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Imsidolimab

Phase 3

Generalized Pustular Psoriasis | Monoclonal antibody | Immunology |Vanda Pharmaceuticals Inc.|Last Updated: Mar 17, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment53
FDA Designations
ORPHAN_DRUG
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05352893Study to Evaluate the Efficacy and Safety of Imsidolimab (ANB019) in the Treatment of Subjects With GPPPHASE3 COMPLETED 45Apr 14, 2022Aug 17, 2023Mar 17, 202665 United States, Australia +13
NCT03619902A Study to Evaluate the Efficacy and Safety of Imsidolimab (ANB019) in Adults With Generalized Pustular PsoriasisPHASE2 COMPLETED 8Jan 30, 2019Jan 20, 2021Sep 16, 202513 United States, Poland +2
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Study Endpoints
Primary Endpoints
Percentage of Patients Achieving a GPPPGA Score of 0 (Clear) or 1 (Almost Clear)
Week 4

The Generalized Pustular Psoriasis Physician's Global Assessment (GPPPGA) is a physician-based assessment of the overall disease severity of GPP at the time of evaluation (specifically pustules, erythema, and scaling/crusting of pustular psoriasis lesions). The GPPPGA is graded on a 5-point scale, ranging from 0 (clear) to 4 (severe). GPPPGA Scale: 0 = Clear, 1 = Almost clear, 2 = Mild, 3 = Moderate, 4 = Severe.

Percentage of Participants Achieving Clinical Response on the Clinical Global Impression (CGI) Scale
Week 4 and Week 16

Clinical response was defined as "Very much improved," "Much Improved," or "Minimally Improved" on the CGI scale according to the Modified Japanese Dermatological Association Severity Index (JDA-SI) total score. The JDA-SI includes assessment of skin lesions (area of erythema with pustules, area of erythema total, and area of edema) and fever, white blood cell count, C-reactive protein and serum albumin levels. The total score ranges from 0 to 17 (severe). CGI was assessed based on the JDA-SI according to the following: * Very Much Improved: Reduction in JDA-SI total score by 3 or \> points; * Much improved: Reduction in JDA-SI total score by 1 or 2 points; * Minimally improved: No change in JDA-SI total score and area of erythema with pustules reduced by \<20% or clinically meaningful improvement in at least 1 other component of the modified JDA-SI.

Percent Change From Baseline in Body Surface Area of Erythema With Pustules at Week 1, Week 4, and Week 16
Baseline, Week 1, Week 4, and Week 16

Excluding palms and soles from 0% to 100%. The palmar surface of one hand (using the subject's hand and including the fingers) represents 1% of his or her total BSA.

Secondary Endpoints
Percentage of Patients Achieving a PRS Score of 0 (Clear) or 1 (Almost Clear)
Week 1
Percent Change From Baseline in Modified Japanese Dermatological Association - Severity Index (mJDA-SI) Total Skin Lesions Score at Week 1, Week 4, and Week 16
Baseline, Week 1, Week 4, and Week 16
Percentage of Participants Achieving a Generalized Pustular Psoriasis Physician's Global Assessment (GPPPGA) Score of 0 or 1 at Week 1, Week 4, and Week 16
Week 1, Week 4, and Week 16
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
750 mg ImsidolimabEXPERIMENTAL -
300 mg ImsidolimabEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
ImsidolimabEXPERIMENTALParticipants received imsidolimab 750 mg intravenously (IV) on Day 1 followed by administration of 3 doses of subcutaneous (SC) imsidolimab 100 mg on Days 29, 57, and 85.
Interventions
NameTypeDescription
750 mg ImsidolimabDRUGIntravenous
300 mg ImsidolimabDRUGIntravenous
PlaceboOTHERIntravenous
ImsidolimabBIOLOGICALHumanized monoclonal antibody
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Eligibility Criteria
Age Range18 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites65

Inclusion Criteria: \- Subject has a BSA affected with pustules (excluding palms and soles) ≥ 5%, a GPPPGA score ≥ 3 (moderate severity), and a PRS score ≥ 3 (moderate severity) at Day 1 Exclusion Criteria: * Subject has other form of psoriasis excluding psoriasis vulgaris * Subject flare is so s...

Countries:United StatesAustraliaFranceGeorgiaGermanyMalaysiaMoroccoPolandRomaniaSouth KoreaSpainTaiwanThailandTunisiaTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)
MEDIUMMay 21, 2026NCT05352893TRIAL_REMOVED: changed
MEDIUMMay 21, 2026NCT05352893TRIAL_REMOVED: changed