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Trial · NCT02663895

Safety and Efficacy of Oral Treprostinil in the Treatment of Calcinosis in Patients With Systemic Sclerosis

NCT02663895, Phase 2, Completed, Stanford University; results first posted 2021-06-10

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Safety and Efficacy of Oral Treprostinil in the Treatment of Calcinosis in Patients With Systemic Sclerosis. Trials, record NCT02663895. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02663895

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Safety and Efficacy of Oral Treprostinil in the Treatment of Calcinosis in Patients With Systemic Sclerosis
NCT number
NCT02663895
Status
Completed
Phases
Phase 2
Enrollment
12 participants, actual
Lead sponsor
Stanford University
Conditions
Systemic Sclerosis, Calcinosis
Interventions
Oral treprostinil
First posted
2016-01-26
Last updated
2021-06-10
Results first posted
2021-06-10

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Treatment-related Adverse Events Following Treatment With Oral Treprostinil12 months
Number of participants with treatment-related adverse events following treatment with oral treprostinil at 12 months. We defined adverse event as any untoward medical experience occurring to a subject during a clinical trial whether or not it is related to the study drug.
PrimaryMedian Rate of Change of Calcinosis in Radiograph Following Treatment With Oral Treprostinil as Assessed by a Novel Radiographic Scoring SystemBaseline, month 12
Median rate of change of calcinosis in radiograph following treatment with oral treprostinil as assessed by the Scleroderma Clinical Trial Consortium (SCTC) radiographic scoring system. Historical average SCTC scores in this patient population have ranged from 4.08 to 472.88, with higher scores indicating more severe symptoms. The SCTC radiographic score for calcinosis is a validated radiographic scoring system to assess the severity of calcinosis affecting the hands of patients with SSc that accounts for area coverage, density, and anatomic location, higher scores mean worse calcinosis. Physician rates density and percentage of area for 22 regions of each hand, each deferentially weighted in the overall score; individual region values are multiplied my their weight then summed to create an overall score.
SecondaryChange in Scleroderma Health Assessment Questionnaire (SHAQ)Baseline, 12 months
The Scleroderma Health Assessment Questionnaire (SHAQ) has two parts. The first part is a disability index (DI) that consists of the mean of 8 scores from 8 sections (dressing, arising, eating, walking, hygiene, reach, grip, and activities) ranging from 0 (without any difficulty) to 3 (unable to do), with scores summed and divided by 8. The result is the Health Assessment Questionnaire (HAQ)-DI score, which ranges between 0 and 3. The second part consists of 6 visual analogue scales (VAS) each ranging from 0 (better outcome) to 10 (worse outcome). * Pain (SHAQ-VAS-Pain) * Intestinal (SHAQ-VAS-GI) * Breathing (SHAQ-VAS-Breathing) * Raynaud (SHAQ-VAS-Raynaud) * Digital ulcers (SHAQ-VAS-DU) * Disease Severity (SHAQ-VAS-Disease Severity)
SecondaryChange in Cochin Hand Functional ScaleBaseline, 12 monthsCochin Hand Functional Scale is a 18-question scale, each question ranges from 0 to 5, with a total score range of 0-90. Higher scores indicates higher disability.
SecondaryChange in Short Form (SF)-36Baseline, 12 months
The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale. The higher the score the less disability.
SecondaryChange in Mawdsley Calcinosis QuestionnaireBaseline, 12 months
Mawdsley Calcinosis Questionnaire is an 18-question survey with an overall score of 0-10; each individual question ranges from 0-10, scores are totaled and averaged to and divided by 18 to create the overall score. Higher scores indicate higher disability from calcinosis.
SecondaryChange in Raynaud Condition ScoreBaseline, 12 months
The Raynaud Condition Score is a single question questionnaire, ranges from 0-10, where 10 indicates more active Raynaud phenomenon. Raynaud is an exaggerated vascular response to cold exposure or emotion with at least a 2-phase color change in finger(s) and often toe(s) consisting of pallor, cyanosis, and/or reactive hyperemia: usually one phase is pallor.
SecondaryChange in Patient Global Assessment of Calcinosis SeverityBaseline, 12 monthsPatient global assessment of calcinosis severity at 1 year versus baseline. Score range: 0 to 10 (higher scores indicate more severe calcinosis).
SecondaryChange in Physician Global Assessment of Calcinosis SeverityBaseline, 12 monthsPhysician global assessment of calcinosis severity at 1 year versus baseline. Score range: 0 to 10 (higher scores indicate more severe calcinosis).
SecondaryBaseline Cortical Area Measured by HR-pQCT in SSc Patients With Calcinosis.Baseline visit (average approximately 3 hours for the scan)
Bone cortical area is a bone microarchitecture measurement assessed by High Resolution peripheral Quantitative Computed Tomography (HRpQCT) at the distal tibia. Lower levels of cortical area are associated with more bone fragility.

Outcomes12

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Treatment-related Adverse Events Following Treatment With Oral Treprostinil12 monthsOf the 12 patients enrolled in this study, all received at least one dose of study treatment and were evaluated for safety.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYMedian Rate of Change of Calcinosis in Radiograph Following Treatment With Oral Treprostinil as Assessed by a Novel Radiographic Scoring SystemBaseline, month 12Participants who completed the protocol are included in the analysis.percent changeMEDIAN
SECONDARYChange in Scleroderma Health Assessment Questionnaire (SHAQ)Baseline, 12 monthsParticipants with survey data are included in the analysis.score on a scaleMEDIAN
SECONDARYChange in Cochin Hand Functional ScaleBaseline, 12 monthsParticipants with survey data are included in the analysis.score on a scaleMEDIAN
SECONDARYChange in Short Form (SF)-36Baseline, 12 monthsParticipants with survey data are included in the analysis.score on a scaleMEDIAN
SECONDARYChange in Mawdsley Calcinosis QuestionnaireBaseline, 12 monthsParticipants with survey data are included in the analysis.score on a scaleMEDIAN
SECONDARYChange in Raynaud Condition ScoreBaseline, 12 monthsParticipants with survey data are included in the analysis.score on a scaleMEDIAN
SECONDARYChange in Patient Global Assessment of Calcinosis SeverityBaseline, 12 monthsParticipants with survey data are included in the analysis.score on a scaleMEDIAN
SECONDARYChange in Physician Global Assessment of Calcinosis SeverityBaseline, 12 monthsParticipants with survey data are included in the analysis.score on a scaleMEDIAN
SECONDARYBaseline Cortical Area Measured by HR-pQCT in SSc Patients With Calcinosis.Baseline visit (average approximately 3 hours for the scan)Participants with High Resolution peripheral Quantitative Computed Tomography device (HRpQCT) data were included in the analysis.mm^2MEDIAN

Results by group25

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Treatment-related Adverse Events Following Treatment With Oral TreprostinilOral Treprostinil11Participants
Median Rate of Change of Calcinosis in Radiograph Following Treatment With Oral Treprostinil as Assessed by a Novel Radiographic Scoring SystemOral Treprostinil22.2Full Range 5.3 to 85.5percent change
Change in Scleroderma Health Assessment Questionnaire (SHAQ)Oral TreprostinilHAQ-DI0Full Range -0.08 to 0.1score on a scale
Change in Scleroderma Health Assessment Questionnaire (SHAQ)Oral TreprostinilSHAQ-VAS-Pain-0.03Full Range -0.1 to 0.13score on a scale
Change in Scleroderma Health Assessment Questionnaire (SHAQ)Oral TreprostinilSHAQ-VAS-GI0.03Full Range 0 to 0.25score on a scale
Change in Scleroderma Health Assessment Questionnaire (SHAQ)Oral TreprostinilSHAQ-VAS-Breathing0Full Range -0.15 to 0.3score on a scale
Change in Scleroderma Health Assessment Questionnaire (SHAQ)Oral TreprostinilSHAQ-VAS-Raynaud0Full Range -0.1 to 0.2score on a scale
Change in Scleroderma Health Assessment Questionnaire (SHAQ)Oral TreprostinilSHAQ-VAS-DU0Full Range -0.15 to 0.1score on a scale
Change in Scleroderma Health Assessment Questionnaire (SHAQ)Oral TreprostinilSHAQ-VAS-Disease Severity0Full Range -0.05 to 0.1score on a scale
Change in Cochin Hand Functional ScaleOral Treprostinil-0.17Full Range -1 to 4.33score on a scale

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDOral Treprostinil12
Overall StudyCOMPLETEDOral Treprostinil5
Overall StudyNOT COMPLETEDOral Treprostinil7

Adverse events10

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHeadacheNervous system disordersOral Treprostinil812
otherAbdominal PainGastrointestinal disordersOral Treprostinil612
otherDiarrheaGastrointestinal disordersOral Treprostinil512
otherNauseaGastrointestinal disordersOral Treprostinil312
otherFlushingGeneral disordersOral Treprostinil212
otherJaw PainMusculoskeletal and connective tissue disordersOral Treprostinil212
otherdizzinessGeneral disordersOral Treprostinil212
otherhypotensionCardiac disordersOral Treprostinil112
otherepistaxisEar and labyrinth disordersOral Treprostinil112
otherweight lossGeneral disordersOral Treprostinil112

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityOral Treprostinil012
Total, other adverse eventsOral Treprostinil1112
Total, serious adverse eventsOral Treprostinil012

Papers28

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
1593914BACKGROUNDPubMed
7362664BACKGROUNDPubMed
7562759BACKGROUNDPubMed
7654804BACKGROUNDPubMed
8308774BACKGROUNDPubMed
8823687BACKGROUNDPubMed
9365087BACKGROUNDPubMed
9458208BACKGROUNDPubMed
10335740BACKGROUNDPubMed
10335741BACKGROUNDPubMed

1 to 10 of 28

See all 28 papers

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02663895

GET https://conductscience.org/api/trials/v1/NCT02663895/results?page=2