A Phase 3 interventional study of Double-blind 200 mg imsidolimab and Placebo in Generalized Pustular Psoriasis, sponsored by Vanda Pharmaceuticals. Terminated at 65 sites in 15 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-27.
Sponsored by Vanda Pharmaceuticals · Phase 3, Interventional, and Treatment
This is a Phase 3, long term extension study to evaluate the safety and efficacy of imsidolimab compared with placebo in adult subjects with generalized pustular psoriasis (GPP).
This study will also evaluate the pharmacokinetic (PK) profile of imsidolimab and explore the immunogenicity of imsidolimab in subjects with GPP.
2,028 studies on the registry are indexed under Psoriasis; 275 are open to participants now.
This study's enrollment of 42 is below the median of 75 across 1,565 interventional studies indexed under Psoriasis.
Browse Psoriasis studies →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.
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.
Exclusion Criteria:
Randomized to subcutaneous 200 mg imsidolimab Q4W
Drug: Double-blind 200 mg imsidolimab
Randomized to subcutaneous placebo Q4W
Other: Placebo
Open-label subcutaneous 200 mg imsidolimab Q4W
Drug: Open-label 200 mg imsidolimab
Any available therapy
Other: Standard of Care (SOC)
Randomized to subcutaneous 200 mg imsidolimab Q4W
Drug: Double-blind 200 mg imsidolimab
Randomized to subcutaneous placebo SC Q4W
Other: Placebo
Open-label subcutaneous 200 mg imsidolimab Q4W
Drug: Open-label 200 mg imsidolimab
Intravenous imsidolimab 750 mg loading dose followed by subcutaneous 200 mg imsidolimab Q4W
Drug: Imsidolimab 750 mg IV/200 mg SC
Double-blind subcutaneous dosing
Also known as: ANB019
Double-blind subcutaneous dosing
Open-label subcutaneous dosing
Also known as: ANB019
Any available therapy
Drug page: Imsidolimab
Intravenous loading dose followed by subcutaneous dosing
Also known as: ANB019
Incidence of Adverse Events
Time frame: All Adverse Events (AEs) were collected from Day 1 of 302 up to the final Safety Follow-up Visit (Week 116) regardless of seriousness or relationship to investigational product.
Percentage of Subjects Maintaining GPPPGA Score of 0 or 1
Percentages are calculated using FCS imputation. 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 24
Kaplan-Meier Estimate for Time to First GPP Flare Recurrence (Weeks)
GPP flare was defined by a GPPPGA ≥3 (moderate) in subjects who had previously achieved a GPPPGA score of 0 (clear) or 1 (almost clear).
Time frame: From Day 1 until termination of study
Percentage of Subjects With Zero Recurrence of GPP Flare
Percentages are calculated using FCS imputation. GPP flare was defined by a GPPPGA ≥3 (moderate) in subjects who had previously achieved a GPPPGA score of 0 (clear) or 1 (almost clear)
Time frame: Week 24
| Milestone | ANB019-301 Imsidolimab Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Responder + ANB019-302 Placebo SC | ANB019-301 Imsidolimab Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Need for Rescue + ANB019-302 Any Therapy | ANB019-301 Placebo Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Responder + ANB019-302 Placebo SC | ANB019-301 Placebo Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Need for Rescue + ANB019-302 Imsidolimab 750 mg IV/200 mg SC |
|---|---|---|---|---|---|---|---|---|
| Started | 8 | 7 | 8 | 5 | 0 | 1 | 4 | 9 |
| Completed | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 |
| Not completed | 8 | 7 | 8 | 0 | 0 | 1 | 4 | 9 |
| Withdrew: Withdrawal by subject | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 1 |
| Withdrew: Adverse event | 1 | 2 | 0 | 0 | 0 | 1 | 1 | 0 |
| Withdrew: Physician decision | 7 | 4 | 7 | 0 | 0 | 0 | 2 | 7 |
| Withdrew: Protocol violation | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Participants | ANB019-301 Imsidolimab Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Responder + ANB019-302 Placebo SC | ANB019-301 Imsidolimab Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Need for Rescue + ANB019-302 Any Therapy | ANB019-301 Placebo Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Responder + ANB019-302 Placebo SC | ANB019-301 Placebo Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Need for Rescue + ANB019-302 Imsidolimab 750 mg IV/200 mg SC |
|---|---|---|---|---|---|---|---|---|
| Incidence of Adverse Events | 8 | 6 | 7 | 1 | 0 | 1 | 3 | 8 |
Percentages are calculated using FCS imputation. 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.
| Percentage of subjects (%) | Double-blind 200 mg Imsidolimab SC | Double-blind Placebo SC |
|---|---|---|
| Percentage of Subjects Maintaining GPPPGA Score of 0 or 1 | 100 | 64.4 |
GPP flare was defined by a GPPPGA ≥3 (moderate) in subjects who had previously achieved a GPPPGA score of 0 (clear) or 1 (almost clear).
| Weeks | Double-blind 200 mg Imsidolimab SC | Double-blind Placebo SC |
|---|---|---|
| Kaplan-Meier Estimate for Time to First GPP Flare Recurrence (Weeks) | NA (NA to NA) | 42.3 (4.1 to 64.0) |
Percentages are calculated using FCS imputation. GPP flare was defined by a GPPPGA ≥3 (moderate) in subjects who had previously achieved a GPPPGA score of 0 (clear) or 1 (almost clear)
| Percentage of subjects (%) | Double-blind 200 mg Imsidolimab SC | Double-blind Placebo SC |
|---|---|---|
| Percentage of Subjects With Zero Recurrence of GPP Flare | 100.0 (2.9 to 70.6) | 63.3 (NA to NA) |
Collected over All Adverse Events (AEs) were collected from Day 1 of 302 up to the final Safety Follow-up Visit (Week 116) regardless of seriousness or relationship to investigational product.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| ANB019-301 Imsidolimab Responder + ANB019-302 Imsidolimab 200 mg SC | 0/8 (0%) | 0/8 (0%) | 8/8 (100%) |
| ANB019-301 Imsidolimab Responder + ANB019-302 Placebo SC | 0/7 (0%) | 1/7 (14.3%) | 6/7 (85.7%) |
| ANB019-301 Imsidolimab Partial Responder + ANB019-302 Imsidolimab 200 mg SC | 0/8 (0%) | 2/8 (25%) | 7/8 (87.5%) |
| ANB019-301 Imsidolimab Need for Rescue + ANB019-302 Any Therapy | 0/5 (0%) | 0/5 (0%) | 1/5 (20%) |
| ANB019-301 Placebo Responder + ANB019-302 Imsidolimab 200 mg SC | — | — | — |
| ANB019-301 Placebo Responder + ANB019-302 Placebo SC | 0/1 (0%) | 0/1 (0%) | 1/1 (100%) |
| ANB019-301 Placebo Partial Responder + ANB019-302 Imsidolimab 200 mg SC | 0/4 (0%) | 0/4 (0%) | 3/4 (75%) |
| ANB019-301 Placebo Need for Rescue + ANB019-302 Imsidolimab 750 mg IV/200 mg SC | 0/9 (0%) | 2/9 (22.2%) | 8/9 (88.9%) |
| Event | ANB019-301 Imsidolimab Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Responder + ANB019-302 Placebo SC | ANB019-301 Imsidolimab Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Need for Rescue + ANB019-302 Any Therapy | ANB019-301 Placebo Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Responder + ANB019-302 Placebo SC | ANB019-301 Placebo Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Need for Rescue + ANB019-302 Imsidolimab 750 mg IV/200 mg SC |
|---|---|---|---|---|---|---|---|---|
| Basal Cell CarcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/8 | 1/7 | 0/8 | 0/5 | — | 0/1 | 0/4 | 0/9 |
| Nephrogenic anaemiaBlood and lymphatic system disorders | 0/8 | 0/7 | 1/8 | 0/5 | — | 0/1 | 0/4 | 0/9 |
| Blood creatine phosphokinase increasedInvestigations | 0/8 | 0/7 | 1/8 | 0/5 | — | 0/1 | 0/4 | 0/9 |
| Arthritis bacterialInfections and infestations | 0/8 | 0/7 | 0/8 | 0/5 | — | 0/1 | 0/4 | 1/9 |
| Pustular psoriasisSkin and subcutaneous tissue disorders | 0/8 | 0/7 | 0/8 | 0/5 | — | 0/1 | 0/4 | 1/9 |
| Event | ANB019-301 Imsidolimab Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Responder + ANB019-302 Placebo SC | ANB019-301 Imsidolimab Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Need for Rescue + ANB019-302 Any Therapy | ANB019-301 Placebo Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Responder + ANB019-302 Placebo SC | ANB019-301 Placebo Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Need for Rescue + ANB019-302 Imsidolimab 750 mg IV/200 mg SC |
|---|---|---|---|---|---|---|---|---|
| BronchitisInfections and infestations | 1/8 | 0/7 | 1/8 | 0/5 | — | 1/1 | 0/4 | 0/9 |
| Urinary tract candidiasisInfections and infestations | 0/8 | 0/7 | 0/8 | 0/5 | — | 1/1 | 0/4 | 0/9 |
| LymphopeniaBlood and lymphatic system disorders | 1/8 | 0/7 | 0/8 | 0/5 | — | 1/1 | 0/4 | 0/9 |
| Diabetes mellitusMetabolism and nutrition disorders | 0/8 | 0/7 | 1/8 | 0/5 | — | 1/1 | 0/4 | 0/9 |
| Adrenal insufficiencyEndocrine disorders | 0/8 | 0/7 | 0/8 | 0/5 | — | 1/1 | 0/4 | 1/9 |
| Upper respiratory tract infectionInfections and infestations | 1/8 | 2/7 | 1/8 | 0/5 | — | 0/1 | 2/4 | 3/9 |
| PsoriasisSkin and subcutaneous tissue disorders | 1/8 | 2/7 | 0/8 | 0/5 | — | 0/1 | 2/4 | 2/9 |
| Urinary tract infectionInfections and infestations | 1/8 | 2/7 | 0/8 | 0/5 | — | 0/1 | 1/4 | 0/9 |
| COVID-19Infections and infestations | 0/8 | 2/7 | 0/8 | 0/5 | — | 0/1 | 0/4 | 1/9 |
| HeadacheNervous system disorders | 0/8 | 2/7 | 0/8 | 0/5 | — | 0/1 | 1/4 | 0/9 |
No ANB019-301 placebo responders were randomized to receive imsidolimab 200 mg SC.
| Age, Continuous(Years) | ANB019-301 Imsidolimab Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Responder + ANB019-302 Placebo SC | ANB019-301 Imsidolimab Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Need for Rescue + ANB019-302 Any Therapy | ANB019-301 Placebo Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Responder + ANB019-302 Placebo SC | ANB019-301 Placebo Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Need for Rescue + ANB019-302 Imsidolimab 750 mg IV/200 mg SC | Total |
|---|---|---|---|---|---|---|---|---|---|
| Mean | 45 ± 15.71 | 52 ± 18.36 | 54.6 ± 14.73 | 41 ± 12.21 | — | 22 ± NA | 31.0 ± 6.48 | 32.3 ± 13.78 | 42.9 ± 16.57 |
| Sex: Female, Male(Participants) | ANB019-301 Imsidolimab Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Responder + ANB019-302 Placebo SC | ANB019-301 Imsidolimab Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Need for Rescue + ANB019-302 Any Therapy | ANB019-301 Placebo Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Responder + ANB019-302 Placebo SC | ANB019-301 Placebo Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Need for Rescue + ANB019-302 Imsidolimab 750 mg IV/200 mg SC | Total |
|---|---|---|---|---|---|---|---|---|---|
| Female | 6 | 6 | 4 | 5 | 0 | 1 | 4 | 6 | 32 |
| Male | 2 | 1 | 4 | 0 | 0 | 0 | 0 | 3 | 10 |
| Race/Ethnicity, Customized(Participants) | ANB019-301 Imsidolimab Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Responder + ANB019-302 Placebo SC | ANB019-301 Imsidolimab Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Need for Rescue + ANB019-302 Any Therapy | ANB019-301 Placebo Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Responder + ANB019-302 Placebo SC | ANB019-301 Placebo Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Need for Rescue + ANB019-302 Imsidolimab 750 mg IV/200 mg SC | Total |
|---|---|---|---|---|---|---|---|---|---|
| Asian | 5 | 3 | 3 | 3 | 0 | 0 | 3 | 6 | 23 |
| White | 3 | 4 | 5 | 0 | 0 | 1 | 1 | 3 | 17 |
| Black or African American | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
| Other | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
| Region of Enrollment(Participants) | ANB019-301 Imsidolimab Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Responder + ANB019-302 Placebo SC | ANB019-301 Imsidolimab Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Need for Rescue + ANB019-302 Any Therapy | ANB019-301 Placebo Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Responder + ANB019-302 Placebo SC | ANB019-301 Placebo Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Need for Rescue + ANB019-302 Imsidolimab 750 mg IV/200 mg SC | Total |
|---|---|---|---|---|---|---|---|---|---|
| Malaysia | 3 | 3 | 1 | 0 | 0 | 0 | 2 | 3 | 12 |
| Thailand | 1 | 0 | 1 | 3 | 0 | 0 | 1 | 3 | 9 |
| Poland | 0 | 1 | 3 | 0 | 0 | 0 | 0 | 1 | 5 |
| Morocco | 2 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 3 |
| Turkey | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 3 |
| United States | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 3 |
| Taiwan | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 2 |
| Tunisia | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 2 |
| France | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
| Georgia | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| Spain | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| GPPPGA Score at Baseline(Participants) | ANB019-301 Imsidolimab Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Responder + ANB019-302 Placebo SC | ANB019-301 Imsidolimab Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Imsidolimab Need for Rescue + ANB019-302 Any Therapy | ANB019-301 Placebo Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Responder + ANB019-302 Placebo SC | ANB019-301 Placebo Partial Responder + ANB019-302 Imsidolimab 200 mg SC | ANB019-301 Placebo Need for Rescue + ANB019-302 Imsidolimab 750 mg IV/200 mg SC | Total |
|---|---|---|---|---|---|---|---|---|---|
| Moderate (3) | 5 | 7 | 5 | 5 | 0 | 0 | 3 | 8 | 33 |
| Severe (4) | 3 | 0 | 3 | 0 | 0 | 1 | 1 | 1 | 9 |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: No
Ran from Apr 2022 to primary completion in Jul 2024, 26 months.
Results were first posted in Mar 2026, 1 year 8 months after primary completion.
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Studies of the drug tested here: Imsidolimab