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Autoimmune & Inflammatory

Mixed Connective Tissue Disease (MCTD) Clinical Trials

Also called MCTD, overlap syndrome, anti-RNP antibodies

Mixed connective tissue disease (MCTD) is a rare systemic autoimmune disorder characterized by high titers of anti-RNP (anti-ribonucleoprotein) antibodies and clinical features overlapping systemic lupus erythematosus (SLE), systemic sclerosis, and polymyositis, occurring in a distinct pattern not fully meeting criteria for any single connective tissue disease. The disease manifests with Raynaud phenomenon in nearly all patients, often the presenting symptom, followed by hand edema, polyarthralgias, and myalgia.

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About Mixed Connective Tissue Disease

Mixed connective tissue disease (MCTD) is a rare systemic autoimmune disorder characterized by high titers of anti-RNP (anti-ribonucleoprotein) antibodies and clinical features overlapping systemic lupus erythematosus (SLE), systemic sclerosis, and polymyositis, occurring in a distinct pattern not fully meeting criteria for any single connective tissue disease. The disease manifests with Raynaud phenomenon in nearly all patients, often the presenting symptom, followed by hand edema, polyarthralgias, and myalgia.

Progressive sclerosis of skin occurs, particularly affecting hands and forearms (sclerodactyly), developing in most patients over time. Myositis with elevated muscle enzymes (CK, aldolase) and objective muscle weakness develops in variable proportions of patients. Pulmonary involvement occurs in approximately 90% of patients, including pulmonary hypertension (20-25%) and interstitial lung fibrosis, though severe disease requiring intervention is less common.

Esophageal dysmotility and renal involvement occur though less frequent than in classic scleroderma or SLE. Unlike SLE, MCTD typically demonstrates lower rates of glomerulonephritis and CNS involvement. Disease course varies from mild stable disease to progressive multi-organ involvement. Serial monitoring of pulmonary function and cardiac status is critical for detecting progressive disease and intervening early.

Common Symptoms of Mixed Connective Tissue Disease

Recognizing the signs of Mixed Connective Tissue Disease early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.

  • Raynaud phenomenon
  • Hand edema and sclerodactyly
  • Myalgia and arthritis
  • Photosensitivity and rashes
  • Dysphagia and esophageal dysfunction
  • Pulmonary fibrosis in advanced disease

Who Mixed Connective Tissue Disease Affects

Typically presents in women ages 20-50 with female predominance at approximately 9:1 ratio compared to men. More common in Caucasians and African Americans than in Asian populations. Can occur at any age from childhood to elderly though adult onset most typical.

Diagnosis often delayed 3-5 years from symptom onset due to overlapping clinical features. Geographic and ethnic variations in prevalence reported. Rare familial clustering reported without clear genetic inheritance pattern. Disease activity and organ involvement severity vary considerably among affected individuals.

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Side Effect Explorer

Real-world side effect reports from the FDA Adverse Event Reporting System (FAERS). Includes both FDA-approved drugs and investigational therapies from active clinical trials. Click any drug to see what patients reported.

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Genetic Testing

Genetic testing can confirm a diagnosis, guide treatment decisions, and identify family members who may be at risk.

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Trusted Mixed Connective Tissue Disease Resources

Reputable organizations and medical references for learning more about Mixed Connective Tissue Disease, including disease registries, foundation resources, and clinical guidelines.

Active Clinical Trials for Mixed Connective Tissue Disease

Use this Mixed Connective Tissue Disease clinical trial finder to see the 8 studies recruiting patients and 2 opening soon in the United States and worldwide, with eligibility criteria in plain English. These studies play a critical role in advancing care for autoimmune & inflammatory conditions and may offer access to treatments not yet widely available. Each trial below is sourced directly from ClinicalTrials.gov, with eligibility criteria translated into plain English to help patients and caregivers evaluate whether a study may be a fit.

TrialsSite mapPipeline timeline

Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

67 active trials worldwide
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NOT YET RECRUITINGRecently updatedNCT07005297

Clinical Genetics Branch Eligibility Screening Survey

Sponsor: National Cancer Institute (NCI)

Background:

Ages 1 Year – 99 Years1 location
Started Oct 2026Updated todayEst. Jan 2035 (~8y 3m)
RECRUITINGNARecently updatedNCT05362929

Efficacy and Tolerability of a Hybrid Fractional Laser for the Treatment of Acne Scars in Patients With Skin of Color

Intervention: Sciton Halo

Sponsor: Montefiore Medical Center · Sciton

The investigators aim to investigate the efficacy and tolerability of a hybrid non-ablative/ablative laser for acne scarring in skin of color.

Ages 18 Years+1 location
Started Oct 2023Updated yesterdayEst. Jul 2029 (~2y 10m)
RECRUITINGPHASE2Recently updatedNCT04616560

Trastuzumab Deruxtecan (DS-8201a) for the Treatment of Recurrent or Refractory Osteosarcoma, Wilms Tumor, and Desmoplastic Small Round Cell Tumor

Intervention: Biospecimen Collection, Computed Tomography, Echocardiography Test, Magnetic Resonance Imaging, Multigated Acquisition Scan, Trastuzumab Deruxtecan

Sponsor: National Cancer Institute (NCI)

This phase I/II trial studies the effects of trastuzumab deruxtecan (DS-8201a) in treating patients with osteosarcoma, Wilms tumor (WT) or desmoplastic small round cell tumor (DSRCT) that is newly diagnosed or has come back after a period of improvement (recurrent) or that has no...

Ages 12 Years – 39 Years31 locations
Started Mar 2021Updated 3 days agoEst. Dec 2027 (~1y 2m)
RECRUITINGRecently updatedNCT06605404

Pan-tumor MRD Study

Intervention: blood and tissue samples, blood and tissue samples

Sponsor: Paradigm Health

The purpose of this observational study is to collect clinical information, blood, and tumor tissue samples from participants diagnosed with stage I, stage II, or operable stage III cancer in select solid tumors. The information collected will be used to develop tests to better u...

Ages 18 Years+47 locations
Started Jan 2025Updated 1 week agoEst. Dec 2031 (~5y 3m)
RECRUITINGNARecently updatedNCT06868615

AVAVA MIRIA General Use

Intervention: AVAVA

Sponsor: AVAVA, Inc.

A general protocol to treat a variety of dermatologic conditions and collect patient feedback.

Ages 18 Years – 70 Years1 location
Started Sep 2024Updated 2 weeks agoEst. Dec 2027 (~1y 2m)
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Active trial locations213 cities in the US
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Trial Pipeline

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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
Always talk to your doctor before considering a clinical trial.

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Related Autoimmune & Inflammatory Conditions

Other rare diseases in the autoimmune & inflammatory category. Patients with Mixed Connective Tissue Disease may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Companies Developing Mixed Connective Tissue Disease Treatments

1 pharmaceutical company has Mixed Connective Tissue Disease in their rare disease portfolio

Frequently Asked Questions About Mixed Connective Tissue Disease