Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Ivarmacitinib for palmoplantar pustulosis (open-label, single-arm treatment)

Official title: A Prospective, Single-arm, Open-label Clinical Trial to Evaluate the Efficacy and Safety of Ivarmacitinib in the Treatment of Palmoplantar Pustulosis

Run by Xijing Hospital · NCT07270003 · Data updated 2026-11-12

This trial will try the oral drug ivarmacitinib to see if it reduces pustules and other skin symptoms in adults with palmoplantar pustulosis who have not responded to at least one systemic therapy.

More Palmoplantar Pustulosis (PPP) trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment60 (estimated)
SponsorXijing Hospital
Academic / other
Drugs / interventionsivarmacitinib
Locations1 site (Xi'an, Shaanxi)
StatusRecruiting
StartedOctober 1, 2025
Main results expectedOctober 1, 2026
Study endsOctober 1, 2026
Registry record updatedDecember 8, 2025
Trial IDNCT07270003 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with confirmed palmoplantar pustulosis who have failed or cannot tolerate at least one conventional systemic therapy and meet the study's safety lab criteria are the intended participants.

Probably not a fit

Patients with significant laboratory abnormalities, active infections (including TB or hepatitis), or other medical conditions that pose safety risks are unlikely to benefit from participation.

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 single-arm, open-label trial at Xijing Hospital testing oral ivarmacitinib in adults with clinically confirmed palmoplantar pustulosis who have failed or are intolerant of prior systemic therapy. Participants who meet lab and safety criteria will receive ivarmacitinib and be followed for changes in skin pustules, redness, symptom severity, and any joint symptoms, along with routine safety labs. The trial excludes patients with significant cytopenias, abnormal liver or kidney tests, or active infections such as tuberculosis or hepatitis. Safety monitoring and symptom measures will be used to characterize both benefit and potential harms of the drug.

Why it matters

Potential benefit: If successful, ivarmacitinib could offer an effective oral option that reduces pustules, pain, and daily impairment from PPP.

How similar studies have gone: Oral JAK inhibitors and other systemic agents have shown benefit in related psoriasis conditions, but PPP-specific evidence is limited and this approach remains under study.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* ≥18 years old; clinically/pathologically confirmed PPP; failure/intolerance to ≥1 conventional systemic therapy (12-24 weeks of standard dosing); physician-judged suitability for ivarmacitinib; signed informed consent.

Exclusion Criteria:

* Lymphocyte count \<0.5×10⁹/L, neutrophils \<1×10⁹/L, platelets \<100×10⁹/L, or hemoglobin \<80g/L; serum creatinine \>132.6μmol/L, AST/ALT \>2×ULN, or total bilirubin \>2.0mg/dL; active infections (tuberculosis, hepatitis B/C, systemic candidiasis); other conditions hindering participation or data interpretation.

Where it's running

  • Xijing hospital
    Xi'an, Shaanxi, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.