Palmoplantar Pustulosis study: Delgocitinib cream vs Vehicle cream
Official title A 16-week Trial to Investigate the Efficacy and Safety of Delgocitinib Cream 20 mg/g in Adult Participants With Mild to Severe Palmoplantar Pustulosis
ClinicalTrials.gov ID: NCT07013201
What this study is testing
What is Delgocitinib cream?
An investigational topical cream being studied for the treatment of palmoplantar pustulosis.
Plain-language explanation of the investigational treatment. It is being studied and is not an approved or proven therapy. The study team can confirm the details.
- What it's testing
- This study is testing whether a cream called delgocitinib works better than a plain cream for palm skin sores.
- Who it's for
- You may be able to join if you are an adult with mild to severe palm skin sores.
- What's involved
- You would apply the cream to your palms twice a day. You will visit the clinic about nine times for check‑ins and tests.
- Time commitment
- The study lasts about 18 weeks and includes nine clinic visits.
- Phase 2: a mid-size study of how well it works
- Which group you join is decided by chance.
A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.
Who can take part
Ages 18 and older
You may be able to join if
- Signed and dated informed consent has been obtained prior to any protocol-related procedures.
- Age 18 years or above at the time of informed consent signing.
- Participant is able to comply with clinic visits and trial requirements and procedures, as assessed by the investigator.
- Diagnosis of PPP in accordance with the consensus diagnostic criteria established by European Rare and Severe Psoriasis Expert Network: primary...
- Confirmed PPP by central evaluation of photographs taken at screening.
You likely can't join if
- Presence or known history of drug-induced PPP (e.g., a new onset of PPP or an exacerbation of PPP from beta blockers, calcium channel blockers...
- Presence of acrodermatitis continua of Hallopeau.
- Active dermatologic condition that could confound the diagnosis of PPP or interfere with assessment of the IMP, as assessed by the investigator.
- Clinically significant infection on the palms or soles.
- Concurrent plaque psoriasis covering \>5% of body surface area.
- A systemic infection.
See the full eligibility criteria
Who can join
- Signed and dated informed consent has been obtained prior to any protocol-related procedures.
- Age 18 years or above at the time of informed consent signing.
- Participant is able to comply with clinic visits and trial requirements and procedures, as assessed by the investigator.
- Diagnosis of PPP in accordance with the consensus diagnostic criteria established by European Rare and Severe Psoriasis Expert Network: primary, persistent (\>3 months duration), sterile, macroscopically visible...
- Confirmed PPP by central evaluation of photographs taken at screening.
- Disease duration of PPP of \>6 months before randomisation.
- PPP-PGA of at least mild severity (PPP-PGA ≥2) at screening and baseline.
- PPPASI ≥8 at screening and baseline.
- Presence of ≥5 well-demarcated fresh pustules (white or yellow pustules) in total across all affected areas at screening and baseline.
- Participants with prior experiences of inadequate response with topical corticosteroid(s) (TCS) or for whom TCS are inadvisable, as judged by the investigators.
- A woman of childbearing potential must use an acceptable form of birth control throughout the trial up until the last administration of investigational medicinal product (IMP).
What rules you out
- Presence or known history of drug-induced PPP (e.g., a new onset of PPP or an exacerbation of PPP from beta blockers, calcium channel blockers, lithium, or biologic therapy including infliximab, adalimumab, or...
- Presence of acrodermatitis continua of Hallopeau.
- Active dermatologic condition that could confound the diagnosis of PPP or interfere with assessment of the IMP, as assessed by the investigator.
- Clinically significant infection on the palms or soles.
- Concurrent plaque psoriasis covering \>5% of body surface area.
- A systemic infection.
- A serious skin infection requiring parenteral (intravenous or intramuscular) antibiotics, antiviral, or antifungal medication.
- History of any known primary immunodeficiency disorder, including a positive human immunodeficiency virus test at screening, or the participant taking antiretroviral medications as determined by medical history and/or...
- Major surgery within 8 weeks prior to screening or planned in-patient surgery or hospitalisation during the trial period.
- Any documented active or suspected malignancy, or history of malignancy within 5 years prior to screening, except basal cell carcinoma of the skin, localized squamous cell carcinoma of the skin, or in situ carcinoma of...
- Affect the safety of the participant throughout the trial.
- Impede the participant's ability to complete the trial. Examples include, but are not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic...
- Any clinically significant abnormal finding occurring during the screening period and/or observed at the baseline visit that may put the participant at risk due to their participation in the trial or could influence the...
- Positive hepatitis B surface antigen and/or hepatitis B core antibody and positive hepatitis B virus DNA (participants who have tested positive for hepatitis B core antibody are eligible if tests for hepatitis B surface...
- Known or suspected hypersensitivity to any component(s) of the IMP.
- Current or recent chronic alcohol or drug abuse, or any other condition associated with poor compliance as judged by the investigator.
- Women who are pregnant or lactating.
- Systemic treatment within 4 weeks prior to baseline with immunosuppressive drugs (e.g., methotrexate, cyclosporine, azathioprine), immunomodulating drugs, retinoids (e.g., acitretin), tyrosine kinase inhibitors...
- Use of tanning beds or phototherapy (e.g., ultraviolet B [UVB], ultraviolet A1 [UVA1], psoralen ultraviolet A [PUVA]) on the palms or soles within 4 weeks prior to baseline.
- Use of systemic or topical janus kinase inhibitors (including delgocitinib/LEO 124249) within 4 weeks prior to baseline.
- Cutaneously applied treatment with immunomodulators (e.g., phosphodiesterase-4 [PDE-4] inhibitors, pimecrolimus, tacrolimus, tapinarof, vitamin D3 derivatives) or TCS on the palms or soles within 2 weeks prior to...
- Use of systemic antibiotics or cutaneously applied antibiotics on the palms or soles within 2 weeks prior to baseline.
- Other transdermal or cutaneously applied therapy on the palms or soles (except for the use of the participant's own non-medicated emollients) within 1 week prior to baseline.
- Cutaneously applied treatments in regions other than the palms or soles, which could interfere with clinical trial evaluations or pose a safety concern (excluding treatments for psoriasis patches or other...
- Any cell-depleting agents, including but not limited to rituximab: within 6 months prior to baseline, or until lymphocyte count returns to normal, whichever is longer.
- Other biologics, including but not limited to secukinumab, ustekinumab, tildrakizumab, ixekizumab, risankizumab, guselkumab, and tumour necrosis factor (TNF)-alpha inhibitors: within 3 months or 5 half-lives, whichever...
- Treatment with any non-marketed drug substance (i.e., an agent that has not yet been made available for clinical use following registration) within the last 4 weeks prior to baseline or 5 half-lives, whichever is longer.
- Current participation in any other treatment clinical trial.
- Previously assigned by chance in this clinical trial.
- Previously assigned by chance in a clinical trial with delgocitinib.
- Employees of the trial site, or any other individuals directly involved with the planning or conduct of the trial, or immediate family members of such individuals.
The study team makes the final eligibility decision.
Where it is enrolling
- Fountain Valley, California, United States
- Douglasville, Georgia, United States
- West Bloomfield, Michigan, United States
- Elmhurst, New York, United States
- Mayfield Heights, Ohio, United States
- Portland, Oregon, United States
- Philadelphia, Pennsylvania, United States
- Calgary, Alberta, Canada
- Edmonton, Alberta, Canada
- Surrey, British Columbia, Canada
- Winnipeg, Manitoba, Canada
- Fredericton, New Brunswick, Canada
- Hamilton, Ontario, Canada
- Markham, Ontario, Canada
- Waterloo, Ontario, Canada
- Montreal, Quebec, Canada
- Bad Bentheim, Germany
- Dresden, Germany
- Göttingen, Germany
- Hamburg, Germany
+ 17 more site(s).
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part, but confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.
Where is this trial taking place?
This study is enrolling now at Fountain Valley, California, United States; Douglasville, Georgia, United States; West Bloomfield, Michigan, United States; Elmhurst, New York, United States; Mayfield Heights, Ohio, United States; Portland, Oregon, United States and 31 more locations. Enter your location above to see the nearest enrolling site and check your eligibility.
Explore other conditions
BridgeMD is an information and trial-matching tool that is independent of the study sponsor. Details come from ClinicalTrials.gov. The study team decides eligibility, and your own doctor gives medical advice.