ClinicalTrials.gg
Not yet recruitingNCT04966416Updated May 25, 2023

Calcinosis Reduction by Pyrophosphate in SSC

An interventional study of Pyrophosphate and Placebo in Systemic Sclerosis and Scleroderma, sponsored by Szeged University. Not yet recruiting. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2023-05-25.

Sponsored by Szeged University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2025, 1 year 4 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

Calcinosis, i.e. crystal-like nodules are troublesome complication of systemic sclerosis, an autoimmune disease. Pyrophosphate inhibits its formation is laborytory. We would like to test if orally administered pyrophosphate prevents calcinosis formation.

Read the detailed description

Calcinosis, the formation of hydroxyapatite subcutaneous nodules, often complicates systemic sclerosis. There is no standard treatment for it. Based upon our preclinical experienc, we would like to test it orally administered pyrophosphate inhibits calciosis.

02

Conditions studied

  • Systemic Sclerosis
  • Scleroderma

Keywords

  • calcinosis
  • pyrophosphate
03

In context

Scleroderma, Systemic

610 studies on the registry are indexed under Scleroderma, Systemic; 218 are open to participants now.

This study's planned enrollment of 60 is above the median of 37 across 446 interventional studies indexed under Scleroderma, Systemic.

Browse Scleroderma, Systemic studies →

Lead sponsor

Szeged University is the lead sponsor of 56 studies on the registry; 8 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 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

  • to meet ACR/ EULAR classification criteria

Exclusion criteria

Exclusion Criteria:

  • severe upper minfestation of SSC
  • hypo- or hyperthyreoidism
  • on
Terms in these criteria, in plain language(2)

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.

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Pyrophosphate

    Disodium pyrophosphate

    Dietary Supplement: Pyrophosphate

  • Placebo comparator
    Placebo

    Glucose

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementPyrophosphate

    50 mg/kg bwt once daily in gelatine capsules.

  • Dietary supplementPlacebo

    Glucose in gelatine capsules.

06

What researchers measure

Primary outcomes

  1. Change in the size of calcinosis nodues.

    Volumetric assessment with low energy CT

    Time frame: 52 weeks+ 16 weeks

Secondary outcomes

  1. Change of the severity of sympthoms caused by calcinosis

    Visual analogue scale (0-100)

    Time frame: 52 weeks+ 16 weeks

  2. Change of the activity of calcinosis

    Visual analogue scale (0-100)

    Time frame: 52 weeks+ 16 weeks

  3. Change of the size of calcinosis by ultrasound

    Volumetric assessment by ultrasound

    Time frame: 52 weeks+ 16 weeks

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Hsu VM, Kozak E, Li Q, Bocskai M, Schlesinger N, Rosenthal A, McClure ST, Kovacs L, Balint L, Szamosi S, Szucs G, Carns M, Aren K, Goldberg I, Varadi A, Varga J. Inorganic pyrophosphate is reduced in patients with systemic sclerosis. Rheumatology (Oxford). 2022 Mar 2;61(3):1158-1165. doi: 10.1093/rheumatology/keab508. PubMed 34152415 ↗
  • Dedinszki D, Szeri F, Kozak E, Pomozi V, Tokesi N, Mezei TR, Merczel K, Letavernier E, Tang E, Le Saux O, Aranyi T, van de Wetering K, Varadi A. Oral administration of pyrophosphate inhibits connective tissue calcification. EMBO Mol Med. 2017 Nov;9(11):1463-1470. doi: 10.15252/emmm.201707532. PubMed 28701330 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Aug 2023; primary completion for Jun 2025, 22 months later.

Of 94 non-industry interventional studies with no phase under Scleroderma, Systemic, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 38. This study's planned 22 months is close to that.

Counting every sponsor, half of 100 studies reached it within 23 months; a quarter within 10 and three quarters within 38.

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

Registered
Jul 14, 2021
First posted
Jul 19, 2021
StartEst.
Aug 1, 2023
Primary completionEst.
Jun 30, 2025
CompletionEst.
Jun 30, 2026
Last update
May 25, 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 May 25, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04966416
Lead sponsor
Szeged University
Collaborators
Research Centre for Natural Sciences, University of Debrecen Dept. of Rheumatology
Responsible party
László Kovács MD, PhD (Professor, Szeged University) — Principal investigator
First posted
Jul 19, 2021
Start date
Aug 1, 2023 (estimated)
Primary completion
Jun 30, 2025 (estimated)
Completion
Jun 30, 2026 (estimated)
Last update
May 25, 2023

Study contacts

László Kovács, MD, PhD
Contact
kovacs.laszlo@med.u-szeged.hu
+36309081611
Márta Bocskai, MD
Contact
bocskai.marta@med.u-szeged.hu
+3662341520
László Kovács, MD, Ph.D.
principal investigator · Szeged University
András Váradi, PhD, DSc
study director · Department of Enzymology, Research Centre for Natural Sciences

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in May 2023. You cannot join it, but the record below documents what was studied.

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