Engineered immune cells take on Hard-to-Treat scleroderma in landmark trial
NCT ID NCT07335562
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 3 times
Summary
This study tests whether a one-time infusion of specially engineered immune cells (CAR T cells) can improve lung function and skin hardening better than current treatments for people with active systemic sclerosis, a rare autoimmune disease. About 92 adults with lung involvement will be randomly assigned to receive either the CAR T therapy or standard care. The main goal is to see if the new treatment can increase lung capacity and reduce disease activity.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 92 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Feb 2027
An estimate. Start dates often move.
- Expected to finish
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Nov 2030
An estimate. End dates often move.
- Lead sponsor
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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
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16 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 \- Participants must fulfill the 2013 American College of Rheumatology (ACR) / European League Against Rheumatism (EULAR) classification criteria for Systemic Sclerosis (SSc), and additionally have the following:. i) Positive Antinuclear Antibodies (ANA) with nucleolar pattern and/or anti-Topoisomerase I (anti-Scl-70) antibodies. ii) Confirmation of Interstitial Lung Disease (ILD) on centrally read High-Resolution Computed Tomography (HRCT) with ≥ 10% total lung involvement, with at least one of the following attributed to active SSc:. A. Arthritis. B. Myositis. C. Carditis. D. Progressive skin disease. E. Elevated inflammatory markers. \- Participants must have a non-response or intolerance despite ≥ 6 months of treatment with at least one immunomodulatory drug. Non-response is defined as a patient, who in the opinion of the investigator, is not adequately controlled/treated and requires treatment escalation. Exclusion Criteria * Participants must not have a requirement for supplemental oxygen therapy and/or Diffusing Capacity of the Lungs for Carbon Monoxide (DLCO) ≤ 40% (Hemoglobin (Hgb) corrected) at screening. * Participants must not have moderate to severe Pulmonary Arterial Hypertension (PAH) requiring PAH-specific combination treatment * Participants must not have pulmonary comorbidity including chronic obstructive pulmonary disease or asthma requiring daily oral corticosteroids, cigarette smoking (including e-cigarettes) within 3 months before screening or unwilling to avoid smoking throughout the study, and/or clinically significant abnormalities on HRCT not attributable to SSc assessed by the central reader at screening. * Participants must not have gastrointestinal (GI) dysmotility requiring Total Parenteral Nutrition (TPN). * Participants must not have current gangrene of a digit * Other protocol-defined Inclusion/Exclusion criteria apply.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
56 sites in 10 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Cleveland Clinic
Cleveland, Ohio, 44195, United States
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Colorado Blood Cancer Institute
Denver, Colorado, 80218, United States
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Emory University School of Medicine
Atlanta, Georgia, 30322, United States
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Local Institution - 0002
Charleston, South Carolina, 29425, United States
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Local Institution - 0004
Milan, Milano, 20162, Italy
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Local Institution - 0008
Seattle, Washington, 98109, United States
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Local Institution - 0009
Málaga, 29011, Spain
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Local Institution - 0012
Bron, 69500, France
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Local Institution - 0016
Cologne, 50937, Germany
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Local Institution - 0026
Sapporo, Hokkaido, 0608648, Japan
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Local Institution - 0028
Erlangen, 91054, Germany
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Local Institution - 0031
Strasbourg, Alsace, 67098, France
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Local Institution - 0032
München, 80336, Germany
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Local Institution - 0033
Tübingen, 72076, Germany
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Local Institution - 0034
Ann Arbor, Michigan, 48109, United States
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Local Institution - 0035
Scottsdale, Arizona, 85259, United States
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Local Institution - 0037
Rochester, Minnesota, 55905, United States
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Local Institution - 0038
Würzburg, 97080, Germany
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Local Institution - 0042
Leipzig, 04103, Germany
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Local Institution - 0046
Berlin, 10117, Germany
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Local Institution - 0047
Basel, 4031, Switzerland
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Local Institution - 0049
Bordeaux, 33076, France
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Local Institution - 0052
Paris, 75679, France
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Local Institution - 0057
Leuven, Vlaams-Brabant, 3000, Belgium
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Local Institution - 0059
London, NW3 2QG, United Kingdom
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Local Institution - 0060
Barcelona, 08907, Spain
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Local Institution - 0061
Toulouse, Haute-Garonne, 31059, France
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Local Institution - 0063
Leeds, North Yorkshire, LS7 4SA, United Kingdom
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Local Institution - 0068
Bern, 3010, Switzerland
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Local Institution - 0069
Miami, Florida, 33136, United States
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Local Institution - 0074
Dallas, Texas, 75390, United States
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Local Institution - 0078
Zurich, 8091, Switzerland
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Local Institution - 0080
Liège, 4000, Belgium
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Local Institution - 0082
Summit, New Jersey, 07901, United States
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Local Institution - 0084
Worcester, Massachusetts, 01655, United States
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Local Institution - 0088
Sherbrooke, Quebec, J1H 5N4, Canada
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Local Institution - 0091
Sheffield, S10 2JF, United Kingdom
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Local Institution - 0103
Rome, Lazio, 00168, Italy
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Local Institution - 0104
Halifax, Nova Scotia, B3H2Y9, Canada
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Local Institution - 0106
Milan, 20132, Italy
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Local Institution - 0108
Pisa, Tuscany, 56126, Italy
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Local Institution - 0117
Bunkyo-ku, Tokyo, 1138603, Japan
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Local Institution - 0118
Okayama, 700-8558, Japan
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Local Institution - 0123
Fukuoka, 812-8582, Japan
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Local Institution - 0129
A Coruña, A Coruña [La Coruña], 15006, Spain
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Local Institution - 0132
Yokohama, Kanagawa, 236-0004, Japan
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Local Institution - 0136
Maebashi, 371-8511, Japan
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Local Institution - 0137
Suita, Osaka, 565-0871, Japan
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Local Institution - 0138
Barcelona, Catalunya [Cataluña], 08041, Spain
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Local Institution - 0139
Chicago, Illinois, 60611, United States
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Local Institution - 0140
London, London, City of, NW1 2PG, United Kingdom
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Local Institution - 0141
Rennes, 35033, France
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Local Institution - 0142
Philadelphia, Pennsylvania, 19104, United States
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Local Institution - 0143
Pittsburgh, Pennsylvania, 15224, United States
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Local Institution - 0144
Houston, Texas, 77030, United States
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University of Colorado Anschutz Medical Campus
Aurora, Colorado, 80045, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Inhaled xenon gas could reveal hidden lung vessel disease without catheter
- Can a single drug tame multiple autoimmune diseases?
- Immune clues in the blood may foretell heart trouble
- Blood particles may reveal hidden clues to scleroderma complications
- Could a simple injection dissolve painful calcium lumps in rare diseases?
- Finger injections aim to loosen stiff hands in scleroderma