Trial Outcomes & Findings for Deucravacitinib for the Treatment of Palmoplantar Pustulosis (NCT NCT05710185)

NCT ID: NCT05710185

Last Updated: 2026-04-07

Results Overview

The ppPASI is the most commonly used disease severity measure use in palmoplantar pustulosis clinic trials. The ppPASI is composed of subscores of erythema (E), pustules/vesicles (P), desquamation/scales (D) on the left (L) and right (R) palm (P) and sole (S) respectively. The PASI produces a numeric score that can range from 0 to 72, with higher PASI scores denoting more severe disease activity

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

3 participants

Primary outcome timeframe

16 weeks

Results posted on

2026-04-07

Participant Flow

Participant milestones

Participant milestones
Measure
Subjects With Palmoplantar Pustulosis
All participants will receive deucravacitinib 6 mg daily for 24 weeks, with study visits every 4 weeks. Deucravacitinib: See arm/group description
Overall Study
STARTED
3
Overall Study
COMPLETED
1
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Subjects With Palmoplantar Pustulosis
All participants will receive deucravacitinib 6 mg daily for 24 weeks, with study visits every 4 weeks. Deucravacitinib: See arm/group description
Overall Study
Adverse Event
1
Overall Study
Lack of Efficacy
1

Baseline Characteristics

Deucravacitinib for the Treatment of Palmoplantar Pustulosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Subjects With Palmoplantar Pustulosis
n=3 Participants
All participants will receive deucravacitinib 6 mg daily for 24 weeks, with study visits every 4 weeks. Deucravacitinib: See arm/group description
Age, Categorical
<=18 years
0 Participants
n=527 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=527 Participants
Age, Categorical
>=65 years
0 Participants
n=527 Participants
Age, Continuous
49.3 years
STANDARD_DEVIATION 6.2 • n=527 Participants
Sex: Female, Male
Female
2 Participants
n=527 Participants
Sex: Female, Male
Male
1 Participants
n=527 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=527 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants
n=527 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=527 Participants
Region of Enrollment
United States
3 participants
n=527 Participants

PRIMARY outcome

Timeframe: 16 weeks

The ppPASI is the most commonly used disease severity measure use in palmoplantar pustulosis clinic trials. The ppPASI is composed of subscores of erythema (E), pustules/vesicles (P), desquamation/scales (D) on the left (L) and right (R) palm (P) and sole (S) respectively. The PASI produces a numeric score that can range from 0 to 72, with higher PASI scores denoting more severe disease activity

Outcome measures

Outcome measures
Measure
Subjects With Palmoplantar Pustulosis
n=2 Participants
All participants will receive deucravacitinib 6 mg daily for 24 weeks, with study visits every 4 weeks. Deucravacitinib: See arm/group description
Proportion of Participants Who Achieve a ppPASI-50 Response, or at Least 50% Improvement in ppPASI Score
0 Participants

PRIMARY outcome

Timeframe: 16 weeks

The ppPASI is the most commonly used disease severity measure use in palmoplantar pustulosis clinic trials. The ppPASI is composed of subscores of erythema (E), pustules/vesicles (P), desquamation/scales (D) on the left (L) and right (R) palm (P) and sole (S) respectively. The PASI produces a numeric score that can range from 0 to 72, with higher PASI scores denoting more severe disease activity. This second Primary Outcome was added by administrative error since the study only has one Primary Outcome Measure. Hence, the outcome and results are a duplication of the outcome measure reported, and this one was left incomplete in the previous results reporting submission.

Outcome measures

Outcome measures
Measure
Subjects With Palmoplantar Pustulosis
n=2 Participants
All participants will receive deucravacitinib 6 mg daily for 24 weeks, with study visits every 4 weeks. Deucravacitinib: See arm/group description
Proportion of Participants Who Achieve a ppPASI-50 Response, or at Least 50% Improvement in ppPASI Score
0 Participants

SECONDARY outcome

Timeframe: Week 16, Week 24

Population: The trial was terminated early due to the decision of the financial sponsor. A total of three participants were enrolled at Penn Medicine. In a complete case analysis of participants with data available at both baseline and Week 16 (n=2). Only one patient completed study at Week 24

The DLQI is a dermatology-specific quality of life instrument to measure the impact of skin disease on different aspects of health-related quality of life. The questionnaire contains 10 questions, each scored on a 4-point Likert scale. The DLQI is calculated by adding the score of each question, resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired. A score higher than 10 indicates that the patient's life is being severely affected by their skin disease.

Outcome measures

Outcome measures
Measure
Subjects With Palmoplantar Pustulosis
n=2 Participants
All participants will receive deucravacitinib 6 mg daily for 24 weeks, with study visits every 4 weeks. Deucravacitinib: See arm/group description
Change From Baseline in the Dermatology Quality Life Index (DLQI)
Week 16
0.5 units on a scale
Standard Deviation 8.49
Change From Baseline in the Dermatology Quality Life Index (DLQI)
Week 24
-5 units on a scale
Standard Deviation 0.00

SECONDARY outcome

Timeframe: Week 16, Week 24

Population: The trial was terminated early due to the decision of the financial sponsor. A total of three participants were enrolled at Penn Medicine. In a complete case analysis of participants with data available at both baseline and Week 16 (n=2). Only one patient completed the study at Week 24

The ppPASI is the most commonly used disease severity measure use in palmoplantar pustulosis clinic trials. The ppPASI is composed of subscores of erythema (E), pustules/vesicles (P), desquamation/scales (D) on the left (L) and right (R) palm (P) and sole (S) respectively. The PASI produces a numeric score that can range from 0 to 72, with higher PASI scores denoting more severe disease activity

Outcome measures

Outcome measures
Measure
Subjects With Palmoplantar Pustulosis
n=2 Participants
All participants will receive deucravacitinib 6 mg daily for 24 weeks, with study visits every 4 weeks. Deucravacitinib: See arm/group description
Change From Baseline in ppPASI
Week 16
-3.7 units on a scale
Standard Deviation 9.05
Change From Baseline in ppPASI
Week 24
-1.4 units on a scale
Standard Deviation 0.00

SECONDARY outcome

Timeframe: Week 16, Week 24

Population: The trial was terminated early due to the decision of the financial sponsor. A total of three participants were enrolled at Penn Medicine. In a complete case analysis of participants with data available at both baseline and Week 16 (n=2). Only one patient completed study at Week 24

The physician's global assessment is a widely used outcome measure that relies on physician visual assessment of disease severity. The static PGA determines psoriasis severity at a single point in time, without taking the baseline disease condition into clear (0), almost clear (1), mild (2), moderate (3), severe (4).

Outcome measures

Outcome measures
Measure
Subjects With Palmoplantar Pustulosis
n=2 Participants
All participants will receive deucravacitinib 6 mg daily for 24 weeks, with study visits every 4 weeks. Deucravacitinib: See arm/group description
Number of Patients Who Achieve a Physicians Global Assessment Score of 0 or 1
Week 16
0 participants
Number of Patients Who Achieve a Physicians Global Assessment Score of 0 or 1
Week 24
0 participants

SECONDARY outcome

Timeframe: Week 16, Week 24

Population: The trial was terminated early due to the decision of the financial sponsor. A total of three participants were enrolled at Penn Medicine. In a complete case analysis of participants with data available at both baseline and Week 16 (n=2). Only one patient completed the study at Week 24.

The EQ-5D is a validated, reliable, and responsive instrument widely used in clinical trials where respondents rate their health in each of 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety depression. EQ-5D questionnaire also includes a Visual Analog Scale (VAS), by which respondents can report their perceived health status with a grade ranging from 0 (the worst possible health status) to 100 (the best possible health status).

Outcome measures

Outcome measures
Measure
Subjects With Palmoplantar Pustulosis
n=2 Participants
All participants will receive deucravacitinib 6 mg daily for 24 weeks, with study visits every 4 weeks. Deucravacitinib: See arm/group description
Change From Baseline in EQ-5D VAS
Week 16
-10.5 units on a scale
Standard Deviation 24.75
Change From Baseline in EQ-5D VAS
Week 24
4 units on a scale
Standard Deviation 0.00

SECONDARY outcome

Timeframe: Week 16, Week 24

Population: The trial was terminated early due to the decision of the financial sponsor. A total of three participants were enrolled at Penn Medicine. In a complete case analysis of participants with data available at both baseline and Week 16 (n=2). Only one patient completed study at Week 24

The VAS-itch is a 10 cm line on which patients mark their pruritus intensity on a scale from "no itch" (0 points) to "worst imaginable itch" (100 points). The VAS-itch can be interpreted as 0 - \< 30 points represents mild pruritus, ≥ 30 - 70 points moderate pruritus, ≥ 70 - 90 points severe pruritus, and ≥ 90 points severe pruritus

Outcome measures

Outcome measures
Measure
Subjects With Palmoplantar Pustulosis
n=2 Participants
All participants will receive deucravacitinib 6 mg daily for 24 weeks, with study visits every 4 weeks. Deucravacitinib: See arm/group description
Change From Baseline in the Itch Visual Analogue Scale (Itch-VAS)
Week 16
32 units on a scale
Standard Deviation 21.21
Change From Baseline in the Itch Visual Analogue Scale (Itch-VAS)
Week 24
25 units on a scale
Standard Deviation 0.00

SECONDARY outcome

Timeframe: Week 16, 24

Population: The trial was terminated early due to the decision of the financial sponsor. A total of three participants were enrolled at Penn Medicine. In a complete case analysis of participants with data available at both baseline and Week 16 (n=2). Only one patient completed study at Week 24

The VAS-pain is a 10 cm line on which patients mark their pain on a scale from "no no" (0 points) to "worst imaginable pain" (100 points). The following cut points on the pain VAS have been recommended pain: no pain (0-4 mm), mild pain (5-44 mm), moderate pain (45-74 mm), and severe pain (75 - 100 mm)

Outcome measures

Outcome measures
Measure
Subjects With Palmoplantar Pustulosis
n=2 Participants
All participants will receive deucravacitinib 6 mg daily for 24 weeks, with study visits every 4 weeks. Deucravacitinib: See arm/group description
Change From Baseline in the Pain Visual Analogue Scale (Pain-VAS)
Week 16
-12 units on a scale
Standard Deviation 0.00
Change From Baseline in the Pain Visual Analogue Scale (Pain-VAS)
Week 24
-42 units on a scale
Standard Deviation 0.00

Adverse Events

Subjects With Palmoplantar Pustulosis

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Subjects With Palmoplantar Pustulosis
n=3 participants at risk
All participants will receive deucravacitinib 6 mg daily for 24 weeks, with study visits every 4 weeks. Deucravacitinib: See arm/group description
Infections and infestations
Infection
33.3%
1/3 • Number of events 1 • 24 weeks

Other adverse events

Adverse event data not reported

Additional Information

Director of Clinical Trials, Brigham and Women's Hospital Department of Dermatology

Brigham and Women's Hospital

Phone: 617-732-5500

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place