Clinical trial Recruiting at 67 sites Phase 3 Interventional Ages 18 and up

Nerandomilast for Systemic Sclerosis in Adults

Official title: A Double-blind, Randomised, Placebo-controlled Trial Evaluating the Efficacy and Safety of Oral Nerandomilast Treatment in Patients With Systemic Sclerosis (SSc)

Run by Boehringer Ingelheim · NCT07497087 · Data updated 2026-11-12

This study tests whether nerandomilast tablets can help adults with systemic sclerosis compared to a placebo.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment448 (estimated)
SponsorBoehringer Ingelheim
Industry-sponsored
Locations248 sites (Birmingham, Alabama and 247 other locations)
StatusRecruiting
StartedJuly 27, 2026
Main results expectedFebruary 26, 2030
Study endsMarch 17, 2030
Registry record updatedOctober 14, 2026
Trial IDNCT07497087 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18 years or older with lcSSc or dcSSc, disease onset within 7 years, active disease at screening, and adequate lung function.

Probably not a fit

Patients with very advanced lung impairment, ACA-positive lcSSc, or other exclusion criteria may not benefit.

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

What this trial studies

This Phase 3 interventional trial will randomly assign adults with limited or diffuse cutaneous systemic sclerosis to receive nerandomilast or a matching placebo, taken twice daily. The goal is to see if nerandomilast improves symptoms and slows disease progression while assessing tolerability. Participants will be followed for approximately 1 to 4 years with regular site visits and phone check-ins. Eligibility includes age 18 or older, confirmed systemic sclerosis, active disease, and adequate lung function at screening.

Why it matters

Potential benefit: If successful, nerandomilast could slow disease progression and improve symptoms for people with systemic sclerosis.

How similar studies have gone: Earlier studies in similar targets have shown mixed results; this study tests a novel approach in a well-defined patient group.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion criteria:

1. Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial.
2. Patients must be at least 18 years of age and fulfil the 2013 American College of Rheumatology/European Alliance of Associations for Rheumatology (ACR/EULAR) criteria for SSc.
3. Patients must be diagnosed with limited cutaneous SSc (lcSSc) or diffuse cutaneous SSc (dcSSc), as defined by LeRoy et al. (1988).
4. Disease onset (defined by first non-RP \[Raynaud's phenomenon\] symptom) must be within 7 years of Visit 1.
5. Trial participants with dcSSc must have evidence of active disease during screening.
6. Trial participants with lcSSc must have evidence of active disease during screening. LcSSc patients must be anti-centromere antibody (ACA) negative.
7. FVC % predicted ≥45% at Visit 1.
8. Diffusing Capacity of the Lungs for Carbon Monoxide (DLCO) % predicted ≥25% corrected for haemoglobin (Hb) at Visit 1.
9. Women of childbearing potential (WOCBP) must be ready and able to use highly effective methods of birth control.
10. Patients may be either untreated or on stable treatment with permitted immunosuppressive/immunomodulatory agents and/or nintedanib. All treatments must remain stable prior to Visit 2 and during the screening period

Exclusion criteria:

1. Active, unstable, or uncontrolled vasculitis within 8 weeks prior to Visit 1 or during the screening period.
2. Any suicidal behaviour in the past 2 years.
3. Any suicidal ideation of type 4 or 5 on the C-SSRS in the past 3 months. Further exclusion criteria apply.

Where it's running

  • Paradigm Clinical Research - San Diego
    San Diego, California, United States
    Recruiting
  • Medvin Clinical Research-Whittier-69033
    Whittier, California, United States
    Recruiting
  • Millennium Research - Ormond Beach
    Ormond Beach, Florida, United States
    Recruiting
  • BioResearch Partner - South Miami
    South Miami, Florida, United States
    Recruiting
  • DelRicht Research-New Orleans-64100
    New Orleans, Louisiana, United States
    Recruiting
  • Clinical Research Institute of Michigan, LLC - St. Clair Shores
    Saint Clair Shores, Michigan, United States
    Recruiting
Show 44 more locations
  • Rutgers Robert Wood Johnson Medical School
    New Brunswick, New Jersey, United States
    Recruiting
  • Thomas Jefferson University
    Philadelphia, Pennsylvania, United States
    Recruiting
  • West Tennessee Research Institute
    Jackson, Tennessee, United States
    Recruiting
  • Tekton Research, Inc - West Gate Boulevard
    Austin, Texas, United States
    Recruiting
  • Arthritis & Rheumatology Institute - Frisco
    Frisco, Texas, United States
    Recruiting
  • Centro Medico Reumatologico - OMI
    Caba, Argentina
    Recruiting
  • Mautalen- Salud e Investigacion
    Caba, Argentina
    Recruiting
  • Instituto de Investigacion Clinica TyT
    Caba, Argentina
    Recruiting
  • Sanatorio Maipu
    Maipu, Argentina
    Recruiting
  • Instituto de Investigaciones Clinicas de Quilmes
    Quilmes, Argentina
    Recruiting
  • Sanatorio de la Mujer
    Rosario, Argentina
    Recruiting
  • SAPIENS - Instituto de Estudos e Pesquisa Clinica
    Curitiba, Brazil
    Recruiting
  • Santa Casa de Misericordia de Porto Alegre
    Porto Alegre, Brazil
    Recruiting
  • Hospital Mater Dei BA
    Salvador, Brazil
    Recruiting
  • Fundacao Oswaldo Ramos (Hospital do Rim)
    São Paulo, Brazil
    Recruiting
  • A2Z Clinical Centro Avançado de Pesquisa Clinica
    Valinhos, Brazil
    Recruiting
  • CaRe Clinic (Calgary)
    Calgary, Alberta, Canada
    Recruiting
  • Centro Internacional de Estudios Clinicos (CIEC)
    Comuna de Recoleta, Chile
    Recruiting
  • Ctr Estudios
    Providencia, Chile
    Recruiting
  • China-Japan Friendship Hospital
    Beijing, China
    Recruiting
  • Peking Union Medical College Hospital
    Beijing, China
    Recruiting
  • The Second Xiangya Hospital Of Central South University
    Changsha, China
    Recruiting
  • The Second Affiliated Hospital Zhejiang University School of Medicine
    Hangzhou, China
    Recruiting
  • The First Affiliated Hospital of Henan University of Science and Technology
    Luoyang, China
    Recruiting
  • The First Affiliated Hospital of Nanchang University
    Nanchang, China
    Recruiting
  • The First Affiliated Hospital of Ningbo University
    Ningbo, China
    Recruiting
  • Huashan Hospital, Fudan University
    Shanghai, China
    Recruiting
  • Sichuan Provincial People's Hospital
    Sichuan, China
    Recruiting
  • The Affiliated Hospital of Xuzhou Medical College
    Xuzhou, China
    Recruiting
  • Zhuzhou Central Hospital
    Zhuzhou, China
    Recruiting
  • Fundacion Clinica Universitaria Bolivariana
    Medellín, Colombia
    Recruiting
  • Helsinki University Hospital
    Helsinki, Finland
    Recruiting
  • HOP Annecy-Genevois
    Epagny Metz-Tessy, France
    Recruiting
  • HOP Sud
    Rennes, France
    Recruiting
  • Universitätsklinikum Heidelberg
    Heidelberg, Germany
    Recruiting
  • Universitätsklinikum Tübingen
    Tübingen, Germany
    Recruiting
  • University of Debrecen
    Debrecen, Hungary
    Recruiting
  • University of Pecs
    Pécs, Hungary
    Recruiting
  • Azienda Ospedaliero Universitaria delle Marche
    Ancona, Italy
    Recruiting
  • A. O. Universitaria Careggi
    Florence, Italy
    Recruiting
  • Japan Community Healthcare Organization Chukyo Hospital
    Aichi, Nagoya, Japan
    Recruiting
  • Hospital of the University of Occupational and Environmental Health
    Fukuoka, Kitakyushu, Japan
    Recruiting
  • Hokkaido University Hospital
    Hokkaido, Sapporo, Japan
    Recruiting
  • Yokohama City University Hospital
    Kanagawa, Yokohama, Japan
    Recruiting

+198 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

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

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.