ClinicalTrials.gg
RecruitingNCT07047690Updated Mar 31, 2026

A Study of Nemolizumab for the Treatment of Adults With Systemic Sclerosis

A Phase 2 interventional study of Nemolizumab and Placebo in Systemic Sclerosis, sponsored by Galderma R&D. Recruiting at 3 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-31.

Sponsored by Galderma R&D (part of Galderma Group AG) · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2026; still recruiting 8 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
162
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main purpose of the study is to investigate the efficacy on cutaneous thickness and the safety of Nemolizumab in adult patients with systemic sclerosis after a 52-week treatment period and to select the optimal dose for this target population.

02

Conditions studied

  • Systemic Sclerosis

Keywords

  • Limited Cutaneous Systemic Sclerosis
  • Diffuse Cutaneous Systemic Sclerosis
  • Interstitial Lung Disease
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 162 is above the median of 37 across 446 interventional studies indexed under Scleroderma, Systemic.

Browse Scleroderma, Systemic studies →

Lead sponsor

Galderma R&D is the lead sponsor of 284 studies on the registry; 11 are open to participants now.

Of its 60 completed or terminated interventional studies of FDA-regulated products, 55 (92%) have results posted.

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

04

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

  1. Participant must be 18 years of age or older, at the time of signing the Form.
  2. Classification of systemic sclerosis (SSc) as defined by the 2013 American College of Rheumatology [ACR]/European League Against Rheumatism [EULAR] criteria.
  3. Modified Rodnan Skin Score.

    1. Diffuse cutaneous systemic sclerosis (DcSSc) participants and modified Rodnan Skin Score (mRSS) of greater than equal to (>=)12 and less than (\<)30 at both screening and baseline
    2. Limited cutaneous systemic sclerosis (LcSSc) participants with mRSS >=8 at both screening and baseline. LcSSc participants with positive anti-centromere at screening are excluded.
  4. Disease duration in DcSSc participants \<= 5 years from screening and LcSSc participants \<=2 years from screening is defined as the time from the first non-Raynaud's phenomenon manifestation of SSc.
  5. Participants are permitted to receive the following background therapies stable for at least 3 months prior to baseline, including any combination of the following:

    1. Nintedanib (\<150mg twice daily) and/or
    2. One of the following:

      1. Methotrexate (MTX) (\<25mg weekly) or
      2. Mycophenolate mofetil (MMF), mycophenolate sodium (MPS), or mycophenolic acid (MPA) (\<3000mg daily MMF, \<2160mg daily for MPS or MPA) NOTE: MTX should not be used in combination with MMF/MPS/MPA
  6. Participants with evidence for active or progressive disease.
  7. Men (whose female partner can become pregnant) and women of will be required to use effective means of or commit to true abstinence, when this is in line with preferred and usual lifestyle of the participant, during the study and for at least 12 weeks after receiving the last study treatment.
  8. Female participants of non-childbearing potential
  9. Signed informed consent

Exclusion criteria

Exclusion Criteria:

  1. Anti-centromere antibody positive at screening for participants with LcSSc.
  2. Anti-RNA polymerase 3 antibody positive for participants with a disease duration >18months.
  3. \<30 milli liter per minute [ml/min] (calculated by Cockcroft-Gault formula).
  4. Positive serology results ( surface antigen [HBsAg] or hepatitis B core antibody [HbcAb], [HCV] antibody with positive confirmatory test for hepatitis C virus [HCV] antibody with positive HCV RNA, or [HIV] antibody).
  5. FVC \<50% of predicted normal value, and DLCO \<40% of predicted normal value (corrected for ) at screening and baseline.
  6. Known diagnosis of respiratory disorders other than ILD, including severe , severe asthma, recent (within 3 months) severe respiratory infections or history of recurrent respiratory infections, smoking, and any other respiratory condition that, in the opinion of the investigator, could interfere with the study or pose a risk to the participant.
  7. Currently listed and/or anticipated to be listed for lung transplantation within the next 12 months.
  8. Cardiovascular disease with clinically significant arrhythmia requiring therapy, congestive heart failure ( Class III-IV functional capacity), unstable angina, uncontrolled hypertension, Cor pulmonale, or symptomatic pericardial effusion.
  9. History of myocardial infarction in the last 6 months prior to screening.
  10. Pulmonary hypertension WHO Functional Class III or higher (as defined by WHO 2009) requiring treatment.
  11. Clinical signs of severe malabsorption in the opinion of the investigator or needing parenteral nutrition.
  12. History of scleroderma renal crisis (SRC) 6 months prior to screening.
  13. Participants with underlying chronic liver disease ( A, B, C hepatic impairment).
  14. Body weight of \<30.0 kilogram (Kg) at screening or BL
  15. Pregnant or breastfeeding women, or women planning to become pregnant or breastfeed, or unwilling to use appropriate measures during the study period
  16. Previous treatment with nemolizumab
  17. Participants with the primary diagnosis of a rheumatic disease other than SSc, including but not limited to rheumatoid arthritis, systemic lupus erythematosus, polymyositis, dermatomyositis, systemic vasculitis, Sjogren's syndrome, anti-synthetase syndrome, or mixed CTD, as determined by the investigator with consultation of the medical monitors
  18. Systemic sclerosis-like illness including but not limited to localized scleroderma (morphea), eosinophilic fasciitis, sclerodermoid , fibro mucinous conditions (scleredema, scleromyxedema), scleroderma-like conditions that are associated with environmental chemical and drug exposure (e.g., toxic rapeseed oil, vinyl chloride, bleomycin, gadolinium-based contrast agents [nephrogenic systemic fibrosis], or due to metabolic disease)
  19. History of (including anaphylaxis) to an immunoglobulin product (plasma-derived or recombinant, e.g., monoclonal antibody) or to any of the study treatment
  20. Known active bacterial, viral, fungal, or any major episode of infection requiring hospitalization or treatment with IV antibiotics or antivirals within 4 weeks prior to screening, or oral antibiotics within 2 weeks prior to screening. Participants may be rescreened once the infection has resolved.
  21. History of a primary immunodeficiency
  22. History of Bone Morrow Transplantation. Chimeric Antigen Receptor (CAR)-T Cell Therapy or any other genetically engineering cells
  23. History of lymphoproliferative disease or history of of any organ system within the last 5 years, except for (1) basal cell carcinoma, squamous cell carcinoma in situ (Bowen's disease), or carcinomas in situ of the cervix that have been treated and have no evidence of recurrence in the last 12 weeks before the BL visit, or (2) actinic keratoses that have been treated
  24. History of alcohol or substance abuse dependence or any condition that, in the investigator's opinion makes the participant unreliable to following instructions and complete the study
  25. In the opinion of the investigator, the participant has any medical condition, including clinically significant pulmonary abnormalities, or psychological condition,or clinically significant laboratory abnormalities that could pose undue risk to the participant, prevent study completion or adversely affect the validity or interpretability of the study measurements or interfere with the study assessments, or impede the participant's ability to complete the study.
  26. Participant has not adhered to the restrictions in select treatments prior to screening or is not expected to be compliant with restrictions during the study
Terms in these criteria, in plain language(17)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and 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.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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).

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.

COPD

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

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.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

GVHD (graft-versus-host disease)

After a transplant from a donor, the donor’s immune cells attack the recipient’s body, often the skin, gut or liver.

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.

Excipients

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

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
162 participants (estimated)

Study arms

  • Experimental
    Nemolizumab Dose 1

    Drug: Nemolizumab

  • Experimental
    Nemolizumab Dose 2

    Drug: Nemolizumab

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • Subcutaneous Injection

    Also known as: CD14152

  • DrugPlacebo

    Subcutaneous Injection

06

What researchers measure

Primary outcomes

  1. Change From Baseline (BL) in Modified Rodnan Skin Score (mRSS) at Week 52

    mRSS is the assessment of skin involvement includes semiquantitative estimation of skin thickness, pliability (hardness), and fixation to underlying structures (tethering).Cutaneous thickness is assessed in 17 body surface areas using a 0-3 scale, where mRSS of score 0="normal" with fine wrinkles but no skin thickness; score 1="mild" skin thickness; score 2= "moderate" skin thickness with difficulty in making skin folds and no wrinkles; and score 3="severe" skin thickness with inability to make skin folds between 2 examining fingers. Where higher score indicating more severe disease.

    Time frame: Baseline, at Week 52

Secondary outcomes

  1. Change From Baseline in Forced Vital Capacity (FVC) at Week 52

    FVC will be assessed with the Flow screen spirometer.

    Time frame: Baseline, at Week 52

  2. Proportion of Responders to the Treatment Based on the Revised Composite Response Index in Systemic Sclerosis (rCRISS) at Week 52

    Responders are defined as participants who meet all the following criteria: Improvement in 2 out of the 5 rCRISS components \>=5% absolute increase from BL in ppFVC (percent predicted forced vital capacity), \>=25% relative decrease from BL in mRSS, Health Assessment Questionnaire Disability Index (HAQ-DI), PGA (Patient's Global Assessment), CGA(Clinician/Physician's Global Assessment) score. Worsening in no more than 1 rCRISS component \>=5% absolute decrease from BL in ppFVC, \>=25% relative increase from BL in mRSS, HAQ-DI, PGA, CGA score. No significant SSc-related event.

    Time frame: At Week 52

  3. Change From Baseline in mRSS at Weeks 8, 12, 24, 28, 36, 44, 52

    mRSS is the assessment of skin involvement includes semiquantitative estimation of skin thickness, pliability (hardness), and fixation to underlying structures (tethering).Cutaneous thickness is assessed in 17 body surface areas using a 0-3 scale, where mRSS of score 0="normal" with fine wrinkles but no skin thickness; score 1="mild" skin thickness; score 2= "moderate" skin thickness with difficulty in making skin folds and no wrinkles; and score 3="severe" skin thickness with inability to make skin folds between 2 examining fingers. Where higher score indicating more severe disease.

    Time frame: Baseline, at Week 8, 12, 24, 28, 36, 44, 52

  4. Percent change from Baseline in mRSS at Week 52

    mRSS is the assessment of skin involvement includes semiquantitative estimation of skin thickness, pliability (hardness), and fixation to underlying structures (tethering).Cutaneous thickness is assessed in 17 body surface areas using a 0-3 scale, where mRSS of score 0="normal" with fine wrinkles but no skin thickness; score 1="mild" skin thickness; score 2= "moderate" skin thickness with difficulty in making skin folds and no wrinkles; and score 3="severe" skin thickness with inability to make skin folds between 2 examining fingers. Where higher score indicating more severe disease.

    Time frame: Baseline, at Week 52

  5. Change from Baseline in Percent Predicted FVC (ppFVC) at Week 52

    FVC will be assessed with the Flow screen spirometer.

    Time frame: Baseline, at Week 52

  6. Percent Change From Baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 52

    HAQ-DI is a participant-reported questionnaire and sensitive to change in disease activity (cutaneous and visceral involvement and with changes in physiological parameters over time).Each question is rated on a 0 to 3 scale (0 = without difficulty; 3 = unable to do), and additional points can be added if aids or devices (i.e., cane, walker) are needed for specific activities. An increased score indicated worse functionality.

    Time frame: Baseline, at Week 52

  7. Percent Change From Baseline in Patient's Global Assessment (PGA) Score at Week 52

    The participant's global impression of health Numeric Rating Scale 0-10 (NRS) will be self-administered by the participant. 0 represents excellent and 10 represents extremely poor.

    Time frame: Baseline, at Week 52

  8. Percent Change From Baseline in Clinician's Global Assessment (CGA) Score at Week 52

    The clinician global impression of health Numeric Rating Scale 0-10 (NRS) will be filled out by the participant's clinician after all other study procedures have been completed. 0 represents excellent and 10 represents extremely poor.

    Time frame: Baseline, at Week 52

  9. Incidence and Severity of TEAEs, Treatment-Emergent SAEs, Treatment-Emergent AEs of Special Interest (AESIs), Significant SSc-Related TEAEs, TEAEs Leading to Investigational Product Discontinuation and Study Discontinuation.

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. A Serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose, meets one or more of the criteria listed: Results in death, life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, congenital anomaly/birth defect, Other serious (important medical events).

    Time frame: From baseline of study intervention to 12 weeks after last dose (52 weeks)

  10. Incidence of Abnormal Vital Signs

    Change from BL in pulse rate, blood pressure, respiration rate, and body temperature will be assessed by visit and treatment group including participants with treatment emergent changes.

    Time frame: From baseline of study intervention to 12 weeks after last dose (52 weeks)

  11. Incidence of Abnormal Laboratory Parameters

    Change from BL in hematology, clinical chemistry, and lipid variables will be assessed by visit and treatment group including participants with treatment-emergent changes.

    Time frame: From baseline of study intervention to 12 weeks after last dose (52 weeks)

  12. Incidence of Abnormal Electrocardiogram (ECG) Findings

    Observed values of heart rate, QRS duration, PR interval, RR interval and QT interval will be summarized by visit and treatment group including participants with clinically significant abnormal results.

    Time frame: From baseline of study intervention to 12 weeks after last dose (52 weeks)

  13. Incidence of Abnormal Weight Change

    Change from BL in weight (kilograms) will be assessed by visit and treatment and medically significant changes will be recorded as adverse events.

    Time frame: From baseline of study intervention to 12 weeks after last dose (52 weeks)

07

Study locations

3 of 3 sites recruiting
  • Galderma Investigational Site # 8743
    Ann Arbor, Michigan 48109-5000, United States
    Recruiting
    • Galderma Project Manager · Contact
  • Galderma Investigational Site#7096
    Arlington, Texas 76012, United States
    Recruiting
    • Galderma Project Manager · Contact
  • Galderma Investigational Site # 6213
    Sankt Gallen, 9007, Switzerland
    Recruiting
    • Galderma Project Manager · Contact
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 Mar 31, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07047690
Lead sponsor
Galderma R&D
Responsible party
Sponsor
First posted
Jul 2, 2025
Start date
Feb 20, 2026
Primary completion
May 28, 2028 (estimated)
Completion
Jul 23, 2028 (estimated)
Last update
Mar 31, 2026

Study contacts

Galderma Research and Development
Contact
clinical.studies@galderma.com
817-961-5000

Oversight

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

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Studies of the drug tested here: Nemolizumab

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