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CompletedNCT01845987Updated Nov 20, 2015

A Study of the Efficacy, Safety and Tolerability of CNTO 1959, a Human Anti-IL 23 Monoclonal Antibody in Participants With Palmoplantar Pustulosis

A Phase 2 interventional study of Placebo and CNTO 1959 in Palmoplantaris Pustulosis, sponsored by Janssen Pharmaceutical K.K.. Completed at 8 sites in Japan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2015-11-20.

Sponsored by Janssen Pharmaceutical K.K. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
49
Allocation
Randomized
Ages
20 Years and older
Sex
All
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Study summary

The purpose of this study is to assess the efficacy, safety, and tolerability of CNTO 1959 following subcutaneous administration in participants with palmoplantar pustulosis.

Read the detailed description

This will be a double-blind (participants and study personnel will not know the identity of the treatments given), multicenter study that is placebo-controlled (a placebo is identical to a study treatment, but has no active ingredients). Participants will be randomly assigned to 1 of 2 treatment groups (CNTO 1959 or placebo). The total duration of participation will be approximately 30 weeks, including a screening period of about 6 weeks before dosing. Participant safety will be monitored throughout the study.

02

Conditions studied

  • Palmoplantaris Pustulosis

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Keywords

  • Palmoplantaris Pustulosis
  • CNTO 1959
  • Psoriasis
  • Anti-IL 23 Monoclonal Antibody
03

In context

Psoriasis

1,899 studies on the registry are indexed under Psoriasis; 233 are open to participants now.

This study's enrollment of 49 is below the median of 70 across 1,447 interventional studies indexed under Psoriasis.

Browse Psoriasis studies →

Lead sponsor

Janssen Pharmaceutical K.K. is the lead sponsor of 122 studies on the registry; none are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 6 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participant has a diagnosis of palmoplantar pustulosis at screening (participants with concurrent extra-palmoplantar lesions [includes plaque-type psoriasis lesions] and/or pustulotic arthro-osteitis [PAO] can also be included)
  • Participant has active lesions on the palms or soles at screening and baseline
  • Participant has inadequate response to treatment with topical steroid and/or topical vitamin D3 derivative preparations and/or phototherapy and/or systemic etretinate prior to or at screening
  • Participant has a Palmoplantar Pustulosis Severity Index (PPSI) score of 7 or greater at screening and baseline
  • At screening, the results of laboratory blood tests must be within protocol-specified limits

Exclusion criteria

Exclusion Criteria:

  • History of or current signs of severe, progressive, or uncontrolled renal, hepatic, hematological, gastrointestinal, endocrine, pulmonary, neurologic, cerebral, or psychiatric disease
  • Participant has unstable cardiovascular disease, defined as a recent clinical deterioration in the last 3 months or a cardiac hospitalization within the last 3 months prior to screening
  • History of chronic or recurrent infectious disease, including, but not limited to, chronic renal infection, chronic chest infection (eg, bronchiectasis), recurrent urinary tract infection (eg, recurrent pyelonephritis), fungal infection (eg, mucocutaneous candidiasis), or open, draining, or infected skin wounds or ulcers
  • Participant has or has had a serious infection (eg, sepsis, pneumonia or pyelonephritis), or has been hospitalized or received intravenous (IV) antibiotics for an infection during the 2 months prior to screening
  • Participant has or has had herpes zoster within the 2 months prior to screening
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
49 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Drug: Placebo

  • Experimental
    CNTO 1959

    Drug: CNTO 1959

Interventions

  • DrugPlacebo

    Placebo, as two 1-ml subcutaneous (SC) injections, at Week 0 and Week 4

  • DrugCNTO 1959

    CNTO 1959 200 mg, as two 1-ml subcutaneous (SC) injections, at Week 0 and Week 4

06

What researchers measure

Primary outcomes

  1. Change from baseline in PPSI total score at Week 16.

    The Palmoplantar Pustulosis Severity Index (PPSI) assesses the severity of palmoplantar pustulosis lesions and their response to therapy. Scores can range from 0 to 12, with higher scores indicating more severity.

    Time frame: Baseline to Week 16

Secondary outcomes

  1. Change from baseline in PPSI total score over time

    The Palmoplantar Pustulosis Severity Index (PPSI) assesses the severity of palmoplantar pustulosis lesions and their response to therapy. Scores can range from 0 to 12, with higher scores indicating more severity.

    Time frame: Baseline up to 24 weeks

  2. Change from baseline in PPPASI total score

    The Palmoplantar Pustulosis Area and Severity Index (PPPASI) assesses the severity of palmoplantar pustulosis lesions and their response to therapy. Scores can range from 0 to 72, with higher scores indicating more severity.

    Time frame: Baseline up to 24 weeks

  3. Proportion of participants who achieve a PPPASI-50

    PPPASI-50 is at least 50% reduction in the PPPASI score.

    Time frame: Up to 24 weeks

  4. Proportion of participants who achieve a PGA score of 1 or less

    The Physician's Global Assessment (PGA) is used to determine the participant's overall palmoplantar pustulosis lesions, at a given time point. Scores can range from 0 (clear) to 5 (very severe).

    Time frame: Up to 24 weeks

  5. Proportion of participants who achieve a PPPASI-75

    PPPASI-75 is at least 75% reduction in the PPPASI score.

    Time frame: Up to 24 weeks

  6. Change from baseline in PA (each score)

    The Physician's Assessment (PA) is used to determine the participant's pustule, vesicle, and nail lesions at a given time point. Scores can range from 0 (clear) to 5 (very severe).

    Time frame: Baseline up to 24 weeks

  7. Change from baseline in Patient's VAS-PPP severity

    The Patient's Visual Analogue Scale (VAS) assessment of palmoplantar pustulosis severity will be recorded on a 10-cm VAS.

    Time frame: Baseline up to 24 weeks

  8. Change from baseline in Physician's VAS-PAO activity

    Physician's Visual Analogue Scale Assessment of Pustulotic Arthro-Osteitis Activity will be recorded on a 10-cm VAS.

    Time frame: Baseline up to 24 weeks

  9. Change from baseline in Patient's VAS-PAO activity and pain

    Patient's Visual Analogue Scale Assessment of Pustulotic Arthro-Osteitis Activity and Pain will be recorded on each 10-cm VAS.

    Time frame: Baseline up to 24 weeks

  10. Change from baseline in Dermatology Life Quality Index (DLQI)

    The DLQI is a 10-item questionnaire that in addition to evaluating overall quality of life (QOL), can be used to assess 6 different aspects that may affect QOL: symptoms and feelings, daily activities, leisure, work or school performance, personal relationships, and treatment.

    Time frame: Baseline up to 24 weeks

  11. Change form baseline in SF-36 score

    The 36-Item Short Form Health Survey (SF-36) consists of 8 multi-item scales: limitations in physical functioning due to health problems, limitations in usual role activities due to physical health problems, bodily pain, general mental health (psychological distress and well-being), limitations in usual role activities due to personal or emotional problems, limitations in social functioning due to physical or mental health problems, vitality (energy and fatigue), and general health perception.

    Time frame: Baseline up to 24 weeks

07

Study locations

8 sites
  • Asahikawa, Japan
  • Fukuoka, Japan
  • Fukushima, Japan
  • Matsumoto, Japan
  • Sapporo, Japan
  • Sendai, Japan
  • Tokyo, Japan
  • Touon, Japan
08

References and documents

Publications

  • Terui T, Kobayashi S, Okubo Y, Murakami M, Hirose K, Kubo H. Efficacy and Safety of Guselkumab, an Anti-interleukin 23 Monoclonal Antibody, for Palmoplantar Pustulosis: A Randomized Clinical Trial. JAMA Dermatol. 2018 Mar 1;154(3):309-316. doi: 10.1001/jamadermatol.2017.5937. PubMed 29417135 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 20, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01845987
Lead sponsor
Janssen Pharmaceutical K.K.
Responsible party
Sponsor
First posted
May 3, 2013
Start date
Jun 2013
Primary completion
Sep 2014
Completion
Sep 2014
Last update
Nov 20, 2015

Study contacts

Janssen Pharmaceutical K.K., Japan Clinical Trial
study director · Janssen Pharmaceutical K.K.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2015. You cannot join it, but the record below documents what was studied.

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