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Palmoplantar PustulosisPhase 2NCT07013201

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

A Phase 2 study testing Delgocitinib cream in people with Palmoplantar Pustulosis, run by LEO Pharma at 40 sites in 5 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The main objective of the study is to evaluate the efficacy of twice daily applications of delgocitinib cream 20 mg/g compared with cream vehicle in the treatment of adult participants with mild to severe palmoplantar pustulosis (PPP). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Palmoplantar Pustulosis
What is being tested?
Delgocitinib cream
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
135 participants
Where
40 sitesin 5 countries
Study dates
11 Sep 2025to 14 Dec 2026
Phase
Phase 2
Are there results?
Not yet: the study is under way

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

  • Signed and dated informed consent has been obtained prior to any protocol-related procedures.
  • Age 18 years or above at the time of informed consent signing.
  • Participant is able to comply with clinic visits and trial requirements and procedures, as assessed by the investigator.
  • Diagnosis of PPP in accordance with the consensus diagnostic criteria established by European Rare and Severe Psoriasis Expert Network: primary, persistent (>3 months duration), sterile, macroscopically visible pustules on the palms and/or soles, with or without plaque psoriasis elsewhere on the body.
  • Confirmed PPP by central evaluation of photographs taken at screening.
  • Mild to severe PPP current condition defined by:
Show all 12Show fewer
  • Disease duration of PPP of >6 months before randomisation.
  • PPP-PGA of at least mild severity (PPP-PGA ≥2) at screening and baseline.
  • PPPASI ≥8 at screening and baseline.
  • Presence of ≥5 well-demarcated fresh pustules (white or yellow pustules) in total across all affected areas at screening and baseline.
  • Participants with prior experiences of inadequate response with topical corticosteroid(s) (TCS) or for whom TCS are inadvisable, as judged by the investigators.
  • A woman of childbearing potential must use an acceptable form of birth control throughout the trial up until the last administration of investigational medicinal product (IMP).

Who cannot join

  • Presence or known history of drug-induced PPP (e.g., a new onset of PPP or an exacerbation of PPP from beta blockers, calcium channel blockers, lithium, or biologic therapy including infliximab, adalimumab, or etanercept).
  • Presence of acrodermatitis continua of Hallopeau.
  • Active dermatologic condition that could confound the diagnosis of PPP or interfere with assessment of the IMP, as assessed by the investigator.
  • Clinically significant infection on the palms or soles.
  • Concurrent plaque psoriasis covering >5% of body surface area.
  • Clinically significant infection within 4 weeks prior to baseline, which, in the opinion of the investigator, may compromise the safety of the participant in the trial, interfere with evaluation of the IMP, or reduce the participant's ability to participate in the trial. Clinically significant infections are defined as:
Show all 34Show fewer
  • A systemic infection.
  • A serious skin infection requiring parenteral (intravenous or intramuscular) antibiotics, antiviral, or antifungal medication.
  • History of any known primary immunodeficiency disorder, including a positive human immunodeficiency virus test at screening, or the participant taking antiretroviral medications as determined by medical history and/or the participant's verbal report.
  • Major surgery within 8 weeks prior to screening or planned in-patient surgery or hospitalisation during the trial period.
  • Any documented active or suspected malignancy, or history of malignancy within 5 years prior to screening, except basal cell carcinoma of the skin, localized squamous cell carcinoma of the skin, or in situ carcinoma of the cervix appropriately treated before the baseline visit.
  • Any disorder that is not stable and could:
  • Affect the safety of the participant throughout the trial.
  • Impede the participant's ability to complete the trial. Examples include, but are not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, haematological, immunological, and psychiatric disorders, as well as major physical impairment.
  • Any clinically significant abnormal finding occurring during the screening period and/or observed at the baseline visit that may put the participant at risk due to their participation in the trial or could influence the participant's ability to complete the trial.
  • Positive hepatitis B surface antigen and/or hepatitis B core antibody and positive hepatitis B virus DNA (participants who have tested positive for hepatitis B core antibody are eligible if tests for hepatitis B surface antigen and hepatitis B virus DNA are negative) or positive hepatitis C virus antibody serology confirmed by hepatitis C virus RNA at screening.
  • Known or suspected hypersensitivity to any component(s) of the IMP.
  • Current or recent chronic alcohol or drug abuse, or any other condition associated with poor compliance as judged by the investigator.
  • Women who are pregnant or lactating.
  • Systemic treatment within 4 weeks prior to baseline with immunosuppressive drugs (e.g., methotrexate, cyclosporine, azathioprine), immunomodulating drugs, retinoids (e.g., acitretin), tyrosine kinase inhibitors, phosphodiesterase-4 inhibitors, or corticosteroids (steroid eye drops and inhaled or intranasal steroids in the doses recommended in the product prescribing information for the treatment of allergic conjunctivitis, asthma, or rhinitis are allowed).
  • Use of tanning beds or phototherapy (e.g., ultraviolet B [UVB], ultraviolet A1 [UVA1], psoralen ultraviolet A [PUVA]) on the palms or soles within 4 weeks prior to baseline.
  • Use of systemic or topical janus kinase inhibitors (including delgocitinib/LEO 124249) within 4 weeks prior to baseline.
  • Cutaneously applied treatment with immunomodulators (e.g., phosphodiesterase-4 [PDE-4] inhibitors, pimecrolimus, tacrolimus, tapinarof, vitamin D3 derivatives) or TCS on the palms or soles within 2 weeks prior to baseline.
  • Use of systemic antibiotics or cutaneously applied antibiotics on the palms or soles within 2 weeks prior to baseline.
  • Other transdermal or cutaneously applied therapy on the palms or soles (except for the use of the participant's own non-medicated emollients) within 1 week prior to baseline.
  • Cutaneously applied treatments in regions other than the palms or soles, which could interfere with clinical trial evaluations or pose a safety concern (excluding treatments for psoriasis patches or other non-exclusionary skin conditions, if needed) within 1 week prior to baseline.
  • Treatment with any marketed biological therapy or investigational biologic agents:
  • Any cell-depleting agents, including but not limited to rituximab: within 6 months prior to baseline, or until lymphocyte count returns to normal, whichever is longer.
  • Other biologics, including but not limited to secukinumab, ustekinumab, tildrakizumab, ixekizumab, risankizumab, guselkumab, and tumour necrosis factor (TNF)-alpha inhibitors: within 3 months or 5 half-lives, whichever is longer, prior to baseline.
  • Treatment with any non-marketed drug substance (i.e., an agent that has not yet been made available for clinical use following registration) within the last 4 weeks prior to baseline or 5 half-lives, whichever is longer.
  • Current participation in any other interventional clinical trial.
  • Previously randomised in this clinical trial.
  • Previously randomised in a clinical trial with delgocitinib.
  • Employees of the trial site, or any other individuals directly involved with the planning or conduct of the trial, or immediate family members of such individuals.

Trial locations and contacts

40 sites in 5 countries. Contact the study team or a site near you to ask about taking part.

Clinical Disclosure contact

(+45) 4494 5888

disclosure@leo-pharma.com

40 sites in 5 countries

Canada10 sites, 9 recruiting
  • LEO Pharma Investigational Site

    Calgary, Alberta, T3A 2N1

    Recruiting
  • LEO Pharma Investigational Site

    Edmonton, Alberta, T6W 4V4

    Recruiting
  • LEO Pharma Investigational Site

    Fredericton, New Brunswick, E3B 1G9

    Recruiting
  • LEO Pharma Investigational Site

    Hamilton, Ontario, L8L 3C3

    Recruiting
  • LEO Pharma Investigational Site

    Hamilton, Ontario, L8N 1Y2

    Completed
  • LEO Pharma Investigational Site

    Markham, Ontario, L3P 1X2

    Recruiting
  • LEO Pharma Investigational Site

    Montreal, Quebec, H2X 2V1

    Recruiting
  • LEO Pharma Investigational Site

    Surrey, British Columbia, V3R 6A7

    Recruiting
  • LEO Pharma Investigational Site

    Waterloo, Ontario, N2J 1C4

    Recruiting
  • LEO Pharma Investigational Site

    Winnipeg, Manitoba, R3M 3Z4

    Recruiting

Other trials in Canada

Germany10 sites, 10 recruiting
  • LEO Pharma Investigational Site

    Bad Bentheim, 48455

    Recruiting
  • LEO Pharma Investigational Site

    Dresden, 01097

    Recruiting
  • LEO Pharma Investigational Site

    Göttingen, 37075

    Recruiting
  • LEO Pharma Investigational Site

    Hamburg, 20246

    Recruiting
  • LEO Pharma Investigational Site

    Kiel, 24105

    Recruiting
  • LEO Pharma Investigational Site

    Lübeck, 23562

    Recruiting
  • LEO Pharma Investigational Site

    Manheim, 68167

    Recruiting
  • LEO Pharma Investigational Site

    Münster, 48149

    Recruiting
  • LEO Pharma Investigational Site

    Osnabrück, 49074

    Recruiting
  • LEO Pharma Investigational Site

    Witten, 58453

    Recruiting

Other trials in Germany

Poland8 sites, 7 recruiting
  • LEO Pharma Investigational Site

    Bialystok, 15-879

    Recruiting
  • LEO Pharma Investigational Site

    Iwonicz-Zdrój, 38-440

    Completed
  • LEO Pharma Investigational Site

    Lodz, 90-436

    Recruiting
  • LEO Pharma Investigational Site

    Lublin, 20-011

    Recruiting
  • LEO Pharma Investigational Site

    Rzeszów, 35-055

    Recruiting
  • LEO Pharma Investigational Site

    Warsaw, 02-482

    Recruiting
  • LEO Pharma Investigational Site

    Wroclaw, 50-556

    Recruiting
  • LEO Pharma Investigational Site

    Wroclaw, 50-566

    Recruiting

Other trials in Poland

United States7 sites, 7 recruiting
  • LEO Pharma Investigational Site

    Douglasville, Georgia, 30135

    Recruiting
  • LEO Pharma Investigational Site

    Elmhurst, New York, 11373

    Recruiting
  • LEO Pharma Investigational Site

    Fountain Valley, California, 92708

    Recruiting
  • LEO Pharma Investigation Site

    Mayfield Heights, Ohio, 44124

    Recruiting
  • LEO Pharma Investigational Site

    Philadelphia, Pennsylvania, 19103

    Recruiting
  • LEO Pharma Investigational Site

    Portland, Oregon, 97201

    Recruiting
  • LEO Pharma Investigational Site

    West Bloomfield, Michigan, 48322

    Recruiting

Other trials in United States

United Kingdom5 sites, 5 recruiting
  • LEO Pharma Investigational Site

    Bristol, BS2 8HW

    Recruiting
  • LEO Pharma Investigational Site

    London, SE1 9RT

    Recruiting
  • LEO Pharma Investigational Site

    Newcastle upon Tyne, NE1 4LP

    Recruiting
  • LEO Pharma Investigational Site

    Salford, M6 8HD

    Recruiting
  • LEO Pharma Investigational Site

    Stourbridge, DY8 4JB

    Recruiting

Other trials in United Kingdom

About this study

Official title: A Proof-of-concept Phase 2a, Double-blind, 2-arm Trial to Investigate the Efficacy and Safety of Twice Daily Delgocitinib Cream 20 mg/g Compared With Cream Vehicle During a 16-week Treatment Period in Adult Subjects With Mild to Severe Palmoplantar Pustulosis

The main objective of the study is to evaluate the efficacy of twice daily applications of delgocitinib cream 20 mg/g compared with cream vehicle in the treatment of adult participants with mild to severe palmoplantar pustulosis (PPP). Total study duration for each participants will be approximately 18 weeks, for an approximate total of 9 visits.

Being tested
Delgocitinib cream, Vehicle cream
Medical subject headings
Psoriasis

What participants receive

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

  • Delgocitinib creamDrug

    Topical application

  • Vehicle creamDrug

    Topical application

Study groups in NCT07013201
Study groupRoleWhat they receive
Delgocitinib 20 mg/gExperimentalParticipants with mild to severe PPP will receive 20 mg/g of delgocitinib cream twice a day for 16 weeks.
Receives: Drug: Delgocitinib cream
Cream VehiclePlacebo comparatorParticipants with mild to severe PPP will receive matching vehicle cream twice a day for 16 weeks.
Receives: Drug: Vehicle cream

What is being measured

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

  1. Number of Participants Achieving at Least 75% Improvement in PPP Area and Severity Index (PPPASI) Score from Baseline (PPPASI-75) at Week 16

    Measured: Baseline to Week 16

Secondary outcomes (26)
  1. Number of Participants with PPP-Physician Global Assessment (PGA) Score of 0 or 1 with at Least a 2-step Improvement from Baseline at Week 16

    Measured: Baseline to Week 16

  2. Change in the Overall Number of Fresh Pustules From Baseline to Week 16

    Measured: Baseline to Week 16

  3. Number of Participants with a ≥1-point Reduction in PPP-PGA Score From Baseline to Week 16

    Measured: Baseline to Week 16

  4. Number of Participants with a ≥2-point Reduction in PPP-PGA Score From Baseline to Week 16

    Measured: Baseline to Week 16

  5. Change in PPPASI Score From Baseline to Week 16

    Measured: Baseline to Week 16

  6. Percentage Change in PPPASI Score From Baseline to Week 16

    Measured: Baseline to Week 16

  7. Number of Participants Achieving PPPASI-50 at Week 16

    Measured: Week 16

  8. Number of Participants Achieving PPPASI-90 at Week 16

    Measured: Week 16

  9. Change from Baseline to Week 16 in PPP-symptoms assessment (SA) Score

    Measured: Baseline to Week 16

  10. Percentage Change in PPP-SA Score from Baseline to Week 16

    Measured: Baseline to Week 16

  11. Change from Baseline to Week 16 in PPP-SA Itch Score for the Hands

    Measured: Baseline to Week 16

  12. Change from Baseline to Week 16 in PPP-SA Itch Score for the Feet

    Measured: Baseline to Week 16

  13. Change from Baseline to Week 16 in PPP-SA Pain Score for the Hands

    Measured: Baseline to Week 16

  14. Change from Baseline to Week 16 in PPP-SA Pain Score for the Feet

    Measured: Baseline to Week 16

  15. Change in Fresh Pustules at Weeks 1, 2, 4, 8, and 12

    Measured: Baseline to Week 12

  16. Number of Fresh Pustules Overall at Weeks 1, 2, 4, 8, 12, and 16

    Measured: Baseline to Week 16

  17. Number of Participants who Experienced Treatment-emergent Adverse Events (TEAEs)

    An adverse event (AE) is any untoward medical occurrence in a clinical study participant irrespective of a causal relationship with the study treatment. TEAEs are any event that occurred after the participant received study treatment. Any clinically significant changes in vital signs, electrocardiograms, and clinical laboratory tests that occurred after study treatment administration were recorded as TEAEs. A serious TEAE is any untoward medical occurrence in a clinical study participant after first dose irrespective of a causal relationship with the study treatment(s) that resulted in death, was immediately life threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, a congenital anomaly/birth defect, or another medically important serious event.

    Measured: Baseline to Week 18

  18. Number of Participants with a ≥4-point Reduction in Dermatology Life Quality Index (DQLI) Score From Baseline to Week 16

    Measured: Baseline to Week 16

  19. Change from Baseline to Week 16 in DLQI Score

    Measured: Baseline to Week 16

  20. Percentage Change from Baseline to Week 16 in DLQI Score

    Measured: Baseline to Week 16

  21. Change from Baseline to Week 16 in PPP-Impact Assessment (IA) Score

    Measured: Baseline to Week 16

  22. Percentage Change from Baseline to Week 16 in PPP-IA Score

    Measured: Baseline to Week 16

  23. Change in Work Productivity and Activity (WPAI) PPP Absenteeism Score from Baseline to Week 16

    Measured: Baseline to Week 16

  24. Change in Work WPAI:PPP Presenteeism Score from Baseline to Week 16

    Measured: Baseline to Week 16

  25. Change in WPAI:PPP work Productivity Score from Baseline to Week 16

    Measured: Baseline to Week 16

  26. Change in WPAI:PPP Activity Impairment Score from Baseline to Week 16

    Measured: Baseline to 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 posted10 Jun 2025
  2. Study start11 Sep 2025
  3. Primary completion14 Dec 2026 (estimated)
  4. Study completion14 Dec 2026 (estimated)

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
135 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07013201
Sponsor's protocol ID
LP0133-2393
Other IDs
2024-518856-21-00, U1111-1319-5081
Status last verified
Sep 2026
First submitted
2 Jun 2025
Last updated
1 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Delgocitinib cream in people with Palmoplantar Pustulosis, run by LEO Pharma at 40 sites in 5 countries.

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 12 inclusion and 34 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: looking for participants now, as of the sponsor's last update on 1 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 40 sites in Canada, Germany, Poland, United States, United Kingdom. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Clinical Disclosure ((+45) 4494 5888, disclosure@leo-pharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants Achieving at Least 75% Improvement in PPP Area and Severity Index (PPPASI) Score from Baseline (PPPASI-75) at Week 16 (time frame: Baseline to Week 16). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 1 Oct 2026.

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