Systemic Sclerosis (SSc)Phase 2NCT06843239
Tibulizumab Systemic Sclerosis Understanding and Response Evaluation (TibuSURE)
A Phase 2 study testing Tibulizumab in people with Systemic Sclerosis (SSc) and Scleroderma, run by Zura Bio Inc at 60 sites in 10 countries.
Trial summary
The study is a Phase 2, multi-center, randomized, double-blind, placebo-controlled study to evaluate the effects of tibulizumab over 24 weeks (Period 1) in adult participants with systemic sclerosis, followed by an open-label extension period where all active participants will receive tibulizumab and will be evaluated… Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Systemic Sclerosis (SSc), Scleroderma
- What is being tested?
- Tibulizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 80 participants
- Where
- 60 sitesin 10 countries
- Study dates
- 6 Feb 2025to Jan 2028
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female, 18 to 75 years of age
- Body mass index between 18.0 and 38.0 kg/m²
- Fulfills classification criteria for SSc according to ACR/EULAR 2013 criteria
- Has diffuse cutaneous SSc, defined as mRSS >0 over at least one skin area proximal to the elbows and/or knees, in addition to acral fibrosis
- Has had SSc (defined as the first non-Raynaud's phenomenon (RP) symptom or sign attributed to SSc) for ≤7 years
- mRSS ≥15 and ≤45 at screening. Additional requirements for participants ≥2 years to ≤7 years from SSc onset and RNA Polymerase III antibody positive
- FVC >50% predicted
- Diffusing capacity of the lungs for carbon monoxide (DLCO) ≥40% predicted (corrected for hemoglobin)
Who cannot join
- Has any of the following complications:
- Left ventricular failure
- Pulmonary arterial hypertension
- Renal crisis within previous 6 months
- Gastrointestinal dysmotility within previous 3 months
- Digital ischemia with gangrene, amputation, or unscheduled hospitalization within previous 3 months
Show all 10Show fewer
- Current rheumatic disease other than SSc that could interfere with assessment of SSc
- Lung disease requiring continuous oxygen therapy
- Evidence or suspicion of active or latent tuberculosis
- Active Crohn's Disease or ulcerative colitis
Trial locations and contacts
60 sites in 10 countries.
60 sites in 10 countries
Argentina11 sites
STAT Research S.A.
Buenos Aires, Buenos Aires, C1023
Organización Médica de Investigación
Buenos Aires, C1015
Centro de Investigación y Prevención Cardiovascular-Arenales
Buenos Aires, C1061
Hospital General de Agudos Dr. José María Ramos Mejia
Buenos Aires, C1221AFC
Instituto de Investigación Clínica TyT
Buenos Aires, C1405BFN
Centro Medico de Estudios Clinicos y Farmacovigilancia (CECYF)
Buenos Aires, C1426ABP
Consultorios Médicos Dr. Doreski
Buenos Aires, C1426
Consultora Integral de Salud Centro Médico Privado
Córdoba, X5000KEH
Instituto CER S.A.
Quilmes, B1878DVB
Centro de Investigaciones Médicas Tucumán
San Miguel de Tucumán, Tucumán Province, T4000AXL
AES - AS - Clinica Mayo de Urgencias
San Miguel de Tucumán, T4000IHE
Poland11 sites
M2M Med-ul.
Chorzów, 41-500
Malopolskie Badania Kliniczne Sp. z o.o.
Krakow, 30-002
Malopolskie Centrum Kliniczne
Krakow, 30-149
Centrum Medyczne Plejady
Krakow, 30-363
Santa Familia PTG Łódź
Lodz, 90-003
Twoja Przychodnia NCM
Nowa Sól, 67-100
Twoja Przychodnia PCM - ul.
Poznan, 60-324
Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji
Warsaw, 02-637
Klinika Reuma Park sp . zoo Sp.k.
Warsaw, 02-665
MICS Centrum Medyczne Warszawa
Warsaw, B1000-874
ClinHouse Centrum Medyczne
Zabrze, 41-807
United States7 sites
University of Michigan Hospital
Ann Arbor, Michigan, 48109
Rheumatology Associates
Arlington, Texas, 76012
Massachusetts General Hospital
Boston, Massachusetts, 02114
University of Iowa
Iowa City, Iowa, 52242
UCSD Altman Clinical and Translational Research Institute Center for Clinical Research
La Jolla, California, 92037
UCLA Department of Medicine
Los Angeles, California, 90024
IRIS Research and Development LLC
Plantation, Florida, 33324
United Kingdom7 sites
Aberdeen Royal Infirmary
Aberdeen, AB25 2ZN
Royal National Hospital for Rheumatic Diseases
Bath, BA1 3NG
Ninewells Hospital
Dundee, DD2 1SG
Chapel Allerton Hospital
Leeds, LS7 4SA
Aintree University Hospital
Liverpool, L9 7AL
Royal Free Hospital
London, NW3 2QG
Haywood Community Hospital
Stoke-on-Trent, ST6 7AG
Chile6 sites
CTR Estudios Clinicos
Santiago, 7500000
Enroll SpA
Santiago, 8320000
Centro de especialidades médicas Vanguardia
Temuco, 4810345
Clinical Research Chile SpA
Valdivia, 683
Centro de Estudios Clinicos Victoria Limitada (Cevic)
Victoria, 4720000
Dermacross Clinica Dermatologica
Vitacura, 7640881
Romania6 sites
Colentina Clinical Hospital
Bucharest, 020125
Dr I Cantacuzino Clinical Hospital
Bucharest, 030167
Center for Clinical and Basic Research (CCBR)
Bucharest, 030463
Sf.Maria Clinical Hospital
Bucharest, 11172
Hiperdia Romania
Bucharest, 41303
Policlinica SelfMed Clinique
Timișoara, 300133
Mexico5 sites
Mediadvance Clinical
Chihuahua City, 31203
PanAmerican Clinical Research
Guadalajara, 44670
Medical Care and Research S.A. de C.V.
Mérida, 97070
Centro de Investigación y Tratamiento Reumatológico S.C
Miguel Hidalgo, 11850
Oaxaca Site Management Organization - Clinic - OSMO - PPDS
Oaxaca City, 68000
Spain3 sites
Hospital de La Santa Creu i Sant Pau
Barcelona, 08025
Corporacio Sanitaria Parc Tauli
Barcelona, 08208
Hospital Quironsalud Infanta Luisa
Seville, 41010
Hungary2 sites
Debreceni Egyetem Klinikai Kozpont Nagyerdei Campus
Debrecen, 4032
Pécsi Tudomanyegyetem - Vasvari Pal u.
Pécs, 7622
Serbia2 sites
Institute of Rheumatology - PPDS
Belgrade, 11000
Military Medical Academy
Belgrade, 11000
About this study
Official title: A Phase 2, Multi-Center Study Consisting of a Randomized, Double-Blind, Placebo-Controlled Period, Followed by an Open-Label Extension Period, to Assess the Efficacy, Safety, and Tolerability of Tibulizumab in Adults With Systemic Sclerosis
The study is a Phase 2, multi-center, randomized, double-blind, placebo-controlled study to evaluate the effects of tibulizumab over 24 weeks (Period 1) in adult participants with systemic sclerosis, followed by an open-label extension period where all active participants will receive tibulizumab and will be evaluated for an additional 28 weeks (Period 2)
- Conditions
- Systemic Sclerosis (SSc), Scleroderma
- Being tested
- Tibulizumab, Placebo
- Keywords
- Scleroderma, Systemic Sclerosis (SSc), Tibulizumab, Cutaneous, Interstitial lung disease (ILD), Autoimmune diseases, Immune system diseases, Systemic Sclerosis interstitial lung disease (SSC-ILD), Skin Diseases
- Medical subject headings
- Scleroderma, Systemic, Scleroderma, Diffuse, Lung Diseases, Interstitial, Autoimmune Diseases, Immune System Diseases, Skin Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TibulizumabBiological
Also called ZB-106
Anti BAFF/IL-17 antibody
PlaceboOther
Also called ZB-106 placebo
Placebo (inactive)
| Study group | Role | What they receive |
|---|---|---|
| Tibulizumab | Experimental | Subcutaneous injection Receives: Biological: Tibulizumab |
| Placebo | Placebo comparator | Subcutaneous injection Receives: Biological: Tibulizumab; Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
[Period 1] Change from baseline in modified Rodnan Skin Score (mRSS) at 24 weeks
The mRSS assesses skin thickness at 17 different cutaneous sites across the body using a scale from 0 (normal skin) to 3 (severe thickening), with a total score ranging from 0 (no thickening) to 51 (severe thickening in all 17 areas)
Measured: Week 24
[Period 2] Safety and tolerability of tibulizumab
Assessed by the incidence of all treatment-emergent adverse events (TEAEs), as well as changes from baseline in vital signs, electrocardiogram (ECG) parameters, and laboratory results
Measured: Week 52
Secondary outcomes (6)
[Period 1] Change from baseline in quantitative interstitial lung disease (QILD) obtained with high-resolution quantitative tomography (HRCT) in the whole lung in participants with SSc-interstitial lung disease (ILD)
HRCT measures the extent of interstitial lung disease by quantifying the amount of lung fibrosis, ground-glass opacity, and honeycomb lung, which are used to calculate the QILD score (scores can range from 0 to 100%, with higher scores indicating greater disease extent)
Measured: Week 24
[Period 1] Change from baseline in forced vital capacity (FVC) in participants with SSc-ILD
FVC is the amount of air that can be forcibly exhaled after the deepest possible breath
Measured: Week 24
[Period 1] Change from baseline in Health Assessment Questionnaire Disability Index (HAQ-DI)
HAQ-DI evaluates patients' self-assessed degree of disability across eight categories, with scores ranging from 0 to 3, where 3 indicates the worst degree of disability
Measured: Week 24
[Period 1] Safety and tolerability of tibulizumab
Assessed by the incidence of all TEAEs, as well as changes from baseline in vital signs, ECG parameters, and laboratory results
Measured: Week 24
[Period 2] Change from baseline in mRSS
The mRSS assesses skin thickness at 17 different cutaneous sites across the body using a scale from 0 (normal skin) to 3 (severe thickening), with a total score ranging from 0 (no thickening) to 51 (severe thickening in all 17 areas)
Measured: Week 52
[Period 2] Change from baseline in QILD obtained with HRCT in the whole lung in participants with SSc-ILD
HRCT measures the extent of interstitial lung disease by quantifying the amount of lung fibrosis, ground-glass opacity, and honeycomb lung, which are used to calculate the QILD score (scores can range from 0 to 100%, with higher scores indicating greater disease extent)
Measured: Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Feb 2025
- Study start6 Feb 2025
- Primary completionMay 2027 (estimated)
- Study completionJan 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Systemic Sclerosis (SSc)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 80 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Zura Bio Inc
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, Zura Bio Inc
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06843239
- Sponsor's protocol ID
- ZB-106-SS-201
- Other IDs
- 2024-519335-42-01
- Status last verified
- Jul 2026
- First submitted
- 7 Feb 2025
- Last updated
- 20 Jul 2026
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Multi-Center Study Consisting of a Randomized, Double-Blind, Placebo-Controlled Period, Followed by an Open-Label Extension Period, to Assess the Efficacy, Safety, and Tolerability of Tibulizumab in Adults With Systemic Sclerosis
- ClinicalTrials.gov ID
- NCT06843239
- Acronym / sponsor ID
- ZB-106-SS-201
- Conditions
- Systemic Sclerosis (SSc), Scleroderma
- Keywords
- Scleroderma, Systemic Sclerosis (SSc), Tibulizumab, Cutaneous, Interstitial lung disease (ILD), Autoimmune diseases, Immune system diseases, Systemic Sclerosis interstitial lung disease (SSC-ILD)
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 80 participants (estimated)
- Lead sponsor
- Zura Bio IncIndustry (pharma, biotech, devices)
- Study start
- 6 Feb 2025 (actual)
- Primary completion
- May 2027 (estimated)
- Study completion
- Jan 2028 (estimated)
- First posted
- 24 Feb 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study is a Phase 2, multi-center, randomized, double-blind, placebo-controlled study to evaluate the effects of tibulizumab over 24 weeks (Period 1) in adult participants with systemic sclerosis, followed by an open-label extension period where all active participants will receive tibulizumab and will be evaluated for an additional 28 weeks (Period 2)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Tibulizumab | Experimental | Biological: TibulizumabSubcutaneous injection |
| Placebo | Placebo comparator | Biological: Tibulizumab, Other: PlaceboSubcutaneous injection |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Male or female, 18 to 75 years of age
- Body mass index between 18.0 and 38.0 kg/m²
- Fulfills classification criteria for SSc according to ACR/EULAR 2013 criteria
- Has diffuse cutaneous SSc, defined as mRSS >0 over at least one skin area proximal to the elbows and/or knees, in addition to acral fibrosis
- Has had SSc (defined as the first non-Raynaud's phenomenon (RP) symptom or sign attributed to SSc) for ≤7 years
Key exclusion criteria (10 listed)
- Has any of the following complications:
- Current rheumatic disease other than SSc that could interfere with assessment of SSc
- Lung disease requiring continuous oxygen therapy
- Evidence or suspicion of active or latent tuberculosis
- Active Crohn's Disease or ulcerative colitis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TibulizumabAlso: ZB-106Anti BAFF/IL-17 antibody | Biological | Placebo, Tibulizumab |
| PlaceboAlso: ZB-106 placeboPlacebo (inactive) | Other | Placebo |
Primary outcome
[Period 1] Change from baseline in modified Rodnan Skin Score (mRSS) at 24 weeks
Time frame: Week 24
The mRSS assesses skin thickness at 17 different cutaneous sites across the body using a scale from 0 (normal skin) to 3 (severe thickening), with a total score ranging from 0 (no thickening) to 51 (severe thickening in all 17 areas)
[Period 2] Safety and tolerability of tibulizumab
Time frame: Week 52
Assessed by the incidence of all treatment-emergent adverse events (TEAEs), as well as changes from baseline in vital signs, electrocardiogram (ECG) parameters, and laboratory results
6 secondary outcomes
[Period 1] Change from baseline in quantitative interstitial lung disease (QILD) obtained with high-resolution quantitative tomography (HRCT) in the whole lung in participants with SSc-interstitial lung disease (ILD)
Time frame: Week 24
[Period 1] Change from baseline in forced vital capacity (FVC) in participants with SSc-ILD
Time frame: Week 24
[Period 1] Change from baseline in Health Assessment Questionnaire Disability Index (HAQ-DI)
Time frame: Week 24
[Period 1] Safety and tolerability of tibulizumab
Time frame: Week 24
[Period 2] Change from baseline in mRSS
Time frame: Week 52
[Period 2] Change from baseline in QILD obtained with HRCT in the whole lung in participants with SSc-ILD
Time frame: Week 52
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jul 2026.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Study Director study director
Zura Bio Inc
60 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Tibulizumab in people with Systemic Sclerosis (SSc) and Scleroderma, run by Zura Bio Inc at 60 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 20 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 60 sites in Argentina, Poland, United States, United Kingdom, Chile and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
[Period 1] Change from baseline in modified Rodnan Skin Score (mRSS) at 24 weeks (time frame: Week 24). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jul 2026.