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Phase 2
Age: 18Years +
All Genders
ID07013201

A Proof-of-concept Phase 2a Double-blind Trial Comparing Twice Daily Delgocitinib Cream 20 mgg to Vehicle Cream for Adult Subjects with Mild to Severe Palmoplantar Pustulosis During 16 Weeks of Treatment

Led by LEO Pharma · Updated on 2026-06-05

135

Participants Needed

38

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the effects of delgocitinib cream 20 mgg applied twice daily compared to a non-active cream vehicle in adults aged 18 years and older with mild to severe palmoplantar pustulosis PPP. This skin condition involves pustules on the palms and soles and can persist for more than three months. The study aims to determine if delgocitinib improves the severity and symptoms of PPP over 16 weeks. Participants will be randomly assigned to one of two groups one applying delgocitinib cream twice a day and the other applying a matching vehicle cream twice a day, both for 16 weeks. The study is double-blind, meaning neither participants nor researchers know which treatment is given. The total study duration for each participant is about 18 weeks, including approximately 9 visits. During the study, participants will attend regular visits where their skin condition will be evaluated using several measures, including the Palmoplantar Pustulosis Area and Severity Index PPPASI and Physician Global Assessment PGA. Researchers will also assess symptoms like pustule counts, itch, pain, quality of life, and work productivity. Safety and any side effects will be monitored throughout the study period.

CONDITIONS

Brief 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

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed and dated informed consent before any study procedures
  • Age 18 years or older at consent
  • Able to attend clinic visits and follow trial procedures
  • Diagnosed with palmoplantar pustulosis (PPP) with visible pustules on palms and/or soles for more than 3 months
  • PPP confirmed by central photo evaluation at screening
  • Mild to severe PPP with disease duration over 6 months
  • PPP Physician Global Assessment (PGA) score of at least mild severity at screening and baseline
  • PPP Area and Severity Index (PPPASI) score of 8 or higher at screening and baseline
  • At least 5 well-demarcated fresh pustules on affected areas at screening and baseline
  • Prior inadequate response to topical corticosteroids or corticosteroids are inadvisable
  • Women of childbearing potential must use acceptable birth control throughout the trial until last study drug use
Not Eligible

You will not qualify if you...

  • Drug-induced PPP or PPP caused by specific medications
  • Presence of acrodermatitis continua of Hallopeau
  • Active skin conditions interfering with PPP diagnosis or treatment assessment
  • Significant infection on palms or soles or recent clinically significant infection within 4 weeks
  • Plaque psoriasis covering more than 5% of body surface area
  • Known primary immunodeficiency or positive HIV test
  • Major surgery within 8 weeks before screening or planned hospitalization during trial
  • Active or recent malignancy within 5 years (except treated skin or cervical carcinoma)
  • Unstable disorders affecting safety or ability to complete trial
  • Clinically significant abnormal findings at screening or baseline
  • Positive hepatitis B or C infection confirmed by specific tests
  • Known allergy to study drug components
  • Current or recent chronic alcohol or drug abuse
  • Pregnant or breastfeeding women
  • Recent use of immunosuppressive or immunomodulating drugs, retinoids, or corticosteroids within specified timeframes
  • Recent use of phototherapy or systemic or topical Janus kinase inhibitors
  • Recent use of immunomodulators or antibiotics on palms or soles within specified periods
  • Use of other transdermal or topical therapies on palms or soles except non-medicated emollients
  • Recent use of topical treatments on other body areas that might interfere with evaluations
  • Recent treatment with biological therapies or investigational drugs within specified periods
  • Participation in other interventional clinical trials
  • Previously randomized in this or any delgocitinib clinical trial
  • Trial site employees or immediate family of trial staff

Research Team

C

Clinical Disclosure

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