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
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 320 (estimated) |
| Sponsor | UCB Pharma Industry-sponsored |
| Drugs / interventions | bimekizumab |
| Locations | 91 sites (Birmingham, Alabama and 90 other locations) |
| Status | Recruiting |
| Started | November 14, 2025 |
| Main results expected | December 27, 2027 |
| Study ends | November 22, 2029 |
| Registry record updated | August 27, 2026 |
| Trial ID | NCT07219420 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
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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
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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
- Study coordinator: UCB Cares
- Email: ucbcares@ucb.com
- Phone: +18445992273
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.