Clinical trial Recruiting at 8 sites Phase2; Phase3 Interventional Ages 18 to 85

Clopidogrel to prevent systemic sclerosis development

Official title: Phase II/III Double-blind Randomized Placebo-controlled Trial Assessing the Preventive Effect of Clopidogrel on the Systemic Sclerosis Development Risk in Subjects With Specific Dysimmunity and Raynaud Phenomenon

Run by University Hospital, Bordeaux · NCT05098704 · Data updated 2026-11-12

This study tests if taking clopidogrel can help prevent systemic sclerosis from developing in people who have early signs of the disease.

Quick facts

PhasePhase2; Phase3
Study typeInterventional
Ages18 Years to 85 Years
SexAll
Enrollment90 (estimated)
SponsorUniversity Hospital, Bordeaux
Academic / other
Locations11 sites (Bayonne and 10 other locations)
StatusRecruiting
StartedJune 22, 2022
Main results expectedJune 2032
Study endsJune 2032
Registry record updatedJuly 7, 2026
Trial IDNCT05098704 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 to 85 with positive autoantibodies related to systemic sclerosis and a history of Raynaud phenomenon.

Probably not a fit

Patients already diagnosed with systemic sclerosis or those with contraindications to clopidogrel will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the preventive effect of clopidogrel, an anti-platelet medication, on the development of systemic sclerosis (SSc) in individuals showing early signs of the disease, such as Raynaud phenomenon and specific autoantibodies. Participants will receive either clopidogrel or a placebo for two years, followed by a 36-month follow-up period to monitor disease progression and treatment effects. The study aims to determine if early intervention can halt or slow the progression of SSc by targeting platelet activation, which is believed to play a significant role in the disease's pathogenesis.

Why it matters

Potential benefit: If successful, this treatment could significantly reduce the risk of developing systemic sclerosis in at-risk individuals.

How similar studies have gone: Previous studies have indicated a potential role of platelet activation in systemic sclerosis, but this specific preventive approach using clopidogrel is novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patient over 18 years old, and less than 85 years old.
* Patient with positive AAN (AAN ≥ 1/160) with the following specificity: anti-Scl70 or anti-centromere or anti-RNApolIII, or any other auto-antibodies related to systemic sclerosis
* Patient with RP reported by the subject and confirmed by the physician.
* Patient affiliated to a health insurance system.
* Patient who accepts to participate to the study and signs an inform consent form.

Exclusion Criteria:

* Patient with an SSc diagnosis according to ACR/EULAR 2013 criteria.
* Patient with skin fibrosis at screening.
* Patient with antiplatelet treatment at screening.
* Patient with contraindications to clopidogrel.
* Patient treated by immunosuppressive agent at screening.
* Patient treated by anticoagulants at screening
* Pregnant or breastfeeding women.
* Women of childbearing age refusing effective contraception method during the study treatment (24 months).
* Incompetent adults (i.e. Individuals under the protection of a conservator)

Where it's running

  • CH de la Cote Basque - service de rhumatologie
    Bayonne, France
    Recruiting
  • CHU de Bordeaux - service de rhumatologie
    Bordeaux, France
    Recruiting
  • CHU de Brest - service de rhumatologie
    Brest, France
    Recruiting
  • CHU de Grenoble Alpes - service de médecine vasculaire
    Grenoble, France
    Recruiting
  • CH de Libourne - service de rhumatologie
    Libourne, France
    Recruiting
  • CH de Mont-de-Marsan - service de rhumatologie
    Mont-de-Marsan, France
    Recruiting
Show 5 more locations
  • AP-HP - Hôpital Cochin - service de médecine interne
    Paris, France
    Recruiting
  • CH de Pau - service de médecine interne
    Pau, France
    Recruiting
  • CHU de Bordeaux - service de Médecine Interne et Maladies Infectieuses
    Bordeaux, France
    Not yet recruiting
  • Service de Médecine Interne et Immunologie Clinique
    Rennes, France
    Not yet recruiting
  • CHU de Toulouse - service de médecine interne
    Toulouse, France
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.