Palmoplantar pustulosis is a chronic inflammatory skin disease that causes repeated on and off symptoms like erythema (reddening, irritation), vesicle (swelling, cyst), pustules, scale, and crusts in palms and soles. This study evaluates how well risankizumab works compared to placebo (no medicine) to treat palmoplantar pustulosis. Study will assess change in Palmoplantar Pustulosis Area and Severity Index \[PPPASI\]. Risankizumab is an investigational drug being developed for the treatment of palmoplantar pustulosis. This study is "double-blinded", which means that neither the trial participants nor the study doctors will know who will be given study drug and who will receive placebo (no medicine). Participants are randomly put into 1 of 2 groups, called treatment arms to receive risankizumab or placebo in period A. In period B, each group receives both risankizumab and placebo at different time intervals. Around 116 adult participants with palmoplantar pustulosis will be enrolled in approximately 39 sites across Japan. Participants will receive subcutaneous (SC) injections of risankizumab or placebo at Week 0 and Week 4 (Period A). Beginning Week 16 (Period B), both the groups will receive risankizumab and placebo at different intervals. Total treatment duration is 56 weeks. There may be a higher burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the course of the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
119
Subcutaneous (SC) injection
Subcutaneous (SC) injection
Ichinomiya Municipal Hospital /ID# 222581
Ichinomiya-shi, Aichi-ken, Japan
Chukyo Hospital /ID# 218894
Nagoya, Aichi-ken, Japan
Nagoya City University Hospital /ID# 221258
Nagoya, Aichi-ken, Japan
Fujita Health University Hospital /ID# 221285
Toyoake-shi, Aichi-ken, Japan
Toho University Sakura Medical Center /ID# 220858
Sakura-shi, Chiba, Japan
Change From Baseline in Palmoplantar Pustulosis Area and Severity Index (PPPASI) Total Score
The Palmoplantar Pustulosis Area and Severity Index (PPPASI) assesses the severity of palmoplantar pustulosis lesions and their response to therapy. In the PPPASI system, the palms and soles are divided into 4 regions: the right palm, left palm, right sole, left sole which account for 20%, 20%, 30%, and 30%, respectively, of the total surface area of the palms and soles. Each of these areas are assessed separately for erythema, pustules/vesicle and desquamation/scale, which are each rated on a scale of 0 to 4. The PPPASI produces a numeric score that can range from 0 to 72. A higher score indicates more severe disease.
Time frame: Baseline (Week 0) through Week 16
Percentage of Participants Achieving at least 50% Improvement in PPPASI (PPPASI-50)
The Palmoplantar Pustulosis Area and Severity Index (PPPASI) assesses the severity of palmoplantar pustulosis lesions and their response to therapy. In the PPPASI system, the palms and soles are divided into 4 regions: the right palm, left palm, right sole, left sole which account for 20%, 20%, 30%, and 30%, respectively, of the total surface area of the palms and soles. Each of these areas are assessed separately for erythema, pustules/vesicle and desquamation/scale, which are each rated on a scale of 0 to 4. The PPPASI produces a numeric score that can range from 0 to 72. A higher score indicates more severe disease.
Time frame: Baseline (Week 0) through Week 16
Percentage of Participants Achieving at least 75% Improvement in PPPASI (PPPASI-75)
The Palmoplantar Pustulosis Area and Severity Index (PPPASI) assesses the severity of palmoplantar pustulosis lesions and their response to therapy. In the PPPASI system, the palms and soles are divided into 4 regions: the right palm, left palm, right sole, left sole which account for 20%, 20%, 30%, and 30%, respectively, of the total surface area of the palms and soles. Each of these areas are assessed separately for erythema, pustules/vesicle and desquamation/scale, which are each rated on a scale of 0 to 4. The PPPASI produces a numeric score that can range from 0 to 72. A higher score indicates more severe disease.
Time frame: Baseline (Week 0) through Week 16
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Ehime University Hospital /ID# 221260
Toon-shi, Ehime, Japan
Kurume University Hospital /ID# 222751
Kurume-shi, Fukuoka, Japan
Fukushima Medical University Hospital /ID# 221639
Fukushima, Fukushima, Japan
Gifu University Hospital /ID# 219109
Gifu, Gifu, Japan
Ogaki Municipal Hospital /ID# 220801
Ogaki-shi, Gifu, Japan
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