CClinicalTrials.gg
CompletedNCT04762277Updated Oct 20, 2025Results posted

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

A Phase 2 interventional study of Spesolimab - solution for infusion and Placebo matching spesolimab - solution for infusion in Hidradenitis Suppurativa, sponsored by Boehringer Ingelheim. Completed at 25 sites in 12 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-10-20.

Sponsored by Boehringer Ingelheim · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
52
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

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.

02

Conditions studied

  • Hidradenitis Suppurativa
03

In context

Hidradenitis Suppurativa

277 studies on the registry are indexed under Hidradenitis Suppurativa; 88 are open to participants now.

This study's enrollment of 52 is above the median of 45 across 195 interventional studies indexed under Hidradenitis Suppurativa.

Browse Hidradenitis Suppurativa studies →

Lead sponsor

Boehringer Ingelheim is the lead sponsor of 2,245 studies on the registry; 58 are open to participants now.

Of its 162 completed or terminated interventional studies of FDA-regulated products, 116 (72%) have results posted.

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

04

Who can participate

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

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
  • Total draining fistula count of less than or equal to 20 Further inclusion criteria apply

Exclusion criteria

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
  • Patient with a transplanted organ (with exception of a corneal transplant > 12 weeks prior to screening) or who have ever received stem cell therapy (e.g., Remestemcel-L) Further exclusion criteria apply
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
52 participants (actual)

Study arms

  • Experimental
    Spesolimab

    Drug: Spesolimab - solution for infusion · Drug: Spesolimab- solution for injection

  • Placebo comparator
    Placebo

    Drug: Placebo matching spesolimab - solution for infusion · Drug: Placebo matching to spesolimab- solution for injection

Interventions

  • DrugSpesolimab - solution for infusion

    Solution for infusion

  • DrugPlacebo matching spesolimab - solution for infusion

    Solution for infusion

  • DrugSpesolimab- solution for injection

    Solution for injection

  • DrugPlacebo matching to spesolimab- solution for injection

    Solution for injection

06

What researchers measure

Primary outcomes

  1. Percent Change From Baseline in Total Abscess and Inflammatory Nodule Count at Week 12

    Percent change from baseline in total abscess and inflammatory nodule count at Week 12= \[(Total Abscess at Week 12 + Total Inflammatory Nodule at Week 12) - (Total Abscess at baseline + Total Inflammatory Nodule at baseline)\] \*100/ (Total Abscess at baseline + Total Inflammatory Nodule at baseline). Percent change from baseline in total abscess and inflammatory nodule count at Week 12 was modelled using mixed effects model for repeated measures (MMRM) accounting for the following sources of variation: fixed, categorical effects of treatment at each visit, the effect of stratum (stratification according to tumor necrosis factor inhibitor (TNFi)-naive population vs. TNFi-failure population) and the fixed continuous effects of baseline at each visit (Weeks 1, 2, 4, 6, 8, 10, and 12). The Least Squares Mean (Standard Error) at Week 12 is reported.

    Time frame: MMRM included measurements from baseline (Week 0) and at Weeks 1, 2, 4, 6, 8, 10, and 12 after first drug administration. MMRM estimates of percent change from baseline to Week 12 is reported.

Secondary outcomes

  1. Percent Change From Baseline in Draining Fistula Count at Week 12

    Percent change from baseline in draining fistula at Week 12 was calculated as: \[(total draining fistula at Week 12) - (total draining fistula at baseline)\] \* 100 %/ (total draining fistula at baseline). Percent change from baseline in draining fistula count at Week 12 was modelled using mixed effects model for repeated measures (MMRM) accounting for the following sources of variation: fixed, categorical effects of treatment at each visit, the effect of stratum (stratification according to tumor necrosis factor inhibitor (TNFi)-naive population vs. TNFi-failure population) and the fixed continuous effects of baseline at each visit (Weeks 1, 2, 4, 6, 8, 10, and 12). The Least Squares Mean (Standard Error) at Week 12 is reported.

    Time frame: MMRM included measurements from baseline (Week 0) and at Weeks 1, 2, 4, 6, 8, 10, and 12 after first drug administration. MMRM estimates of percent change in draining fistula from baseline to Week 12 is reported.

  2. Achievement of Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12

    HiSCR is defined as at least a 50% reduction in the total abscess and inflammatory nodule (AN) count with no increase in abscess count and no increase in draining fistula count relative to baseline. Proportion of patients with achievement of Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12 is reported. Proportion of patients with achievement of HiSCR at Week 12 was calculated as: number of patients with achievement of HiSCR at Week 12/number of patients analyzed. Proportions were rounded up to three decimal places.

    Time frame: At baseline (Week 0) and at Week 12.

  3. Absolute Change From Baseline in International Hidradenitis Suppurativa Severity Score System (IHS4) Value at Week 12

    The IHS4 assesses the hidradenitis suppurativa (HS) severity and the resulting IHS4 score is arrived at by= number of nodules \* 1 + number of abscesses \* 2 + number of draining fistula \* 4. A total score of 3 or less signifies mild, 4-10 signifies moderate and 11 or higher signifies severe disease. Absolute change from baseline in IHS4 value at Week 12 was modelled using mixed effects model for repeated measures (MMRM) accounting for the following sources of variation: fixed, categorical effects of treatment at each visit, the effect of stratum (stratification according to tumor necrosis factor inhibitor (TNFi)-naive population vs. TNFi-failure population) and the fixed continuous effects of baseline at each visit (Weeks 1, 2, 4, 6, 8, 10, and 12). The Least Squares Mean (Standard Error) at Week 12 is reported.

    Time frame: MMRM included measurements at baseline (Week 0) and at Weeks 1, 2, 4, 6, 8, 10, and 12 after first drug administration. MMRM estimates of absolute change in IHS4 from baseline to Week 12 is reported.

  4. Absolute Change From Baseline in Hidradenitis Suppurativa Area and Severity Index (HASI) Score at Week 12

    HASI includes four domains to assess the severity of HS disease activity, which are erythema, induration, open ulcer and draining fistula and scored on a Likert scale 0 (none) to 3 (severe/extensive) for each predetermined body region. For body surface area (BSA) assessment, the number of palms (one palm indicates 1% of the patient's BSA) involved for each body region (head, right axilla, left axilla, anterior chest, back, anterior bathing trunk, posterior bathing trunk, other) is assessed and converted to a percentage of that region. An area score was assigned to each region using the approach (0 = none, 1 = 1-9%, 2 = 10-29%, 3 = 30-49%, 4 = 50-69%, 5 = 70-89%, 6 = 90- 100%). Scores for the four domains of HS are summed and adjusted for the area affected, and the score of each area are summed to calculate the total HASI score, which ranges from 0 (no disease) to 72 (severe disease). The Least Squares Mean (Standard Error (SE)) derive from MMRM.

    Time frame: MMRM included measurements at baseline (Week 0) and at Weeks 1, 2, 4, 6, 8, 10, and 12 after first drug administration. MMRM estimates of absolute change from baseline in HASI score at Week 12 is reported in the table below.

  5. Achievement of Hidradenitis Suppurativa Physician Global Assessment (HS-PGA) Score of 0 or 1 at Week 12

    HS-PGA documents the physician's assessment of the patient's HS at a given timepoint. The HS-PGA score ranges from 0 to 5, where: 0=clear - no abscesses, draining fistula, inflammatory nodules or noninflammatory nodules); 1=minimal - no abscesses, draining fistula or inflammatory nodules and the presence of noninflammatory nodules); 2=mild - no abscesses or draining fistula and 1-4 inflammatory nodules, or 1 abscess or draining tunnel and no inflammatory nodules); 3=moderate - no abscesses or draining fistula and ≥5 inflammatory nodules, or 1 abscess or draining fistula and ≥1 inflammatory nodule, or 2-5 abscesses or draining fistula and \<10 inflammatory nodules); 4=severe - 2-5 abscesses or draining fistula and ≥10 inflammatory nodules); 5=very severe - \>5 abscesses or draining fistula). Proportion of patients with achievement of HS-PGA score of 0 or 1 at Week 12 was calculated as: number of patients with achievement of HS-PGA score of 0 or 1 at Week 12/number of patients analyzed.

    Time frame: At Week 12.

  6. Achievement of at Least 30% Reduction From Baseline in Numerical Rating Scale (NRS30) in Patient's Global Assessment of HS Pain at Week 12

    The HS Pain Numerical Rating Scale (NRS) is an endpoint for the assessment of HS-related pain severity. Recall period is 24 hours and response is given by an 11-point scale ranging from 0 (no pain) to 10 (worst possible pain). For the analysis of pain, weekly average of daily assessment was calculated for each visit based on values prior to the visit. Missing daily values within a week were ignored if there are at least 4 reported values. Proportion of patients with achievement of at least 30% reduction from baseline in NRS30 in Patient's Global Assessment of HS Pain at Week 12. Proportion of patients with achievement of at least 30% reduction from baseline in NRS30 in Patient's Global Assessment of HS Pain at Week 12 was calculated as: number of patients with achievement of at least 30% reduction from baseline in NRS30 in Patient's Global Assessment of HS Pain at Week 12/number of patients analyzed. Proportions were rounded up to three decimal places.

    Time frame: At baseline (Week 0) and at Week 12.

  7. Occurrence of Complete Elimination of Draining Fistulas at Week 12

    Proportion of patients with occurrence of complete elimination of draining fistulas at Week 12 is reported. Proportion of patients with occurrence of complete elimination of draining fistulas at Week 12 was calculated as: number of patients with occurrence of complete elimination of draining fistulas at Week 12/number of patients analyzed. Proportions were rounded up to three decimal places.

    Time frame: Baseline (Week 0) and at Week 12.

  8. Occurrence of at Least One Flare at Week 12

    Proportion of patients with occurrence of at least one flare at Week 12. Flare was defined as at least 25 % increase in abscess and inflammatory nodule count with a minimum increase of 2 relative to baseline. Proportion of patients with occurrence of at least one flare at Week 12 was calculated as: number of patients with occurrence of at least one flare at Week 12/number of patients analyzed. Proportions were rounded up to three decimal places.

    Time frame: At Week 12.

  9. Absolute Change From Baseline in Dermatology Life Quality Index (DLQI) Score at Week 12

    The DLQI is a patient-administered, ten-question, quality of life questionnaire that covers six domains: symptoms and feelings, daily activities, leisure, work and school, personal relationships and treatment. Response categories include "not relevant" (score of 0), "not at all" (score of 0), "a little" (score of 1), "a lot" (score of 2) and "very much" (score of 3). DLQI total score is calculated by summing the scores of each question resulting in a range of 0 to 30 with higher scores indicating greater health-related quality of life impairment. Absolute change from baseline in DLQI score at Week 12 was modelled using MMRM accounting for the following sources of variation: fixed, categorical effects of treatment at each visit, the effect of stratum (stratification according to tumor necrosis factor inhibitor (TNFi)-naive population vs. TNFi-failure population) and the fixed continuous effects of baseline at each visit (Weeks 1, 4, 8, and 12).

    Time frame: MMRM included measurements at baseline (Week 0) and at Weeks 1, 4, 8, and 12 after first drug administration. MMRM estimates of absolute change in DLQI from baseline to Week 12 is reported.

  10. Absolute Change From Baseline in Hidradenitis Suppurativa Quality of Life (HiS-QoL) Total Score at Week 12

    HiS-QoL is a patient-administered, 17-item instrument to measure HS-specific quality of life in clinical trials with a 7-day recall period. The 17-item HiS-QoL included four symptom items, eight activity-adaptation items and five psychosocial items. The item scores are summed to create a total ranging from 0 to 68, with higher scores indicating more severe impact on health-related quality of life. Absolute change from baseline in HiS-QoL total score at Week 12 was modelled using MMRM accounting for the following sources of variation: fixed, categorical effects of treatment at each visit, the effect of stratum (stratification according to tumor necrosis factor inhibitor (TNFi)-naive population vs. TNFi-failure population) and the fixed continuous effects of baseline at each visit (Weeks 1, 4, 8, and 12).

    Time frame: MMRM included measurements at baseline (Week 0) and at Weeks 1, 4, 8, and 12 after first drug administration. MMRM estimates of absolute change in HiS-QoL from baseline to Week 12 is reported.

  11. The Occurrence of Treatment Emergent Adverse Events (TEAEs)

    Percentage of patients with occurrence of Treatment Emergent Adverse Events (TEAEs) is reported. Percentage of patients with occurrence of Treatment Emergent Adverse Events (TEAEs) was calculated as: number of patients with occurrence of TEAEs / number of patients analyzed. Percentages were rounded to one decimal place. Time Frame: From first drug administration until 16 weeks after last drug administration, up to 28 weeks for patients who did not to roll-over to the open-label extension (OLE) trial (trial number 1368-0067 (NCT04876391)). From first drug administration until Week 12 for patients who did roll-over to the open-label extension (OLE) trial (trial number 1368-0067 (NCT04876391)).

    Time frame: Up to 12 weeks for patients who did roll-over to the open-label extension (OLE) trial (trial number 1368-0067 (NCT04876391)) and up to 28 weeks who did not roll-over to the OLE trial. For details please see description.

07

Results

Posted Oct 9, 2024

Participant flow

This was an international, phase IIa multi-center, double-blind, placebo-controlled trial assessing the efficacy and safety of spesolimab in patients with moderate to severe Hidradenitis suppurativa (HS).

Participant flow — Overall Study
MilestonePlaceboSpesolimab
Started1735
Completed1632
Not completed13
Withdrew: Withdrawal by subject02
Withdrew: Protocol violation01
Withdrew: Adverse event10

Outcome measures

PrimaryPercent Change From Baseline in Total Abscess and Inflammatory Nodule Count at Week 12

Percent change from baseline in total abscess and inflammatory nodule count at Week 12= \[(Total Abscess at Week 12 + Total Inflammatory Nodule at Week 12) - (Total Abscess at baseline + Total Inflammatory Nodule at baseline)\] \*100/ (Total Abscess at baseline + Total Inflammatory Nodule at baseline). Percent change from baseline in total abscess and inflammatory nodule count at Week 12 was modelled using mixed effects model for repeated measures (MMRM) accounting for the following sources of variation: fixed, categorical effects of treatment at each visit, the effect of stratum (stratification according to tumor necrosis factor inhibitor (TNFi)-naive population vs. TNFi-failure population) and the fixed continuous effects of baseline at each visit (Weeks 1, 2, 4, 6, 8, 10, and 12). The Least Squares Mean (Standard Error) at Week 12 is reported.

Time frame:
MMRM included measurements from baseline (Week 0) and at Weeks 1, 2, 4, 6, 8, 10, and 12 after first drug administration. MMRM estimates of percent change from baseline to Week 12 is reported.
Reported as:
Least squares mean · percent change
Percent Change From Baseline in Total Abscess and Inflammatory Nodule Count at Week 12
percent changePlaceboSpesolimab
Percent Change From Baseline in Total Abscess and Inflammatory Nodule Count at Week 12-34.7 ± 11.1-38.8 ± 7.5
Statistical analysis
  • Placebo vs Spesolimab · Mean difference (net): -4.1 · 95% CI -31.7 to 23.4Difference of Least Squares Means was calculated as: Spesolimab-Placebo.
SecondaryPercent Change From Baseline in Draining Fistula Count at Week 12

Percent change from baseline in draining fistula at Week 12 was calculated as: \[(total draining fistula at Week 12) - (total draining fistula at baseline)\] \* 100 %/ (total draining fistula at baseline). Percent change from baseline in draining fistula count at Week 12 was modelled using mixed effects model for repeated measures (MMRM) accounting for the following sources of variation: fixed, categorical effects of treatment at each visit, the effect of stratum (stratification according to tumor necrosis factor inhibitor (TNFi)-naive population vs. TNFi-failure population) and the fixed continuous effects of baseline at each visit (Weeks 1, 2, 4, 6, 8, 10, and 12). The Least Squares Mean (Standard Error) at Week 12 is reported.

Time frame:
MMRM included measurements from baseline (Week 0) and at Weeks 1, 2, 4, 6, 8, 10, and 12 after first drug administration. MMRM estimates of percent change in draining fistula from baseline to Week 12 is reported.
Reported as:
Least squares mean · percent change
Percent Change From Baseline in Draining Fistula Count at Week 12
percent changePlaceboSpesolimab
Percent Change From Baseline in Draining Fistula Count at Week 1256.6 ± 23.0-40.1 ± 16.8
Statistical analysis
  • Placebo vs Spesolimab · Mean difference (net): -96.6 · 95% CI -154.5 to -38.8Difference of Least Squares Means was calculated as: Spesolimab-Placebo.
SecondaryAchievement of Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12

HiSCR is defined as at least a 50% reduction in the total abscess and inflammatory nodule (AN) count with no increase in abscess count and no increase in draining fistula count relative to baseline. Proportion of patients with achievement of Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12 is reported. Proportion of patients with achievement of HiSCR at Week 12 was calculated as: number of patients with achievement of HiSCR at Week 12/number of patients analyzed. Proportions were rounded up to three decimal places.

Time frame:
At baseline (Week 0) and at Week 12.
Reported as:
Number · proportion of patients
Achievement of Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 12
proportion of patientsPlaceboSpesolimab
Achievement of Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 120.1760.314
Statistical analysis
  • Placebo vs Spesolimab · Risk difference (rd): 0.138 · 95% CI -0.129 to 0.339Risk difference was calculated as: Spesolimab - Placebo. 95% Confidence Interval (CI) for treatment difference is calculated by Chan and Zhang method.
SecondaryAbsolute Change From Baseline in International Hidradenitis Suppurativa Severity Score System (IHS4) Value at Week 12

The IHS4 assesses the hidradenitis suppurativa (HS) severity and the resulting IHS4 score is arrived at by= number of nodules \* 1 + number of abscesses \* 2 + number of draining fistula \* 4. A total score of 3 or less signifies mild, 4-10 signifies moderate and 11 or higher signifies severe disease. Absolute change from baseline in IHS4 value at Week 12 was modelled using mixed effects model for repeated measures (MMRM) accounting for the following sources of variation: fixed, categorical effects of treatment at each visit, the effect of stratum (stratification according to tumor necrosis factor inhibitor (TNFi)-naive population vs. TNFi-failure population) and the fixed continuous effects of baseline at each visit (Weeks 1, 2, 4, 6, 8, 10, and 12). The Least Squares Mean (Standard Error) at Week 12 is reported.

Time frame:
MMRM included measurements at baseline (Week 0) and at Weeks 1, 2, 4, 6, 8, 10, and 12 after first drug administration. MMRM estimates of absolute change in IHS4 from baseline to Week 12 is reported.
Reported as:
Least squares mean · units on a scale
Absolute Change From Baseline in International Hidradenitis Suppurativa Severity Score System (IHS4) Value at Week 12
units on a scalePlaceboSpesolimab
Absolute Change From Baseline in International Hidradenitis Suppurativa Severity Score System (IHS4) Value at Week 124.9 ± 4.7-9.0 ± 3.2
Statistical analysis
  • Placebo vs Spesolimab · Mean difference (net): -13.9 · 95% CI -25.6 to -2.3Difference of Least Squares Means was calculated as: Spesolimab-Placebo.
SecondaryAbsolute Change From Baseline in Hidradenitis Suppurativa Area and Severity Index (HASI) Score at Week 12

HASI includes four domains to assess the severity of HS disease activity, which are erythema, induration, open ulcer and draining fistula and scored on a Likert scale 0 (none) to 3 (severe/extensive) for each predetermined body region. For body surface area (BSA) assessment, the number of palms (one palm indicates 1% of the patient's BSA) involved for each body region (head, right axilla, left axilla, anterior chest, back, anterior bathing trunk, posterior bathing trunk, other) is assessed and converted to a percentage of that region. An area score was assigned to each region using the approach (0 = none, 1 = 1-9%, 2 = 10-29%, 3 = 30-49%, 4 = 50-69%, 5 = 70-89%, 6 = 90- 100%). Scores for the four domains of HS are summed and adjusted for the area affected, and the score of each area are summed to calculate the total HASI score, which ranges from 0 (no disease) to 72 (severe disease). The Least Squares Mean (Standard Error (SE)) derive from MMRM.

Time frame:
MMRM included measurements at baseline (Week 0) and at Weeks 1, 2, 4, 6, 8, 10, and 12 after first drug administration. MMRM estimates of absolute change from baseline in HASI score at Week 12 is reported in the table below.
Reported as:
Least squares mean · units on a scale
Absolute Change From Baseline in Hidradenitis Suppurativa Area and Severity Index (HASI) Score at Week 12
units on a scalePlaceboSpesolimab
Absolute Change From Baseline in Hidradenitis Suppurativa Area and Severity Index (HASI) Score at Week 12-3.8 ± 6.9-23.6 ± 4.7
Statistical analysis
  • Placebo vs Spesolimab · Mean difference (net): -19.8 · 95% CI -36.9 to -2.7Difference of Least Squares Means was calculated as : Spesolimab- Placebo.
SecondaryAchievement of Hidradenitis Suppurativa Physician Global Assessment (HS-PGA) Score of 0 or 1 at Week 12

HS-PGA documents the physician's assessment of the patient's HS at a given timepoint. The HS-PGA score ranges from 0 to 5, where: 0=clear - no abscesses, draining fistula, inflammatory nodules or noninflammatory nodules); 1=minimal - no abscesses, draining fistula or inflammatory nodules and the presence of noninflammatory nodules); 2=mild - no abscesses or draining fistula and 1-4 inflammatory nodules, or 1 abscess or draining tunnel and no inflammatory nodules); 3=moderate - no abscesses or draining fistula and ≥5 inflammatory nodules, or 1 abscess or draining fistula and ≥1 inflammatory nodule, or 2-5 abscesses or draining fistula and \<10 inflammatory nodules); 4=severe - 2-5 abscesses or draining fistula and ≥10 inflammatory nodules); 5=very severe - \>5 abscesses or draining fistula). Proportion of patients with achievement of HS-PGA score of 0 or 1 at Week 12 was calculated as: number of patients with achievement of HS-PGA score of 0 or 1 at Week 12/number of patients analyzed.

Time frame:
At Week 12.
Reported as:
Number · proportion of patients
Achievement of Hidradenitis Suppurativa Physician Global Assessment (HS-PGA) Score of 0 or 1 at Week 12
proportion of patientsPlaceboSpesolimab
Achievement of Hidradenitis Suppurativa Physician Global Assessment (HS-PGA) Score of 0 or 1 at Week 120.0000.057
Statistical analysis
  • Placebo vs Spesolimab · Risk difference (rd): 0.057 · 95% CI -0.132 to 0.186Risk difference was calculated as: Spesolimab-Placebo. 95% Confidence Interval (CI) for treatment difference is calculated by Chan and Zhang method.
SecondaryAchievement of at Least 30% Reduction From Baseline in Numerical Rating Scale (NRS30) in Patient's Global Assessment of HS Pain at Week 12

The HS Pain Numerical Rating Scale (NRS) is an endpoint for the assessment of HS-related pain severity. Recall period is 24 hours and response is given by an 11-point scale ranging from 0 (no pain) to 10 (worst possible pain). For the analysis of pain, weekly average of daily assessment was calculated for each visit based on values prior to the visit. Missing daily values within a week were ignored if there are at least 4 reported values. Proportion of patients with achievement of at least 30% reduction from baseline in NRS30 in Patient's Global Assessment of HS Pain at Week 12. Proportion of patients with achievement of at least 30% reduction from baseline in NRS30 in Patient's Global Assessment of HS Pain at Week 12 was calculated as: number of patients with achievement of at least 30% reduction from baseline in NRS30 in Patient's Global Assessment of HS Pain at Week 12/number of patients analyzed. Proportions were rounded up to three decimal places.

Time frame:
At baseline (Week 0) and at Week 12.
Reported as:
Number · proportion of patients
Achievement of at Least 30% Reduction From Baseline in Numerical Rating Scale (NRS30) in Patient's Global Assessment of HS Pain at Week 12
proportion of patientsPlaceboSpesolimab
Achievement of at Least 30% Reduction From Baseline in Numerical Rating Scale (NRS30) in Patient's Global Assessment of HS Pain at Week 120.0590.229
Statistical analysis
  • Placebo vs Spesolimab · Risk difference (rd): 0.170 · 95% CI -0.067 to 0.338Risk Difference was calculated as: Spesolimab - Placebo. 95% Confidence Interval (CI) for treatment difference was calculated by Chan and Zhang method.
SecondaryOccurrence of Complete Elimination of Draining Fistulas at Week 12

Proportion of patients with occurrence of complete elimination of draining fistulas at Week 12 is reported. Proportion of patients with occurrence of complete elimination of draining fistulas at Week 12 was calculated as: number of patients with occurrence of complete elimination of draining fistulas at Week 12/number of patients analyzed. Proportions were rounded up to three decimal places.

Time frame:
Baseline (Week 0) and at Week 12.
Reported as:
Number · proportion of patients
Occurrence of Complete Elimination of Draining Fistulas at Week 12
proportion of patientsPlaceboSpesolimab
Occurrence of Complete Elimination of Draining Fistulas at Week 120.0670.250
Statistical analysis
  • Placebo vs Spesolimab · Risk difference (rd): 0.183 · 95% CI -0.079 to 0.375Risk Difference was calculated as: Spesolimab - Placebo. 95% Confidence Interval (CI) for treatment difference was calculated by Chan and Zhang method.
SecondaryOccurrence of at Least One Flare at Week 12

Proportion of patients with occurrence of at least one flare at Week 12. Flare was defined as at least 25 % increase in abscess and inflammatory nodule count with a minimum increase of 2 relative to baseline. Proportion of patients with occurrence of at least one flare at Week 12 was calculated as: number of patients with occurrence of at least one flare at Week 12/number of patients analyzed. Proportions were rounded up to three decimal places.

Time frame:
At Week 12.
Reported as:
Number · proportion of patients
Occurrence of at Least One Flare at Week 12
proportion of patientsPlaceboSpesolimab
Occurrence of at Least One Flare at Week 120.1760.086
Statistical analysis
  • Placebo vs Spesolimab · Risk difference (rd): -0.091 · 95% CI -0.331 to 0.089Risk Difference was calculated as: Spesolimab - Placebo. 95% Confidence Interval (CI) for treatment difference was calculated by Chan and Zhang method.
SecondaryAbsolute Change From Baseline in Dermatology Life Quality Index (DLQI) Score at Week 12

The DLQI is a patient-administered, ten-question, quality of life questionnaire that covers six domains: symptoms and feelings, daily activities, leisure, work and school, personal relationships and treatment. Response categories include "not relevant" (score of 0), "not at all" (score of 0), "a little" (score of 1), "a lot" (score of 2) and "very much" (score of 3). DLQI total score is calculated by summing the scores of each question resulting in a range of 0 to 30 with higher scores indicating greater health-related quality of life impairment. Absolute change from baseline in DLQI score at Week 12 was modelled using MMRM accounting for the following sources of variation: fixed, categorical effects of treatment at each visit, the effect of stratum (stratification according to tumor necrosis factor inhibitor (TNFi)-naive population vs. TNFi-failure population) and the fixed continuous effects of baseline at each visit (Weeks 1, 4, 8, and 12).

Time frame:
MMRM included measurements at baseline (Week 0) and at Weeks 1, 4, 8, and 12 after first drug administration. MMRM estimates of absolute change in DLQI from baseline to Week 12 is reported.
Reported as:
Least squares mean · units on a scale
Absolute Change From Baseline in Dermatology Life Quality Index (DLQI) Score at Week 12
units on a scalePlaceboSpesolimab
Absolute Change From Baseline in Dermatology Life Quality Index (DLQI) Score at Week 12-2.8 ± 1.8-2.8 ± 1.2
Statistical analysis
  • Placebo vs Spesolimab · Mean difference (net): -0.1 · 95% CI -4.4 to 4.3Difference of Least Squares Means was calculated as: Spesolimab-Placebo.
SecondaryAbsolute Change From Baseline in Hidradenitis Suppurativa Quality of Life (HiS-QoL) Total Score at Week 12

HiS-QoL is a patient-administered, 17-item instrument to measure HS-specific quality of life in clinical trials with a 7-day recall period. The 17-item HiS-QoL included four symptom items, eight activity-adaptation items and five psychosocial items. The item scores are summed to create a total ranging from 0 to 68, with higher scores indicating more severe impact on health-related quality of life. Absolute change from baseline in HiS-QoL total score at Week 12 was modelled using MMRM accounting for the following sources of variation: fixed, categorical effects of treatment at each visit, the effect of stratum (stratification according to tumor necrosis factor inhibitor (TNFi)-naive population vs. TNFi-failure population) and the fixed continuous effects of baseline at each visit (Weeks 1, 4, 8, and 12).

Time frame:
MMRM included measurements at baseline (Week 0) and at Weeks 1, 4, 8, and 12 after first drug administration. MMRM estimates of absolute change in HiS-QoL from baseline to Week 12 is reported.
Reported as:
Least squares mean · units on a scale
Absolute Change From Baseline in Hidradenitis Suppurativa Quality of Life (HiS-QoL) Total Score at Week 12
units on a scalePlaceboSpesolimab
Absolute Change From Baseline in Hidradenitis Suppurativa Quality of Life (HiS-QoL) Total Score at Week 12-4.5 ± 3.2-5.8 ± 2.4
Statistical analysis
  • Placebo vs Spesolimab · Mean difference (net): -1.3 · 95% CI -9.5 to 6.9Difference of Least Squares Means was calculated as: Spesolimab-Placebo.
SecondaryThe Occurrence of Treatment Emergent Adverse Events (TEAEs)

Percentage of patients with occurrence of Treatment Emergent Adverse Events (TEAEs) is reported. Percentage of patients with occurrence of Treatment Emergent Adverse Events (TEAEs) was calculated as: number of patients with occurrence of TEAEs / number of patients analyzed. Percentages were rounded to one decimal place. Time Frame: From first drug administration until 16 weeks after last drug administration, up to 28 weeks for patients who did not to roll-over to the open-label extension (OLE) trial (trial number 1368-0067 (NCT04876391)). From first drug administration until Week 12 for patients who did roll-over to the open-label extension (OLE) trial (trial number 1368-0067 (NCT04876391)).

Time frame:
Up to 12 weeks for patients who did roll-over to the open-label extension (OLE) trial (trial number 1368-0067 (NCT04876391)) and up to 28 weeks who did not roll-over to the OLE trial. For details please see description.
Reported as:
Number · percentage of patients
The Occurrence of Treatment Emergent Adverse Events (TEAEs)
percentage of patientsPlaceboSpesolimab
The Occurrence of Treatment Emergent Adverse Events (TEAEs)87.577.8

Adverse events

Collected over From first drug administration until 16 weeks after last drug administration, up to 28 weeks for patients who did not to roll-over to the open-label extension (OLE) trial (trial number 1368-0067 (NCT04876391)). From first drug administration until Week 12 for patients who did roll-over to the open-label extension (OLE) trial (trial number 1368-0067 (NCT04876391)).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/16 (0%)1/16 (6.3%)14/16 (87.5%)
Spesolimab0/36 (0%)0/36 (0%)26/36 (72.2%)
Most frequent serious events
Most frequent serious events
EventPlaceboSpesolimab
Suicidal behaviourPsychiatric disorders1/160/36
Most frequent other events
Showing 10 of 46
Most frequent other events
EventPlaceboSpesolimab
NasopharyngitisInfections and infestations3/163/36
HeadacheNervous system disorders3/164/36
HidradenitisSkin and subcutaneous tissue disorders2/161/36
NauseaGastrointestinal disorders0/164/36
FatigueGeneral disorders0/164/36
Injection site erythemaGeneral disorders0/164/36
Injection site painGeneral disorders1/163/36
ArrhythmiaCardiac disorders1/160/36
TachycardiaCardiac disorders1/160/36
VertigoEar and labyrinth disorders1/160/36

Baseline characteristics

Safety Analysis Set (SAF): This patient set included all patients who were randomized and received at least one dose of study drug.

Age, Continuous
Age, Continuous(Years)PlaceboSpesolimabTotal
Mean34.1 ± 11.035.7 ± 11.335.2 ± 11.1
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboSpesolimabTotal
Female102131
Male71421
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboSpesolimabTotal
Hispanic or Latino112
Not Hispanic or Latino152944
Unknown or Not Reported156
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboSpesolimabTotal
American Indian or Alaska Native000
Asian246
Native Hawaiian or Other Pacific Islander011
Black or African American224
White122335
More than one race000
Unknown or Not Reported156
Total number of abscesses and inflammatory nodules
Total number of abscesses and inflammatory nodules(abscesses and inflammatory nodules)PlaceboSpesolimabTotal
Mean18.9 ± 15.711.6 ± 9.314.0 ± 12.1
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Study locations

25 sites
  • Dermatology Research Associates
    Los Angeles, California 90045, United States
  • Dawes Fretzin Clinical Research Group, LLC
    Indianapolis, Indiana 46250, United States
  • Mayo Clinic, Rochester
    Rochester, Minnesota 55905, United States
  • Unity Clinical Research
    Oklahoma City, Oklahoma 73118, United States
  • University of Pittsburgh Medical Center
    Pittsburgh, Pennsylvania 15213, United States
  • Holdsworth House Medical Practice
    Sydney, New South Wales 2010, Australia
  • Royal Melbourne Hospital
    Parkville, Victoria 3050, Australia
  • ULB Hopital Erasme
    Brussels, 1070, Belgium
  • Dr. S. K. Siddha Medicine Professional Corporation
    Newmarket, Ontario L3Y 5G8, Canada
  • University Hospital Ostrava
    Ostrava, 708 52, Czechia
  • CLI Reims Bezannes
    Bezannes, 51430, France
  • HOP Edouard Herriot
    Lyon, 69003, France
  • HOP Larrey
    Toulouse, 31059, France
  • Katholisches Klinikum Bochum gGmbH
    Bochum, 44791, Germany
  • Städtisches Klinikum Dessau
    Dessau, 06847, Germany
  • Universitätsklinikum Frankfurt
    Frankfurt am Main, 60596, Germany
  • Ospedali Riuniti di Ancona
    Ancona, 60123, Italy
  • Azienda Ospedaliera Universitaria Pisana
    Pisa, 56126, Italy
  • Erasmus Medisch Centrum
    Rotterdam, 3015 GD, Netherlands
  • Haukeland Universitetssykehus
    Bergen, N-5021, Norway
  • Nordlandssykehuset HF, Bodø
    Bodø, 8005, Norway
  • Oslo Universitetssykehus HF, Rikshospitalet
    Oslo, N-0372, Norway
  • Non-Public Health Care Facility LABDERM
    Ossy, 42624, Poland
  • Cityclinic Medical and Psychological Clinic Matusiak Partnership
    Wroclaw, 50-566, Poland
  • Hospital Santa Creu i Sant Pau
    Barcelona, 08026, Spain
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References and documents

Related links

Study documents

  • Study protocol · Jul 5, 2021
  • Statistical analysis plan · Dec 28, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — Clinical studies sponsored by Boehringer Ingelheim, phases I to IV, interventional and non-interventional, are in scope for sharing of the raw clinical study data and clinical study documents. Exceptions might apply, e.g. studies in products where Boehringer Ingelheim is not the license holder; studies regarding pharmaceutical formulations and associated analytical methods, and studies pertinent to pharmacokinetics using human biomaterials; studies conducted in a single center or targeting rare diseases (in case of low number of patients and therefore limitations with anonymization). For more details refer to: https://www.mystudywindow.com/msw/datatransparency

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 20, 2025, 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
NCT04762277
Lead sponsor
Boehringer Ingelheim
Responsible party
Sponsor
First posted
Feb 21, 2021
Start date
Apr 6, 2021
Primary completion
Jan 19, 2022
Completion
Apr 21, 2022
Results posted
Oct 9, 2024
Last update
Oct 20, 2025

Oversight

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

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