A Study to Test Whether Spesolimab Helps People With Generalized Pustular Psoriasis (GPP) Who Need Treatment for Repeated Flares

NCT ID: NCT06013969

Last Updated: 2025-12-19

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

PHASE4

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-22

Study Completion Date

2026-08-14

Brief Summary

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This study is open to adults with a serious skin disease called generalized pustular psoriasis (GPP) who have repeated flares of GPP. The purpose of this study is to find out whether a medicine called spesolimab helps people with repeated flares of GPP.

Participants are given a single dose of spesolimab as an infusion into a vein on the first day of an outbreak of GPP. They may be given a second dose 1 week later if doctors think it is helpful. They are also treated for additional GPP flares.

During the time of the study, doctors regularly examine participants' skin for signs of GPP to see how well the treatment works and take blood samples. The doctors also regularly check participants' health and take note of any unwanted effects.

Detailed Description

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Conditions

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Generalized Pustular Psoriasis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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GPP Patients

Generalized Pustular Psoriasis (GPP) patients with a recurrent flare following initial GPP flare treatment with intravenous (i.v.) spesolimab.

Group Type EXPERIMENTAL

Spesolimab

Intervention Type DRUG

Spesolimab intravenous (i.v.) infusion

Interventions

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Spesolimab

Spesolimab intravenous (i.v.) infusion

Intervention Type DRUG

Other Intervention Names

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Spevigo®

Eligibility Criteria

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Inclusion Criteria

* Patients with a Generalized Pustular Psoriasis Physician Global Assessment (GPPGA) pustulation sub-score of 0 or 1 and a known and documented history of Generalized Pustular Psoriasis (GPP) (per European Rare And Severe Psoriasis Expert Network - ERASPEN - criteria), regardless of Interleukin 36 Receptor Antagonist (IL-36RN) gene mutation status or Patients with a GPP flare and a known and documented history of GPP (per ERASPEN criteria) regardless of IL-36RN gene mutation status.
* Patients must have a history of frequent GPP flares in the past
* Male or female patients, aged ≥18 years (if local legislation for age of consent differs, then local legislation will be followed) at screening
* Signed and dated written informed consent prior to admission to the trial in accordance with International Conference on Harmonisation-Good Clinical Practice (ICH-GCP) and local legislation prior to start of any screening procedures
* Women of childbearing potential (WOCBP) 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

Exclusion Criteria

* Drug-triggered Acute Generalized Exanthematous Pustulosis (AGEP)
* Patients with primary plaque psoriasis vulgaris without presence of pustules or with pustules that are restricted to psoriatic plaques
* Patients with primary erythrodermic psoriasis vulgaris
* Patients with SAPHO (Synovitis-acne-pustulosis-hyperostosis-osteitis) syndrome
* Immediate life-threatening flare of GPP or requiring intensive care treatment, according to the investigator's judgement. Life-threatening complications mainly include, but are not limited to, cardiovascular/cytokine driven shock, pulmonary distress syndrome, or acute renal failure
* Severe, progressive, or uncontrolled hepatic disease, defined as \>3-fold upper limit normal (ULN) elevation in Aspartate Aminotransferase (AST) or Alanine Aminotransferase (ALT) or alkaline phosphatase, or \>2-fold ULN elevation in total bilirubin
* Presence of acute demyelinating neuropathy
* Treatment with any drug considered likely to interfere with the safe conduct of the trial, as assessed by the investigator
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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HOP Trousseau

Chambray-lès-Tours, , France

Site Status

HOP Saint-Louis

Paris, , France

Site Status

University of California Irvine

Irvine, California, United States

Site Status

Red River Research Partners, LLC

Fargo, North Dakota, United States

Site Status

Liverpool Hospital

Liverpool, New South Wales, Australia

Site Status

Westmead Hospital

Westmead, New South Wales, Australia

Site Status

Cliniques Universitaires Saint-Luc

Brussels, , Belgium

Site Status

Hospital Universitario Evangelico Mackenzie

Curitiba, , Brazil

Site Status

Faculdade de Medicina do ABC

Santo André, , Brazil

Site Status

Southern Medical University Dermatology Hospital

Guangzhou, , China

Site Status

Shanghai Skin Disease Hospital

Shanghai, , China

Site Status

Shanghai Tenth People's Hospital

Shanghai, , China

Site Status

Universitätsklinikum Frankfurt

Frankfurt am Main, , Germany

Site Status

Klinikum der Universität München AÖR

München, , Germany

Site Status

SP medical college and associated group of hospitals

Bikaner, , India

Site Status

Nkp Salve Institute of Medical Sciences and Lata Mangeshkar Hospital

Nagpur, , India

Site Status

ASST degli Spedali Civili di Brescia

Brescia, , Italy

Site Status

Hospital Selayang

Batu Caves, , Malaysia

Site Status

Hospital Pulau Pinang-Pulau Pinang-21953

Georgetown Pulau Pinang, , Malaysia

Site Status

Hospital Sultanah Aminah

Johor Bahru, , Malaysia

Site Status

Hospital Sultan Ismail

Johor Bahru, , Malaysia

Site Status

Hospital Kuala Lumpur

Kuala Lumpur, , Malaysia

Site Status

Hospital Putrajaya

Putrajaya, , Malaysia

Site Status

Sunway Medical Centre

Selangor Darul Ehsan, , Malaysia

Site Status

National University Hospital-Singapore-42005

Singapore, , Singapore

Site Status

Nelson Mandela Academic Clinical Research Unit (NeMACRU)

Mthatha, Eastern Cape, , South Africa

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Hospital Universitari Vall D Hebron

Barcelona, , Spain

Site Status

Hospital Universitario Ramon Y Cajal

Madrid, , Spain

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Chang Gung Memorial Hospital, Linkou

Taoyuan District, , Taiwan

Site Status

Srinagarind Hospital

Khon Kaen, , Thailand

Site Status

Maharat Nakhonchiangmai Hospital

Muang Chiang Mai, , Thailand

Site Status

Hedi Chaker Hospital, Department of Dermatology

Sfax, , Tunisia

Site Status

Farhat Hached Hospital

Sousse, , Tunisia

Site Status

Countries

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Turkey (Türkiye) United States Australia Belgium Brazil China France Germany India Italy Malaysia Singapore South Africa South Korea Spain Taiwan Thailand Tunisia

Related Links

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Other Identifiers

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2022-502128-38-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

U1111-1291-3088

Identifier Type: REGISTRY

Identifier Source: secondary_id

1368-0120

Identifier Type: -

Identifier Source: org_study_id