Dermatologic

Morphea Clinical Trials and Treatments

Also called Localized Scleroderma, Circumscribed Scleroderma

Morphea is a localized form of scleroderma confined to the skin and subcutaneous tissues, without the systemic manifestations characteristic of systemic sclerosis (systemic sclerosis primarily affects internal organs). The pathophysiology involves excessive collagen deposition in the dermis and subcutaneous tissues, mediated by transforming growth factor-beta (TGF-β) and other fibrogenic cytokines, with activation of fibroblasts and myofibroblasts.

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About Morphea

Morphea is a localized form of scleroderma confined to the skin and subcutaneous tissues, without the systemic manifestations characteristic of systemic sclerosis (systemic sclerosis primarily affects internal organs). The pathophysiology involves excessive collagen deposition in the dermis and subcutaneous tissues, mediated by transforming growth factor-beta (TGF-β) and other fibrogenic cytokines, with activation of fibroblasts and myofibroblasts.

Morphea presents as circumscribed patches of induration with characteristic lilac ring (reddish-purple border) in early stages. Lesions typically begin as erythematous or violet patches that gradually harden and become sclerotic. Hypopigmentation or hyperpigmentation develops at lesion sites. Common locations include lower abdomen, flanks, upper back, and lower extremities.

Morphea can be superficial (affecting dermis only) or involve subcutaneous tissue and muscle. Linear morphea (scleroderma en coup de sabre) can cause significant deformity, particularly when involving the face or affecting function over joints. En coup de sabre with facial involvement can cause hemifacial atrophy. Systemic symptoms and internal organ involvement (which define systemic sclerosis) do not occur with morphea.

Common Symptoms of Morphea

Recognizing the signs of Morphea 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.

  • Hardened, thickened patches of skin with well-defined borders
  • Purple or reddish rings around patches (lilac ring sign)
  • Hypopigmentation or hyperpigmentation of affected areas
  • Skin tightness and loss of normal skin texture
  • Itching or burning sensations
  • Contractures and functional impairment if involving joints

Who Morphea Affects

Morphea can develop at any age but most commonly appears in adults aged 30-60 years, with higher prevalence in women (female-to-male ratio approximately 2-3:1). It occurs across all racial and ethnic groups, though some studies suggest higher prevalence in Caucasians. The disease is not inherited, though autoimmune tendency may run in families.

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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 Morphea Resources

Reputable organizations and medical references for learning more about Morphea, including disease registries, foundation resources, and clinical guidelines.

Active Clinical Trials for Morphea

Use this Morphea clinical trial finder to see the 4 studies recruiting patients in the United States and worldwide, with eligibility criteria in plain English. These studies play a critical role in advancing care for dermatologic 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.

4 active trials worldwide
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RECRUITINGUpdated a few months agoNCT01808937

Morphea in Adults and Children (MAC) Cohort Study: A Morphea Registry and DNA Repository

Intervention: Morphea

Sponsor: University of Texas Southwestern Medical Center

The Morphea in Adults and Children (MAC) cohort is the first registry for both children and adults with morphea (also known as localized scleroderma) in the country. The purpose of the registry is to learn more about morphea, specifically:

* How morphea behaves over time

Ages up to 90 Years1 location
Started May 2007Updated 4 months agoEst. Jan 2027 (~4 months)
RECRUITINGNANo updates in a whileNCT07292961

Investigating the Effectiveness of the Biopsychosocial Model-Based Exercise Approach in Children and Adults Diagnosed With Scleroderma

Intervention: Cognitive Exercise Therapy Approach, Control group

Sponsor: Hacettepe University

This study aims to investigate the effectiveness of BETY, an exercise approach based on the biopsychosocial model, in children and adults diagnosed with scleroderma.

Ages 7 Years+1 location
Started Dec 2025Updated 9 months agoEst. Dec 2027 (~1y 2m)
RECRUITINGHasn't posted an update in over a yearNCT07182981

Patients Diagnosed With Scleroderma and Their Chewing and Swallowing Performance

Intervention: Questionnaire application for child and adult scleroderma patients

Sponsor: Hacettepe University

It is recommended to focus on the physical functionality, chewing, and swallowing performance of individuals diagnosed with scleroderma. There is a need to address children and adults diagnosed with scleroderma comprehensively and to evaluate them on a biopsychosocial basis to su...

Ages 7 Years+1 location
Started Aug 2025Updated 1 year agoEst. Aug 2027 (~11 months)
RECRUITINGHasn't posted an update in over a yearNCT07183072

Patients Diagnosed With Scleroderma: Physical Performance and Functionality

Intervention: Questionnaire and functionality application for child and adult scleroderma patients

Sponsor: Hacettepe University

Physical functionality and performance are important for individuals diagnosed with scleroderma. There is a need to address children and adults diagnosed with scleroderma comprehensively and to evaluate them on a biopsychosocial basis to support their disease management. In light...

Ages 7 Years+1 location
Started Aug 2025Updated 1 year agoEst. Aug 2027 (~11 months)
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Active trial locations1 city in the US

Trial Pipeline

Jan 2021 to Jan 2028
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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
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Patient Communities

Connect with other Morphea patients, caregivers, and advocacy groups across Facebook groups, Reddit communities, and YouTube channels. These patient communities offer peer support, shared experiences, caregiver resources, and real-time discussion about Morphea treatments, clinical trial participation, and day-to-day disease management.

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Related Dermatologic Conditions

Other rare diseases in the dermatologic category. Patients with Morphea may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Companies Developing Morphea Treatments

3 pharmaceutical companies have Morphea in their rare disease portfolio

Frequently Asked Questions About Morphea