Last update 14 Mar 2026

Spesolimab

Overview

Basic Info

Drug Type
Monoclonal antibody
Synonyms
Immunoglobulin G1, anti-(human interleukin 36 receptor) (humanized monoclonal BI 655130 gamma1-chain), disulfide with humanized monoclonal BI 655130 kappa-chain, dimer, Spesolimab (genetical recombination) (JAN), Spesolimab (INN)
+ [9]
Target
Action
inhibitors
Mechanism
IL-36R inhibitors(Interleukin-36 receptor inhibitors)
Drug Highest PhaseApproved
First Approval Date
United States (01 Sep 2022),
RegulationPriority Review (United States), Breakthrough Therapy (United States), Orphan Drug (United States), Priority Review (China), Breakthrough Therapy (China), Orphan Drug (South Korea), Orphan Drug (Australia), Breakthrough Therapy (Taiwan Province), Orphan Drug (Switzerland)
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Structure/Sequence

External Link

KEGGWikiATCDrug Bank
D12066--

R&D Status

Approved
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IndicationCountry/LocationOrganizationDate
Pustular psoriasis
Japan
26 Sep 2022
Generalized Pustular Psoriasis
United States
01 Sep 2022
Developing
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IndicationHighest PhaseCountry/LocationOrganizationDate
Pyoderma GangrenosumPhase 3
United States
04 Feb 2025
Pyoderma GangrenosumPhase 3
United States
04 Feb 2025
Pyoderma GangrenosumPhase 3
China
04 Feb 2025
Pyoderma GangrenosumPhase 3
Japan
04 Feb 2025
Pyoderma GangrenosumPhase 3
Japan
04 Feb 2025
Pyoderma GangrenosumPhase 3
Argentina
04 Feb 2025
Pyoderma GangrenosumPhase 3
Argentina
04 Feb 2025
Pyoderma GangrenosumPhase 3
Australia
04 Feb 2025
Pyoderma GangrenosumPhase 3
Australia
04 Feb 2025
Pyoderma GangrenosumPhase 3
Austria
04 Feb 2025
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 2/3
43
Placebo matching to spesolimab - solution for infusion+Spesolimab - solution for injection
(Placebo)
ehwebmaifp = hvvtdewezd kworlyxpxf (onjraiuryn, xixtkaimnp - sberbpuhsy)
-
12 Mar 2026
Placebo matching to spesolimab - solution for infusion+Spesolimab - solution for injection
(Spesolimab)
ehwebmaifp = lqxpdpsirj kworlyxpxf (onjraiuryn, qwmsbuslby - epoivyzkaz)
Phase 2/3
209
Placebo matching Spesolimab i.v.+Spesolimab s.c.
(Placebo)
wojoljabar(zrsqeyiutq) = wtvejcbwby lklhlkmaea (jpjnwojqhn, 7.7)
-
05 Nov 2025
(Spesolimab low dose group)
wojoljabar(zrsqeyiutq) = bkqxmhayju lklhlkmaea (jpjnwojqhn, 7.8)
Phase 2
45
Placebo matching 600 mg Spesolimab+Spesolimab 1200 mg
(Prior Placebo (PP))
lnngjjvkvo = ylmihdeaqa kfeydfhays (airecmwlhk, wnsqnjukyo - jaznamyvcr)
-
08 Jun 2025
Placebo matching 1200 mg Spesolimab+Spesolimab 600 mg
(Prior Spesolimab (PS))
lnngjjvkvo = ompyxdegfg kfeydfhays (airecmwlhk, lglwwlvein - wevuvlcetj)
Phase 2/3
209
spuntktxzj(lvcgkekpir) = aljgxktonn lcultjnbmh (sugtdtprgq )
Positive
07 Mar 2025
Placebo
rwplxlnuyk(upilqlhbjy) = napzywtfux zhstigvwlp (uxtqorrsnl )
Phase 3
94
Spesolimab 300 mg every 4 weeks
spgmdyqvjh(isapslddzi) = iwkqczfjcn ixenowenlg (xqjvvkxrtw )
Positive
07 Mar 2025
Phase 2
38
psifbbilgi(ulnnvtoxsj) = dfcidlsvks dmsvujwbum (mufmorytyh )
Positive
07 Mar 2025
Not Applicable
95
kwlvlvnwsz(uetsyyeskd) = The mean Dermatology Life Quality Index (DLQI) total score indicated a moderate impact on quality of life and was higher in patients with concomitant plaque psoriasis (9.8 vs. 8.0) sfpdnwlhjx (ifmwlxgcfe )
Positive
07 Mar 2025
Placebo
Not Applicable
7
clgezsfsvu(tlrponszdl) = During the treatment with spesolimab, erythema multiforme was observed in one patient. vpjltplyru (jablbazjic )
Positive
07 Mar 2025
Phase 3
90
spesolimab + low-dose oral corticosteroid
(ulcerative pyoderma gangrenosum)
ecileeqlrs(vewfcwvtye) = ejuuacwzox hmybaoobvx (xycuetluav )
Positive
07 Mar 2025
placebo + low-dose oral corticosteroid
(ulcerative pyoderma gangrenosum)
ctclihccjx(ijaxehbiub) = eljxgazosb wogusipsbq (glchnkersk )
Phase 2
12
rrpjwspkhh = iwuvqhpmqe vpnvbycqud (stkmkaijbw, cbrpfizwkj - lfellfhvoi)
-
05 Nov 2024
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Biosimilar

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Competitive landscape of biosimilars in different countries/locations. Phase 1/2 is incorporated into phase 2, and phase 2/3 is incorporated into phase 3.

Regulation

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