Clinical trial Recruiting at 91 sites Phase 3 Interventional Ages 18 and up

Bimekizumab for palmoplantar pustulosis (PPP)

Official title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study With Open-Label Extension to Evaluate the Efficacy and Safety of Bimekizumab in Study Participants With Palmoplantar Pustulosis

Run by UCB Pharma · NCT07219420 · Data updated 2026-11-12

This trial tests whether bimekizumab helps adults with palmoplantar pustulosis and is safe compared with a placebo.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment320 (estimated)
SponsorUCB Pharma
Industry-sponsored
Drugs / interventionsbimekizumab
Locations91 sites (Birmingham, Alabama and 90 other locations)
StatusRecruiting
StartedNovember 14, 2025
Main results expectedDecember 27, 2027
Study endsNovember 22, 2029
Registry record updatedAugust 27, 2026
Trial IDNCT07219420 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18 years) with at least 24 weeks of PPP, PPPASI ≥12, PPP-IGA ≥3, more than five active pustules on palms or soles, and who are candidates for systemic therapy or phototherapy are the intended participants.

Probably not a fit

People with improving PPP between screening and baseline, those with other excluded skin conditions (such as plaque psoriasis on palms/soles, guttate, erythrodermic, generalized pustular psoriasis, ACH, atopic dermatitis, dyshidrotic or chronic hand eczema), or with milder disease are unlikely to benefit from this trial.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 3 interventional study comparing bimekizumab to placebo in adults with moderate-to-severe palmoplantar pustulosis. Eligible participants must have had PPP for at least 24 weeks, meet minimum severity thresholds (PPPASI ≥12 and PPP-IGA ≥3), and have more than five active pustules on palms or soles. Participants will be assigned to receive either bimekizumab or placebo and will be monitored for changes in PPP severity and for safety outcomes. The trial is sponsored by UCB Biopharma and conducted at selected clinical sites in Canada.

Why it matters

Potential benefit: If successful, bimekizumab could reduce pustules and improve symptoms and hand/foot function for people with moderate-to-severe PPP.

How similar studies have gone: Bimekizumab has shown strong efficacy in Phase 3 trials for plaque psoriasis, but evidence specifically in palmoplantar pustulosis is limited, so the approach is promising but not yet proven for PPP.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* At least 18 years of age inclusive, at the time of signing the informed consent form (ICF)
* Have a palmoplantar pustulosis (PPP) diagnosis for at least 24 weeks prior to the Screening Visit
* Have PPPASI ≥12 at the Screening Visit and Baseline Visit
* Have PPP-IGA ≥3 at the Screening Visit and Baseline Visit
* Have pustules on the palms of the hands and/or soles of the feet at the Screening Visit and Baseline Visit, defined as pustule severity ≥2 and having more than 5 active pustules
* Participant must be a candidate for systemic therapy or phototherapy

Exclusion Criteria:

* Has PPP symptoms which improve significantly between the Screening Visit and Baseline Visit, defined as a reduction in the PPPASI score
* Has the following: palmoplantar PSO (plaque PSO on palms/soles), guttate PSO, erythrodermic PSO (EP), generalized pustular PSO (GPP), Acrodermatitis continua of Hallopeau (ACH), atopic dermatitis, dyshidrotic eczema or chronic hand eczema.
* Has drug-induced PSO (eg, first onset or current exacerbation due to beta blockers, calcium channel inhibitors, lithium, or tumor necrosis factor \[TNF\] inhibitor) or drug-induced pustular PSO (eg, acute generalized exanthematous pustulosis, acute localized exanthematous pustulosis)
* Has cutaneous lesions that may interfere with the evaluation of the affected area and/or evaluation of the severity of PPP
* Is taking or has taken prohibited or restricted medications without meeting the mandatory discontinuation or stability period relative to the Baseline Visit
* Is taking or has ever taken an interleukin (IL)-17A/IL-17F inhibitor, including bimekizumab, or has participated in a bimekizumab investigational study

Where it's running

  • Ppp001 50754
    Birmingham, Alabama, United States
    Recruiting
  • Ppp001 50176
    Fremont, California, United States
    Recruiting
  • Ppp001 50746
    Miami, Florida, United States
    Recruiting
  • Ppp001 50757
    Auburn Hills, Michigan, United States
    Recruiting
  • Ppp001 50745
    Columbus, Ohio, United States
    Recruiting
  • Ppp001 50202
    Fairborn, Ohio, United States
    Recruiting
Show 44 more locations
  • Ppp001 50733
    Mayfield Heights, Ohio, United States
    Recruiting
  • Ppp001 50744
    Oklahoma City, Oklahoma, United States
    Recruiting
  • Ppp001 50233
    Barrie, Canada
    Recruiting
  • Ppp001 50354
    Calgary, Canada
    Recruiting
  • Ppp001 50749
    Fredericton, Canada
    Recruiting
  • Ppp001 50765
    London, Canada
    Recruiting
  • Ppp001 50740
    Québec, Canada
    Recruiting
  • Ppp001 50752
    Red Deer, Canada
    Recruiting
  • Ppp001 50750
    Surrey, Canada
    Recruiting
  • Ppp001 20357
    Beijing, China
    Recruiting
  • Ppp001 20137
    Chengdu, China
    Recruiting
  • Ppp001 20352
    Chengdu, China
    Recruiting
  • Ppp001 20350
    Chongqing, China
    Recruiting
  • Ppp001 20311
    Guangzhou, China
    Recruiting
  • Ppp001 20313
    Guangzhou, China
    Recruiting
  • Ppp001 20022
    Hangzhou, China
    Recruiting
  • Ppp001 20193
    Hangzhou, China
    Recruiting
  • Ppp001 20344
    Jinan, China
    Recruiting
  • Ppp001 20355
    Jinan, China
    Recruiting
  • Ppp001 20345
    Shanghai, China
    Recruiting
  • Ppp001 20184
    Shenzhen, China
    Recruiting
  • Ppp001 20136
    Tianjin, China
    Recruiting
  • Ppp001 20356
    Xi'an, China
    Recruiting
  • Ppp001 20353
    Yinchuan, China
    Recruiting
  • Ppp001 40748
    Plzen-bory, Czechia
    Recruiting
  • Ppp001 40881
    Ústí nad Labem, Czechia
    Recruiting
  • Ppp001 40886
    Hellerup, Denmark
    Recruiting
  • Ppp001 40067
    Lyon, France
    Recruiting
  • Ppp001 40874
    Nice, France
    Recruiting
  • Ppp001 40887
    Toulon, France
    Recruiting
  • Ppp001 40875
    Ahaus, Germany
    Recruiting
  • Ppp001 40740
    Bad Bentheim, Germany
    Recruiting
  • Ppp001 40515
    Berlin, Germany
    Recruiting
  • Ppp001 40891
    Bielefeld, Germany
    Recruiting
  • Ppp001 40893
    Bochum, Germany
    Recruiting
  • Ppp001 40356
    Dresden, Germany
    Recruiting
  • Ppp001 40866
    Göttingen, Germany
    Recruiting
  • Ppp001 40249
    Kiel, Germany
    Recruiting
  • Ppp001 40892
    Lübeck, Germany
    Recruiting
  • Ppp001 40747
    Mainz, Germany
    Recruiting
  • Ppp001 40177
    Münster, Germany
    Recruiting
  • Ppp001 40366
    Rostock, Germany
    Recruiting
  • Ppp001 40203
    Budapest, Hungary
    Recruiting
  • Ppp001 40895
    Debrecen, Hungary
    Recruiting

+41 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.