes develops as a change from baseline, the participant is classified as not improved (score = 0) regardless of changes in other parameters. Step 2 calculates change from baseline in the predicted probability of improvement based on combined changes in the mRSS, FVC % predicted, patient global assessment, physician global assessment, and HAQ-DI. The calculated probability ranges from 0 (not improved) to 1.0 where a higher score indicates improvement.

    Time frame: Baseline, 24 weeks

  11. Change in Diffusion Capacity (DLCO) % Predicated

    DLCO is the amount of carbon monoxide (CO) that moves from the lungs to the blood

    Time frame: Baseline, 7 months

08

Results

Posted Apr 6, 2025
Limitations and caveats
The study was terminated due to low enrollment.

Participant flow

Participant flow — Overall Study
MilestoneIxazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
Started4
Completed0
Not completed4
Withdrew: Death1
Withdrew: Withdrawal by subject1
Withdrew: Adverse event1
Withdrew: Protocol violation1

Outcome measures

PrimaryTreatment-emergent Adverse Event (AE)

The number of participants with at least one treatment-emergent adverse event. Defined as any of the following: Treatment-emergent AEs; Treatment-emergent serious adverse events (SAEs); Treatment-emergent treatment-related AEs; or Treatment-emergent treatment-related SAEs.

Time frame:
7 months
Reported as:
Count of participants · Participants
Treatment-emergent Adverse Event (AE)
ParticipantsIxazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
Treatment-emergent Adverse Event (AE)3
PrimaryAdverse Events Leading to Ixazomib Dose Modifications

Number of participants with treatment-emergent AEs leading to ixazomib dose modifications.

Time frame:
7 months
Reported as:
Count of participants · Participants
Adverse Events Leading to Ixazomib Dose Modifications
ParticipantsIxazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
Adverse Events Leading to Ixazomib Dose Modifications2
PrimaryAdverse Events Leading to Ixazomib Early Discontinuation

Number of participants with treatment-emergent AEs leading to ixazomib early discontinuation.

Time frame:
7 months
Reported as:
Count of participants · Participants
Adverse Events Leading to Ixazomib Early Discontinuation
ParticipantsIxazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
Adverse Events Leading to Ixazomib Early Discontinuation2
PrimaryChange in the UCLA Scleroderma Clinical Trials Consortium Gastrointestinal 2.0 (UCLA SCTC GIT 2.0) Questionnaire Score

The UCLA SCTC GIT 2.0 is a self-administered survey consisting of 34 questions (Reflux 1 to 8, Distention/Bloating 9 to 12, Fecal Soilage 13, Diarrhea 14 to 15, Social functioning 16 to 21, Emotional well-being 22 to 30, Constipation 31 to 34). 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) and 1 (worse health). Scores from all scales except the constipation scale are averaged to form a total GIT score from 0 (no gastrointestinal problems) to 3 (most severe) that captures overall burden of severity of scleroderma-associated gastrointestinal involvement.

Time frame:
Baseline, 7 months
Reported as:
Mean · score on a scale
Change in the UCLA Scleroderma Clinical Trials Consortium Gastrointestinal 2.0 (UCLA SCTC GIT 2.0) Questionnaire Score
score on a scaleIxazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
Change in the UCLA Scleroderma Clinical Trials Consortium Gastrointestinal 2.0 (UCLA SCTC GIT 2.0) Questionnaire Score-0.09 ± 0.156
SecondaryChange From Baseline in Modified Rodnan Skin Score (MRSS)

MRSS is a validated clinical semiquantitative assessment of scleroderma skin thickness at 17 prespecified sites on the body, with thickness at each site scored from 0 (uninvolved) to 3 (severe thickening) that are tabulated for a total numerical skin score ranging 0-51. Lower scores indicate less involvement, and higher scores indicate more severe thickening.

Time frame:
Baseline, 24 weeks
Reported as:
Mean · score on a scale
Change From Baseline in Modified Rodnan Skin Score (MRSS)
score on a scaleIxazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
Change From Baseline in Modified Rodnan Skin Score (MRSS)-4.33 ± 11.02
SecondaryChange From Baseline in High Resolution Chest CT Scan Goh Score

Staging extent of scleroderma lung involvement on high resolution chest CT scan by the application of Goh criteria which identified a severity extent threshold of 20% lung involvement yields two cohorts with significantly different 10 year survivorship. Goh scores range 0-100% with a higher score indicating greater extent of lung involvement.

Time frame:
Baseline, 24 weeks

No measurements were reported for this outcome.

SecondaryChange in Forced Vital Capacity (FVC) % Predicted.

FVC is the maximum amount of air a person can forcefully exhale from their lungs after taking a deep breath.

Time frame:
Baseline, 7 months
Reported as:
Mean · percentage of air
Change in Forced Vital Capacity (FVC) % Predicted.
percentage of airIxazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
Change in Forced Vital Capacity (FVC) % Predicted.-0.33 ± 5.51
SecondaryChange in Total Lung Capacity (TLC) % Predicted

TLC is the total maximum amount of air that lungs can hold.

Time frame:
Baseline, 24 weeks
Reported as:
Mean · percentage of air in lungs
Change in Total Lung Capacity (TLC) % Predicted
percentage of air in lungsIxazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
Change in Total Lung Capacity (TLC) % Predicted5 ± 39.11
SecondarySeverity of Dyspnea at Baseline (Mahler Baseline Dyspnea Index)

Severity of dyspnea at baseline is measured with the Mahler Baseline Dyspnea Index (BDI). BDI includes 5 grades of severity from 0 (severe impairment) to 4 (no impairment ) for each of 3 categories (functional impairment; magnitude of task; magnitude of effort) yielding a summation focal score (0-12). Higher scores indicate lower impairment.

Time frame:
Baseline

No measurements were reported for this outcome.

SecondaryDyspnea Status Rating (Mahler Transitional Dyspnea Index)

Mahler Transitional Dyspnea Index (TDI) rates a participant's dyspnea status relative to baseline. TDI scores range from -3 (major deterioration) to +3 (major improvement) including 0 to indicate no change in status for each of the 3 BDI categories (functional impairment; magnitude of task; magnitude of effort) yielding a summation focal score (-9 to +9). Higher scores indicate major improvement.

Time frame:
12 weeks, 24 weeks

No measurements were reported for this outcome.

SecondaryChange in Scleroderma Health Assessment Questionnaire (SHAQ) Score

SHAQ self-assesses function in 8 domains of the Health Assessment Questionnaire Disability Index (HAQ-DI): dressing and grooming, arising, eating, walking, hygiene, reach, grip, and activities. Highest domain scores 0 (no difficulty) to 3 (unable to do) are summed and divided by 8 to yield Disability Index score as a continuous variable ranging 0 to 3. SHAQ has:1) a 15-cm Visual Analog Scale (VAS) rating pain with anchors "No Pain" and "Very Severe Pain"; 2) four 15-cm VAS assessing Raynaud phenomenon, digital ulcers, gastrointestinal and lung symptoms with anchors "Does Not Interfere" and "Very Severe Limitation"; and 3) overall disease severity 15-cm VAS with anchors "No Disease" and "Very Severe Disease"

Time frame:
Baseline, 24 weeks

No measurements were reported for this outcome.

SecondaryChange in Patient Global Assessment of Disease Activity (PtGA)

Patient-reported outcome that represents the participant's assessment of his or her current overall health (Question: How was your overall health in the last week?) rated on an 11-point numeric scale anchored at 0 (excellent) to 10 (extremely poor) with higher scores indicating worse disease in terms of severity and damage.

Time frame:
Baseline, 24 weeks
Reported as:
Mean · score on a scale
Change in Patient Global Assessment of Disease Activity (PtGA)
score on a scaleIxazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
Change in Patient Global Assessment of Disease Activity (PtGA)3.4 ± 3.3
SecondaryChange in Physician Global Assessment of Disease Activity (MDGA)

Physician-reported outcome that represents an assessment of the participant's current overall health rated on an 11-point numeric scale anchored at 0 (excellent) to 10 (extremely poor) with higher scores indicating worse disease in terms of severity and damage.

Time frame:
Baseline, 24 weeks
Reported as:
Mean · score on a scale
Change in Physician Global Assessment of Disease Activity (MDGA)
score on a scaleIxazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
Change in Physician Global Assessment of Disease Activity (MDGA)1.7 ± 1.0
SecondaryChange in American College of Rheumatology Composite Response Index for Clinical Trials in Early Diffuse Cutaneous Systemic Sclerosis (ACR CRISS)

ACR CRISS calculates the predicted probability of improvement in a 2-step process. Four possible outcomes in Step 1 include worsening of FVC % predicted by at least 15%, new decline of left ventricular ejection fraction to 45% or less attributable to scleroderma and needing treatment, new onset pulmonary arterial hypertension attributable to scleroderma and scleroderma renal crisis. If any one of these outcomes develops as a change from baseline, the participant is classified as not improved (score = 0) regardless of changes in other parameters. Step 2 calculates change from baseline in the predicted probability of improvement based on combined changes in the mRSS, FVC % predicted, patient global assessment, physician global assessment, and HAQ-DI. The calculated probability ranges from 0 (not improved) to 1.0 where a higher score indicates improvement.

Time frame:
Baseline, 24 weeks

No measurements were reported for this outcome.

SecondaryChange in Diffusion Capacity (DLCO) % Predicated

DLCO is the amount of carbon monoxide (CO) that moves from the lungs to the blood

Time frame:
Baseline, 7 months
Reported as:
Mean · percentage of carbon monoxide
Change in Diffusion Capacity (DLCO) % Predicated
percentage of carbon monoxideIxazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
Change in Diffusion Capacity (DLCO) % Predicated0 ± 5.30

Adverse events

Collected over Adverse events were collected from baseline to completion of the post-treatment follow-up visit, approximately 16 months.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ixazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)1/4 (25%)0/4 (0%)3/4 (75%)
Most frequent other events
Most frequent other events
EventIxazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
PruritusNervous system disorders2/4
RashSkin and subcutaneous tissue disorders2/4
VomitingGastrointestinal disorders2/4
DiarrheaGastrointestinal disorders2/4
FeverInfections and infestations1/4
HyponatremiaNervous system disorders1/4
HypokalemiaNervous system disorders1/4
CoughRespiratory, thoracic and mediastinal disorders1/4

Baseline characteristics

Age, Continuous
Age, Continuous(years)Ixazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
Mean58 ± 23.2
Sex: Female, Male
Sex: Female, Male(Participants)Ixazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
Female3
Male1
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Ixazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
Hispanic or Latino0
Not Hispanic or Latino4
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Ixazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American0
White3
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Ixazomib in Patients With Scleroderma-interstitial Lung Disease (ILD)
United States4
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Study locations

1 site
  • Mayo Clinic in Arizona
    Scottsdale, Arizona 85259, United States
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References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2021 to primary completion in Feb 2024, 33 months.

Results were first posted in Apr 2025, 1 year 1 month after primary completion.

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

Registered
Apr 5, 2021
First posted
Apr 8, 2021
StartActual
Apr 28, 2021
Primary completionActual
Feb 23, 2024
CompletionActual
Feb 23, 2024
Results first posted
Apr 6, 2025
Last update
Apr 6, 2025
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 Apr 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04837131
Lead sponsor
Michael M. Pham
Responsible party
Michael M. Pham (Regulatory Sponsor and Principal Investigator, Mayo Clinic) — Sponsor-investigator
First posted
Apr 8, 2021
Start date
Apr 28, 2021
Primary completion
Feb 23, 2024
Completion
Feb 23, 2024
Results posted
Apr 6, 2025
Last update
Apr 6, 2025

Study contacts

Michael Pham, MD
principal investigator · Mayo Clinic

Oversight

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

Not currently enrolling

This study is terminated, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Ixazomib

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