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A 52-Week Study to Learn About the Safety and Effects of Ritlecitinib in Participants With Nonsegmental Vitiligo

Phase 3
Recruiting
Conditions
Vitiligo
Interventions
Registration Number
NCT06163326
Lead Sponsor
Pfizer
Brief Summary

This study is to evaluate how safe and effective ritlecitinib is in participants with non-segmental vitiligo (NSV).

Ritlecitinib is studied in patients with non-segmental vitiligo. Vitiligo is a chronic acquired depigmentation disorder characterized by well-defined pale white patches of skin.

Non-segmental vitiligo is an autoimmune disorder and is the focus of this study. The study will show:

* if the repigmentation (the recovery of pigmentation) achieved in study B7981040 (also called the "parent study") will stay the same or will further increase if you keep receiving the same study medicine (ritlecitinib 50 milligrams or placebo)

* Or if more repigmentation can be achieved if you start receiving ritlecitinib 100 milligrams in this study

* Or how long the repigmentation achieved during the parent study lasts if you start receiving placebo in this study.

This study is seeking for participants who:

* have non-segmental vitiligo (either active or stable) and

* received ritlecitinib or placebo for 52 weeks in the parent study. A placebo looks exactly like the study capsule but does not contain any medicine in it.

All participants in this study will receive the study medicine or placebo. The study medicine (ritlecitinib 50 milligrams or 100 milligrams) or placebo are capsules that are taken by mouth at home every day. At week 4 (or if it cannot be done then, at week 8) study visit, you must take the medication at the study site, and not at home.

Participants may receive the study medicine or placebo for up to 52 weeks.

The study will look at the experiences of people receiving the study medicine. This will help see if ritlecitinib is better for treating vitiligo.

Participants will be involved in this study for a maximum of 60 weeks. During this time, they will have 9 study visits during the study.

Ritlecitinib 50 mg is an approved drug for the treatment of severe Alopecia Areata (a disease with similar abnormal changes in the body functions like vitiligo) in the US, EU and Japan. China, Great Britain and other market applications are pending.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
400
Inclusion Criteria
  • Participants ≥18 years of age at Screening in Study B7981040. Adolescents (12 to <18 years of age at Screening in the parent study) are also eligible for this study if approved by the local IRB/EC and regulatory health authority.
  • Participants who met the eligibility criteria and completed 52 weeks of study intervention for stable or active nonsegmental vitiligo in Study B7981040
  • The BL visit/first dose in Study B7981041 must be within 30 days after the week 52 visit in Study B7981040
Exclusion Criteria
  • Participant met the parent study (Study 7981040) discontinuation criteria or discontinued the parent study for any safety-related event
  • Any active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm 2PlaceboParticipants who previously received 1 placebo 50 mg capsule QD orally from BL to Week 52 in Study B7981040 Ritlecitinib 50 mg or Ritlecitinib 100 mg or Placebo will be assigned
Arm 1PlaceboParticipants who previously received 1 ritlecitinib 50 mg capsule QD orally from BL to Week 52 in Study B7981040. Ritlecitinib 50 mg or Ritlecitinib 100 mg or Placebo will be assigned.
Arm 1Ritlecitinib 100 mgParticipants who previously received 1 ritlecitinib 50 mg capsule QD orally from BL to Week 52 in Study B7981040. Ritlecitinib 50 mg or Ritlecitinib 100 mg or Placebo will be assigned.
Arm 2Ritlecitinib 100 mgParticipants who previously received 1 placebo 50 mg capsule QD orally from BL to Week 52 in Study B7981040 Ritlecitinib 50 mg or Ritlecitinib 100 mg or Placebo will be assigned
Arm 1RitlecitinibParticipants who previously received 1 ritlecitinib 50 mg capsule QD orally from BL to Week 52 in Study B7981040. Ritlecitinib 50 mg or Ritlecitinib 100 mg or Placebo will be assigned.
Arm 2RitlecitinibParticipants who previously received 1 placebo 50 mg capsule QD orally from BL to Week 52 in Study B7981040 Ritlecitinib 50 mg or Ritlecitinib 100 mg or Placebo will be assigned
Primary Outcome Measures
NameTimeMethod
Incidence of treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and adverse events (AEs) leading to discontinuationScreening up to at least 30 days after last dose of study drug (week 52 or Early Termination)

To evaluate the long-term safety and tolerability of ritlecitinib in adult and adolescent participants with non-segmental vitiligo

Incidence of clinically significant laboratory abnormalitiesScreening up to at least 30 days after last dose of study drug (week 52 or Early Termination)

To evaluate the long-term safety and tolerability of ritlecitinib in adult and adolescent participants with non-segmental vitiligo

Secondary Outcome Measures
NameTimeMethod
Response based on T-VASI75 at weeks 4, 8, 12, 24, 36 and 52Baseline to week 52

Proportion of participants achieving at least a 75% improvement in T-VASI from Baseline

Response based on F-VASI75 at weeks 4, 8, 12, 24, 36 and 52Baseline to week 52

Proportion of participants achieving at least a 75% improvement in F-VASI from Baseline

Response based on T-VASI50 at weeks 4, 8, 12, 24, 36 and 52Baseline to Week 52

Proportion of participants achieving at least a 50% improvement in T-VASI from Baseline

Response based on T-VASI100 at weeks 4, 8, 12, 24, 36 and 52Baseline to week 52

Proportion of participants achieving at least a 100% improvement in T-VASI from Baseline

Response based on F-VASI50 at weeks 4, 8, 12, 24, 36 and 52Baseline to week 52

Proportion of participants achieving at least a 50% improvement in F-VASI from Baseline

Response based on T-VASI90 at weeks 4, 8, 12, 24, 36 and 52Baseline to week 52

Proportion of participants achieving at least a 90% improvement in T-VASI from Baseline

Response based on F-VASI90 at weeks 4, 8, 12, 24, 36 and 52Baseline to week 52

Proportion of participants achieving at least a 90% improvement in F-VASI from Baseline

Proportion of participants achieving disease stabilizationBaseline to week 52

The difference in the proportion of participants with stable disease at all scheduled timepoints

Response based on F-VASI100 at weeks 4, 8, 12, 24, 36 and 52Baseline to week 52

Proportion of participants achieving at least a 100% improvement in F-VASI from Baseline

Patient Global Impression of Severity-Face (PGIS-F) at weeks 24, 36, and 52Baseline to week 52

To assess the effect of ritlecitinib compared to placebo on the PGIC-F at weeks 24, 36, and 52

Patient Global Impression of Severity-Overall Vitiligo (PGIS-V) at weeks 24, 36, and 52Baseline to week 52

To assess the effect of ritlecitinib compared to placebo on the PGIC-V at Week 24, 36, and 52

Percentage change from baseline (%CFB) in F-VASI at weeks 4, 8, 12, 24, 36, and 52Baseline to week 52

To compare the efficacy of ritlecitinib 100mg QD, 50mg QD, and placebo

Patient Global Impression of Change-Face (PGIC-F) at week 24, 36, and 52Baseline to week 52

To assess the effect of ritlecitinib compared to placebo on the PGIC-F at Week 24, 36, and 52

Patient Global Impression of Change- Overall vitiligo (PGIC-V) at weeks 24, 36, and 52Baseline to week 52

To assess the effect of ritlecitinib compared to placebo on the PGIC-V at weeks 24, 36, and 52

Percentage change from baseline (%CFB) in T-VASI at weeks 4, 8, 12, 24, 36, and 52Baseline to week 52

To compare the efficacy of ritlecitinib 100mg QD, 50mg QD, and placebo

Trial Locations

Locations (74)

University of New Mexico Health Sciences Center

🇺🇸

Albuquerque, New Mexico, United States

Alpesh D. Desai, DO PLLC

🇺🇸

Houston, Texas, United States

Nagoya City University Hospital

🇯🇵

Nagoya, Aichi, Japan

Celal Bayar University Hafsa Sultan Hospital

🇹🇷

Manisa, Turkey

California Dermatology & Clinical Research Institute

🇺🇸

Encinitas, California, United States

Marvel Clinical Research

🇺🇸

Huntington Beach, California, United States

Wallace Medical Group, Inc

🇺🇸

Los Angeles, California, United States

Encore Medical Research of Boynton Beach

🇺🇸

Boynton Beach, Florida, United States

Skin Care Research

🇺🇸

Hollywood, Florida, United States

ForCare Clinical Research

🇺🇸

Tampa, Florida, United States

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University of New Mexico Health Sciences Center
🇺🇸Albuquerque, New Mexico, United States

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