Clinical trial • Phase III • Immunology

bimekizumab for Hidradenitis suppurativa | Axial spondyloarthritis | Plaque psoriasis | Psoriatic arthritis

Phase III trial of bimekizumab for Hidradenitis suppurativa | Axial spondyloarthritis | Plaque psoriasis | Psoriatic arthritis.

Overview

Trial Therapeutic Area
Immunology
Trial Disease
Hidradenitis suppurativa | Axial spondyloarthritis | Plaque psoriasis | Psoriatic arthritis
Trial Stage
Phase III
Drug Modality
Monoclonal antibody

Key dates

Initial CTIS Submission Date
21-03-2025
First CTIS Authorization Date
03-07-2025

Trial design

open-label, none/not specified-controlled Phase III trial across 5 sites in Spain, Germany.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
12
Trial Duration For Participant
57

Eligibility

Recruits 12 The trial selects a vulnerable population flag (isVulnerablePopulationSelected: true). Participants must be adults ("Study participant must be at least 18 years of age at the time of signing the informed consent"). The study involves breastfeeding mothers and their infants (infants are assessed; infants cannot provide consent). Consent is provided by the mother via informed consent forms (ICFs) — ICF documents are provided in country-specific languages (Spanish and German versions present in the dossier). No child assent process is described..

Pregnancy Exclusion
A female study participant is eligible to participate if she is not pregnant and does not plan to become pregnant during the study.
Vulnerable Population
The trial selects a vulnerable population flag (isVulnerablePopulationSelected: true). Participants must be adults ("Study participant must be at least 18 years of age at the time of signing the informed consent"). The study involves breastfeeding mothers and their infants (infants are assessed; infants cannot provide consent). Consent is provided by the mother via informed consent forms (ICFs) — ICF documents are provided in country-specific languages (Spanish and German versions present in the dossier). No child assent process is described.

Inclusion criteria

  • {"criterion_text":"- Study participant must be at least 18 years of age at the time of signing the informed consent."}
  • {"criterion_text":"- Study participant is being treated with commercial bimekizumab per locally approved prescribing information and in accordance with her treating physician."}
  • {"criterion_text":"- Study participant is breastfeeding and intends to breastfeed throughout the Sampling Period."}
  • {"criterion_text":"- The decision to treat with bimekizumab and to breastfeed is made independently from and prior to the study participant consenting to participate in the study."}
  • {"criterion_text":"- Study participant must be on bimekizumab treatment for at least 12 weeks after delivery and since starting/restarting/continuing bimekizumab prior to sampling (prior to start of the Sampling Period)."}
  • {"criterion_text":"- A female study participant is eligible to participate if she is not pregnant and does not plan to become pregnant during the study."}

Exclusion criteria

  • {"criterion_text":"- Study participant has any medical, obstetrical, or psychiatric condition that, in the opinion of the Investigator, could jeopardize or would compromise the study participant’s ability to participate in this study."}
  • {"criterion_text":"- The infant has any abnormality noted on physical examination or medical history that, in the opinion of the Investigator, may jeopardize or compromise study participation."}
  • {"criterion_text":"- Study participant has a history of chronic alcohol or drug abuse within the previous last year."}
  • {"criterion_text":"- Study participant has history of breast implants, breast augmentation, or breast reduction surgery."}
  • {"criterion_text":"- Study participant plans a surgical intervention during the Screening Period and Sampling Period or anticipates having surgery while participating in the Sampling Period (does not apply to tubal ligation)."}
  • {"criterion_text":"- Study participant or her infant has participated in another study of an investigational medicinal product (IMP) (and/or an investigational device) within the previous 6 months or is currently participating in another study of an IMP (and/or an investigational device), unless the study is UCB PS0036 or a bimekizumab registry study."}
  • {"criterion_text":"- Study participant or her infant has previously participated (ie, entered the sampling period) in this study."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Concentration of bimekizumab in the breast milk predose on Day 1 and on Days 2, 3, 5, 7, 9, 11, 13, and 15 (predose for mothers on Q2W dosing regimen), and in addition, predose on Day 29 or Day 57 for mothers on Q4W or Q8W dosing regimen, respectively","definition_or_measurement_approach":"Measurement of bimekizumab concentration in mature human breast milk at specified predose timepoints according to mother dosing regimen (Q2W, Q4W, Q8W)."}

Secondary endpoints

  • {"endpoint_text":"- Estimated Infant Dosage of bimekizumab from breast milk","definition_or_measurement_approach":"Calculated estimated infant dose of bimekizumab ingested via breast milk (method described in protocol documents)."}
  • {"endpoint_text":"- Relative Infant Dose of bimekizumab from breast milk","definition_or_measurement_approach":"Calculated relative infant dose (ratio of estimated infant dose to maternal dose) derived from measured breast milk concentrations."}
  • {"endpoint_text":"- Treatment-emergent adverse events (TEAEs) of the mother from time of informed consent through Safety Follow-Up (SFU) contact","definition_or_measurement_approach":"Collection and reporting of TEAEs for the mother from informed consent through the designated safety follow-up contact per study safety procedures."}

Recruitment

Registry Or Advocacy Recruitment
True, Center For Information And Study On Clinical Research Participation Inc.
Digital Remote Recruitment
True, digital methods include country-specific recruitment web materials in German and Spanish and an outreach campaign by Splash Clinical LLC; recruitment documents for web/social channels and translated materials are included in the dossier.
Planned Sample Size
12
Recruitment Window Months
15
Consent Approach
Informed consent is obtained from the mother (participant) prior to any study procedures; participants must be at least 18 years old at time of signing the informed consent. Subject information and informed consent forms (ICFs) are provided in country-specific languages (documents present include Spanish and German ICFs). No assent process is described for infants (infants cannot provide consent).

Methods

  • Site-based recruitment via treating physicians at participating hospitals/clinics in Germany and Spain (site contact details provided for each participating site).
  • Participant outreach/recruitment campaign managed by Splash Clinical LLC (outsourced recruitment/outreach vendor).
  • Country-specific digital/web recruitment materials (documents present: K2_up0122-de-recr-web-de-DE-public, K2_up0122-es-recr-web-es-ES-public).
  • Country-specific recruitment materials such as posters, study information materials and leaflets (multiple K2 documents for DE and ES: posters, SMI, SIB, SMAM, WRS).

Geography

Total Number Of Sites
5
Total Number Of Participants
8

Spain

Earliest CTIS Part Ii Submission Date
13-06-2025
Latest Decision Or Authorization Date
07-07-2025
Processing Time Days
24
Number Of Sites
2
Number Of Participants
4

Sites

Site Name
Hospital Universitari Vall D Hebron
Department Name
#501: Reumatología
Principal Investigator Name
Andrea Pluma Sanjurjo
Principal Investigator Email
andrea.pluma@vallhebron.cat
Contact Person Name
Andrea Pluma Sanjurjo
Contact Person Email
andrea.pluma@vallhebron.cat
Site Name
Hospital De La Santa Creu I Sant Pau
Department Name
#502: Dermatología
Principal Investigator Name
Anna López Ferrer
Principal Investigator Email
ALopezFe@santpau.cat
Contact Person Name
Anna López Ferrer
Contact Person Email
ALopezFe@santpau.cat

Germany

Earliest CTIS Part Ii Submission Date
26-06-2025
Latest Decision Or Authorization Date
01-04-2026
Processing Time Days
279
Number Of Sites
3
Number Of Participants
4

Sites

Site Name
St. Elisabeth Gruppe GmbH Katholische Kliniken Rhein-Ruhr
Department Name
#303:
Principal Investigator Name
Ioana Andreica
Principal Investigator Email
ioana.andreica@elisabethgruppe.de
Contact Person Name
Ioana Andreica
Site Name
Goethe University Frankfurt
Department Name
#302: Dermatology
Principal Investigator Name
Andreas Pinter
Principal Investigator Email
andreas.pinter@unimedizin-ffm.de
Contact Person Name
Andreas Pinter
Site Name
Medical Center - University Of Freiburg
Department Name
#301: Klinik für Rheumatologie und Klinische Immunologie
Principal Investigator Name
Cornelia Glaser
Principal Investigator Email
cornelia.glaser@uniklinik-freiburg.de
Contact Person Name
Cornelia Glaser

Sponsor

Primary sponsor

Full Name
UCB Biopharma
Organisation Type
Pharmaceutical company
Country Of Registered Address
Belgium

Contract research organisations

Name
Parexel International (IRL) Limited
Responsibilities
Duties codes: 1,12,13,5,6,9
Name
Pharmaceutical Product Development LLC
Responsibilities
Duties codes: 4
Name
PPD International Holdings LLC
Responsibilities
Distribuition of visit test kits and Sample Storage (EU)

Third parties

  • {"country":"United States","full_name":"Veeva Systems Inc.","duties_or_roles":"Duties codes: 7","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"JMAC","duties_or_roles":"Participant Reimbursement/Stipend and travel bookings","organisation_type":"Health care"}
  • {"country":"Ireland","full_name":"Parexel International (IRL) Limited","duties_or_roles":"Duties codes: 1,12,13,5,6,9","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"Duties codes: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Transperfect Translations International Inc.","duties_or_roles":"Study document Translations (as needed)","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"BioAgilytix Europe GmbH","duties_or_roles":"Duties codes: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"RWS Life Sciences Inc.","duties_or_roles":"Scales & Linguistic validation services","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Center For Information And Study On Clinical Research Participation Inc.","duties_or_roles":"Patient engagement / outreach (duty code 11)","organisation_type":"Patient organisation/association"}
  • {"country":"United States","full_name":"Professional Case Management Clinical Trials LLC","duties_or_roles":"Home Health Nurse Service provider","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"Belgium","full_name":"PPD International Holdings LLC","duties_or_roles":"Distribuition of visit test kits and Sample Storage (EU)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Splash Clinical LLC","duties_or_roles":"Participant Recruitment / Outreach Campaign","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Germany","full_name":"Azenta Germany GmbH","duties_or_roles":"Long Term Laboratroy Sample Storage","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Scout Clinical","duties_or_roles":"Participant Reimbursement/Stipend and travel bookings","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
Bimzelx 160 mg solution for injection in pre-filled pen
Active Substance
bimekizumab
Modality
Monoclonal antibody
Routes Of Administration
Subcutaneous
Route
Subcutaneous
Authorisation Status
Authorised (EU marketing authorisation numbers provided)
Starting Dose
160 mg
Dose Levels
160 mg
Maximum Dose
320 mg
Investigational Product Name
Bimzelx 160 mg solution for injection in pre-filled syringe
Active Substance
bimekizumab
Modality
Monoclonal antibody
Routes Of Administration
Subcutaneous
Route
Subcutaneous
Authorisation Status
Authorised (EU marketing authorisation numbers provided)
Starting Dose
160 mg
Dose Levels
160 mg
Maximum Dose
320 mg
Investigational Product Name
Bimzelx 320 mg solution for injection in pre-filled pen
Active Substance
bimekizumab
Modality
Monoclonal antibody
Routes Of Administration
Subcutaneous
Route
Subcutaneous
Authorisation Status
Authorised (EU marketing authorisation numbers provided)
Starting Dose
320 mg
Dose Levels
320 mg
Maximum Dose
320 mg
Investigational Product Name
Bimzelx 320 mg solution for injection in pre-filled syringe
Active Substance
bimekizumab
Modality
Monoclonal antibody
Routes Of Administration
Subcutaneous
Route
Subcutaneous
Authorisation Status
Authorised (EU marketing authorisation numbers provided)
Starting Dose
320 mg
Dose Levels
320 mg
Maximum Dose
320 mg

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