A Study to Test Whether BI 655130 (Spesolimab) Prevents Flare-ups in Patients With Generalized Pustular Psoriasis

Study Purpose

This is a study in adolescents and adults with Generalized Pustular Psoriasis (GPP). People between 12 and 75 years old can take part in the study. The study is open to people who had GPP flare-ups in the past but whose skin is clear or almost clear when they join the study. The purpose of the study is to test 3 different doses of a medicine called spesolimab and to see whether it helps to prevent GPP flare-ups. Participants are put into 4 groups by chance. Three groups get different doses of spesolimab. The fourth group gets a placebo. Placebo looks like spesolimab but does not contain any medicine. Spesolimab and placebo are given as an injection under the skin. Participants are in the study for about 1 year and 4 months. During this time, they visit the study site about 15 times. For the first 11 months, participants get spesolimab or placebo injections every month. At the study visits, the doctors check participants' skin for signs of a new GPP flare-up. The doctors also check the general health of the participants. If a participant has a GPP flare-up during the study, more visits may be necessary. In case of a flare-up, participants get a dose of spesolimab as an infusion into a vein.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 12 Years - 75 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Patients with a known and documented history of GPP per ERASPEN criteria (see Section 3.3.
1) regardless of IL36RN mutation status, with at least 2 presentations of moderate to severe GPP flares with fresh pustulation (new appearance or worsening) in the past.
  • - Patients with a GPPGA score of 0 or 1 at screening and randomization.
  • - Patients who are not on concomitant GPP treatment at time of randomization (V2) must have had at least two presentations of moderate to severe GPP flare in the past year, at least one of which had evidence of either fever and/or elevated CRP and/or elevated WBC, and/or asthenia and/or myalgia.
  • - Patients who are not on concomitant GPP treatment at time of randomization (V2) but who were on concomitant GPP treatment until shortly before randomization (V2) (≤ 12 weeks before randomization), these patients must have a history of flaring while on concomitant treatment for GPP or in case of dose reduction or discontinuation of their concomitant medication.
  • - Patients who are on concomitant treatment regimen with retinoids and/or methotrexate and/or cyclosporine must stop at the day of randomization (V2).
These patients must have a history of flaring while on concomitant treatment for GPP or in case of dose reduction or discontinuation of these concomitant medications.
  • - Male or female patients, aged 12 to 75 years at screening.
For all patients, a minimum weight of 40 kg is required.
  • - Signed and dated written informed consent and assent in accordance with ICH-GCP and local legislation prior to admission in the trial.
  • - Women of childbearing potential (WOCBP)1 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 the CTP as well as in the patient, parent(s) (or patient's legal guardian) information.

Exclusion Criteria:

1. Patients with SAPHO (Synovitis-acne-pustulosis-hyperostosis-osteitis) syndrome. 2. Patients with primary erythrodermic psoriasis vulgaris. 3. Severe, progressive, or uncontrolled hepatic disease, defined as >3-fold Upper Limit of Normal (ULN) elevation in Aspartate Aminotransferase (AST) or Alanine Aminotransferase (ALT) or alkaline phosphatase, or >2-fold ULN elevation in total bilirubin. 4. Treatment with: 1. Any restricted medication as specified in the CTP, or any drug considered likely to interfere with the safe conduct of the study, as assessed by the investigator. 2. Any prior exposure to BI 655130 or another IL36R inhibitor biologic. 5. Increased risk of infectious complications (e.g. recent pyogenic infection, any congenital or acquired immunodeficiency (e.g. HIV), past organ or stem cell transplantation), as assessed by the investigator. 6. Relevant chronic or acute infections including active tuberculosis, human immunodeficiency virus (HIV) infection or viral hepatitis at the time of randomization. A patient can be re-screened if the patient was treated and is cured from the acute infection. 7. Active or Latent Tuberculosis (TB):
  • - Patients with active tuberculosis should be excluded.
  • - Patients with a positive QuantiFERON® (or if applicable, T-Spot®) TB test during screening are excluded, unless the patient had previous diagnosis of active or latent TB and has completed appropriate treatment per the discretion of the local investigator within the last 3 years and at the latest at the time of screening (i.e. 2 to 4 weeks before study drug administration); patients may be re-screened once to meet this criterion) - Patients with suspected false positive or indeterminate QuantiFERON® (or if applicable, T-Spot®) TB result may be re-tested once.
  • - If QuantiFERON® (or if applicable, T-Spot®) TB testing is not available or provides indeterminate results after repeat testing, a tuberculin skin test (TST) can be performed: A TST reaction of ≥10mm (≥5mm if receiving ≥15mg/d prednisone or its equivalent) is considered positive.
8. History of allergy/hypersensitivity to the systemically administered trial medication agent or its excipients. Further exclusion criteria apply.

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT04399837
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Boehringer Ingelheim
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

N/A
Principal Investigator Affiliation N/A
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Active, not recruiting
Countries Argentina, Belgium, Chile, China, France, Germany, Greece, Italy, Japan, Korea, Republic of, Malaysia, Mexico, Netherlands, Philippines, Russian Federation, South Africa, Spain, Taiwan, Thailand, Tunisia, Turkey, United States, Vietnam
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Generalized Pustular Psoriasis
Study Website: View Trial Website
Arms & Interventions

Arms

Experimental: Spesolimab, treatment arm 1

Experimental: Spesolimab, treatment arm 2

Experimental: Spesolimab, treatment arm 3

Placebo Comparator: Placebo

Interventions

Drug: - Spesolimab

Solution for injection

Drug: - Placebo

Solution for injection

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Oakland Hills Dermatology, Auburn Hills, Michigan

Status

Address

Oakland Hills Dermatology

Auburn Hills, Michigan, 48326

Washington University School of Medicine, Saint Louis, Missouri

Status

Address

Washington University School of Medicine

Saint Louis, Missouri, 63108

International Sites

Buenos Aires Skin S.A., Caba, Argentina

Status

Address

Buenos Aires Skin S.A.

Caba, , C1055AA0

Hospital Italiano de Buenos Aires, Caba, Argentina

Status

Address

Hospital Italiano de Buenos Aires

Caba, , C1056AB

Brussels - UNIV Saint-Luc, Bruxelles, Belgium

Status

Address

Brussels - UNIV Saint-Luc

Bruxelles, , 1200

Clínica Dermacross S.A., Vitacura, Chile

Status

Address

Clínica Dermacross S.A.

Vitacura, , 7640881

Guangzhou, China

Status

Address

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

Guangzhou, , 510288

Hangzhou, China

Status

Address

2nd Affiliated Hosp Zhejiang University College of Medical

Hangzhou, , 310009

Shanghai Skin Disease Hospital, Shanghai, China

Status

Address

Shanghai Skin Disease Hospital

Shanghai, , 200000

Huashan Hospital, Fudan University, Shanghai, China

Status

Address

Huashan Hospital, Fudan University

Shanghai, , 200040

Shenyang, China

Status

Address

The First Hospital of Chinese Medical University

Shenyang, , 110001

Tianjin, China

Status

Address

Affiliated Hospital of Tianjin institute of Chinese medicine

Tianjin, , 300120

Xi'An, China

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Address

Second Affiliated Hospital of Xi'an JiaoTong University

Xi'An, , 710004

HOP l'Archet, Nice, France

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Address

HOP l'Archet

Nice, , 06200

HOP Saint-Louis, Paris, France

Status

Address

HOP Saint-Louis

Paris, , 75010

Fachklinik Bad Bentheim, Bad Bentheim, Germany

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Address

Fachklinik Bad Bentheim

Bad Bentheim, , 48455

Universitätsklinikum Bonn AöR, Bonn, Germany

Status

Address

Universitätsklinikum Bonn AöR

Bonn, , 53127

Universitätsklinikum Frankfurt, Frankfurt am Main, Germany

Status

Address

Universitätsklinikum Frankfurt

Frankfurt am Main, , 60596

München, Germany

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Address

Klinikum der Universität München - Campus Innenstadt

München, , 80337

Universitätsklinikum Münster, Münster, Germany

Status

Address

Universitätsklinikum Münster

Münster, , 48149

Klinikum Oldenburg AöR, Oldenburg, Germany

Status

Address

Klinikum Oldenburg AöR

Oldenburg, , 26133

Universitätsklinikum Würzburg AÖR, Würzburg, Germany

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Address

Universitätsklinikum Würzburg AÖR

Würzburg, , 97080

Thessaloniki, Greece

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Address

General Hospital of Thessaloniki "Ippokrateio"

Thessaloniki, , 54643

Istituto Clinico Humanitas, Rozzano (MI), Italy

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Address

Istituto Clinico Humanitas

Rozzano (MI), , 20089

Nagoya City University Hospital, Aichi, Nagoya, Japan

Status

Address

Nagoya City University Hospital

Aichi, Nagoya, , 467-8602

Kyushu Rosai Hospital, Fukuoka, Kitakyushu, Japan

Status

Address

Kyushu Rosai Hospital

Fukuoka, Kitakyushu, , 800-0296

Ibaraki, Inashiki-gun, Japan

Status

Address

Tokyo Medical University Ibaraki Medical Center

Ibaraki, Inashiki-gun, , 300-0395

Saitama Medical University Hospital, Saitama, Iruma-gun, Japan

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Address

Saitama Medical University Hospital

Saitama, Iruma-gun, , 350-0495

Tokyo, Hachioji, Japan

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Address

Tokyo Medical University Hachioji Medical Center

Tokyo, Hachioji, , 193-0998

Tokyo Medical University Hospital, Tokyo, Shinjuku-ku, Japan

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Address

Tokyo Medical University Hospital

Tokyo, Shinjuku-ku, , 160-0023

Pusan National Univ. Hosp, Busan, Korea, Republic of

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Address

Pusan National Univ. Hosp

Busan, , 49241

Severance Hospital, Seoul, Korea, Republic of

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Address

Severance Hospital

Seoul, , 03722

Hospital Pulau Pinang, Georgetown Pulau Pinang, Malaysia

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Address

Hospital Pulau Pinang

Georgetown Pulau Pinang, , 10990

Hospital Sultanah Aminah, Johor Bahru, Malaysia

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Address

Hospital Sultanah Aminah

Johor Bahru, , 80100

Hospital Sultan Ismail, Johor Bahru, Malaysia

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Address

Hospital Sultan Ismail

Johor Bahru, , 81100

Queen Elizabeth Hospital, Kota Kinabalu, Malaysia

Status

Address

Queen Elizabeth Hospital

Kota Kinabalu, , 88586

Hospital Kuala Lumpur, Kuala Lumpur, Malaysia

Status

Address

Hospital Kuala Lumpur

Kuala Lumpur, , 50586

Sarawak General Hospital, Kuching, Sarawak, Malaysia

Status

Address

Sarawak General Hospital

Kuching, Sarawak, , 93586

Hospital Pakar Sultanah Fatimah, Muar, Malaysia

Status

Address

Hospital Pakar Sultanah Fatimah

Muar, , 84000

Hospital Raja Permaisuri Bainun, Negeri Perak/Ipoh, Malaysia

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Address

Hospital Raja Permaisuri Bainun

Negeri Perak/Ipoh, , 30450

Guadalajara, Mexico

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Address

Centro de Investigación de Enfermedades Autoinmunes S.C.

Guadalajara, , 44610

Monterrey, Mexico

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Address

Hospital Universitario Dr Jose Eleuterio Gonzalez

Monterrey, , 64460

Erasmus Medisch Centrum, Rotterdam, Netherlands

Status

Address

Erasmus Medisch Centrum

Rotterdam, , 3015 GD

Southern Philippines Medical Center, Davao City, Philippines

Status

Address

Southern Philippines Medical Center

Davao City, , 8000

Iloilo Doctors Hospital, Iloilo City, Iloilo, Philippines

Status

Address

Iloilo Doctors Hospital

Iloilo City, Iloilo, , 5000

Makati City, Philippines

Status

Address

Center for Skin Research, Testing and Product Development

Makati City, , 1229

SBHI Chelyabinsk Reg.Clin.Derma.Dispen., Chelyabinsk, Russian Federation

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Address

SBHI Chelyabinsk Reg.Clin.Derma.Dispen.

Chelyabinsk, , 454048

LLC "Medical Center Azbuka Zdorovia", Kazan, Russian Federation

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Address

LLC "Medical Center Azbuka Zdorovia"

Kazan, , 420111

Kirov, Russian Federation

Status

Address

FSBEI HE "Kirov State Medical University"

Kirov, , 610035

Saint-Petersburg, Russian Federation

Status

Address

1stPavlov St.Med.Univ.St.-Petersburg Res.Inst.

Saint-Petersburg, , 197022

Saratov State Med.Univ.n.a.Razumovskogo, Saratov, Russian Federation

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Address

Saratov State Med.Univ.n.a.Razumovskogo

Saratov, , 410028

St. Petersburg, Russian Federation

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Address

LLC Skin Disease Clinic of Pier Volkenstein, St. Petersburg

St. Petersburg, , 190123

LLC "Avrora Medfort", St. Petersburg, Russian Federation

Status

Address

LLC "Avrora Medfort"

St. Petersburg, , 194156

Arthritis Clinical Research Trials, Cape Town, South Africa

Status

Address

Arthritis Clinical Research Trials

Cape Town, , 7405

Hospital Sant Joan de Déu, Esplugues Del Llobregat, Spain

Status

Address

Hospital Sant Joan de Déu

Esplugues Del Llobregat, , 08950

Hospital Universitario 12 de Octubre, Madrid, Spain

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Address

Hospital Universitario 12 de Octubre

Madrid, , 28041

Linkou, Taiwan

Status

Address

Chang Gung Medical Foundation (CGMF) - Linkou Bran

Linkou, , 333

National Taiwan University Hospital, Taipei, Taiwan

Status

Address

National Taiwan University Hospital

Taipei, , 10002

King Chulalongkorn Memorial Hospital, Bangkok, Thailand

Status

Address

King Chulalongkorn Memorial Hospital

Bangkok, , 10330

Institute of Dermatology, Bangkok, Thailand

Status

Address

Institute of Dermatology

Bangkok, , 10400

Ramathibodi Hospital, Ratchatewi, Bangkok, Thailand

Status

Address

Ramathibodi Hospital

Ratchatewi, Bangkok, , 10400

Farhat Hached Hospital, Sousse, Tunisia

Status

Address

Farhat Hached Hospital

Sousse, , 4000

Tunisia, Tunisia

Status

Address

Hedi Chaker Hospital, Department of Dermatology

Tunisia, , 1053

La Rabta Hospital, Tunis, Tunisia

Status

Address

La Rabta Hospital

Tunis, , 1007

Charles Nicolle Hospital, Tunis, Tunisia

Status

Address

Charles Nicolle Hospital

Tunis, , 1008

Habib Thameur Hospital, Tunis, Tunisia

Status

Address

Habib Thameur Hospital

Tunis, , 1008

Bursa, Turkey

Status

Address

Uludag University Medicine Faculty Departmant of Dermatology

Bursa, , 16059

Istanbul, Turkey

Status

Address

Bezmi Alem Valide Sultan Vakif Gureba Egitim ve Arastirma Hastanesi

Istanbul, , 34093

Istanbul, Turkey

Status

Address

Istanbul Universitesi Cerrahpasa Tip Fakultesi

Istanbul, , 34098

Marmara Universitesi Tip Fakultesi, Istanbul, Turkey

Status

Address

Marmara Universitesi Tip Fakultesi

Istanbul, , 34460

Ha Noi, Vietnam

Status

Address

National Hospital of Dermatology and Venereology

Ha Noi, , 10000

HCMC Hospital of Dermato-Venereology, Ho Chi Minh, Vietnam

Status

Address

HCMC Hospital of Dermato-Venereology

Ho Chi Minh, , 70000

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