Systemic sclerosis & Raynaud's

A 24‐Week, Phase IIa, Randomized, Double‐Blind, Placebo‐Controlled Study of Ziritaxestat in Early Diffuse Cutaneous Systemic Sclerosis

Arthritis RheumatolPublished Randomised controlled trial

Authors' conclusion

Ziritaxestat resulted in significantly greater reduction in MRSS at week 24 than placebo; no new safety signals emerged.

Study context

Population
Adults with early diffuse cutaneous systemic sclerosis (dcSSc)
Participants
21 vs 12
Comparison
Oral ziritaxestat 600 mg once daily vs matching placebo
  • Ziritaxestatn = 21
  • Placebon = 12reference
Primary endpoint
Change from baseline in mRSS
Follow-up
Week 24
Methodological detailsphase IIa, double-blind, placebo-controlled, multicentre, 24-week, 104-week open-label extension
  • Phase IIa
  • Double-blind
  • Placebo-controlled
  • Multicentre
  • 24-week
  • 104-week open-label extension

Primary result

As reported in the abstract

Ziritaxestat

−8.9

units

Placebo

−6.0

units

P = 0.0411

Secondary outcomes

mRSS in placebo patients switching to ziritaxestat in the open-label extension (OLE)

Similar reductions in mRSS to those observed for ziritaxestat patients in the parent study

Circulating lysophosphatidic acid (LPA) C18:2

Significantly reduced, demonstrating target engagement

Blood fibrosis biomarkers

Levels reduced in the blood

Gene expression

Significant changes in genes in blood samples
109
No differentially expressed genes in skin biopsies

Safety

Tolerability and treatment-related TEAEs

Ziritaxestat well tolerated; most frequent treatment-related TEAEs were headache and diarrhoea

Original publication

A 24‐Week, Phase IIa, Randomized, Double‐Blind, Placebo‐Controlled Study of Ziritaxestat in Early Diffuse Cutaneous Systemic Sclerosis. Arthritis Rheumatol. Published 15 May 2023. doi:10.1002/art.42477

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