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CompletedNCT06411899Updated Aug 12, 2026

A Study to Evaluate the Efficacy and Safety of Subcutaneous Sonelokimab Compared With Placebo in Adult Participants With Moderate to Severe Hidradenitis Suppurativa

A Phase 3 interventional study of Sonelokimab and Placebo in Hidradenitis Suppurativa, sponsored by MoonLake Immunotherapeutics AG. Completed at 109 sites in 10 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-12.

Sponsored by MoonLake Immunotherapeutics AG · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Sep 2025, 1 year 2 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Aug 2026.
Phase
Phase 3
Study type
Interventional
Enrollment
422
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a study to evaluate the clinical efficacy and safety of sonelokimab administered subcutaneously compared with placebo in the treatment of adult participants with moderate to severe hidradenitis suppurativa. Participants will be randomized 2:1 to either sonelokimab or matching placebo up to Week 16.

02

Conditions studied

  • Hidradenitis Suppurativa

Keywords

  • Hidradenitis Suppurativa
  • Hidradenitis
  • Sweat Gland Diseases
  • Skin Diseases
  • Skin Diseases, Bacterial
  • Suppuration
  • Anti-Inflammatory Agents
  • Sonelokimab
  • Nanobody
  • Apocrine Gland Disease
03

In context

Hidradenitis Suppurativa

284 studies on the registry are indexed under Hidradenitis Suppurativa; 87 are open to participants now.

This study's enrollment of 422 is above the median of 45 across 199 interventional studies indexed under Hidradenitis Suppurativa.

Browse Hidradenitis Suppurativa studies →

Lead sponsor

MoonLake Immunotherapeutics AG is the lead sponsor of 10 studies on the registry; 2 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 2 (40%) 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

  1. Participants must be at least 18 years of age at the time of signing the .
  2. Participants who are diagnosed with hidradenitis suppurativa as determined by the investigator and have a history of signs and symptoms of hidradenitis suppurativa for at least 6 months before signing the informed consent.
  3. Participants who have had an inadequate response to appropriate systemic antibiotics for treatment of hidradenitis suppurativa (or demonstrated intolerance to, or had a to, systemic antibiotics for treatment of their HS), in the investigator's opinion.
  4. Participants who have a total AN count of ≥5.
  5. Participants who have HS lesions present in ≥2 distinct anatomical areas, at least one of which must contain single or multiple fistulas (ie, be Hurley Stage II or III).

Exclusion criteria

Exclusion Criteria:

  1. Participants with a known to sonelokimab or any of its .
  2. Participants with any other active skin disease or condition that may, in the opinion of the investigator, interfere with the assessment of HS.
  3. Participants with underlying conditions that, in the opinion of the investigator, potentially places the participant at unacceptable risk.
  4. Participants with current severe or uncontrolled disease(s) that put(s) the participant at increased risk in the investigator's opinion, would preclude the participant from adhering to the protocol or completing the study per protocol.
  5. Participants with any other known disease or any medical condition that in the opinion of the investigator would interfere with an accurate assessment of clinical symptoms of HS.
  6. Participants with a gastrointestinal condition including inflammatory bowel disease or diagnosis of ulcerative colitis or Crohn's disease.
Terms in these criteria, in plain language(5)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
422 participants (actual)

Study arms

  • Experimental
    sonelokimab

    Subjects randomized to this arm will receive sonelokimab 120 mg Q2W from Weeks 0 to 6 then 120 mg Q4W starting at Week 8 up to Week 48.

    Drug: Sonelokimab

  • Placebo comparator
    Placebo

    Subjects randomized to this arm will receive placebo Q2W from Weeks 0 to 6 then Q4W starting at Week 8 up to Week 16. They will receive sonelokimab 120 mg Q2W for 4 doses from Weeks 16 to 22 then Q4W from Week 24 up to Week 48

    Drug: Placebo

Interventions

06

What researchers measure

Primary outcomes

  1. Hidradenitis Suppurativa Clinical Response 75

    Percentage of participants achieving Hidradenitis Suppurativa Clinical Response 75 (HiSCR75) where HiSCR75 is defined as at least a 75% reduction from baseline in abscess and inflammatory nodule (AN) count, with no increase from baseline in abscess or draining fistula count.

    Time frame: Week 16

Secondary outcomes

  1. Hidradenitis Suppurativa Clinical Response 50 (HiSCR50)

    Percentage of participants achieving HiSCR50

    Time frame: Week 16

  2. Change in International Hidradenitis Suppurativa Severity Score System

    Absolute change from baseline in International Hidradenitis Suppurativa Severity Score System (IHS4) The IHS4 score is calculated as follows: number of nodules (multiplied by 1) + number of abscesses (multiplied by 2) + number of draining tunnels (multiplied by 4). A total score of 3 or less signifies mild, 4 to 10 signifies moderate, and 11 or higher signifies severe disease.

    Time frame: Week 16

  3. Dermatology Life Quality Index (DLQI)

    Percentage of participants achieving a DLQI total reduction of ≥4 minimal clinically important difference among participants with a baseline DLQI ≥4. DLQI produces a numeric score that can range from 0 to 30. A higher score indicates greater health related quality of life impairment.

    Time frame: Week 16

  4. Reduction from Numerical Rating Scale (NRS30 & NR550) in Patient's Global Assessment of Skin Pain (PGA Skin Pain)

    Percentage of participants achieving at least ≥30% (and ≥50%) reduction and at least 2-unit reduction from Baseline in Numerical Rating Scale (NRS30 \& NRS50) in Patient's Global Assessment of Skin Pain (PGA Skin Pain) among subjects with Baseline NRS ≥3

    Time frame: Week 16

  5. Patient Global Impression-Severity of Illness-Hidradenitis Suppurativa at Week 16

    Percentage of participants with minimal or absent symptoms using the Patient Global Impression - Severity of Illness - Hidradenitis Suppurativa at Week 16. Participants choose the response that best describes the severity of their disease. The question is rated on a 7-point scale ranging from 0 to 6 (0=absent; 1=minimal; 2=mild; 3=moderate; 4=moderately severe; 5=severe; 6=very severe).

    Time frame: Week 16

  6. Resolution of draining tunnels (DT100)

    Percentage of participants with zero draining tunnels in the subgroup of participants with at least one draining tunnel at baseline (DT100)

    Time frame: Week 16 and Week 52

07

Study locations

109 sites
  • Clinical Site
    Los Angeles, California 90024, United States
  • Clinical Site
    Northridge, California 91325, United States
  • Clinical Site
    Sacramento, California 95815, United States
  • Clinical Site
    San Diego, California 92123, United States
  • Clinical Site
    Coral Gables, Florida 33134, United States
  • Clinical Site
    Coral Springs, Florida 33071, United States
  • Clinical Site
    Hollywood, Florida 33201, United States
  • Clinical Site
    Margate, Florida 33063, United States
  • Clinical Site
    Miami, Florida 33161, United States
  • Clinical Site
    Tampa, Florida 33607, United States
  • Clinical Site
    Macon, Georgia 31217, United States
  • Clinical Site
    Sandy Springs, Georgia 30328, United States
  • Clinical Site
    West Dundee, Illinois 60118, United States
  • Clinical Site
    Columbus, Indiana 47201, United States
  • Clinical Site
    New Albany, Indiana 47150, United States
  • Clinical Site
    Louisville, Kentucky 40241, United States
  • Clinical Site
    Metairie, Louisiana 70006, United States
  • Clinical Site
    Boston, Massachusetts 02116, United States
  • Clinical Site
    Boston, Massachusetts 02215, United States
  • Clinical Site
    Dearborn, Michigan 48126, United States
  • Clinical Site
    Warren, Michigan 48088, United States
  • Clinical Site
    Las Vegas, Nevada 89119, United States
  • Clinical Site
    New York, New York 10012, United States
  • Clinical Site
    The Bronx, New York 10467, United States
  • Clinical Site
    Boardman, Ohio 44512, United States
  • Clinical Site
    Dayton, Ohio 45324, United States
  • Clinical Site
    Mayfield Heights, Ohio 44124, United States
  • Clinical Site
    Oklahoma City, Oklahoma 73118, United States
  • Clinical Site
    Charleston, South Carolina 29425, United States
  • Clinical Site
    Nashville, Tennessee 37215, United States
  • Clinical Site
    Frisco, Texas 75034, United States
  • Clinical Site
    Houston, Texas 77004, United States
  • Clinical Site
    Houston, Texas 77082, United States
  • Clinical Site
    South Jordan, Utah 84095, United States
  • Clinical Site
    Forest, Virginia 24551, United States
  • Clinical Site
    Mill Creek, Washington 98012, United States
  • Clinical SIte
    Pleven, 5800, Bulgaria
  • Clinical Site
    Sofia, 1407, Bulgaria
  • Clinical Site
    Sofia, 1527, Bulgaria
  • Clinical Site
    Sofia, 1606, Bulgaria
  • Clinical Site
    Edmonton, Alberta T5J 3S9, Canada
  • Clinical Site
    Edmonton, Alberta T6H 4J8, Canada
  • Clinical Site
    Sherwood Park, Alberta T8H 0P1, Canada
  • Clinical Site
    Winnipeg, Manitoba R3M 3Z4, Canada
  • Clinical Site
    Fredericton, New Brunswick E3B 1G9, Canada
  • Clinical Site
    Barrie, Ontario L4M 7G1, Canada
  • Clinical Site
    London, Ontario N6H 5L5, Canada
  • Clinical Site
    Markham, Ontario L3P 1X3, Canada
  • Clinical Site
    Newmarket, Ontario L3Y 5G8, Canada
  • Clinical Site
    Toronto, Ontario M2N 3A6, Canada
  • Clinical Site
    Toronto, Ontario M5A3R6, Canada
  • Clinical Site
    Montreal, Quebec H1Y 3L1, Canada
  • Clinical Site
    Québec, Quebec G1W 4R4, Canada
  • Clinical Site
    Sherbrooke, Quebec J1G 1X9, Canada
  • Clinical Site
    Berlin, 10789, Germany
  • Clinical Site
    Bochum, 44805, Germany
  • Clinical Site
    Buxtehude, 21614, Germany
  • Clinical Site
    Erlangen, 91054, Germany
  • Clinical Site
    Essen, 45147, Germany
  • Clinical Site
    Frankfurt, 60590, Germany
  • Clinical SIte
    Halle, 06108, Germany
  • Clinical Site
    Hanover, 30159, Germany
  • Clinical Site
    Langenau, 89129, Germany
  • Clinical Site
    Mahlow, 15831, Germany
  • Clinical Site
    München, 80337, Germany
  • Clinical Site
    Münster, 48149, Germany
  • Clinical Site
    Oldenburg, 26133, Germany
  • Clinical Site
    Wuppertal, 42283, Germany
  • Clinical Site
    Budapest, 1036, Hungary
  • Clinical Site
    Debrecen, 4031, Hungary
  • Clinical Site
    Debrecen, 4032, Hungary
  • Clinical Site
    Pécs, 7632, Hungary
  • Clinical Site
    Brescia, 25123, Italy
  • Clinical Site
    Catania, 95123, Italy
  • Clinical Site
    Chieti, 66100, Italy
  • Clinical Site
    Cona, 44124, Italy
  • Clinical Site
    Florence, 50125, Italy
  • Clinical Site
    Milan, 20122, Italy
  • Clinical Site
    Modena, 41124, Italy
  • Clinical Site
    Naples, 80131, Italy
  • Clinical Site
    Perugia, 06129, Italy
  • Clinical Site
    Pisa, 56126, Italy
  • Clinical Site
    Rome, 00168, Italy
  • Clinical Site
    Rozzano, 20089, Italy
  • Clinical Site
    Torino, 10126, Italy
  • Clinical Site
    Torrette, 60020, Italy
  • Clinical Site
    Oslo, 0372, Norway
  • Clinical Site
    Bialystok, 15-453, Poland
  • Clinical Site
    Gdansk, 80-214, Poland
  • Clinical Site
    Krakow, 30-002, Poland
  • Clinical Site
    Krakow, 30-727, Poland
  • Clinical Site
    Lodz, 90-265, Poland
  • Clinical Site
    Lodz, 90-436, Poland
  • Clinical Site
    Lublin, 20-573, Poland
  • Clinical Site
    Ossy, 42-624, Poland
  • Clinical Site
    Poznan, 60-529, Poland
  • Clinical Site
    Sosnowiec, 41-200, Poland
  • Clinical Site
    Szczecin, 71-500, Poland
  • Clinical Site
    Warsaw, 00-710, Poland
  • Clinical Site
    Warsaw, 02-507, Poland

Showing the first 100 of 109 sites across 10 countries. Choose a country and city above to see the rest.

08

Timeline

Tracking 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 May 2024 to primary completion in Sep 2025, 15 months.

Of 26 phase 3 interventional studies under Hidradenitis Suppurativa, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 38. This study's 15 months is below that.

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

Registered
May 8, 2024
First posted
May 13, 2024
StartActual
May 15, 2024
Primary completionActual
Sep 2, 2025
CompletionActual
May 14, 2026
Results delay requested
Aug 11, 2026
Last update
Aug 12, 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.
No changes since tracking began. The registry record was last updated on Aug 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06411899
Lead sponsor
MoonLake Immunotherapeutics AG
Responsible party
Sponsor
First posted
May 13, 2024
Start date
May 15, 2024
Primary completion
Sep 2, 2025
Completion
May 14, 2026
Last update
Aug 12, 2026

Study contacts

Prof Kristian Reich, M.D., Ph.D. (equ.)
study director · MoonLake Immunotherapeutics AG

Oversight

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

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Studies of the drug tested here: Sonelokimab

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