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New pill could tame blistering skin disease without high steroid doses

NCT ID NCT06696716

First seen Nov 19, 2025 · Last updated Jun 22, 2026 · Updated 27 times

Summary

This phase 3 study tests an experimental drug called tirabrutinib for people with pemphigus, a rare autoimmune disease that causes painful blisters on skin and mucous membranes. The trial enrolls 34 adults whose disease is not well controlled by steroids. Participants receive either tirabrutinib or a placebo pill daily, plus a low dose of steroids. The main goal is to see if the drug helps achieve and maintain remission (no or minimal blisters) for at least 8 weeks while keeping steroid use low.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Ehime University Hospital

    RECRUITING

    Ehime, Japan

  • Fukushima Medical University Hospital

    RECRUITING

    Fukushima, Japan

  • Gunma University Hospital

    RECRUITING

    Gunma, Japan

  • Hokkaido University Hospital

    RECRUITING

    Hokkaido, Japan

  • Ichinomiya Municipal Hospital

    RECRUITING

    Aichi, Japan

  • Jichi Medical University Hospital

    RECRUITING

    Tochigi, Japan

  • Kagoshima University Hospital

    RECRUITING

    Kagoshima, Japan

  • Kawasaki Medical School Hospital

    RECRUITING

    Okayama, Japan

  • Keio University Hospital

    RECRUITING

    Tokyo, Japan

  • Kindai university hospital

    RECRUITING

    Osaka, Japan

  • Kumamoto University Hospital

    RECRUITING

    Kumamoto, Japan

  • Kurume University Hospital

    RECRUITING

    Fukuoka, Japan

  • Nagoya City University Hospital

    RECRUITING

    Aichi, Japan

  • Niigata University Medical & Dental Hospital

    RECRUITING

    Niigata, Japan

  • Osaka Metropolitan University Hospital

    RECRUITING

    Osaka, Japan

  • Saitama Medical Center

    RECRUITING

    Saitama, Japan

  • Shiga University of Medical Science Hospital

    RECRUITING

    Shiga, Japan

  • St.Marianna University School of Medicine Hospital

    RECRUITING

    Kanagawa, Japan

  • Tokai University Hospital

    RECRUITING

    Kanagawa, Japan

  • Tokyo Medical and Dental University Hospital

    RECRUITING

    Tokyo, Japan

  • Tokyo Women's Medical University Hospital

    RECRUITING

    Tokyo, Japan

  • University Hospital Kyoto Prefectural University of Medicine

    RECRUITING

    Kyoto, Japan

  • University of the Ryukyus Hospital

    RECRUITING

    Okinawa, Japan

  • Yamagata University Hospital

    NOT_YET_RECRUITING

    Yamagata, Japan

  • Yokohama City University Hospital

    RECRUITING

    Kanagawa, Japan

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Tirabrutinib (a drug taken as a pill that targets a protein involved in immune attacks)

What this could lead to

If successful, this could offer a new treatment option for people with pemphigus that doesn't respond well to steroids, potentially helping control blisters with less steroid use.

What could go wrong

This is a small early-phase 3 trial with only 34 participants, so results may not apply to everyone. The drug may not work better than placebo, and side effects like infection or allergic reactions are possible.

Conditions

The condition(s) this trial relates to.

pemphigus

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.