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CompletedNCT05352893GEMINI-1Updated Mar 17, 2026Results posted

Study to Evaluate the Efficacy and Safety of Imsidolimab (ANB019) in the Treatment of Subjects With GPP

A Phase 3 interventional study of 750 mg Imsidolimab and 300 mg Imsidolimab in Generalized Pustular Psoriasis, sponsored by Vanda Pharmaceuticals. Completed at 65 sites in 15 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-03-17.

Sponsored by Vanda Pharmaceuticals · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
45
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This is a Phase 3, multicenter, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of imsidolimab compared with placebo in adult subjects with generalized pustular psoriasis (GPP).

Read the detailed description

This study will also characterize the pharmacokinetic (PK) profile of imsidolimab and explore the immunogenicity of imsidolimab in subjects with GPP.

02

Conditions studied

  • Generalized Pustular Psoriasis

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Keywords

  • IL-36 Receptor
  • Imsidolimab
  • Interleukin-36
03

In context

Psoriasis

2,028 studies on the registry are indexed under Psoriasis; 275 are open to participants now.

This study's enrollment of 45 is below the median of 75 across 1,565 interventional studies indexed under Psoriasis.

Browse Psoriasis studies →

Lead sponsor

Vanda Pharmaceuticals is the lead sponsor of 82 studies on the registry; 17 are open to participants now.

Of its 33 completed or terminated interventional studies of FDA-regulated products, 22 (67%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

- Subject has a BSA affected with pustules (excluding palms and soles) ≥ 5%, a GPPPGA score ≥ 3 (moderate severity), and a PRS score ≥ 3 (moderate severity) at Day 1

Exclusion criteria

Exclusion Criteria:

  • Subject has other form of psoriasis excluding psoriasis vulgaris
  • Subject flare is so severe that patient's life is at risk
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
45 participants (actual)

Study arms

  • Experimental
    750 mg Imsidolimab

    Drug: 750 mg Imsidolimab

  • Experimental
    300 mg Imsidolimab

    Drug: 300 mg Imsidolimab

  • Placebo comparator
    Placebo

    Other: Placebo

Interventions

06

What researchers measure

Primary outcomes

  1. Percentage of Patients Achieving a GPPPGA Score of 0 (Clear) or 1 (Almost Clear)

    The Generalized Pustular Psoriasis Physician's Global Assessment (GPPPGA) is a physician-based assessment of the overall disease severity of GPP at the time of evaluation (specifically pustules, erythema, and scaling/crusting of pustular psoriasis lesions). The GPPPGA is graded on a 5-point scale, ranging from 0 (clear) to 4 (severe). GPPPGA Scale: 0 = Clear, 1 = Almost clear, 2 = Mild, 3 = Moderate, 4 = Severe.

    Time frame: Week 4

Secondary outcomes

  1. Percentage of Patients Achieving a PRS Score of 0 (Clear) or 1 (Almost Clear)

    The Pustulation Rating Scale (PRS) is is a physician-based assessment of the severity of GPP pustulation. Pustulation is graded on a 5-point scale, ranging from 0 (clear) to 4 (severe). PRS Scale: 0 = Clear, 1 = Almost Clear, 2 = Mild, 3 = Moderate, 4 = Severe.

    Time frame: Week 1

07

Results

Posted Mar 17, 2026

Participant flow

Participant flow — Overall Study
MilestoneImsidolimab 750 mgImsidolimab 300 mgPlacebo
Started151515
Completed11125
Not completed4310

Outcome measures

PrimaryPercentage of Patients Achieving a GPPPGA Score of 0 (Clear) or 1 (Almost Clear)

The Generalized Pustular Psoriasis Physician's Global Assessment (GPPPGA) is a physician-based assessment of the overall disease severity of GPP at the time of evaluation (specifically pustules, erythema, and scaling/crusting of pustular psoriasis lesions). The GPPPGA is graded on a 5-point scale, ranging from 0 (clear) to 4 (severe). GPPPGA Scale: 0 = Clear, 1 = Almost clear, 2 = Mild, 3 = Moderate, 4 = Severe.

Time frame:
Week 4
Reported as:
Count of participants · Participants
Percentage of Patients Achieving a GPPPGA Score of 0 (Clear) or 1 (Almost Clear)
ParticipantsImsidolimab 750 mgImsidolimab 300 mgPlacebo
Percentage of Patients Achieving a GPPPGA Score of 0 (Clear) or 1 (Almost Clear)8 (8.27 to 70.57)8 (8.66 to 71.47)2 (NA to NA)
SecondaryPercentage of Patients Achieving a PRS Score of 0 (Clear) or 1 (Almost Clear)

The Pustulation Rating Scale (PRS) is is a physician-based assessment of the severity of GPP pustulation. Pustulation is graded on a 5-point scale, ranging from 0 (clear) to 4 (severe). PRS Scale: 0 = Clear, 1 = Almost Clear, 2 = Mild, 3 = Moderate, 4 = Severe.

Time frame:
Week 1
Reported as:
Count of participants · Participants
Percentage of Patients Achieving a PRS Score of 0 (Clear) or 1 (Almost Clear)
ParticipantsImsidolimab 750 mgImsidolimab 300 mgPlacebo
Percentage of Patients Achieving a PRS Score of 0 (Clear) or 1 (Almost Clear)6 (-3.74 to 57.07)10 (24.91 to 81.76)2 (NA to NA)

Adverse events

Collected over All Adverse Events (AEs) were collected from signature of the informed consent up to the final Safety Follow-up Visit (Week 12) regardless of seriousness or relationship to investigational product.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Imsidolimab 750 mg0/15 (0%)0/15 (0%)6/15 (40%)
Imsidolimab 300 mg0/15 (0%)0/15 (0%)5/15 (33.3%)
Placebo0/15 (0%)1/15 (6.7%)11/15 (73.3%)
Most frequent serious events
Most frequent serious events
EventImsidolimab 750 mgImsidolimab 300 mgPlacebo
SepsisInfections and infestations0/150/151/15
Most frequent other events
Showing 10 of 26
Most frequent other events
EventImsidolimab 750 mgImsidolimab 300 mgPlacebo
Urinary tract infectionInfections and infestations0/152/151/15
PyrexiaGeneral disorders0/151/152/15
HeadacheNervous system disorders2/150/150/15
Pustular psoriasisSkin and subcutaneous tissue disorders0/150/152/15
Upper respiratory tract infectionInfections and infestations1/150/151/15
PruritusSkin and subcutaneous tissue disorders1/151/150/15
Skin infectionInfections and infestations0/151/150/15
ChillsGeneral disorders1/150/150/15
Abdominal painGastrointestinal disorders0/151/150/15
LeukopeniaBlood and lymphatic system disorders1/150/150/15

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Imsidolimab 750 mgImsidolimab 300 mgPlaceboTotal
Mean46.8 ± 15.4448.7 ± 16.2133.3 ± 13.8543.0 ± 16.39
Sex: Female, Male
Sex: Female, Male(Participants)Imsidolimab 750 mgImsidolimab 300 mgPlaceboTotal
Female11111234
Male44311
Region of Enrollment
Region of Enrollment(Participants)Imsidolimab 750 mgImsidolimab 300 mgPlaceboTotal
United States1214
France1001
Spain1001
Poland2316
Turkey2013
Malaysia43613
Thailand3249
Georgia0101
Tunisia0112
Taiwan1102
Morocco0213
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Imsidolimab 750 mgImsidolimab 300 mgPlaceboTotal
Asian861024
White68519
Black or African American0101
Other1001
GPPPGA Score at Baseline
GPPPGA Score at Baseline(Participants)Imsidolimab 750 mgImsidolimab 300 mgPlaceboTotal
Moderate (3)11121235
Severe (4)43310
08

Study locations

65 sites
  • Site 10-109
    Largo, Florida 33770, United States
  • Site 10-105
    Louisville, Kentucky 40217, United States
  • Site 10-101
    Ann Arbor, Michigan 48109, United States
  • Site 10-108
    Dallas, Texas 75231, United States
  • Site 10-102
    Springville, Utah 84663, United States
  • Site 35-102
    Melbourne, Victoria 3128, Australia
  • Site 16-102
    Nantes, 44093, France
  • Site 16-101
    Paris, 75010, France
  • Site 59-104
    Batumi, 6000, Georgia
  • Site 59-102
    Tbilisi, 0112, Georgia
  • Site 59-101
    Tbilisi, 0160, Georgia
  • Site 59-105
    Tbilisi, 0160, Georgia
  • Site 59-103
    Tbilisi, 0179, Georgia
  • Site 17-102
    Bensheim, 48455, Germany
  • Site 17-104
    Bonn, 53127, Germany
  • Site 17-103
    Hanau, 63450, Germany
  • Site 17-105
    Würzburg, 97080, Germany
  • Site 42-106
    Johor Bahru, Johor 80100, Malaysia
  • Site 42-107
    Johor Bahru, Johor 81100, Malaysia
  • Site 42-102
    Muar town, Johor 84000, Malaysia
  • Site 42-105
    Kota Bharu, Kelantan 15586, Malaysia
  • Site 42-108
    Kuching, Sarawak 93586, Malaysia
  • Site 42-109
    Batu Caves, Selangor 59100, Malaysia
  • Site 42-101
    Kuala Lumpur, 50586, Malaysia
  • Site 42-104
    Kuala Lumpur, 56000, Malaysia
  • Site 42-110
    Kuala Lumpur, 59100, Malaysia
  • Site 42-103
    Putrajaya, 62250, Malaysia
  • Site 64-103
    Casablanca, 20360, Morocco
  • Site 64-101
    Marrakesh, 40000, Morocco
  • Site 64-102
    Oujda, 60000, Morocco
  • Site 30-104
    Krakow, 30-074, Poland
  • Site 30-105
    Lodz, 90-265, Poland
  • Site 30-103
    Ossy, 42-624, Poland
  • Site 30-101
    Rzeszów, 35-055, Poland
  • Site 30-102
    Wroclaw, 50-566, Poland
  • Site 31-102
    Bucharest, 020125, Romania
  • Site 31-101
    Cluj-Napoca, 400006, Romania
  • Site 31-103
    Iași, 700111, Romania
  • Site 45-102
    Busan, 49241, South Korea
  • Site 45-104
    Seoul, 03722, South Korea
  • Site 45-101
    Seoul, 05505, South Korea
  • Site 45-103
    Seoul, 06591, South Korea
  • Site 24-101
    Barcelona, 08036, Spain
  • Site 24-104
    Las Palmas de Gran Canaria, 35010, Spain
  • Site 24-102
    Madrid, 28040, Spain
  • Site 24-103
    Madrid, 28041, Spain
  • Sie 24-105
    Valencia, 46026, Spain
  • Site 63-101
    Kaohsiung City, 83301, Taiwan
  • Site 63-103
    New Taipei City, 23561, Taiwan
  • Site 63-105
    Taipei, 100225, Taiwan
  • Site 63-104
    Taipei, 11217, Taiwan
  • Site 63-102
    Taipei, 11696, Taiwan
  • Site 46-101
    Bangkok, 10400, Thailand
  • Site 46-102
    Chiang Mai, 50200, Thailand
  • Site 46-104
    Khon Kaen, 40002, Thailand
  • Site 46-103
    Pathum Thani, 12120, Thailand
  • Site 62-101
    Sfax, 3000, Tunisia
  • Site 62-102
    Sousse, 4000, Tunisia
  • Site 62-103
    Tunis, 1007, Tunisia
  • Site 33-102
    Ankara, 06560, Turkey (Türkiye)
  • Site 33-104
    Antalya, 07070, Turkey (Türkiye)
  • Site 33-103
    Bursa, 16059, Turkey (Türkiye)
  • Site 33-105
    Istanbul, 24093, Turkey (Türkiye)
  • Site 33-106
    Istanbul, 34010, Turkey (Türkiye)
  • Site 33-101
    Kayseri, 38039, Turkey (Türkiye)
09

References and documents

Publications

  • Smieszek S, Przychodzen B, Tyner C, Johnson C, Bushman M, Brzezynski J, Reich A, Bachelez H, Yap EWY, Borlu M, Chaowattanapanit S, Denguezli M, Gudjonsson JE, Lizzul P, Dahl M, Parmley S, Randazzo B, Severtson A, Raina P, Saikali K, Xiao C, Polymeropoulos C, Birznieks G, Polymeropoulos M. Efficacy and Safety of Imsidolimab for Generalized Pustular Psoriasis. NEJM Evid. 2026 May;5(5):EVIDoa2500272. doi: 10.1056/EVIDoa2500272. Epub 2026 Apr 28. PubMed 42047557 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05352893
Responsible party
Sponsor
First posted
Apr 29, 2022
Start date
Apr 14, 2022
Primary completion
Aug 17, 2023
Completion
Aug 17, 2023
Results posted
Mar 17, 2026
Last update
Mar 17, 2026

Oversight

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

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