Effisayil™ ON: A Study to Test Long-term Treatment With Spesolimab in People With Generalized Pustular Psoriasis Who Took Part in a Previous Study

NCT ID: NCT03886246

Last Updated: 2025-10-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

131 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-05-29

Study Completion Date

2028-04-27

Brief Summary

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This study is open to people with generalized pustular psoriasis (GPP). People can only take part if they have completed treatment in a previous study with spesolimab (1368-0013 or 1368-0027).

The goal of this study is to find out how well people with GPP tolerate long-term treatment with spesolimab. The study also tests whether spesolimab helps improve GPP symptoms and how quickly the symptoms improve after a flare-up.

Every participant gets spesolimab for almost 5 years (252 weeks). Depending on their symptoms and whether they had a GPP flare during the previous trial, they get spesolimab every few weeks. When participants have a GPP flare during this trial, they get spesolimab as an infusion into a vein.

Participants visit their doctors regularly. During these visits, the doctors collect information on any health problems of the participants. To assess the study endpoints, doctors regularly check participants' skin.

Detailed Description

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Conditions

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Generalized Pustular Psoriasis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Spesolimab (every 6 weeks)

Group Type EXPERIMENTAL

Spesolimab

Intervention Type DRUG

Solution for infusion

Spesolimab

Intervention Type DRUG

Solution for injection

Spesolimab (every 12 weeks)

Group Type EXPERIMENTAL

Spesolimab

Intervention Type DRUG

Solution for injection

Spesolimab (every 4 weeks)

Group Type EXPERIMENTAL

Spesolimab

Intervention Type DRUG

Solution for injection

Interventions

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Spesolimab

Solution for infusion

Intervention Type DRUG

Spesolimab

Solution for injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female patients who have completed the treatment period without premature discontinuation in the previous spesolimab trial and are willing and able to continue treatment in the current trial
* Women of childbearing potential must be ready and able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria is provided in Section 4.2.2.3 as well as in the patient information. Note: A woman is considered of childbearing potential, i.e. fertile, following menarche and until becoming postmenopausal unless permanently sterile. Permanent sterilisation methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy. Tubal ligation is not a method of permanent sterilization. A postmenopausal state is defined as no menses for 12 months without an alternative medical cause.
* Signed and dated written informed consent and assent for the current trial 1368-0025, in accordance with ICH-GCP and local legislation prior to admission to the current trial

Exclusion Criteria

* Evidence of flare symptoms of moderate/severe intensity at screening.
* Treatment with any restricted medication as specified in the protocol, or any drugs considered by the investigator likely to interfere with the safe conduct of the study since the last visit of the previous spesolimab trial and during the screening period for the current trial, with the exception of methotrexate, cyclosporine, or retinoids started following rescue treatment for GPP flare in trial 1368-0027.
* Severe, progressive, or uncontrolled hepatic disease, defined as \>3- fold Upper Limit of Normal (ULN) elevation in Aspartate Transaminase (AST) or Alanine Aminotransferase (ALT) or alkaline phosphatase, or \>2- fold ULN elevation in total bilirubin.
* Patients with congestive heart disease, as assessed by the investigator.
* Relevant chronic or acute infections including human immunodeficiency virus (HIV) or viral hepatitis. A patient can be re-screened if the patient was treated and is cured from acute infection.
* Active or Latent tuberculosis (TB):

* Patients with active tuberculosis should be excluded
* Patients will be screened with Interferon Gamma Release Assay (IGRA) such as QuantiFERON®-TB-Gold Plus or T-spot®. Patients with positive IGRA (indicating active or latent tuberculosis) are excluded unless they have completed treatment for active or latent tuberculosis per investigator discretion, at the time of screening.
* Patients with indeterminate QuantiFERON®-TB-Gold Plus or invalid/borderline T-spot® may be retested with IGRA (once) or Tuberculin Skin test (TST).
* TST or any alternative test/procedure (as per local standards) to rule out TB can be performed if IGRA is not available or indeterminate. A TST reaction ≥10mm (≥5mm if receiving ≥15mg/d prednisone or other immunosuppressant) is considered positive. Patients with a positive TST are excluded unless they have completed treatment as above.
* History of allergy/hypersensitivity to a systemically administered trial medication agent or its excipients.
* Any documented active or suspected malignancy at screening, except appropriately treated basal cell carcinoma of the skin, squamous cell carcinoma of the skin or in situ carcinoma of uterine cervix.
Minimum Eligible Age

12 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boehringer Ingelheim

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Oakland Hills Dermatology

Auburn Hills, Michigan, United States

Site Status

Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status

Hospital Italiano de Buenos Aires

CABA, , Argentina

Site Status

Cliniques Universitaires Saint-Luc

Brussels, , Belgium

Site Status

Clínica Dermacross S.A.

Vitacura, , Chile

Site Status

Sun yet-sen Memorial Hospital, Sun yet-sen Univesity

Guangzhou, , China

Site Status

The Second Affiliated Hospital Zhejiang University School of Medicine

Hangzhou, , China

Site Status

Shanghai Skin Disease Hospital

Shanghai, , China

Site Status

Huashan Hospital, Fudan University

Shanghai, , China

Site Status

Second Affiliated Hospital of Xi'an JiaoTong University

Xi'an, , China

Site Status

HOP Saint-André

Bordeaux, , France

Site Status

HOP l'Archet

Nice, , France

Site Status

HOP Saint-Louis

Paris, , France

Site Status

HOP Robert Debré

Reims, , France

Site Status

Fachklinik Bad Bentheim

Bad Bentheim, , Germany

Site Status

Charite Universitätsmedizin Berlin KöR

Berlin, , Germany

Site Status

Universitätsklinikum Bonn AöR

Bonn, , Germany

Site Status

Universitätsklinikum Frankfurt

Frankfurt am Main, , Germany

Site Status

Klinikum der Universität München - Campus Innenstadt

München, , Germany

Site Status

Westfälische Wilhelms-Universität Münster

Münster, , Germany

Site Status

Klinikum Oldenburg AöR

Oldenburg, , Germany

Site Status

Istituto Clinico Humanitas

Rozzano (MI), , Italy

Site Status

Nagoya City University Hospital

Aichi, Nagoya, , Japan

Site Status

Tokyo Medical University Ibaraki Medical Center

Ibaraki, Inashiki-gun, , Japan

Site Status

Saitama Medical University Hospital

Saitama, Iruma-gun, , Japan

Site Status

Tokyo Medical University Hachioji Medical Center

Tokyo, Hachioji, , Japan

Site Status

Hospital Pulau Pinang-Pulau Pinang-21953

George Town, , Malaysia

Site Status

Hospital Raja Permaisuri Bainun

Ipoh, , Malaysia

Site Status

Hospital Sultanah Aminah

Johor Bahru, , Malaysia

Site Status

Hospital Sultan Ismail

Johor Bahru, , Malaysia

Site Status

Queen Elizabeth Hospital-Kota Kinabalu-40735

Kota Kinabalu, , Malaysia

Site Status

Hospital Kuala Lumpur

Kuala Lumpur, , Malaysia

Site Status

Hospital Selayang

Kuala Selangor, , Malaysia

Site Status

Sarawak General Hospital

Kuching, Sarawak, , Malaysia

Site Status

Hospital Pakar Sultanah Fatimah

Muar town, , Malaysia

Site Status

Hospital Universitario Dr Jose Eleuterio Gonzalez

Monterrey, , Mexico

Site Status

Southern Philippines Medical Center -Davao-62091

Davao City, , Philippines

Site Status

Iloilo Doctors Hospital

Iloilo City, Iloilo, , Philippines

Site Status

Center for Skin Research, Testing and Product Development

Makati City, , Philippines

Site Status

SBHI Chelyabinsk Reg.Clin.Derma.Dispen.

Chelyabinsk, , Russia

Site Status

LLC "Medical Center Azbuka Zdorovia"

Kazan', , Russia

Site Status

FSBEI HE "Kirov State Medical University"

Kirov, , Russia

Site Status

LLC Skin Disease Clinic of Pier Volkenstein, St. Petersburg

Saint Petersburg, , Russia

Site Status

Saratov State Med.Univ.n.a.Razumovskogo

Saratov, , Russia

Site Status

Singapore General Hospital

Singapore, , Singapore

Site Status

Severance Hospital

Seoul, , South Korea

Site Status

Hospital Sant Joan de Déu

Esplugues Del Llobregat, , Spain

Site Status

Chang Gung Medical Foundation (CGMF) - Linkou Bran

Linkou District, , Taiwan

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Institute of Dermatology

Bangkok, , Thailand

Site Status

Ramathibodi Hospital

Bangkok, , Thailand

Site Status

Farhat Hached Hospital

Sousse, , Tunisia

Site Status

La Rabta Hospital

Tunis, , Tunisia

Site Status

Hedi Chaker Hospital, Department of Dermatology

Tunisia, , Tunisia

Site Status

Marmara Universitesi Pendik Egitim ve Arastirma Hastanesi

Istanbul, , Turkey (Türkiye)

Site Status

National Hospital of Dermatology and Venereology

Hà Nội, , Vietnam

Site Status

HCMC Hospital of Dermato-Venereology-Ho Chi Minh-66092

Ho Chi Minh City, , Vietnam

Site Status

Countries

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United States Argentina Belgium Chile China France Germany Italy Japan Malaysia Mexico Philippines Russia Singapore South Korea Spain Taiwan Thailand Tunisia Turkey (Türkiye) Vietnam

Related Links

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Other Identifiers

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2018-003080-56

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

1368-0025

Identifier Type: -

Identifier Source: org_study_id

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