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A study to test whether spesolimab helps people with a skin disease called hidradenitis suppurativa

Randomised, double-blind, placebo-controlled, Phase IIb/Phase III study to evaluate the efficacy and safety of spesolimab in patients with moderate to severe hidradenitis suppurativa. Lunsayil 1. - Lunsayil 1

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2041230016
Enrollment
460
Registered
2023-04-30
Start date
2023-05-08
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hidradenitis suppurativa

Interventions

Drug: Spesolimab (Spevigo) / Solution for infusion Drug: Spesolimab (Spevigo) / Solution for injection Drug: Placebo / Solution for infusion Drug: Placebo / Solution for injection

Sponsors

Arita Takafumi
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Of full age of consent at screening. 2. Signed and dated written informed consent in accordance with International Council on Harmonisation Good clinical practice (ICH GCP) and local legislation prior to admission to the trial. 3. Moderate to severe HS. 4. HS lesions in at least 2 distinct anatomic areas. 5. Biologic naive or Tumor Necrosis Factor inhibitor (TNFi) exposed for HS. 6. For biologic naive, inadequate response to an adequate course of appropriate oral antibiotics for treatment of HS. 7. Total AN count of greater than or equal to 5. 8. Total dT count of at least 1 at Baseline visit.

Exclusion criteria

Exclusion criteria: 1. Participants who must or wish to continue the intake of restricted medications or any drug considered likely to interfere with the safe conduct of the trial. 2. Prior exposure to any immunosuppressive biologic other than TNFi for HS. 3. Prior exposure to Interleukin 36 receptor (IL-36R) inhibitors including spesolimab. 4. Treated with any investigational device or investigational drug of chemical or biologic nature within a minimum of 30 days or 5 half-lives of the drug, whichever is longer. 5. Women who are pregnant, nursing, or who plan to become pregnant while in the trial. 6. Participants with history of allergy/hypersensitivity to the systemically administered trial medication agent or its excipients. 7. Participants with a transplanted organ (with exception of a corneal transplant >12 weeks prior to screening) or who has ever received stem cell therapy (e.g., Remestemcel-L). 8. Participants with any documented active or suspected malignancy or history of malignancy within 5 years prior to the screening visit, except appropriately treated basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or in situ carcinoma of uterine cervix.

Design outcomes

Primary

MeasureTime frame
Part 1: Percent change from baseline in Draining fistula/tunnel (dT) count at Week 8

Secondary

MeasureTime frame
Part 1: Percent change from baseline in dT count at Week 16 Absolute change from baseline in International hidradenitis suppurativa severity score system (IHS4) value at Week 8 Absolute change from baseline in IHS4 value at Week 16 Occurrence of treatment emergent adverse events (TEAEs)

Countries

Argentina, Australia, Austria, Belgium, Bulgaria, Canada, Chile, China, Czech Republic, Denmark, Finland, France, Germany, Greece, Israel, Italy, Japan, Lithuania, Malaysia, Mexico, Netherlands, New Zealand, Norway, Philippines, Poland, Portugal, Singapore, Slovakia, South Africa, South Korea, Spain

Contacts

Public ContactNobuko Yamada

Boehringer Ingelheim

medchiken.jp@boehringer-ingelheim.com+81-120-189-779

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026