Non-Invasive Prospective Pilot in a Live Environment for the improvement of the diagnosis of Generalised Pustular Psoriasis

21/01/2026
21/01/2026
EU PAS number:
EUPAS1000000910
Study
Finalised
Study identification

EU PAS number

EUPAS1000000910

Study ID

1000000910

Official title and acronym

Non-Invasive Prospective Pilot in a Live Environment for the improvement of the diagnosis of Generalised Pustular Psoriasis

DARWIN EU® study

No

Study countries

Spain

Study description

Title: Non-Invasive Prospective Pilot in a Live Environment for the improvement of the diagnosis of Generalised Pustular Psoriasis
Protocol Code: LEGIT HEALTH_BI_2024
Sponsor: Boehringer Ingelheim

Study Design & Objectives
This prospective, observational, cross-sectional study evaluated whether the AI-based medical device, Legit.Health Plus (v1.1.0.0), improves diagnostic accuracy for Generalized Pustular Psoriasis (GPP) and Hidradenitis Suppurativa (HS). The primary objective was to validate increased accuracy in HCPs diagnosing GPP, a rare condition often misdiagnosed in primary care.

Methods
Fifteen healthcare professionals (11 primary care physicians, 4 dermatologists) were recruited. Each participant evaluated 100 validated images of skin conditions, including GPP, HS, and confounders like eczema and acne. A pre-post design was used: participants diagnosed cases first without assistance, then reviewed the AI’s analysis (top 5 potential diagnoses with confidence levels) to confirm or revise their decision.

Key Results
Overall diagnostic accuracy significantly increased from 47.91% to 62.81% with the device (p < 0.05).

- Primary Care: Accuracy improved markedly from 44.29% to 61.71% (+17.4%).
- GPP (Primary Target): Overall accuracy doubled from 23.70% to 46.67% (p = 0.00001). In primary care, GPP detection rose by 120%.
- Hidradenitis Suppurativa: Accuracy improved from 85.48% to 93.60%.
- Palmoplantar Pustulosis: Primary care diagnoses increased by 146%.

Conclusion
The device significantly enhanced diagnostic accuracy for rare dermatological conditions, particularly in primary care settings where improvements reached 40%. No adverse events were reported.

Dates: 01/06/2024 – 15/09/2024

Study status

Finalised
Research institutions and networks

Institutions

Contact details

Antonio Martorell-Calatayud 0000-0003-1378-1590

Primary lead investigator
ORCID number:
0000-0003-1378-1590

Study timelines

Date when funding contract was signed

Planned:
Actual:

Study start date

Planned:
Actual:

Date of final study report

Planned:
Actual:
Sources of funding
Pharmaceutical company and other private sector 
Regulatory

Was the study required by a regulatory body?

No

Is the study required by a Risk Management Plan (RMP)?

Not applicable