Title

A Study to Evaluate RIST4721 in Palmoplantar Pustulosis (PPP)
A Randomized, Double-Blind, Placebo-Controlled, Phase 2a Study to Evaluate the Efficacy and Safety of RIST4721 in Subjects With Palmoplantar Pustulosis
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    RIST4721 ...
  • Study Participants

    35
A Randomized, Double-Blind, Placebo-Controlled, Phase 2a Study to Evaluate the Efficacy and Safety of RIST4721 in Subjects with Palmoplantar Pustulosis
Study Started
Feb 13
2019
Primary Completion
Nov 05
2019
Study Completion
Nov 19
2019
Results Posted
Mar 03
2022
Last Update
Apr 05
2022

Drug RIST4721

RIST4721 oral solution

Drug Placebo

Placebo oral solution

RIST4721 Experimental

RIST4721 as once-daily 300mg oral solution for 28 days.

Placebo Placebo Comparator

Placebo as once-daily 300mg oral solution for 28 days.

Criteria

Inclusion Criteria:

At least a 6-month history of PPP as defined by the presence of pustules on palms and/or soles, but without evidence of infection on palms and soles
Moderate or severe PPP, as defined by Palmoplantar Pustulosis Psoriasis Area and Severity Index (PPPASI) ≥8 and Palmoplantar Pustulosis Physician Global Assessment (PPPGA) ≥3 at Day -1, and a minimum of 8 fresh pustules at screening (fresh pustule count on both right/left palms and soles) and 20 fresh pustules at Day -1 (fresh pustule count on both right/left palms and soles)
Males and females must be willing to use birth control as indicated

Exclusion Criteria:

Moderate to severe psoriasis, as defined by plaque psoriasis covering ≥10% of total Body Surface Area (BSA) at Day -1
Subject is known to have an immune deficiency or is immunocompromised
Positive test for hepatitis, human immunodeficiency virus (HIV) or tuberculosis
Use of topical therapies for PPP within 2 weeks of Day -1 and/or systemic therapies for PPP within 4 weeks

Summary

RIST4721 300 mg

Placebo

All Events

Event Type Organ System Event Term RIST4721 300 mg Placebo

Log Transformed Ratio of Postbaseline Fresh Pustule Count at Day 28 to Baseline

Relative change from baseline in fresh pustule count at Day 28

RIST4721 300 mg

0.86
Log transformed ratio (Mean)
Standard Deviation: 0.692

Placebo

0.53
Log transformed ratio (Mean)
Standard Deviation: 0.561

Log Transformed Ratio of Postbaseline Total Pustule Count at Day 28 to Baseline

Relative change from baseline in total pustule count at Day 28

RIST4721 300 mg

0.99
Log transformed ratio (Mean)
Standard Deviation: 0.667

Placebo

0.96
Log transformed ratio (Mean)
Standard Deviation: 0.672

Total

35
Participants

Age, Categorical

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Overall Study

RIST4721

Placebo