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CompletedNCT04750213Updated Jul 17, 2025

A Study to Assess Adverse Events and Change in Disease State in Adult Participants Being Treated With Humira in Participants Diagnosed With Pyoderma Gangrenosum (PG)

An observational study in Pyoderma Gangrenosum, sponsored by AbbVie. Completed at 46 sites in Japan. Open to participants aged 15 Years and older. Per ClinicalTrials.gov, last updated 2025-07-17.

Sponsored by AbbVie · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
60
Ages
15 Years and older
Sex
All
01

Study summary

Pyoderma Gangrenosum (PG) is a rapidly progressive disease and presents as painful, single or multiple lesions, with several clinical variants, in different locations, with a nonspecific histology, which makes the diagnosis challenging and often delayed. The main objective of this study is to estimate the incidence proportion of all the infection reported as adverse drug reaction (ADR) of Humira with PG participants.

Humira is the only drug approved for the treatment of Pyoderma Gangrenosum (PG) in Japan. Approximately 60 adult participants with PG at approximately 60 sites in Japan.

Participants will receive injectable Humira (Adalimumab) as prescribed by the physician prior to enrolling in this study.

There may be a higher burden for participants in this study compared to standard of care. Participants will attend regular visits per routine clinical practice. The effect of the treatment will be checked by medical assessments, checking for side effects, and by verbal interview.

02

Conditions studied

  • Pyoderma Gangrenosum

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Keywords

  • Pyoderma Gangrenosum
  • Humira
  • Adalimumab
03

Who can participate

Ages eligible
15 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients

Inclusion criteria

  • Diagnosed with Pyoderma Gangrenosum (PG).
  • Have been prescribed Humira for PG treatment within 14 days.

Exclusion criteria

Exclusion Criteria:

- Have Pyoderma Gangrenosum (PG) in previous treatment with Humira.

04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
60 participants (actual)

Groups and cohorts

  • Participants Receiving Humira (Adalimumab)

    Participants receiving Adalimumab for Pyoderma Gangrenosum (PG).

05

What researchers measure

Primary outcomes

  1. Incidence Percentage of all the Infection Reported as Adverse Drug Reaction (ADR)

    An adverse event (AE) is defined as any untoward medical occurrence in a participant, which does not necessarily have a causal relationship with their treatment. Among AEs, an event whose causal relationship with the product cannot be ruled out is considered an adverse drug reaction.

    Time frame: Up to 52 weeks

Secondary outcomes

  1. Incidence Percentage of Serious Infection Reported as ADR

    An AE is defined as any untoward medical occurrence in a participant, which does not necessarily have a causal relationship with their treatment. Among AEs, an event whose causal relationship with the product cannot be ruled out is considered an adverse drug reaction.

    Time frame: Up to 52 weeks

  2. Incidence Percentage of each ADR (Besides Infection)

    An AE is defined as any untoward medical occurrence in a participant, which does not necessarily have a causal relationship with their treatment. Among AEs, an event whose causal relationship with the product cannot be ruled out is considered an adverse drug reaction.

    Time frame: Up to 52 weeks

  3. Change in Physician's Global Assessment (PGA) [Global] Grade

    PGA will be used for overall assessment of efficacy.

    Time frame: Up to Week 52

  4. Change in PGA [Target] Grade

    PGA will be used for assessment of efficacy of target lesions.

    Time frame: Up to Week 52

  5. Change in Investigator Inflammation Assessment (IIA) Score from Start of Dosing

    IIA will be used for assessment of efficacy of target lesions.

    Time frame: Up to Week 52

  6. Change in Verbal Rating Scale (VRS) Category

    Pain improvement will be assessed using a VRS scale 0-3 with a lower score indicating less pain.

    Time frame: Up to Week 52

  7. Percentage of Participants with Recurrence

    Recurrence of PG.

    Time frame: Up to Week 52

  8. Time to Recurrence (Day)

    Recurrence of PG.

    Time frame: Up to Week 52

  9. Percentage of PG Subtype at Recurrence

    Recurrence of PG. PG subtypes include (ulcerative (including peristomal), bullous, pustular, vegetative).

    Time frame: Up to Week 52

  10. Pain Improvement Assessed with VRS

    Pain improvement will be assessed using a VRS scale 0-3 with a lower score indicating less pain.

    Time frame: Week 26 to Week 52

06

Study locations

46 sites
  • NHO Nagoya Medical Center /ID# 246013
    Nagoya, Aichi-ken 460-0001, Japan
  • Nagoya City University Hospital /ID# 233778
    Nagoya, Aichi-ken 467-8602, Japan
  • Akita University Hospital /ID# 242706
    Akita, Akita 010-8543, Japan
  • Kyushu University Hospital /ID# 247492
    Fukuoka, Fukuoka 812-8582, Japan
  • Japanese Red Cross Fukuoka Hospital /ID# 244051
    Fukuoka, Fukuoka 815-8555, Japan
  • Kurume University Hospital /ID# 246502
    Kurume-shi, Fukuoka 830-0011, Japan
  • Central Japan International Medical Center /ID# 239391
    Minokamo-shi, Gifu 505-8510, Japan
  • Gunma University Hospital /ID# 239390
    Maebashi, Gunma 371-8511, Japan
  • Sapporo Medical University Hospital /ID# 241180
    Sapporo, Hokkaido 060-8543, Japan
  • Hokkaido University Hospital /ID# 252567
    Sapporo, Hokkaido 060-8648, Japan
  • Hokkaido Medical Center /ID# 251657
    Sapporo, Hokkaido 063-0005, Japan
  • Kansai Rosai Hospital /ID# 246592
    Amagasaki-shi, Hyōgo 660-8511, Japan
  • Kobe University Hospital /ID# 249396
    Kobe, Hyōgo 650-0017, Japan
  • Nishi-Kobe Medical Center /ID# 244224
    Kobe, Hyōgo 651-2273, Japan
  • Ishikawa Prefectural Central Hospital /ID# 239089
    Kanazawa, Ishikawa-ken 920-8530, Japan
  • Kanazawa University Hospital /ID# 248730
    Kanazawa, Ishikawa-ken 920-8641, Japan
  • Takamatsu Red Cross Hospital /ID# 240576
    Takamatsu, Kagawa-ken 760-0017, Japan
  • Kagawa Prefectural Central Hospital /ID# 250193
    Takamatsu, Kagawa-ken 760-0065, Japan
  • Teikyo University Mizonokuchi Hospital /ID# 244693
    Kawasaki, Kanagawa 213-8507, Japan
  • Yokohama Municipal Citizen's Hospital /ID# 233779
    Yokohama, Kanagawa 221-0855, Japan
  • Yokohama Minami Kyousai Hosp /ID# 252892
    Yokohama, Kanagawa 236-0037, Japan
  • Kumamoto University Hospital /ID# 244050
    Kumamoto, Kumamoto 8608556, Japan
  • Fukuchiyama City Hospital /ID# 246593
    Fukuchiyama-shi, Kyoto 620-8505, Japan
  • Mie University Hospital /ID# 238747
    Tsu, Mie-ken 514-8507, Japan
  • Tohoku University Hospital /ID# 252113
    Sendai, Miyagi 9808574, Japan
  • Tohoku Medical and Pharmaceuti /ID# 230270
    Sendai, Miyagi 983-0005, Japan
  • University of Miyazaki Hospital /ID# 241179
    Miyazaki, Miyazaki 889-1692, Japan
  • Shinshu University Hospital /ID# 230272
    Matsumoto-shi, Nagano 390-8621, Japan
  • Nara Medical University Hospital /ID# 241880
    Kashihara-shi, Nara 634-8522, Japan
  • Okayama University Hospital /ID# 238746
    Okayama, Okayama-ken 700-8558, Japan
  • Okinawa Kyodo Hospital /ID# 241739
    Naha, Okinawa 900-0024, Japan
  • Naha City Hospital /ID# 240818
    Naha, Okinawa 902-0061, Japan
  • University of the Ryukyus Hospital /ID# 252114
    Nakagami-gun, Okinawa 903-0215, Japan
  • Kansai Medical University Hospital /ID# 228783
    Hirakata-shi, Osaka 573-1191, Japan
  • Japanese Red Cross Osaka Hospital /ID# 228782
    Osaka, Osaka 543-8555, Japan
  • Kindai University Hospital /ID# 252568
    Osakasayama-shi, Osaka 589-8511, Japan
  • Dokkyo Medical University Saitama Medical Center /ID# 248731
    Koshigaya, Saitama 343-0845, Japan
  • Hamamatsu University Hospital /ID# 240817
    Hamamatsu, Shizuoka 431-3192, Japan
  • Chutoen General Medical Center /Id# 228780
    Kakegawa-shi, Shizuoka 436-0040, Japan
  • Shizuoka Saiseikai Genaral Hospital /ID# 239088
    Shizuoka, Shizuoka 422-8527, Japan
  • The University of Tokyo Hospital /ID# 250194
    Bunkyo-ku, Tokyo 113-8655, Japan
  • The Jikei University Hospital /ID# 252112
    Minato-ku, Tokyo 105-8471, Japan
  • Tokyo Medical University Hospital /ID# 233780
    Shinjuku-ku, Tokyo 160-0023, Japan
  • Yamanashi Kosei Hospital /ID# 242168
    Yamanashi, Yamanashi 405-0033, Japan
  • Takatsuki General Hospital /ID# 244694
    Osaka, Japan
  • Teikyo University Hospital /ID# 239389
    Tokyo, 173-8605, Japan
07

References and documents

Publications

  • Yamamoto T, Tanizaki H, Yamasaki K, Matsubara N, Nakayama M, Iwashita E, Yamanaka K. Safety and Effectiveness of Adalimumab for the Treatment of Pyoderma Gangrenosum: A 52-Week Real-World Prospective Observational Study. Dermatol Ther (Heidelb). 2026 Jun;16(6):3167-3188. doi: 10.1007/s13555-026-01772-4. Epub 2026 May 10. PubMed 42107018 ↗

Individual participant data

Plan to share: Undecided

08

Registry details

Key details

Study ID
NCT04750213
Lead sponsor
AbbVie
Responsible party
Sponsor
First posted
Feb 11, 2021
Start date
Feb 12, 2021
Primary completion
Nov 11, 2024
Completion
Nov 11, 2024
Last update
Jul 17, 2025

Study contacts

ABBVIE INC.
study director · AbbVie

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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