Clinical trial Recruiting at 8 sites Observational Ages 6 Months and up

Registry for understanding the natural course of pustular psoriasis

Official title: International Rare And Severe Psoriasis Expert Network (IRASPEN) - A Prospective Registry With Genotype-Phenotype Correlation

Run by University Hospital, Basel, Switzerland · NCT04359394 · Data updated 2026-11-12

This study is tracking how pustular psoriasis changes over five years to help understand flare-ups and the effects of treatments on patients.

Quick facts

Study typeObservational
Ages6 Months and up
SexAll
Enrollment180 (estimated)
SponsorUniversity Hospital, Basel, Switzerland
Academic / other
Locations8 sites (München and 7 other locations)
StatusRecruiting
StartedSeptember 22, 2021
Main results expectedDecember 2030
Study endsDecember 2030
Registry record updatedMay 9, 2024
Trial IDNCT04359394 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include individuals diagnosed with any subtype of pustular psoriasis, such as palmoplantar psoriasis or generalized pustular psoriasis, who have experienced active pustulation within the last six months.

Probably not a fit

Patients with other forms of psoriasis or those who do not meet the specific diagnostic criteria for pustular psoriasis may not benefit from this study.

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

What this trial studies

This observational registry aims to describe the natural progression of different subtypes of pustular psoriasis (PP) over a five-year period. It builds on a previous European registry and involves multiple clinicians who will collect detailed clinical data, including biological samples and phenotypic descriptions. The study focuses on understanding the frequency and severity of disease flares and the impact of existing treatments on patients with PP. By gathering this information, the registry seeks to provide insights into the burden of the disease and improve patient management.

Why it matters

Potential benefit: If successful, this study could enhance understanding of pustular psoriasis, leading to better treatment strategies and improved patient outcomes.

How similar studies have gone: Previous studies have successfully characterized pustular psoriasis in European populations, suggesting that this approach may yield valuable insights.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Written informed consent of the patient or legal proxy in the registry
* Diagnosis of PP confirmed by a dermatologist in the participant. The type of PP can be any one of PPP, GPP/Acute Generalized Exanthematous Pustulosis (AGEP), ACH or a mixed phenotype, according to the judgment of the investigator
* GPP: Primary, sterile, macroscopically visible epidermal pustules on non-acral Skin with or without systemic Inflammation; with or without plaque psoriasis; either relapsing (\>1 episode) or persistent (\>3 months)
* PPP: Primary, persistent (\>3 months), sterile, macroscopically visible epidermal pustules on palms and/or soles with or without plaque psoriasis
* ACH: Primary, persistent (\>3 months), sterile, macroscopically visible epidermal pustules affecting the nail apparatus with or without plaque psoriasis
* At the timepoint of inclusion, the participant must have had active pustulation with either white, yellow or brown pustules within six month before baseline. Active postulation at baseline is not mandatory for inclusion.
* Sufficient language skills (in the languages which the patient information and the consent form is available) for the informed consent to participate
* Patients of all ancestries and skin pigment type can be included
* Direct non-affected adult (\>18 years old) relatives of the participant (up to two, namely mother, father, sibling) with the purpose to provide DNA for family trio sequencing analysis. The patient is not excluded from the study if no relatives are included.

Exclusion Criteria:

* Any medical or psychological condition in the treating physician's opinion which may prevent the patient in registry participation for the next 5 years
* Lack of informed consent for registry participation

Where it's running

  • Klinikum der Universität München
    München, Germany
    Recruiting
  • Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS
    Rome, Italy
    Recruiting
  • Universitário do Porto
    Porto, Portugal
    Recruiting
  • National Skin Centre
    Singapore, Singapore
    Recruiting
  • Dermatology, University Hospital Basel
    Basel, Switzerland
    Recruiting
  • University Hospital Zürich
    Zurich, Switzerland
    Recruiting
Show 2 more locations
  • Akdeniz University School of Medicine; Department of Dermatology and Venereology
    Antalya, Turkey (Türkiye)
    Recruiting
  • Trakya University, Faculty of Medicine; Department of Dermatology and Venereology
    Edirne, Turkey (Türkiye)
    Recruiting

Study contacts

  • Principal investigator: Alexander Navarini, Prof. Dr. med. Dr. sc. nat. — Dermatologie, Universitätsspital Basel
  • Study coordinator: Alexander Navarini, Prof. Dr. med. Dr. sc. nat.
  • Email: alexander.navarini@usb.ch
  • Phone: +41 61 328 60 80

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.