ClinicalTrials.gg
CompletedNCT06013969Updated Oct 26, 2026

A Study to Test Whether Spesolimab Helps People With Generalized Pustular Psoriasis (GPP) Who Need Treatment for Repeated Flares

A Phase 4 interventional study of Spesolimab in Generalized Pustular Psoriasis, sponsored by LEO Pharma. Completed at 35 sites in 17 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-26.

Sponsored by LEO Pharma · Phase 4, Interventional, and Treatment

Updated Oct 26, 2026Now CompletedGo to Updates ↓
Phase
Phase 4
Study type
Interventional
Enrollment
42
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study is open to adults with a serious skin disease called generalized pustular psoriasis (GPP) who have repeated flares of GPP. The purpose of this study is to find out whether a medicine called spesolimab helps people with repeated flares of GPP.

Participants are given a single dose of spesolimab as an infusion into a vein on the first day of an outbreak of GPP. They may be given a second dose 1 week later if doctors think it is helpful. They are also treated for additional GPP flares.

During the time of the study, doctors regularly examine participants' skin for signs of GPP to see how well the treatment works and take blood samples. The doctors also regularly check participants' health and take note of any unwanted effects.

02

Conditions studied

  • Generalized Pustular Psoriasis

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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 42 is below the median of 75 across 1,565 interventional studies indexed under Psoriasis.

Browse Psoriasis studies →

Lead sponsor

LEO Pharma is the lead sponsor of 225 studies on the registry; 5 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 24 (75%) 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

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

  • Patients with a Generalized Pustular Psoriasis Physician Global Assessment (GPPGA) pustulation sub-score of 0 or 1 and a known and documented history of Generalized Pustular Psoriasis (GPP) (per European Rare And Severe Psoriasis Expert Network - ERASPEN - criteria), regardless of Interleukin 36 Receptor Antagonist (IL-36RN) gene mutation status or Patients with a GPP flare and a known and documented history of GPP (per ERASPEN criteria) regardless of IL-36RN gene mutation status.
  • Patients must have a history of frequent GPP flares in the past
  • Male or female patients, aged ≥18 years (if local legislation for age of consent differs, then local legislation will be followed) at screening
  • Signed and dated written prior to admission to the trial in accordance with International Conference on Harmonisation-Good Clinical Practice (ICH-GCP) and local legislation prior to start of any screening procedures
  • Women of (WOCBP) must be ready and able to use highly effective methods of per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly

Exclusion criteria

Exclusion Criteria:

  • Drug-triggered Acute Generalized Exanthematous Pustulosis (AGEP)
  • Patients with primary plaque psoriasis vulgaris without presence of pustules or with pustules that are restricted to psoriatic plaques
  • Patients with primary erythrodermic psoriasis vulgaris
  • Patients with SAPHO (Synovitis-acne-pustulosis-hyperostosis-osteitis) syndrome
  • Immediate life-threatening flare of GPP or requiring intensive care treatment, according to the investigator's judgement. Life-threatening complications mainly include, but are not limited to, cardiovascular/cytokine driven shock, pulmonary distress syndrome, or acute renal failure
  • Severe, progressive, or uncontrolled hepatic disease, defined as >3-fold upper limit normal () elevation in (AST) or Alanine Aminotransferase (ALT) or alkaline phosphatase, or >2-fold ULN elevation in total
  • Presence of acute demyelinating neuropathy
  • Treatment with any drug considered likely to interfere with the safe conduct of the trial, as assessed by the investigator
  • Further exclusion criteria apply.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
42 participants (actual)

Study arms

  • Experimental
    GPP Patients

    Generalized Pustular Psoriasis (GPP) patients with a recurrent flare following initial GPP flare treatment with intravenous (i.v.) spesolimab.

    Drug: Spesolimab

Interventions

  • Spesolimab intravenous (i.v.) infusion

    Also known as: Spevigo®

06

What researchers measure

Primary outcomes

  1. Achievement of a Generalized Pustular Psoriasis Physician Global Assessment (GPPGA) pustulation sub-score of 0 indicating no visible pustules at Week 1

    Time frame: Up to week 1

Secondary outcomes

  1. Achievement of a GPPGA pustulation sub-score of 0 or 1, with a ≥2-point reduction from baseline at Week 1

    Time frame: Up to week 1

07

Study locations

35 sites
  • University of California Irvine
    Irvine, California 92697, United States
  • Red River Research Partners, LLC
    Fargo, North Dakota 58103, United States
  • Liverpool Hospital
    Liverpool, New South Wales 2170, Australia
  • Westmead Hospital
    Westmead, New South Wales 2145, Australia
  • Cliniques Universitaires Saint-Luc
    Brussels, 1200, Belgium
  • Hospital Universitario Evangelico Mackenzie
    Curitiba, 80440-220, Brazil
  • Faculdade de Medicina do ABC
    Santo André, 09060-870, Brazil
  • Southern Medical University Dermatology Hospital
    Guangzhou, 510091, China
  • Shanghai Skin Disease Hospital
    Shanghai, 200000, China
  • Shanghai Tenth People's Hospital
    Shanghai, 200072, China
  • HOP Trousseau
    Chambray-lès-Tours, 37170, France
  • HOP Saint-Louis
    Paris, 75010, France
  • Universitätsklinikum Frankfurt
    Frankfurt am Main, 60596, Germany
  • Klinikum der Universität München AÖR
    München, 80337, Germany
  • SP medical college and associated group of hospitals
    Bikaner, 334003, India
  • Nkp Salve Institute of Medical Sciences and Lata Mangeshkar Hospital
    Nagpur, 440019, India
  • ASST degli Spedali Civili di Brescia
    Brescia, 25123, Italy
  • Hospital Selayang
    Batu Caves, 68100, Malaysia
  • Hospital Pulau Pinang-Pulau Pinang-21953
    Georgetown Pulau Pinang, 10990, Malaysia
  • Hospital Sultanah Aminah
    Johor Bahru, 80100, Malaysia
  • Hospital Sultan Ismail
    Johor Bahru, 81100, Malaysia
  • Hospital Kuala Lumpur
    Kuala Lumpur, 50586, Malaysia
  • Hospital Putrajaya
    Putrajaya, 62250, Malaysia
  • Sunway Medical Centre
    Selangor Darul Ehsan, 47500, Malaysia
  • National University Hospital-Singapore-42005
    Singapore, 119228, Singapore
  • Nelson Mandela Academic Clinical Research Unit (NeMACRU)
    Mthatha, Eastern Cape, 5099, South Africa
  • Seoul National University Hospital
    Seoul, 03080, South Korea
  • Hospital Universitari Vall d'Hebron
    Barcelona, 08035, Spain
  • Hospital Universitario Ramon Y Cajal
    Madrid, 28034, Spain
  • National Taiwan University Hospital
    Taipei, 100, Taiwan
  • Chang Gung Memorial Hospital, Linkou
    Taoyuan, 330, Taiwan
  • Srinagarind Hospital
    Khon Kaen, 40000, Thailand
  • Maharat Nakhonchiangmai Hospital
    Muang Chiang Mai, 50200, Thailand
  • Hedi Chaker Hospital, Department of Dermatology
    Sfax, 1053, Tunisia
  • Farhat Hached Hospital
    Sousse, 4000, Tunisia
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2023 to primary completion in May 2026, 30 months.

Of 40 industry-sponsored phase 4 interventional studies under Psoriasis, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 29. This study's 30 months is above that.

Counting every sponsor, half of 115 studies reached it within 23 months; a quarter within 12 and three quarters within 43.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 23, 2023
First posted
Aug 28, 2023
StartActual
Oct 22, 2023
Primary completionActual
May 13, 2026
CompletionActual
Sep 2, 2026
Last update
Oct 26, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Active, not recruiting→Completed
changed Oct 26, 2026
Show all 1 update
  1. Oct 26, 2026
    Active, not recruiting→Completed
    + 3 other changes: identifiers, verification date and date precision

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06013969
Lead sponsor
LEO Pharma
Responsible party
Sponsor
First posted
Aug 28, 2023
Start date
Oct 22, 2023
Primary completion
May 13, 2026
Completion
Sep 2, 2026
Last update
Oct 26, 2026

Study contacts

Medical Expert
study director · LEO Pharma

Oversight

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

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This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Spesolimab

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