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Genital PsoriasisPhase 4UnlIMMitedNCT05969223

Study to Assess the Safety and Efficacy of Subcutaneously Injected Risankizumab in Adult Participants With Genital or Scalp Psoriasis

A Phase 4 study testing Risankizumab in people with Genital Psoriasis and Scalp Psoriasis, run by AbbVie at 38 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Psoriasis (PsO) is a chronic disease characterized by marked inflammation of the skin that results in thick, red, scaly plaques. This study will assess how safe and effective risankizumab is in adult participants with moderate to severe genital psoriasis or moderate to severe scalp psoriasis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Genital Psoriasis, Scalp Psoriasis
What is being tested?
Risankizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
214 participants
Where
38 sitesUnited States
Study dates
10 Aug 2023to 28 Nov 2025
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Must have clinical diagnosis of chronic plaque psoriasis with or without psoriatic arthritis for at least 6 months before the baseline visit.
  • Must have a current diagnosis of moderate to severe genital psoriasis (Study-G) defined as static Physician Global Assessment of Genitalia (sPGA-G) ≥ 3 or moderate to severe scalp psoriasis (Study-S) defined as Psoriasis Scalp Severity Index (PSSI) >= 12, scalp Investigator Global Assessment (IGA) >= 3, and >= 30% of the scalp affected.
  • Must have body surface area (BSA) ≥ 1% with at least 60% of subjects having BSA ≥ 10%; sPGA ≥ 3; inadequate control of psoriasis and/or intolerance to topical treatment, phototherapy and/or systemic therapy; and be candidates for systemic therapy or phototherapy as assessed by the investigator.

Who cannot join

  • Had previous exposure to IL-23 inhibitors including but not limited to guselkumab, tildrakizumab, ustekinumab, mirikizumab, or risankizumab.
  • History of an allergic reaction or significant sensitivity to constituents of the study drug (and its excipients) and/or other products in the same class.
  • Non-plaque forms of psoriasis or other active skin disease.

Trial locations and contacts

38 sites in 1 country.

38 sites in 1 country

United States38 sites
  • Hamilton Research, LLC /ID# 255409

    Alpharetta, Georgia, 30022

  • Treasure Valley Medical Research /ID# 255671

    Boise, Idaho, 83706

  • Darst Dermatology /ID# 255848

    Charlotte, North Carolina, 28277

  • DeNova Research /ID# 264063

    Chicago, Illinois, 60610

  • Florida Academic Dermatology Center /ID# 264065

    Coral Gables, Florida, 33134-5755

  • Studies in Dermatology LLC /ID# 262989

    Cypress, Texas, 77429

  • Modern Research Associates /ID# 263234

    Dallas, Texas, 75231

  • Care Access - Danville /ID# 266300

    Danville, Virginia, 24541

  • Private Practice - Dr. Tooraj Raoof /ID# 255334

    Encino, California, 91436

  • Wright State Physicians Health Center /ID# 255395

    Fairborn, Ohio, 45324

  • Care Access - Hoboken /ID# 264066

    Hoboken, New Jersey, 07030

  • Skin Care Research - Hollywood /ID# 255394

    Hollywood, Florida, 33021-6748

  • Center for Clinical Studies - Houston (Binz) /ID# 255396

    Houston, Texas, 77004-8097

  • Center for Excellence in Dermatology /ID# 264647

    Kennewick, Washington, 99336

  • Forest Hills Dermatology Group @ Union Turnpike /ID# 255346

    Kew Gardens, New York, 11415

  • Dermatology Partners of Leawood /ID# 263244

    Leawood, Kansas, 66211

  • U.S. Dermatology Partners Longview /ID# 266325

    Longview, Texas, 75601

  • Dermatology Research Associates /ID# 255347

    Los Angeles, California, 90045

  • GSI Clinical Research, LLC /ID# 255472

    Margate, Florida, 33063

  • Apex Clinical Research Center /ID# 263432

    Mayfield Heights, Ohio, 44124

  • Skin and Cancer Associates, LLP /ID# 255506

    Miami, Florida, 33137-3254

  • Sullivan Dermatology /ID# 264067

    Miami, Florida, 33162

  • North Sound Dermatology /ID# 264565

    Mill Creek, Washington, 98012

  • Schweiger Dermatology, P.C. /ID# 255336

    New York, New York, 07044-2946

  • Renstar Medical Research /ID# 255339

    Ocala, Florida, 34470

  • Skin Specialists /ID# 262929

    Omaha, Nebraska, 68144

  • Medical Dermatology Specialists /ID# 262915

    Phoenix, Arizona, 85006

  • Alliance Dermatology and Mohs Center /ID# 255846

    Phoenix, Arizona, 85032

  • The Indiana Clinical Trials Center /ID# 255333

    Plainfield, Indiana, 46168

  • Oregon Dermatology and Research Center /ID# 255670

    Portland, Oregon, 97210

  • Oregon Medical Research Center /ID# 255332

    Portland, Oregon, 97239

  • DermAssociates - Rockville /ID# 263252

    Rockville, Maryland, 20850

  • Arlington Dermatology /ID# 255330

    Rolling Meadows, Illinois, 60008

  • Progressive Clinical Research - San Antonio /ID# 263255

    San Antonio, Texas, 78229

  • Skin Cancer and Dermatology Institute (SCDI) /ID# 264570

    Sparks, Nevada, 89436

  • Clinical Trials Research Institute /ID# 264555

    Thousand Oaks, California, 91320-2130

  • Banner University Medicine Dermatology /ID# 255845

    Tucson, Arizona, 85718-1407

  • Center for Clinical Studies Webster TX /ID# 255518

    Webster, Texas, 77598

Other trials in United States

About this study

Official title: A Phase 4 Multicenter, Randomized, Double-Blind Study of Risankizumab for the Treatment of Adult Subjects With Moderate to Severe Genital Psoriasis or Moderate to Severe Scalp Psoriasis

Psoriasis (PsO) is a chronic disease characterized by marked inflammation of the skin that results in thick, red, scaly plaques. This study will assess how safe and effective risankizumab is in adult participants with moderate to severe genital psoriasis or moderate to severe scalp psoriasis. Adverse events and change in disease signs and symptoms will be monitored.

Risankizumab (Skyrizi) is a drug being studied for the treatment of moderate to severe genital psoriasis or moderate to severe scalp psoriasis. Approximately 200 participants with moderate to severe genital psoriasis or moderate to severe scalp psoriasis will be enrolled across approximately 45 sites globally.

Read more

The study will be broken up into 2 studies by disease location, participants with moderate to severe genital psoriasis (Study-G) and moderate to severe scalp psoriasis (Study-S). In both studies participants will receive subcutaneous (SC) injections of risankizumab during the 52 week treatment period, or SC injections of placebo risankizumab during the 16 week treatment period followed by SC injections of risankizumab during the 36 week treatment period, with an 8-week follow-up period after the 52 week treatment period.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during 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.

Read the detailed description

Safety and efficacy data through 22 January 2025 are included in the interim analysis, which was conducted after all participants completed Week 16 of Study-G or Study-S in Period A.

Being tested
Risankizumab, Placebo for Risankizumab
Keywords
Genital Psoriasis, Scalp Psoriasis, Plaque Psoriasis, Psoriasis, ABBV066, Skyrizi, Risankizumab
Medical subject headings
Psoriasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RisankizumabDrug

    Also called Skyrizi, ABBV-066

    Subcutaneous injection

  • Placebo for RisankizumabDrug

    Subcutaneous injection

Study groups in NCT05969223
Study groupRoleWhat they receive
Study-G Placebo (Period A)Placebo comparatorParticipants with moderate to severe genital psoriasis received placebo for risankizumab subcutaneously at Weeks 0 and 4 during Period A.
Receives: Drug: Placebo for Risankizumab
Study-G Risankizumab (Period A)ExperimentalParticipants with moderate to severe genital psoriasis received 150 mg of risankizumab subcutaneously at Weeks 0 and 4 during Period A.
Receives: Drug: Risankizumab
Study-S Placebo (Period A)Placebo comparatorParticipants with moderate to severe scalp psoriasis received placebo for risankizumab subcutaneously at Weeks 0 and 4 during Period A.
Receives: Drug: Placebo for Risankizumab
Study-S Risankizumab (Period A)ExperimentalParticipants with moderate to severe scalp psoriasis received 150 mg of risankizumab subcutaneously at Weeks 0 and 4 during Period A.
Receives: Drug: Risankizumab
Study-G Placebo/Risankizumab (Period B)ExperimentalParticipants with moderate to severe genital psoriasis received placebo for risankizumab during Period A, and 150 mg of risankizumab subcutaneously at Weeks 16, 28, and 40 during Period B.
Receives: Drug: Risankizumab
Study-G Risankizumab/Risankizumab (Period B)ExperimentalParticipants with moderate to severe genital psoriasis received 150 mg of risankizumab subcutaneously during Period A, and continued with this treatment at Weeks 16, 28, and 40 during Period B.
Receives: Drug: Risankizumab
Study-S Placebo/Risankizumab (Period B)ExperimentalParticipants with moderate to severe scalp psoriasis received placebo for risankizumab during Period A, and 150 mg of risankizumab subcutaneously at Weeks 16, 28, and 40 during Period B.
Receives: Drug: Risankizumab
Study-S Risankizumab/Risankizumab (Period B)ExperimentalParticipants with moderate to severe scalp psoriasis received 150 mg of risankizumab subcutaneously during Period A, and continued with this treatment at Weeks 16, 28, and 40 during Period B.
Receives: Drug: Risankizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Study-G: Percentage of Participants With Achievement of Static Physician Global Assessment of Genitalia (sPGA-G) of 0 or 1 at Week 16

    The sPGA-G is a 6-point score ranging from 0 to 5, with a higher score indicating greater severity, based on the physician's assessment of the average thickness, erythema, and scaling of psoriatic genital lesions.

    Measured: Week 16

  2. Study-S: Percentage of Participants With Achievement of Scalp Investigator Global Assessment (IGA) of 0 or 1 at Week 16

    The scalp IGA is a measurement of overall scalp involvement by the investigator at the time of evaluation. The scalp IGA is a 5-point scale ranging from 0 (clear) to 4 (severe) incorporating an assessment of the severity of the 3 primary signs of the disease: erythema, scaling, and plaque elevation. Higher scores indicate more severe disease.

    Measured: Week 16

Secondary outcomes (9)
  1. Study-G: Percentage of Participants With Achievement of Static Physician Global Assessment of Genitalia (sPGA-G) of 0 at Week 16

    The sPGA-G is a 6-point score ranging from 0 to 5, with a higher score indicating greater severity, based on the physician's assessment of the average thickness, erythema, and scaling of all psoriatic lesions.

    Measured: Week 16

  2. Study-G: Percentage of Participants With Achievement of Dermatology Life Quality Index (DLQI) of 0 or 1 at Week 16

    The DLQI is a self-administered, 10-question questionnaire covering 6 domains (symptoms and feelings, daily activities, leisure, work and school, personal relationships, treatment) and has a 1-week recall period. The response options range from 0 (not affected at all) to 3 (very much affected). This gives an overall range of 0 to 30 where lower scores mean better quality of life.

    Measured: Week 16

  3. Study-G: Percentage of Participants With Achievement of Clinically Meaningful (≥ 4-point) Improvement From Baseline on the Genital Psoriasis Itch Numerical Rating Scale (NRS) at Week 16 [Among Participants With a Baseline Score ≥ 4]

    The scalp Itch NRS is a self-administered NRS that asks participants to assess their scalp itch on a scale from 0 to 10 where 0 represents no itch and 10 represents worst imaginable itch.

    Measured: Baseline, Week 16

  4. Study-G: Percentage of Participants With Achievement of Genital Psoriasis Sexual Frequency Questionnaire (GenPs-SFQ) Item 2 Score of 0 or 1 at Week 16 [Among Participants With a Baseline Score ≥ 2]

    The GenPs-SFQ is a patient-reported outcome(s) [PRO] measure to evaluate the impact of genital psoriasis symptoms on sexual frequency, using a 1-week recall period. It consists of 2 items that assess the impact of genital psoriasis symptoms on the frequency of sexual activity. Each item uses a Likert scale. Respondents are asked to answer the questions based on their psoriasis symptoms in the genital area. Genital area is defined as the labia majora (outer lip), labia minora (inner lip), and perineum (area between vagina and anus) for females; penis, scrotum, and perineum (area between the penis and anus) for males. Item 2 assesses how often genital psoriasis symptoms limited the frequency of sexual activity with response options ranging from 0 (never) to 4 (always).

    Measured: Baseline, Week 16

  5. Study-S: Percentage of Participants With Achievement of Psoriasis Scalp Severity Index 90 (PSSI 90) at Week 16

    PSSI 90 is defined as ≥ 90% improvement from Baseline in PSSI. The physician will assess the severity of scalp psoriasis using the PSSI, which consists of an assessment of erythema, induration, and desquamation on a scale from 0 (none) to 4 (very severe) and the percentage of scalp involved on a scale from 1 (<10% of scalp involved) to 6 (90 to 100% of scalp involved). The composite score is calculated as the sum of the scores for erythema, induration and desquamation multiplied by the score recorded for the extent of scalp area involved. The PSSI ranges from 0 to 72, with higher scores indicating more severe disease.

    Measured: Baseline, Week 16

  6. Study-S: Percentage of Participants With Achievement of Psoriasis Scalp Severity Index 75 (PSSI 75) at Week 16

    PSSI 75 is defined as ≥ 75% improvement from Baseline in PSSI. The physician will assess the severity of scalp psoriasis using the PSSI, which consists of an assessment of erythema, induration, and desquamation on a scale from 0 (none) to 4 (very severe) and the percentage of scalp involved on a scale from 1 (<10% of scalp involved) to 6 (90 to 100% of scalp involved). The composite score is calculated as the sum of the scores for erythema, induration and desquamation multiplied by the score recorded for the extent of scalp area involved. The PSSI ranges from 0 to 72, with higher scores indicating more severe disease.

    Measured: Baseline, Week 16

  7. Study-S: Change From Baseline in Psoriasis Symptom Scale (PSS) at Week 16

    The PSS is a 4-item PRO instrument that assesses the severity of psoriasis symptoms in participants with moderate to severe psoriasis, using a recall period of 1 day. The symptoms include pain, redness, itching and burning from psoriasis. Current symptom severity is assessed using a 5-point Likert-type scale ranging from 0 (none) to 4 (very severe), with total scores, which is the sum of the four item responses, ranging from 0 to 16 and higher scores indicating worse symptoms. Negative changes from Baseline indicate improvement.

    Measured: Baseline, Week 16

  8. Study-S: Percentage of Participants With Achievement of Psoriasis Scalp Severity Index (PSSI 100) at Week 16

    PSSI 100 is defined as ≥ 100% improvement from Baseline in PSSI. The physician will assess the severity of scalp psoriasis using the PSSI, which consists of an assessment of erythema, induration, and desquamation on a scale from 0 (none) to 4 (very severe) and the percentage of scalp involved on a scale from 1 (<10% of scalp involved) to 6 (90 to 100% of scalp involved). The composite score is calculated as the sum of the scores for erythema, induration and desquamation multiplied by the score recorded for the extent of scalp area involved. The PSSI ranges from 0 to 72, with higher scores indicating more severe disease.

    Measured: Baseline, Week 16

  9. Study-S: Percentage of Participants With Achievement of Psoriasis Symptom Scale (PSS) of 0 at Week 16

    The PSS is a 4-item PRO instrument that assesses the severity of psoriasis symptoms in participants with moderate to severe psoriasis, using a recall period of 1 day. The symptoms include pain, redness, itching and burning from psoriasis. Current symptom severity is assessed using a 5-point Likert-type scale ranging from 0 (none) to 4 (very severe).

    Measured: Week 16

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Aug 2023
  2. Study start10 Aug 2023
  3. Primary completion22 Jan 2025
  4. Study completion28 Nov 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
214 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05969223
Sponsor's protocol ID
M23-702
Other IDs
2023-504154-35-00, 2023
Acronym
UnlIMMited
Status last verified
Feb 2026
First submitted
24 Jul 2023
Last updated
24 Feb 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.

Publications

  • Song EJ, Ehst B, Glick B, Lewitt GM, Rich P, Ezra N, Bagel J, Anschutz T, Bialik B, Duan C, Ashley D, Patel M, St John G, Setty AR, Ackerman L. Efficacy and Safety of Risankizumab in Genital or Scalp Psoriasis in the UnlIMMited Phase 4 Randomized Clinical Trial at Week 16. Dermatol Ther (Heidelb). 2026 Jan;16(1):293-307. doi: 10.1007/s13555-025-01544-6. Epub 2025 Oct 25.

    PubMed 41139175

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Risankizumab in people with Genital Psoriasis and Scalp Psoriasis, run by AbbVie at 38 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 Feb 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Study-G: Percentage of Participants With Achievement of Static Physician Global Assessment of Genitalia (sPGA-G) of 0 or 1 at Week 16 (time frame: Week 16). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05969223, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Feb 2026.

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