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Exploratory Study of IFX-1 in Patients With Pyoderma Gangrenosum

Open Label Exploratory Phase IIa Trial to Investigate the Safety and Efficacy of IFX-1 in Treating Patients With Pyoderma Gangrenosum (OPTIMA)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03971643
Enrollment
19
Registered
2019-06-03
Start date
2019-05-16
Completion date
2022-01-03
Last updated
2023-09-14

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

Conditions

Pyoderma Gangrenosum

Brief summary

The purpose of this study is to determine whether vilobelimab (development name: IFX-1) is safe and effective in the treatment of pyoderma gangrenosum.

Detailed description

Neutrophilic dermatoses are a spectrum of inflammatory disorders characterized by skin lesions resulting from a neutrophil-rich inflammatory infiltrate in the absence of infection. Pyoderma gangrenosum is associated with a neutrophilic leukocytosis, which is likely to be triggered by C5a. This study is set up based on the hypothesis that vilobelimab might be able to block C5a induced pro-inflammatory effects such as neutrophil activation and cytokine generation, potentially contributing to the local skin inflammation and tissue damage.

Interventions

IV infusions of vilobelimab diluted in sodium chloride.

Sponsors

Innovaderm Research Inc.
CollaboratorOTHER
InflaRx GmbH
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

IV infusions of vilobelimab diluted in sodium chloride

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Diagnosis of an ulcerative form of pyoderma gangrenosum confirmed by the investigator In addition, the subject must fulfill at least 3 of the following 6 criteria at screening: History of * Pathergy (ulcer occurring at the sites of trauma) * Personal history of inflammatory bowel disease or inflammatory arthritis * History of papule, pustule or vesicle that rapidly ulcerated Clinical examination (or photographic evidence) of * Peripheral erythema, undermining border, and tenderness at site of ulceration * Multiple ulcerations (at least 1 occurring on the lower leg) * Cribriform or wrinkled paper scar(s) at sites of healed ulcers Subject has a minimum of 1 evaluable ulcer (≥2 cm2) on the lower extremity at screening

Exclusion criteria

* Pyoderma gangrenosum target ulcer for more than 3 years before screening * Surgical wound debridement within the previous 2 weeks before screening * Use of intravenous antibacterials, antivirals, anti-fungals, or anti-parasitic agents within 30 days before screening * Any drug treatment for pyoderma gangrenosum including corticosteroids (\>10 mg), intralesional steroids, cyclosporine A, biologicals and immunosuppressives (with the exception of antibiotics for wound superinfection) used within a time of 5 half-lives of the drug before screening

Design outcomes

Primary

MeasureTime frameDescription
Treatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)From treatment start until end of study (including observational visits), an average of 249 daysNumber of patients with treatment-emergent adverse events (TEAEs), related TEAEs, serious TEAEs, and adverse events of special interest (AESIs) TEAEs are defined as adverse events that start at or after the first administration of study drug. Related TEAEs are defined as all TEAEs considered by the investigator to have at least a 'possible' relationship with the study drug. AESIs are defined as infusion-related reactions, including acute and delayed hypersensitivity and anaphylactic reactions during or after infusion; Meningitis; Meningococcal septicaemia; Invasive infection. As adverse events will be reported in details in the safety section, no separate reporting on System Organ Class (SOC) or Preferred Term (PT) level etc. is done here.

Secondary

MeasureTime frameDescription
Time to Complete Closure of Pyoderma Gangrenosum Target Ulcer (Investigator Assessment) [Days]From treatment start until end of study (including observational visits), an average of 249 daysEfficacy endpoint: Kaplan-Meier analysis of time to first clinical remission (complete closure of target ulcer) defined as PGA score of ≤ 1, PGA values: 0 = Completely clear, 1 = Almost clear, 2 =Marked improvement, 3 = Moderate improvement, 4 = Slight improvement, 5 = No change from baseline, 6 = Worse
Percentage Change in Wound Healing (Wound Area) by Photographic AssessmentFrom treatment start until V16 (Day 189)Efficacy endpoint: Percentage change in wound area \[percent change\] of target ulcer by photographic assessment between Visits V1 and V4, between Visits V1 and V6, between Visits V1 and V16, between Visits V6 and V10, between Visits V10 and V16.
Percentage Change in Wound Healing (Wound Volume) by Photographic AssessmentFrom treatment start until V16 (Day 189)Efficacy endpoint: Percentage change in wound volume \[percent change\] of target ulcer by photographic assessment between Visits V1 and V4, between Visits V1 and V6, between Visits V1 and V16, between Visits V6 and V10, between Visits V10 and V16.
Rate of Change Per Day in Area of Target Ulcer by Photographic Assessment From V1 to V16From treatment start until V16 (Day 189)Efficacy endpoint: Rate of change per day in area of target ulcer \[mm²/day\] between Visits V1 and V16 (photographic assessment)
Number of Patients With ≥ 50% Decrease in Area of Target Ulcer by Photographic Assessment at V16From treatment start until V16 (Day 189)Efficacy endpoint: Number of patients with a decrease in area of target ulcer of ≥ 50% by photographic assessment at Visit V16 (EOT) compared to Baseline
Number of Patients With Physician's Global Assessment (PGA) Score ≤3 (Investigator Assessment)From treatment start until V16 (Day 189)Efficacy endpoint: Proportion of patients with a clinical response, defined as Physician's Global Assessment (PGA) score ≤3 of target ulcer at Visit V4, V6, V10 and V16 (End of Treatment \[EOT\]) (SAF). PGA values: 0 = Completely clear, 1 = Almost clear, 2 =Marked improvement, 3 = Moderate improvement, 4 = Slight improvement, 5 = No change from baseline, 6 = Worse
Degree of Erythema of the Target Ulcer at V4, V6, V10 and V16From treatment start until V16 (Day 189)Efficacy endpoint: Degree of erythema of the target ulcer at Visit V4, V6, V10 and V16 (EOT) (investigator assessment)
Border Elevation of the Target Ulcer at Visits V4, V6, V10 and V16From treatment start until V16 (Day 189)Efficacy endpoint: Border elevation of the target ulcer at visits V4, V6, V10 and V16 (EOT) (investigator assessment)
Percentage Change in Pain by Numeric Rating Scale (NRS) at Visits V4, V6, V10 and V16From treatment start until V16 (Day 189)Efficacy endpoint: Percentage change from Baseline in pain assessed by Numeric Rating Scale (NRS) \[percent change\] at visits V4, V6, V10 and V16 (EOT) Mean (SD) The NRS is an 11-point scale (from 0 represent no pain to 10 representing the worst pain the subject can imagine).
Percentage Change in Life Quality by DLQI at Visits V4, V6, V10, and V16From treatment start until V16 (Day 189)Efficacy endpoint: Percentage change from Baseline in Dermatology Life Quality Index (DLQI) \[percent change\] at visits V4, V6, V10, and V16 (EOT) The DLQI comprises 10 questions with single scores 0 (No effect on patient's life) to 3 (large effect on patient's life). The DLQI total score is calculated by summing up the score of each question resulting in a minimum of 0 (best) and a maximum of 30 (worst).
Number of Patients With 100% Decrease in Area of Target Ulcer at V16From treatment start until V16 (Day 189)Efficacy endpoint: Number of patients with a decrease in area of target ulcer of 100% at Visit V16 (EOT) compared to Baseline (remission) (photographic assessment)

Countries

Canada, Poland, United States

Participant flow

Participants by arm

ArmCount
Vilobelimab 800 mg Q2W
Group 1 (N=6) continued to receive vilobelimab 800 mg every 2 weeks (Q2W), with option to increase dose from Day 57 to 1600 mg every Q2W.
6
Vilobelimab 1600 mg Q2W
Group 2 (N=6) received vilobelimab 1600 mg every 2 weeks (Q2W), with option to increase dose from Day 57 to 2400 mg every Q2W.
6
Vilobelimab 2400 mg Q2W
Group 3 (N=7) received vilobelimab 2400 mg every 2 weeks (Q2W).
7
Total19

Baseline characteristics

CharacteristicVilobelimab 1600 mg Q2WVilobelimab 2400 mg Q2WVilobelimab 800 mg Q2WTotal
Age, Continuous60.5 years
STANDARD_DEVIATION 12.36
43.0 years
STANDARD_DEVIATION 15
59.5 years
STANDARD_DEVIATION 11.41
53.7 years
STANDARD_DEVIATION 14.99
Baseline Disease Characteristic: Duration of pyoderma gangrenosum5.7 years
STANDARD_DEVIATION 9.54
3.4 years
STANDARD_DEVIATION 6.05
1.7 years
STANDARD_DEVIATION 1.86
3.6 years
STANDARD_DEVIATION 6.41
Baseline Disease Characteristic: Wound area at baseline7898.952 area [mm²]
STANDARD_DEVIATION 5844.5941
1827.553 area [mm²]
STANDARD_DEVIATION 1901.283
1692.374 area [mm²]
STANDARD_DEVIATION 1391.4307
3573.500 area [mm²]
STANDARD_DEVIATION 4320.3723
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants1 Participants0 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants6 Participants6 Participants18 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
2 Participants0 Participants0 Participants2 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
4 Participants7 Participants6 Participants17 Participants
Sex: Female, Male
Female
3 Participants3 Participants4 Participants10 Participants
Sex: Female, Male
Male
3 Participants4 Participants2 Participants9 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 60 / 60 / 7
other
Total, other adverse events
6 / 63 / 65 / 7
serious
Total, serious adverse events
1 / 61 / 62 / 7

Outcome results

Primary

Treatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)

Number of patients with treatment-emergent adverse events (TEAEs), related TEAEs, serious TEAEs, and adverse events of special interest (AESIs) TEAEs are defined as adverse events that start at or after the first administration of study drug. Related TEAEs are defined as all TEAEs considered by the investigator to have at least a 'possible' relationship with the study drug. AESIs are defined as infusion-related reactions, including acute and delayed hypersensitivity and anaphylactic reactions during or after infusion; Meningitis; Meningococcal septicaemia; Invasive infection. As adverse events will be reported in details in the safety section, no separate reporting on System Organ Class (SOC) or Preferred Term (PT) level etc. is done here.

Time frame: From treatment start until end of study (including observational visits), an average of 249 days

Population: Safety set

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Vilobelimab 800 mg Q2WTreatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)Adverse events of special interest (AESIs) as identified by investigator0 Participants
Vilobelimab 800 mg Q2WTreatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)Serious TEAEs1 Participants
Vilobelimab 800 mg Q2WTreatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)Treatment-emergent adverse events (TEAEs)6 Participants
Vilobelimab 800 mg Q2WTreatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)Related TEAEs0 Participants
Vilobelimab 800 mg Q2WTreatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)Adverse events of special interest (AESIs) as identified by sponsor2 Participants
Vilobelimab 1600 mg Q2WTreatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)Serious TEAEs1 Participants
Vilobelimab 1600 mg Q2WTreatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)Treatment-emergent adverse events (TEAEs)4 Participants
Vilobelimab 1600 mg Q2WTreatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)Related TEAEs2 Participants
Vilobelimab 1600 mg Q2WTreatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)Adverse events of special interest (AESIs) as identified by investigator1 Participants
Vilobelimab 1600 mg Q2WTreatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)Adverse events of special interest (AESIs) as identified by sponsor1 Participants
Vilobelimab 2400 mg Q2WTreatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)Adverse events of special interest (AESIs) as identified by sponsor2 Participants
Vilobelimab 2400 mg Q2WTreatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)Adverse events of special interest (AESIs) as identified by investigator1 Participants
Vilobelimab 2400 mg Q2WTreatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)Treatment-emergent adverse events (TEAEs)5 Participants
Vilobelimab 2400 mg Q2WTreatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)Serious TEAEs2 Participants
Vilobelimab 2400 mg Q2WTreatment-emergent Adverse Events (TEAEs), Related TEAEs, Serious TEAEs, and Adverse Events of Special Interest (AESIs)Related TEAEs2 Participants
Secondary

Border Elevation of the Target Ulcer at Visits V4, V6, V10 and V16

Efficacy endpoint: Border elevation of the target ulcer at visits V4, V6, V10 and V16 (EOT) (investigator assessment)

Time frame: From treatment start until V16 (Day 189)

Population: Safety Set

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V10Very severe (4)0 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V6Moderate (2)2 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V4None (0)0 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V10Severe (3)0 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V6Severe (3)1 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V4Severe (3)3 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V10Moderate (2)3 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V6Very severe (4)0 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V16Very severe (4)0 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V10Slight (1)2 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V10None (0)1 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V16Moderate (2)1 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V4Very severe (4)0 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V16Severe (3)0 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V16Slight (1)0 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V6None (0)2 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V4Moderate (2)1 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V16None (0)0 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V6Slight (1)1 Participants
Vilobelimab 800 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V4Slight (1)2 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V16Moderate (2)1 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V4None (0)0 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V4Slight (1)0 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V4Moderate (2)5 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V4Severe (3)0 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V4Very severe (4)1 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V6None (0)0 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V6Slight (1)0 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V6Moderate (2)3 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V6Severe (3)1 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V6Very severe (4)0 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V10None (0)0 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V10Slight (1)1 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V10Moderate (2)3 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V10Severe (3)0 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V10Very severe (4)0 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V16None (0)1 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V16Slight (1)1 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V16Severe (3)0 Participants
Vilobelimab 1600 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V16Very severe (4)0 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V4Slight (1)0 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V10Severe (3)0 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V6Slight (1)1 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V16Very severe (4)0 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V10Very severe (4)0 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V6None (0)1 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V16Severe (3)0 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V16None (0)1 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V4Very severe (4)0 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V4None (0)0 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V16Slight (1)4 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V4Severe (3)3 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V10None (0)0 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V6Very severe (4)0 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V4Moderate (2)4 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V10Slight (1)6 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V6Severe (3)1 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V16Moderate (2)1 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V10Moderate (2)0 Participants
Vilobelimab 2400 mg Q2WBorder Elevation of the Target Ulcer at Visits V4, V6, V10 and V16V6Moderate (2)4 Participants
Secondary

Degree of Erythema of the Target Ulcer at V4, V6, V10 and V16

Efficacy endpoint: Degree of erythema of the target ulcer at Visit V4, V6, V10 and V16 (EOT) (investigator assessment)

Time frame: From treatment start until V16 (Day 189)

Population: Safety set

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V4Moderate (2)2 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V10Very severe (4)0 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V6Moderate (2)2 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V16Very severe (4)0 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V10Severe (3)2 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V6Severe (3)2 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V6Very severe (4)1 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V10Moderate (2)3 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V4Severe (3)3 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V10Slight (1)0 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V10None (0)1 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V4Slight (1)0 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V16Moderate (2)0 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V4Very severe (4)1 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V4None (0)0 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V16Slight (1)0 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V6None (0)1 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V16Severe (3)1 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V16None (0)0 Participants
Vilobelimab 800 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V6Slight (1)0 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V16Moderate (2)0 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V4None (0)0 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V4Slight (1)0 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V4Moderate (2)2 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V4Severe (3)3 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V4Very severe (4)1 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V6None (0)0 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V6Slight (1)0 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V6Moderate (2)2 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V6Severe (3)2 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V6Very severe (4)0 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V10None (0)0 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V10Slight (1)1 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V10Moderate (2)1 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V10Severe (3)2 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V10Very severe (4)0 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V16None (0)1 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V16Slight (1)1 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V16Severe (3)1 Participants
Vilobelimab 1600 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V16Very severe (4)0 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V4Slight (1)0 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V10Severe (3)2 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V6Slight (1)1 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V16Very severe (4)0 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V10Very severe (4)0 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V6None (0)0 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V16Severe (3)0 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V16None (0)0 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V4Very severe (4)2 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V4None (0)0 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V16Slight (1)5 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V4Severe (3)4 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V10None (0)0 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V6Very severe (4)1 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V4Moderate (2)1 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V10Slight (1)3 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V6Severe (3)3 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V16Moderate (2)1 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V10Moderate (2)1 Participants
Vilobelimab 2400 mg Q2WDegree of Erythema of the Target Ulcer at V4, V6, V10 and V16V6Moderate (2)2 Participants
Secondary

Number of Patients With 100% Decrease in Area of Target Ulcer at V16

Efficacy endpoint: Number of patients with a decrease in area of target ulcer of 100% at Visit V16 (EOT) compared to Baseline (remission) (photographic assessment)

Time frame: From treatment start until V16 (Day 189)

Population: Safety Set~Only patients with an available wound area measurement at baseline and V16 are included in this analysis. Wound area for single visits was missing because images were not taken correctly and the measurements could not be obtained or patients discontinued the study prior to the relevant visit.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Vilobelimab 800 mg Q2WNumber of Patients With 100% Decrease in Area of Target Ulcer at V160 Participants
Vilobelimab 1600 mg Q2WNumber of Patients With 100% Decrease in Area of Target Ulcer at V161 Participants
Vilobelimab 2400 mg Q2WNumber of Patients With 100% Decrease in Area of Target Ulcer at V162 Participants
Secondary

Number of Patients With ≥ 50% Decrease in Area of Target Ulcer by Photographic Assessment at V16

Efficacy endpoint: Number of patients with a decrease in area of target ulcer of ≥ 50% by photographic assessment at Visit V16 (EOT) compared to Baseline

Time frame: From treatment start until V16 (Day 189)

Population: Safety Set~Only patients with an available wound area measurement at baseline and V16 are included in this analysis. Wound area for single visits was missing because images were not taken correctly and the measurements could not be obtained or patients discontinued the study prior to the relevant visit.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Vilobelimab 800 mg Q2WNumber of Patients With ≥ 50% Decrease in Area of Target Ulcer by Photographic Assessment at V160 Participants
Vilobelimab 1600 mg Q2WNumber of Patients With ≥ 50% Decrease in Area of Target Ulcer by Photographic Assessment at V161 Participants
Vilobelimab 2400 mg Q2WNumber of Patients With ≥ 50% Decrease in Area of Target Ulcer by Photographic Assessment at V166 Participants
Secondary

Number of Patients With Physician's Global Assessment (PGA) Score ≤3 (Investigator Assessment)

Efficacy endpoint: Proportion of patients with a clinical response, defined as Physician's Global Assessment (PGA) score ≤3 of target ulcer at Visit V4, V6, V10 and V16 (End of Treatment \[EOT\]) (SAF). PGA values: 0 = Completely clear, 1 = Almost clear, 2 =Marked improvement, 3 = Moderate improvement, 4 = Slight improvement, 5 = No change from baseline, 6 = Worse

Time frame: From treatment start until V16 (Day 189)

Population: Safety Set

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Vilobelimab 800 mg Q2WNumber of Patients With Physician's Global Assessment (PGA) Score ≤3 (Investigator Assessment)V42 Participants
Vilobelimab 800 mg Q2WNumber of Patients With Physician's Global Assessment (PGA) Score ≤3 (Investigator Assessment)V61 Participants
Vilobelimab 800 mg Q2WNumber of Patients With Physician's Global Assessment (PGA) Score ≤3 (Investigator Assessment)V103 Participants
Vilobelimab 800 mg Q2WNumber of Patients With Physician's Global Assessment (PGA) Score ≤3 (Investigator Assessment)V160 Participants
Vilobelimab 1600 mg Q2WNumber of Patients With Physician's Global Assessment (PGA) Score ≤3 (Investigator Assessment)V161 Participants
Vilobelimab 1600 mg Q2WNumber of Patients With Physician's Global Assessment (PGA) Score ≤3 (Investigator Assessment)V40 Participants
Vilobelimab 1600 mg Q2WNumber of Patients With Physician's Global Assessment (PGA) Score ≤3 (Investigator Assessment)V101 Participants
Vilobelimab 1600 mg Q2WNumber of Patients With Physician's Global Assessment (PGA) Score ≤3 (Investigator Assessment)V61 Participants
Vilobelimab 2400 mg Q2WNumber of Patients With Physician's Global Assessment (PGA) Score ≤3 (Investigator Assessment)V165 Participants
Vilobelimab 2400 mg Q2WNumber of Patients With Physician's Global Assessment (PGA) Score ≤3 (Investigator Assessment)V63 Participants
Vilobelimab 2400 mg Q2WNumber of Patients With Physician's Global Assessment (PGA) Score ≤3 (Investigator Assessment)V105 Participants
Vilobelimab 2400 mg Q2WNumber of Patients With Physician's Global Assessment (PGA) Score ≤3 (Investigator Assessment)V40 Participants
Secondary

Percentage Change in Life Quality by DLQI at Visits V4, V6, V10, and V16

Efficacy endpoint: Percentage change from Baseline in Dermatology Life Quality Index (DLQI) \[percent change\] at visits V4, V6, V10, and V16 (EOT) The DLQI comprises 10 questions with single scores 0 (No effect on patient's life) to 3 (large effect on patient's life). The DLQI total score is calculated by summing up the score of each question resulting in a minimum of 0 (best) and a maximum of 30 (worst).

Time frame: From treatment start until V16 (Day 189)

Population: Safety set~Only patients with an available DLQI at both relevant visits are included in the respective analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Vilobelimab 800 mg Q2WPercentage Change in Life Quality by DLQI at Visits V4, V6, V10, and V16V1-V10-50.0 percent changeStandard Deviation 28.01
Vilobelimab 800 mg Q2WPercentage Change in Life Quality by DLQI at Visits V4, V6, V10, and V16V1-V4-29.9 percent changeStandard Deviation 22.75
Vilobelimab 800 mg Q2WPercentage Change in Life Quality by DLQI at Visits V4, V6, V10, and V16V1-V164.5 percent change
Vilobelimab 800 mg Q2WPercentage Change in Life Quality by DLQI at Visits V4, V6, V10, and V16V1-V6-31.4 percent changeStandard Deviation 20.29
Vilobelimab 1600 mg Q2WPercentage Change in Life Quality by DLQI at Visits V4, V6, V10, and V16V1-V10-33.9 percent changeStandard Deviation 31.26
Vilobelimab 1600 mg Q2WPercentage Change in Life Quality by DLQI at Visits V4, V6, V10, and V16V1-V6-33.2 percent changeStandard Deviation 29.68
Vilobelimab 1600 mg Q2WPercentage Change in Life Quality by DLQI at Visits V4, V6, V10, and V16V1-V4-3.8 percent changeStandard Deviation 51.05
Vilobelimab 1600 mg Q2WPercentage Change in Life Quality by DLQI at Visits V4, V6, V10, and V16V1-V16-2 percent changeStandard Deviation 56.07
Vilobelimab 2400 mg Q2WPercentage Change in Life Quality by DLQI at Visits V4, V6, V10, and V16V1-V6-24.7 percent changeStandard Deviation 34.3
Vilobelimab 2400 mg Q2WPercentage Change in Life Quality by DLQI at Visits V4, V6, V10, and V16V1-V4-33.1 percent changeStandard Deviation 28.61
Vilobelimab 2400 mg Q2WPercentage Change in Life Quality by DLQI at Visits V4, V6, V10, and V16V1-V16-50.8 percent changeStandard Deviation 45.1
Vilobelimab 2400 mg Q2WPercentage Change in Life Quality by DLQI at Visits V4, V6, V10, and V16V1-V10-43.1 percent changeStandard Deviation 28.17
Secondary

Percentage Change in Pain by Numeric Rating Scale (NRS) at Visits V4, V6, V10 and V16

Efficacy endpoint: Percentage change from Baseline in pain assessed by Numeric Rating Scale (NRS) \[percent change\] at visits V4, V6, V10 and V16 (EOT) Mean (SD) The NRS is an 11-point scale (from 0 represent no pain to 10 representing the worst pain the subject can imagine).

Time frame: From treatment start until V16 (Day 189)

Population: Safety set~Only patients with an available NRS at both relevant visits are included in the respective analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Vilobelimab 800 mg Q2WPercentage Change in Pain by Numeric Rating Scale (NRS) at Visits V4, V6, V10 and V16V1-V4-41.6 percent changeStandard Deviation 31.29
Vilobelimab 800 mg Q2WPercentage Change in Pain by Numeric Rating Scale (NRS) at Visits V4, V6, V10 and V16V1-V6-43.3 percent changeStandard Deviation 16.43
Vilobelimab 800 mg Q2WPercentage Change in Pain by Numeric Rating Scale (NRS) at Visits V4, V6, V10 and V16V1-V10-64.3 percent changeStandard Deviation 32.55
Vilobelimab 800 mg Q2WPercentage Change in Pain by Numeric Rating Scale (NRS) at Visits V4, V6, V10 and V16V1-V16-22.2 percent change
Vilobelimab 1600 mg Q2WPercentage Change in Pain by Numeric Rating Scale (NRS) at Visits V4, V6, V10 and V16V1-V165.6 percent changeStandard Deviation 141.75
Vilobelimab 1600 mg Q2WPercentage Change in Pain by Numeric Rating Scale (NRS) at Visits V4, V6, V10 and V16V1-V410.6 percent changeStandard Deviation 19.88
Vilobelimab 1600 mg Q2WPercentage Change in Pain by Numeric Rating Scale (NRS) at Visits V4, V6, V10 and V16V1-V1032.5 percent changeStandard Deviation 89.87
Vilobelimab 1600 mg Q2WPercentage Change in Pain by Numeric Rating Scale (NRS) at Visits V4, V6, V10 and V16V1-V61.7 percent changeStandard Deviation 22.19
Vilobelimab 2400 mg Q2WPercentage Change in Pain by Numeric Rating Scale (NRS) at Visits V4, V6, V10 and V16V1-V16-51.6 percent changeStandard Deviation 33.89
Vilobelimab 2400 mg Q2WPercentage Change in Pain by Numeric Rating Scale (NRS) at Visits V4, V6, V10 and V16V1-V6-45.0 percent changeStandard Deviation 45.23
Vilobelimab 2400 mg Q2WPercentage Change in Pain by Numeric Rating Scale (NRS) at Visits V4, V6, V10 and V16V1-V10-72.2 percent changeStandard Deviation 32.07
Vilobelimab 2400 mg Q2WPercentage Change in Pain by Numeric Rating Scale (NRS) at Visits V4, V6, V10 and V16V1-V4-41.4 percent changeStandard Deviation 33.77
Secondary

Percentage Change in Wound Healing (Wound Area) by Photographic Assessment

Efficacy endpoint: Percentage change in wound area \[percent change\] of target ulcer by photographic assessment between Visits V1 and V4, between Visits V1 and V6, between Visits V1 and V16, between Visits V6 and V10, between Visits V10 and V16.

Time frame: From treatment start until V16 (Day 189)

Population: Safety Set~Only patients with an available wound area measurement at both relevant visits are included in the respective analysis. Wound area for single visits was missing because images were not taken correctly and the measurements could not be obtained or patients discontinued the study prior to the relevant visit.

ArmMeasureGroupValue (MEAN)Dispersion
Vilobelimab 800 mg Q2WPercentage Change in Wound Healing (Wound Area) by Photographic AssessmentV6-V10-22.803 percent changeStandard Deviation 52.8937
Vilobelimab 800 mg Q2WPercentage Change in Wound Healing (Wound Area) by Photographic AssessmentV1-V16234.068 percent change
Vilobelimab 800 mg Q2WPercentage Change in Wound Healing (Wound Area) by Photographic AssessmentV1-V4-13.612 percent changeStandard Deviation 41.7862
Vilobelimab 800 mg Q2WPercentage Change in Wound Healing (Wound Area) by Photographic AssessmentV1-V6-4.130 percent changeStandard Deviation 74.1725
Vilobelimab 800 mg Q2WPercentage Change in Wound Healing (Wound Area) by Photographic AssessmentV10-V1661.451 percent change
Vilobelimab 1600 mg Q2WPercentage Change in Wound Healing (Wound Area) by Photographic AssessmentV1-V16-57.538 percent changeStandard Deviation 60.0506
Vilobelimab 1600 mg Q2WPercentage Change in Wound Healing (Wound Area) by Photographic AssessmentV1-V416.099 percent changeStandard Deviation 15.0992
Vilobelimab 1600 mg Q2WPercentage Change in Wound Healing (Wound Area) by Photographic AssessmentV1-V6-8.413 percent changeStandard Deviation 47.5261
Vilobelimab 1600 mg Q2WPercentage Change in Wound Healing (Wound Area) by Photographic AssessmentV6-V10-16.198 percent changeStandard Deviation 58.8229
Vilobelimab 1600 mg Q2WPercentage Change in Wound Healing (Wound Area) by Photographic AssessmentV10-V168.644 percent changeStandard Deviation 5.2038
Vilobelimab 2400 mg Q2WPercentage Change in Wound Healing (Wound Area) by Photographic AssessmentV10-V16-51.141 percent changeStandard Deviation 69.4133
Vilobelimab 2400 mg Q2WPercentage Change in Wound Healing (Wound Area) by Photographic AssessmentV6-V10-63.059 percent changeStandard Deviation 50.1507
Vilobelimab 2400 mg Q2WPercentage Change in Wound Healing (Wound Area) by Photographic AssessmentV1-V4-12.620 percent changeStandard Deviation 31.9371
Vilobelimab 2400 mg Q2WPercentage Change in Wound Healing (Wound Area) by Photographic AssessmentV1-V16-90.918 percent changeStandard Deviation 16.228
Vilobelimab 2400 mg Q2WPercentage Change in Wound Healing (Wound Area) by Photographic AssessmentV1-V6-34.153 percent changeStandard Deviation 53.3455
Secondary

Percentage Change in Wound Healing (Wound Volume) by Photographic Assessment

Efficacy endpoint: Percentage change in wound volume \[percent change\] of target ulcer by photographic assessment between Visits V1 and V4, between Visits V1 and V6, between Visits V1 and V16, between Visits V6 and V10, between Visits V10 and V16.

Time frame: From treatment start until V16 (Day 189)

Population: Safety Set~Only patients with an available wound volume measurement at both relevant visits are included in the respective analysis. Wound volume for single visits was missing because images were not taken correctly and the measurements could not be obtained or patients discontinued the study prior to the relevant visit. Additionally, sometimes the pictures allowed to measure the wound area, but not the volume as several pictures had to be taken to estimate the volume adequately.

ArmMeasureGroupValue (MEAN)Dispersion
Vilobelimab 800 mg Q2WPercentage Change in Wound Healing (Wound Volume) by Photographic AssessmentV10-V16150.857 percent change
Vilobelimab 800 mg Q2WPercentage Change in Wound Healing (Wound Volume) by Photographic AssessmentV1-V16786.937 percent change
Vilobelimab 800 mg Q2WPercentage Change in Wound Healing (Wound Volume) by Photographic AssessmentV1-V6-17.300 percent changeStandard Deviation 90.9283
Vilobelimab 800 mg Q2WPercentage Change in Wound Healing (Wound Volume) by Photographic AssessmentV6-V10-38.033 percent changeStandard Deviation 82.8031
Vilobelimab 800 mg Q2WPercentage Change in Wound Healing (Wound Volume) by Photographic AssessmentV1-V4-19.733 percent changeStandard Deviation 53.4282
Vilobelimab 1600 mg Q2WPercentage Change in Wound Healing (Wound Volume) by Photographic AssessmentV6-V10-100.000 percent change
Vilobelimab 1600 mg Q2WPercentage Change in Wound Healing (Wound Volume) by Photographic AssessmentV1-V474.918 percent change
Vilobelimab 2400 mg Q2WPercentage Change in Wound Healing (Wound Volume) by Photographic AssessmentV10-V164.167 percent changeStandard Deviation 177.7658
Vilobelimab 2400 mg Q2WPercentage Change in Wound Healing (Wound Volume) by Photographic AssessmentV1-V4-36.328 percent changeStandard Deviation 32.3445
Vilobelimab 2400 mg Q2WPercentage Change in Wound Healing (Wound Volume) by Photographic AssessmentV1-V6-58.959 percent changeStandard Deviation 46.7969
Vilobelimab 2400 mg Q2WPercentage Change in Wound Healing (Wound Volume) by Photographic AssessmentV1-V16-92.639 percent changeStandard Deviation 15.658
Vilobelimab 2400 mg Q2WPercentage Change in Wound Healing (Wound Volume) by Photographic AssessmentV6-V10-82.525 percent changeStandard Deviation 30.268
Secondary

Rate of Change Per Day in Area of Target Ulcer by Photographic Assessment From V1 to V16

Efficacy endpoint: Rate of change per day in area of target ulcer \[mm²/day\] between Visits V1 and V16 (photographic assessment)

Time frame: From treatment start until V16 (Day 189)

Population: Safety Set~Only patients with an available wound area measurement at both relevant visits (V1 and V16) are included in this analysis. Wound area for single visits was missing because images were not taken correctly and the measurements could not be obtained or patients discontinued the study prior to the relevant visit.

ArmMeasureValue (MEAN)Dispersion
Vilobelimab 800 mg Q2WRate of Change Per Day in Area of Target Ulcer by Photographic Assessment From V1 to V1615.14 mm²/day
Vilobelimab 1600 mg Q2WRate of Change Per Day in Area of Target Ulcer by Photographic Assessment From V1 to V16-12.04 mm²/dayStandard Deviation 9.638
Vilobelimab 2400 mg Q2WRate of Change Per Day in Area of Target Ulcer by Photographic Assessment From V1 to V16-9.58 mm²/dayStandard Deviation 10.751
Secondary

Time to Complete Closure of Pyoderma Gangrenosum Target Ulcer (Investigator Assessment) [Days]

Efficacy endpoint: Kaplan-Meier analysis of time to first clinical remission (complete closure of target ulcer) defined as PGA score of ≤ 1, PGA values: 0 = Completely clear, 1 = Almost clear, 2 =Marked improvement, 3 = Moderate improvement, 4 = Slight improvement, 5 = No change from baseline, 6 = Worse

Time frame: From treatment start until end of study (including observational visits), an average of 249 days

Population: Safety Set

ArmMeasureValue (MEDIAN)
Vilobelimab 800 mg Q2WTime to Complete Closure of Pyoderma Gangrenosum Target Ulcer (Investigator Assessment) [Days]NA days
Vilobelimab 1600 mg Q2WTime to Complete Closure of Pyoderma Gangrenosum Target Ulcer (Investigator Assessment) [Days]NA days
Vilobelimab 2400 mg Q2WTime to Complete Closure of Pyoderma Gangrenosum Target Ulcer (Investigator Assessment) [Days]126 days

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026