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NCT Number: NCT07502105

Efficacy and Safety of Firsekibart in the Treatment of Systemic Sclerosis

This study is a single-center, single-arm, open-label, exploratory clinical trial. A total of 30 patients with diffuse cutaneous systemic sclerosis (dcSSc) will be enrolled. A historical control cohort will be established to evaluate the efficacy and safety of Firsekibart by comparing with historical data.

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 18-70 years (inclusive), male or female.
  • Diagnosis of systemic sclerosis (SSc) according to the 2013 ACR/EULAR diagnostic criteria.
  • Disease duration of diffuse cutaneous systemic sclerosis (dcSSc), as defined by LeRoy & Medsger (2001), of ≤ 5 years (from the time of first onset of non-Raynaud's phenomenon).
  • Modified Rodnan skin score (mRSS) ≥10;
  • Voluntarily signed informed consent form and ability to comply with the requirements of the study protocol.

Exclusion criteria

  • Allergy to the active ingredient of Firsekibart or any of its excipients, or a history of allergy to monoclonal antibodies.
  • Presence of any rheumatic disease other than SSc.
  • Moderate to severe lung disease with FVC < 60% or DLCO < 50% of predicted value.
  • Use of medications that may interfere with the evaluation of the efficacy and safety of Firsekibart, except for stable use of permitted concomitant therapies that have been maintained for at least 4 weeks prior to screening and are kept at a stable dose throughout the study period.
  • Use of biological agents or stem cell therapy within 3 months prior to screening or within 5 half-lives of the known drug.
  • Receipt of live or attenuated vaccines within two months prior to screening.
  • Severe hepatic impairment, renal impairment, or hematologic abnormalities at screening.
  • Acute or chronic infection (excluding infection complicated by finger ulceration), active infection, history of malignant tumor, or immunodeficiency disorder.
  • Women who are pregnant or breastfeeding, or subjects planning to become pregnant during the study period.
  • Any other conditions that, in the investigator's judgment, render the subject ineligible for this trial.

Treatment and study plan

Firsekibart injection

Drug

Firsekibart, independently developed by GeneScience, was officially approved for marketing by the NMPA in July 2025 as China's first domestically developed fully human monoclonal antibody targeting IL-1β.

Primary outcomes

  1. Change in the modified Rodnan Skin Score (mRSS) from baseline

    Time frame: Week 12

    The mRSS is independently assessed by two physicians, evaluating the thickness of skin in 17 anatomic areas rated from 0 to 3, with a total score ranging from 0 to 51.

Secondary outcomes

  1. Change in modified Rodnan skin score (mRSS) from baseline

    Time frame: Week 16, 24

    The mRSS is independently assessed by two physicians, evaluating the thickness of skin in 17 anatomic areas rated from 0 to 3, with a total score ranging from 0 to 51.

  2. Change in the Composite Response Index in Systemic Sclerosis (CRISS) from baseline

    Time frame: Week 12, 16, 24

    CRISS is a weighted score and includes five core set measures: modified Rodnan skin score, FVC% predicted, health assessment questionnaire-disability index, and patient and clinician global assessments.

  3. Change from baseline in pulmonary function (FVC)

    Time frame: Week 12, 16, 24

    Forced vital capacity (FVC) is the amount of air that can be forcibly exhaled after the deepest possible breath.

  4. Change from baseline in pulmonary function (DLCO)

    Time frame: Week 12, 16, 24

    Diffusing capacity of the lungs for carbon monoxide (DLCO)is a key measure of gas diffusion across the alveolar-capillary membrane, determined by the single-breath method.

  5. Change in serum IL-1β levels from baseline

    Time frame: Week 12, 16, 24

    IL-1β plays an important role in inflammation and fibrosis, and its expression is aberrantly regulated in various autoimmune diseases. IL-1β is considered an effective target for diseases associated with fibrosis and tissue remodeling.

  6. Change in serum IL-6 levels from baseline

    Time frame: Week 12, 16, 24

    IL-1β acts as a potent upstream stimulus for IL-6 production. IL-6 activates fibroblasts, promoting their proliferation and driving the abundant synthesis of collagen and extracellular matrix components. In parallel, IL-6 induces endothelial-to-mesenchymal transition in endothelial cells, thereby exacerbating the vicious cycle between microvascular pathology and fibrosis.

Study contacts

Contact information is provided by the study sponsor or research team.

Lingli Dong, Professor

CONTACT

[email protected]

0086-027-83665519

Sponsors and collaborators

Lead sponsor

Tongji Hospital

Other

Registry information

Official study title

A Single-Centre, Single-Arm Study on the Efficacy and Safety of Firsekibart in the Treatment of Systemic Sclerosis

Important dates

Study start
2026
Primary completion
2027
Study completion
2028
First posted
Mar 30, 2026
Registry last updated
Apr 20, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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