A Study to Test Whether Spesolimab Helps People With a Skin Disease Called Hidradenitis Suppurativa

NCT ID: NCT04762277

Last Updated: 2025-10-17

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-04-06

Study Completion Date

2022-04-21

Brief Summary

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This study is open to adults with a chronic inflammatory skin disease called hidradenitis suppurativa. The purpose of this study is to find out whether a medicine called spesolimab helps people with moderate to severe hidradenitis suppurativa.

Participants are put into 2 groups by chance. One group takes spesolimab. The other group takes placebo. Every participant has twice the chance of being in the spesolimab group than in the placebo group. Participants get spesolimab or placebo as an infusion into a vein every week for the first 3 weeks. Afterwards, they get spesolimab or placebo as injections under the skin every 2 weeks. Placebo infusions and injections look like spesolimab infusions and injections but do not contain any medicine.

Participants are treated in the study for about 3 months. During this time, they visit the study site about 9 times. After completing this part of the study, participants are offered to join another clinical study in which all participants get spesolimab. Participants who cannot join the other study, stay in this study for about 4 more months. During this time, participants do not take spesolimab nor placebo but they visit the study site 2 times to have their health checked.

At study visits, doctors thoroughly check the skin of participants to count lumps (nodules) and boils (abscesses). The results between the spesolimab group and the placebo group are compared after 3 months of treatment. The doctors also regularly check the general health of the participants.

Detailed Description

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Conditions

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Hidradenitis Suppurativa

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Spesolimab

Group Type EXPERIMENTAL

Spesolimab - solution for infusion

Intervention Type DRUG

Solution for infusion

Spesolimab- solution for injection

Intervention Type DRUG

Solution for injection

Placebo

Group Type PLACEBO_COMPARATOR

Placebo matching spesolimab - solution for infusion

Intervention Type DRUG

Solution for infusion

Placebo matching to spesolimab- solution for injection

Intervention Type DRUG

Solution for injection

Interventions

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Spesolimab - solution for infusion

Solution for infusion

Intervention Type DRUG

Placebo matching spesolimab - solution for infusion

Solution for infusion

Intervention Type DRUG

Spesolimab- solution for injection

Solution for injection

Intervention Type DRUG

Placebo matching to spesolimab- solution for injection

Solution for injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female adult patients, 18 years of age or older
* Signed and dated written informed consent in accordance with International Council on Harmonisation (ICH) Good Clinical Practice (GCP) and local legislation prior to the start of any screening procedures
* Moderate to severe Hidradenitis suppurativa (HS), based on International Hidradenitis Suppurativa Severity Score System (IHS4) criteria, for at least 1 year prior to the baseline visit, as determined by the investigator through participant interview and/or review of the medical history. (If IHS4 scoring is not available, equivalent scoring based on scoring systems as HS-PGA or Hurley are acceptable based on documented investigator assessment)
* HS lesions in at least 2 distinct anatomic area (right/left axillary, inguinal, inframammary, perineal)
* Biologic naive or TNF inhibitor (TNFi)-failure for HS
* Inadequate response to an adequate course of appropriate oral antibiotics for treatment of HS in the last 1 year, as per investigator discretion. This is not applicable for TNFi-failure patients
* Total abscess and inflammatory nodule (AN) count of greater than or equal to 5

Exclusion Criteria

* Presence of active skin lesions other than HS that interfere with the assessment of HS
* Use of restricted medications as below:

* Topical corticosteroids over HS lesions within 1 week of Visit 2
* Systemic antibiotics within 4 weeks of visit 2
* Systemic non-biologic immunomodulatory and/or immunosuppressive agents use for HS within 4 weeks (or 5 half lives, whichever is longer) of visit 2
* Biologic agents use within 12 weeks or 5 half-lives, whichever is longer, prior to visit 2
* Opioid analgesics within 2 weeks of visit 2
* Live virus vaccine within 6 weeks of visit 2
* Prior exposure to any immunosuppressive biologic other than TNFi for HS
* Prior exposure to Interleukin 36 Receptor (IL-36R) inhibitors including spesolimab
* Treatment with any investigational device or investigational drug of chemical or biologic nature within a minimum of 30 days or 5 half-lives of the drug, whichever is longer, prior to visit 2
* Women who are pregnant, nursing, or who plan to become pregnant while in the trial. Women who stop nursing before the study drug administration do not need to be excluded from participating
* History of allergy/hypersensitivity to the systemically administered trial medication agent or its excipients
Minimum Eligible Age

18 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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Dermatology Research Associates

Los Angeles, California, United States

Site Status

Dawes Fretzin Clinical Research Group, LLC

Indianapolis, Indiana, United States

Site Status

Mayo Clinic, Rochester

Rochester, Minnesota, United States

Site Status

Unity Clinical Research

Oklahoma City, Oklahoma, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Holdsworth House Medical Practice

Sydney, New South Wales, Australia

Site Status

Royal Melbourne Hospital

Parkville, Victoria, Australia

Site Status

ULB Hopital Erasme

Brussels, , Belgium

Site Status

Dr. S. K. Siddha Medicine Professional Corporation

Newmarket, Ontario, Canada

Site Status

University Hospital Ostrava

Ostrava, , Czechia

Site Status

CLI Reims Bezannes

Bezannes, , France

Site Status

HOP Edouard Herriot

Lyon, , France

Site Status

HOP Larrey

Toulouse, , France

Site Status

Katholisches Klinikum Bochum gGmbH

Bochum, , Germany

Site Status

Städtisches Klinikum Dessau

Dessau, , Germany

Site Status

Universitätsklinikum Frankfurt

Frankfurt am Main, , Germany

Site Status

Ospedali Riuniti di Ancona

Ancona, , Italy

Site Status

Azienda Ospedaliera Universitaria Pisana

Pisa, , Italy

Site Status

Erasmus Medisch Centrum

Rotterdam, , Netherlands

Site Status

Haukeland Universitetssykehus

Bergen, , Norway

Site Status

Nordlandssykehuset HF, Bodø

Bodø, , Norway

Site Status

Oslo Universitetssykehus HF, Rikshospitalet

Oslo, , Norway

Site Status

Non-Public Health Care Facility LABDERM

Ossy, , Poland

Site Status

Cityclinic Medical and Psychological Clinic Matusiak Partnership

Wroclaw, , Poland

Site Status

Hospital Santa Creu i Sant Pau

Barcelona, , Spain

Site Status

Countries

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United States Australia Belgium Canada Czechia France Germany Italy Netherlands Norway Poland Spain

References

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Lebwohl MG, Thoma C, Haeufel T. Spesolimab use in generalised pustular psoriasis flares - Authors' reply. Lancet. 2024 Aug 31;404(10455):847-848. doi: 10.1016/S0140-6736(24)01557-5. No abstract available.

Reference Type DERIVED
PMID: 39216969 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2020-003672-40

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

1368-0052

Identifier Type: -

Identifier Source: org_study_id

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