This study is a single-center, single-arm, open-label, exploratory clinical trial. A total of 30 patients with diffuse cutaneous systemic sclerosis (dcSSc) will be enrolled. A historical control cohort will be established to evaluate the efficacy and safety of Firsekibart by comparing with historical data.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Firsekibart, independently developed by GeneScience, was officially approved for marketing by the NMPA in July 2025 as China's first domestically developed fully human monoclonal antibody targeting IL-1β.
Tongji Hospital, Tong ji Medical Colledge
Wuhan, Hubei, China
Change in the modified Rodnan Skin Score (mRSS) from baseline
The mRSS is independently assessed by two physicians, evaluating the thickness of skin in 17 anatomic areas rated from 0 to 3, with a total score ranging from 0 to 51.
Time frame: Week 12
Change in modified Rodnan skin score (mRSS) from baseline
The mRSS is independently assessed by two physicians, evaluating the thickness of skin in 17 anatomic areas rated from 0 to 3, with a total score ranging from 0 to 51.
Time frame: Week 16, 24
Change in the Composite Response Index in Systemic Sclerosis (CRISS) from baseline
CRISS is a weighted score and includes five core set measures: modified Rodnan skin score, FVC% predicted, health assessment questionnaire-disability index, and patient and clinician global assessments.
Time frame: Week 12, 16, 24
Change from baseline in pulmonary function (FVC)
Forced vital capacity (FVC) is the amount of air that can be forcibly exhaled after the deepest possible breath.
Time frame: Week 12, 16, 24
Change from baseline in pulmonary function (DLCO)
Diffusing capacity of the lungs for carbon monoxide (DLCO)is a key measure of gas diffusion across the alveolar-capillary membrane, determined by the single-breath method.
Time frame: Week 12, 16, 24
Change in serum IL-1β levels from baseline
IL-1β plays an important role in inflammation and fibrosis, and its expression is aberrantly regulated in various autoimmune diseases. IL-1β is considered an effective target for diseases associated with fibrosis and tissue remodeling.
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Time frame: Week 12, 16, 24
Change in serum IL-6 levels from baseline
IL-1β acts as a potent upstream stimulus for IL-6 production. IL-6 activates fibroblasts, promoting their proliferation and driving the abundant synthesis of collagen and extracellular matrix components. In parallel, IL-6 induces endothelial-to-mesenchymal transition in endothelial cells, thereby exacerbating the vicious cycle between microvascular pathology and fibrosis.
Time frame: Week 12, 16, 24