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Trial · NCT05819398

Lunsayil 1: A Study to Test Whether Spesolimab Helps People With a Skin Disease Called Hidradenitis Suppurativa

NCT05819398, Phase 2, Phase 3, Completed, Boehringer Ingelheim; results first posted 2025-11-05

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Lunsayil 1: A Study to Test Whether Spesolimab Helps People With a Skin Disease Called Hidradenitis Suppurativa. Trials, record NCT05819398. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05819398

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Lunsayil 1: A Study to Test Whether Spesolimab Helps People With a Skin Disease Called Hidradenitis Suppurativa
NCT number
NCT05819398
Status
Completed
Phases
Phase 2, Phase 3
Enrollment
209 participants, actual
Lead sponsor
Boehringer Ingelheim
Conditions
Hidradenitis Suppurativa
Interventions
Spesolimab i.v., Spesolimab s.c., Placebo matching Spesolimab i.v., Placebo matching Spesolimab s.c.
First posted
2023-04-19
Last updated
2025-11-05
Results first posted
2025-11-05
Limitations and caveats
The Part 2 was not initiated due to discontinuation of this trial according to protocol. The interim analysis in Part 1 was done after all patients reached Week 16 milestone, and following the analysis, the decision to discontinue was taken.

Source ClinicalTrials.gov

Registered outcomes5

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPart 1 - Percent Change From Baseline in Draining Fistula/Tunnel (dT) Count at Week 8The MMRM model incorporates dT count from baseline (Week 0), Week 2, Week 4, Week 6 and Week 8. The data represent the Least Squares Means at Week 8.
Percent change from baseline in draining fistula/tunnel (dT) count at Week 8 is reported. Tunnel/fistula/sinus were counted as dT only if draining. Percent change was calculated as follows: (dT count at week 8 - dT count at baseline)/ dT at baseline. Least square means and standard errors were estimated by Mixed effect model for repeated measurements (MMRM). The MMRM included fixed categorical effects of treatment at each visit, Tumor Necrosis Factor inhibitor (TNFi) status at baseline, and categorical baseline dT count at each visit. Visit were treated as the repeated measure with an unstructured covariance structure used to model the within-trial participant measurements.
SecondaryPart 1 - Percent Change From Baseline in Draining Fistula/Tunnel (dT) Count at Week 16The MMRM model incorporates dT count from baseline (Week 0), Week 2, Week 4, Week 6, Week 8, Week 10, Week 12, Week 14 and Week 16. The data represent the Least Squares Means at Week 16.
Percent change from baseline in draining fistula/tunnel (dT) count at Week 16 is reported. Tunnel/fistula/sinus were counted as dT only if draining. Least square means and standard errors were estimated by MMRM, which included fixed categorical effects of treatment at each visit, TNFi status at baseline, categorical baseline dT count and fixed continuous effect of baseline of outcome measures at each visit. Visit was treated as repeated measure with an unstructured covariance matrix for the within trial participant variability and all visits with planned measurements of the outcome variable as well as all dose groups were included in the model.
SecondaryPart 1 - Absolute Change From Baseline in International Hidradenitis Suppurativa Severity Score System (IHS4) Value at Week 8The MMRM model incorporates IHS4 value from baseline (Week 0), Week 2, Week 4, Week 6 and Week 8. The data represent the Least Squares Means at Week 8.
IHS4 is a validated, clinical scoring system for dynamic assessment of HS severity. The score was calculated as: (number of nodules x1) + (number of abscesses x2) + (number of draining tunnels \[fistulae/sinuses\] x4). The minimum is 0, the maximum depends on the count of nodules, abscesses, and draining tunnels. Scores 0-3 indicate mild HS, 4-10 moderate HS, ≥11 severe HS. Absolute change from baseline was calculated as follows: (IHS4 value at visit timepoints) - (IHS4 value at baseline). Least square means and standard errors were estimated by MMRM, which included fixed categorical effects of treatment at each visit, TNFi status at baseline, categorical baseline dT count and fixed continuous effect of baseline of outcome measures at each visit. Visit was treated as repeated measure with an unstructured covariance matrix for the within trial participant variability and all visits with planned measurements of the outcome variable as well as all dose groups were included in the model.
SecondaryPart 1 - Absolute Change From Baseline in International Hidradenitis Suppurativa Severity Score System (IHS4) Value at Week 16The MMRM model incorporates IHS4 from baseline (Week 0), Week 2, Week 4, Week 6, Week 8, Week 10, Week 12, Week 14 and Week 16. The data represent the Least Squares Means at Week 16.
IHS4 is a validated, clinical scoring system for dynamic assessment of HS severity. The score was calculated as: (number of nodules x1) + (number of abscesses x2) + (number of draining tunnels \[fistulae/sinuses\] x4). The minimum is 0, the maximum depends on the count of nodules, abscesses, and draining tunnels. Scores 0-3 indicate mild HS, 4-10 moderate HS, ≥11 severe HS. Absolute change from baseline was calculated as follows: (IHS4 value at visit timepoints) - (IHS4 value at baseline). Least square means and standard errors were estimated by MMRM, which included fixed categorical effects of treatment at each visit, TNFi status at baseline, categorical baseline dT count and fixed continuous effect of baseline of outcome measures at each visit. Visit was treated as repeated measure with an unstructured covariance matrix for the within trial participant variability and all visits with planned measurements of the outcome variable as well as all dose groups were included in the model.
SecondaryPart 1 - Occurrence of Treatment Emergent Adverse Events (TEAEs)From first drug administration until end of exposure, plus residual effect period, up to approximately 68 weeks.The occurrence of treatment emergent adverse events (TEAEs) is reported as the number of patients with TEAEs.

Outcomes5

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPart 1 - Percent Change From Baseline in Draining Fistula/Tunnel (dT) Count at Week 8The MMRM model incorporates dT count from baseline (Week 0), Week 2, Week 4, Week 6 and Week 8. The data represent the Least Squares Means at Week 8.
Full Analysis Set (FAS): all randomized patients who received at least one dose of study drug. The use of treatment policy approach disregards the intercurrent event and uses the value of the variable regardless of the occurrence of the intercurrent event.
Percentage changeLEAST_SQUARES_MEAN
SECONDARYPart 1 - Percent Change From Baseline in Draining Fistula/Tunnel (dT) Count at Week 16The MMRM model incorporates dT count from baseline (Week 0), Week 2, Week 4, Week 6, Week 8, Week 10, Week 12, Week 14 and Week 16. The data represent the Least Squares Means at Week 16.
Full Analysis Set (FAS): all randomized patients who received at least one dose of study drug. The use of treatment policy approach disregards the intercurrent event and uses the value of the variable regardless of the occurrence of the intercurrent event.
Percentage changeLEAST_SQUARES_MEAN
SECONDARYPart 1 - Absolute Change From Baseline in International Hidradenitis Suppurativa Severity Score System (IHS4) Value at Week 8The MMRM model incorporates IHS4 value from baseline (Week 0), Week 2, Week 4, Week 6 and Week 8. The data represent the Least Squares Means at Week 8.
Full Analysis Set (FAS): all randomized patients who received at least one dose of study drug. The use of treatment policy approach disregards the intercurrent event and uses the value of the variable regardless of the occurrence of the intercurrent event.
Units on a scaleLEAST_SQUARES_MEAN
SECONDARYPart 1 - Absolute Change From Baseline in International Hidradenitis Suppurativa Severity Score System (IHS4) Value at Week 16The MMRM model incorporates IHS4 from baseline (Week 0), Week 2, Week 4, Week 6, Week 8, Week 10, Week 12, Week 14 and Week 16. The data represent the Least Squares Means at Week 16.
Full Analysis Set (FAS): all randomized patients who received at least one dose of study drug. The use of treatment policy approach disregards the intercurrent event and uses the value of the variable regardless of the occurrence of the intercurrent event.
Units on a scaleLEAST_SQUARES_MEAN
SECONDARYPart 1 - Occurrence of Treatment Emergent Adverse Events (TEAEs)From first drug administration until end of exposure, plus residual effect period, up to approximately 68 weeks.Safety Analysis Set (SAF): all subjects who were randomized and received at least one dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group20

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Part 1 - Percent Change From Baseline in Draining Fistula/Tunnel (dT) Count at Week 8Placebo-21.5Standard Error 7.7Percentage change
Part 1 - Percent Change From Baseline in Draining Fistula/Tunnel (dT) Count at Week 8Spesolimab low dose group-41.9Standard Error 7.8Percentage change
Part 1 - Percent Change From Baseline in Draining Fistula/Tunnel (dT) Count at Week 8Spesolimab medium dose group-39.3Standard Error 7.9Percentage change
Part 1 - Percent Change From Baseline in Draining Fistula/Tunnel (dT) Count at Week 8Spesolimab high dose group-25.8Standard Error 7.9Percentage change
Part 1 - Percent Change From Baseline in Draining Fistula/Tunnel (dT) Count at Week 16Placebo-14.0Standard Error 10.6Percentage change
Part 1 - Percent Change From Baseline in Draining Fistula/Tunnel (dT) Count at Week 16Spesolimab low dose group-23.5Standard Error 10.7Percentage change
Part 1 - Percent Change From Baseline in Draining Fistula/Tunnel (dT) Count at Week 16Spesolimab medium dose group-36.2Standard Error 10.8Percentage change
Part 1 - Percent Change From Baseline in Draining Fistula/Tunnel (dT) Count at Week 16Spesolimab high dose group-22.7Standard Error 11.2Percentage change
Part 1 - Absolute Change From Baseline in International Hidradenitis Suppurativa Severity Score System (IHS4) Value at Week 8Placebo-13.5Standard Error 2.5Units on a scale
Part 1 - Absolute Change From Baseline in International Hidradenitis Suppurativa Severity Score System (IHS4) Value at Week 8Spesolimab low dose group-11.1Standard Error 2.5Units on a scale

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo53
Overall StudySTARTEDSpesolimab low dose group53
Overall StudySTARTEDSpesolimab medium dose group52
Overall StudySTARTEDSpesolimab high dose group51
Overall StudyCOMPLETEDPlacebo21
Overall StudyCOMPLETEDSpesolimab low dose group20
Overall StudyCOMPLETEDSpesolimab medium dose group20
Overall StudyCOMPLETEDSpesolimab high dose group17
Overall StudyNOT COMPLETEDPlacebo32
Overall StudyNOT COMPLETEDSpesolimab low dose group33

Adverse events320

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersPlacebo353
otherDiarrhoeaGastrointestinal disordersSpesolimab following placebo150
otherDiarrhoeaGastrointestinal disordersSpesolimab low dose group353
otherDiarrhoeaGastrointestinal disordersSpesolimab medium dose group152
otherDiarrhoeaGastrointestinal disordersSpesolimab high dose group451
otherNauseaGastrointestinal disordersPlacebo453
otherNauseaGastrointestinal disordersSpesolimab following placebo250
otherNauseaGastrointestinal disordersSpesolimab low dose group353
otherNauseaGastrointestinal disordersSpesolimab medium dose group252
otherNauseaGastrointestinal disordersSpesolimab high dose group051

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo053
Total, all-cause mortalitySpesolimab following placebo050
Total, all-cause mortalitySpesolimab low dose group053
Total, all-cause mortalitySpesolimab medium dose group052
Total, all-cause mortalitySpesolimab high dose group051
Total, other adverse eventsPlacebo2953
Total, other adverse eventsSpesolimab following placebo3250
Total, other adverse eventsSpesolimab low dose group3953
Total, other adverse eventsSpesolimab medium dose group3852
Total, other adverse eventsSpesolimab high dose group4151

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05819398

GET https://conductscience.org/api/trials/v1/NCT05819398/events?page=2