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Ritlecitinib

Generic Name
Ritlecitinib
Brand Names
Litfulo
Drug Type
Small Molecule
Chemical Formula
C15H19N5O
CAS Number
1792180-81-4
Unique Ingredient Identifier
2OYE00PC25
Background

Ritlecitinib (PF-06651600) is a highly selective inhibitor of Janus kinase 3 (JAK3) and the tyrosine kinase expressed in hepatocellular carcinoma (TEC) kinase family. In June 2023, it was approved by the FDA for the treatment of severe alopecia areata in adults and adolescents 12 years and older. It was further approved by the EMA in September 2023. Ritlecitinib is administered orally and is the first member of its class.

Ritlecitinib binds covalently to Cys-909 of JAK3, a site where other JAK isoforms have a serine residue. This makes ritlecitinib a highly selective and irreversible JAK3 inhibitor. Other kinases have a cysteine at a position equivalent to Cys-909 in JAK3, and several of them belong to the TEC kinase family. It has been suggested that the dual activity of ritlecitinib toward JAK3 and the TEC kinase family block cytokine signaling as well as the cytolytic activity of T cells, both implicated in the pathogenesis of alopecia areata.

Indication

Ritlecitinib is indicated for the treatment of severe alopecia areata in adults and adolescents 12 years and older. It is not recommended for use in combination with other JAK inhibitors, biologic immunomodulators, cyclosporine or other potent immunosuppressants.

Associated Conditions
Severe Alopecia Areata (AA)

A Single Dose Study To Test Two Pediatric Forms Of Ritlecitinib Compared With Adult Ritlecitinib In Healthy Adults

Phase 1
Completed
Conditions
Healthy Participants
Interventions
First Posted Date
2021-09-10
Last Posted Date
2023-08-21
Lead Sponsor
Pfizer
Target Recruit Count
12
Registration Number
NCT05040295
Locations
🇺🇸

New Haven Clinical Research Unit, New Haven, Connecticut, United States

PHARMACOKINETIC CHARACTERIZATION OF PF-06651600 IN CHINESE ADULT PARTICIPANTS

Phase 1
Completed
Conditions
Healthy Participants
Interventions
First Posted Date
2020-11-18
Last Posted Date
2021-02-17
Lead Sponsor
Pfizer
Target Recruit Count
9
Registration Number
NCT04634565
Locations
🇨🇳

Peking University Third Hospital, Beijing, Beijing, China

🇨🇳

North District of Peking University Third Hospital, Beijing, China

PLACEBO-CONTROLLED SAFETY STUDY OF RITLECITINIB (PF-06651600) IN ADULTS WITH ALOPECIA AREATA

Phase 2
Terminated
Conditions
Alopecia Areata
Interventions
Drug: Placebo
First Posted Date
2020-08-18
Last Posted Date
2024-06-18
Lead Sponsor
Pfizer
Target Recruit Count
71
Registration Number
NCT04517864
Locations
🇺🇸

Stony Brook Dermatology, Stony Brook, New York, United States

🇨🇦

Lynderm Research Inc., Markham, Ontario, Canada

🇺🇸

Marvel Clinical Research 002, LLC, Huntington Beach, California, United States

and more 36 locations

TO ASSESS THE EFFICACY AND SAFETY OF PF-06650833, PF-06651600, AND TOFACITINIB ALONE AND IN COMBINATION IN PARTICIPANTS WITH ACTIVE RHEUMATOID ARTHRITIS WITH AN INADEQUATE RESPONSE TO METHOTREXATE

Phase 2
Completed
Conditions
Rheumatoid Arthritis
Interventions
First Posted Date
2020-06-04
Last Posted Date
2023-04-07
Lead Sponsor
Pfizer
Target Recruit Count
460
Registration Number
NCT04413617
Locations
🇧🇬

Independent Medical Diagnostic Laboratory Mediscan EOOD, Plovdiv, Bulgaria

🇧🇬

MHAT Plovdiv AD, Plovdiv, Bulgaria

🇧🇬

DCC Sveti Georgi EOOD, Plovdiv, Bulgaria

and more 140 locations

Bioequivalence Study of PF-06651600 Capsules Relative to Tablets and Estimation of Food Effect on Capsules.

Phase 1
Completed
Conditions
Healthy Participants
Interventions
First Posted Date
2020-05-18
Last Posted Date
2021-08-04
Lead Sponsor
Pfizer
Target Recruit Count
164
Registration Number
NCT04390776
Locations
🇺🇸

Research Centers of America ( Hollywood ), Hollywood, Florida, United States

🇺🇸

Prism Research LLC dba Nucleus Network, Saint Paul, Minnesota, United States

A STUDY TO EVALUATE THE EFFECT OF PF-06651600 ON PHARMACOKINETICS OF SINGLE DOSE SUMATRIPTAN IN HEALTHY PARTICIPANTS.

Phase 1
Completed
Conditions
Healthy Volunteers
Interventions
First Posted Date
2020-04-21
Last Posted Date
2020-09-03
Lead Sponsor
Pfizer
Target Recruit Count
10
Registration Number
NCT04355845
Locations
🇺🇸

New Haven Clinical Research Unit, New Haven, Connecticut, United States

Study to Evaluate the Effect of Repeat-Dose Rifampin on the Pharmacokinetics (PK) of PF-06651600

Phase 1
Completed
Conditions
Healthy Volunteers
Interventions
First Posted Date
2020-02-12
Last Posted Date
2020-09-16
Lead Sponsor
Pfizer
Target Recruit Count
12
Registration Number
NCT04266509
Locations
🇧🇪

Brussels Clinical Research Unit, Brussels, Bruxelles-capitale, Région DE, Belgium

A Study of PF-06651600 Effect on Rosuvastatin Pharmacokinetics in Healthy Participants

Phase 1
Completed
Conditions
Healthy Volunteers
Interventions
First Posted Date
2019-09-17
Last Posted Date
2020-02-06
Lead Sponsor
Pfizer
Target Recruit Count
12
Registration Number
NCT04092595
Locations
🇧🇪

Brussels Clinical Research Unit, Brussels, Bruxelles-capitale, Région DE, Belgium

A Renal Impairment Study for PF-06651600

Phase 1
Terminated
Conditions
Renal Impairment
Interventions
First Posted Date
2019-07-30
Last Posted Date
2021-05-18
Lead Sponsor
Pfizer
Target Recruit Count
8
Registration Number
NCT04037865
Locations
🇺🇸

Investigational Drug Services (IDS) University of Miami Hospitals and Clinics, Miami, Florida, United States

🇺🇸

University of Miami Division of Clinical Pharmacology, Miami, Florida, United States

🇺🇸

Prism Clinical Research, LLC, Saint Paul, Minnesota, United States

Effect of PF-06651600 on the Pharmacokinetics of Oral Contraceptive Steroids

Phase 1
Completed
Conditions
Healthy
Interventions
Drug: Ethinyl estradiol (EE) and levonorgestrel(LN)
First Posted Date
2019-07-12
Last Posted Date
2019-11-15
Lead Sponsor
Pfizer
Target Recruit Count
29
Registration Number
NCT04018274
Locations
🇺🇸

Quotient Sciences Screening Office, Coral Gables, Florida, United States

🇺🇸

Quotient Sciences, Miami, Miami, Florida, United States

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