Systemic sclerosis & Raynaud's

Belumosudil in diffuse cutaneous systemic sclerosis: a randomized, double-blind, open-label extension, placebo-controlled, phase 2 study

Rheumatology (Oxford)Published Randomised controlled trial

  • terminated prematurely
  • Terminated prematurely; target enrolment not met

Authors' conclusion

Efficacy signal for belumosudil could not be detected. Signalling pathway modulation analysis supported the mechanism of action of belumosudil. A trend for decreased fibrosis-related biomarkers was observed in the belumosudil-treated group.

Study context

Population
Patients with diffuse cutaneous systemic sclerosis (dcSSc) treated with background immunosuppressive therapies31 in open-label period
Participants
35 patients
Comparison
Belumosudil 200 mg QD or BID vs placebo, on background immunosuppressive therapies
Primary endpoint
CRISS score ≥0.60
Follow-up
Week 24
Methodological detailsdouble-blind, placebo-controlled, open-label extension
  • Double-blind
  • Placebo-controlled
  • Open-label extension

Primary result

As reported in the abstract

Each group vs placeboOdds ratio (CI)P value
QD
1.06(0.19–5.82)
P = 0.9472
BID
0.39(0.07–2.35)
P = 0.3078

Further findings

Fibrosis biomarkers in blood and tissue

Trends of decreased fibrosis biomarker levels with belumosudil vs placebo

Tissue RNA sequencing in patients with CRISS score ≥0.60

FOXP3 upregulation and STAT3, IL23A and TGF-β downregulation

Original publication

Belumosudil in diffuse cutaneous systemic sclerosis: a randomized, double-blind, open-label extension, placebo-controlled, phase 2 study. Rheumatology (Oxford). Published 14 March 2025. doi:10.1093/rheumatology/keaf062

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