Can a blood flow drug ease painful finger ulcers in scleroderma?
NCT ID NCT01395732
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested the drug bosentan in 18 adults with systemic sclerosis who had reduced blood flow in their hands and a history of digital ulcers. The goal was to see if bosentan could improve hand blood flow measured by laser imaging and how blood flow relates to ulcer severity. The trial is already completed.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Bosentan (a drug taken as tablets to improve blood flow)
- What this could lead to
- If successful, this could show that bosentan improves hand blood flow and helps manage digital ulcers in systemic sclerosis patients.
- What could go wrong
- This is a small, completed Phase 4 study with only 18 participants, so results may not apply broadly. The drug may not significantly improve blood flow or ulcer outcomes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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18 people
The number who actually took part.
- Started
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Mar 2011
- Finished
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Dec 2012
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Male and female subjects \> 18 years diagnosed with SSc; * Reduction of blood flow measured by laser Doppler imaging, of at least 50%, distally to the proximal interphalangeal joint, compared to the healthy volunteers; * Women of childbearing potential must have a negative pregnancy test and use a reliable form of contraception; * A history of 1 or more DUs within 2 years prior to inclusion; * No use of bosentan in the past; * Subjects willing and able to sign informed consent. Exclusion Criteria: * Parenteral prostanoid treatment for DU \< 3 months ago; * Chronic treatment with PDE-5 inhibitor or ERA; * History of bosentan use * Irreversible significant limitation of the hand function, e.g. amputation of more than one finger; * Other types of system- or connective tissue diseases; * Significant peripheral (macro-) vascular disease due to e.g. diabetes, hyperlipidemia, uncontrolled systemic hypertension, coagulopathy; * Any serious medical co morbidity (eg, active malignancy) such that the subjects life expectancy is \< 12 months; * Known AST and/or ALT elevations higher than 3 times Upper Limit Normal (ULN); * Moderate to severe liver function disorder; * Pregnancy or breastfeeding; * Treatment with Glibenclamide, Fluconazole, Cyclosporin A, Tacrolimus or other calcineurin inhibitors; * Hypersensitivity for bosentan or one of its components; * Subjects not able to follow the protocol.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Erasmus MC
Rotterdam, 3015CE, Netherlands
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Isala Klinieken
Zwolle, 8011JW, Netherlands
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LUMC
Leiden, 2333ZA, Netherlands
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MCL
Leeuwarden, 8934AD, Netherlands
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MUMC
Maastricht, 6229HX, Netherlands
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Maasstad Ziekenhuis
Rotterdam, 3078HT, Netherlands
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Sint Franciscus Gasthuis
Rotterdam, 3045PM, Netherlands
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UMC Groningen
Groningen, 9700RB, Netherlands
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UMC St Radboud
Nijmegen, 6525GA, Netherlands
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VUmc
Amsterdam, 10811HV, Netherlands
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