Japanese registry sheds light on how palmoplantar pustulosis is treated
NCT ID NCT04459507
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This completed registry study in Japan looked at how doctors treat palmoplantar pustulosis (PPP), a skin condition causing pus-filled blisters on hands and feet. Researchers collected data from 276 patients' medical records and clinic visits to understand which treatments are used and how long patients stay on them. No new treatment was tested; the goal was to describe real-world care patterns.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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276 people
The number who actually took part.
- Started
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Mar 2021
- Finished
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Dec 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Participants observed in this study newly initiated/will be newly initiating a systemic therapy for their PPP/pustulotic arthro-osteitis (PAO) - either as their first systemic therapy or as a switch from, or an addition to a previous therapy, having had an inadequate response and/or intolerant to prior PPP/PAO therapy. Participants will be treated in accordance with routine clinical practice in Japan in the outpatient specialist care setting.
- Ages
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18 years and older
- Sex
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Anyone
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Must have a confirmed diagnosis of palmoplantar pustulosis (PPP) and/or pustulotic arthro-osteitis (PAO) in accordance with local clinical practice * Has previously been prescribed treatment for PPP/PAO * A decision has been made by the treating physician and the participant to commence treatment with a systemic PPP/PAO therapy, having been deemed to have an inadequate response to previous therapy (New users are defined as those participants to commence treatment on baseline visit date. Existing users are defined as those who commenced treatment prior to the baseline visit since 01 November 2019.) * Must sign a participation agreement/informed consent form allowing data collection and source data verification in accordance with local requirements Exclusion Criteria: * Are receiving, or have received within the past 3 months, anti-inflammatory or analgesic systemic therapy such as oral corticosteroid, disease modifying antirheumatic drug (DMARDs), non-steroidal anti-inflammatory drugs, opioids, phosphodiesterase 4 (PDE4) inhibitor, or biologics for any other indication (for example, psoriasis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, and asthma) * Received an investigational drug (including investigational vaccines) or used an invasive investigational medical device within 3 months before the start of the study or the first data collection time point * Participation in an investigational study * Participation in another observational study for guselkumab (including a post marketing surveillance study) * If the only treatment they have received for PPP has been antibiotics
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Akita University Hospital
Akita, 010-8543, Japan
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Chikamori Hospital
Kochi, 780-8522, Japan
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Ehime University Hospital
Tōon, 791-0295, Japan
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Fujita Health University Hospital
Toyoake, 470-1192, Japan
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Fukushima Medical University Hospital
Fukushima, 960 1295, Japan
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Hamamatsu University Hospital
Hamamatsu, 431-3192, Japan
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Hiroshima City Asa Citizens Hospital
Hiroshima, 731-0293, Japan
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Hokkaido University Hospital
Sapporo, 060-8648, Japan
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JR Sapporo Hospital
Hokkaido, 060-0033, Japan
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Juntendo University Hospital
Bunkyō City, 113 8431, Japan
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Kansai Medical University Hospital
Hirakata, 573 1191, Japan
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Keio University Hospital
Shinjuku-ku, 160-8582, Japan
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Kindai University Hospital
Ōsaka-sayama, 589-8511, Japan
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Kita-harima Medical Center
Hyōgo, 6751392, Japan
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Kochi Medical School Hospital
Kochi, 783-8505, Japan
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Kurashiki Medical Center
Kurashiki-shi, 710-8522, Japan
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Kurume University Hospital
Kurume, 830-0011, Japan
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Kuwana City Medical Center
Kuwana, 511 0061, Japan
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Kyoto University Hospital
Kyoto, 606-8507, Japan
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Kyushu University Hospital
Fukuoka, 812 8582, Japan
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Nagoya City University Hospital
Nagoya, 467 8602, Japan
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National Hospital Organization Kyoto Medical Center
Kyoto, 612-8555, Japan
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Oita University Hospital
Ōita, 879-5593, Japan
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Okayama Saiseikai General Hospital
Kita-ku, 700-8511, Japan
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Okayama University Hospital
Okayama, 700 8558, Japan
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Sasebo Chuo Hospital
Sasebo, 857 1195, Japan
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Seiwakai Hiroshima Clinic
Hiroshima, 733-0032, Japan
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Shiga University of Medical Science Hospital
Ōtsu, 520-2192, Japan
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Shinshu University Hospital
Matsumoto, 390 8621, Japan
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St. Luke's International Hospital
Tokyo, 104 8560, Japan
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Takamatsu Red Cross Hospital
Takamatsu, 760 0017, Japan
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Teikyo University Hospital
Itabashi Ku, 173 8606, Japan
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The Hospital of Hyogo College of Medicine
Nishinomiya, 663-8501, Japan
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Toho University Medical Center, Ohashi Hospital
Meguro-ku, 153-8515, Japan
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Tohoku University Hospital
Sendai, 980 8574, Japan
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Tokyo Medical University Hachioji Medical Center
Tokyo, 193-0998, Japan
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Tokyo Medical University Hospital
Tokyo, 160-0023, Japan
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Yamanashi Prefectural Central Hospital
Kofu, 400-8506, Japan
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Yokosuka Kyosai Hospital
Yokosuka, 238 8558, Japan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- New drug picankibart aims to treat stubborn hand and foot pustules
- Scientists seek skin samples to unlock secrets of common rashes
- New drug hope for painful hand and foot pustules
- AI boosts doctor accuracy for rare skin diseases in new study
- Promising drug for hand and foot blisters falls short in early trial
- Spesolimab shows promise for Long-Term control of painful hand and foot pustules