NonSegmental Vitiligo Clinical Trial
Official title:
A Phase 3, Randomized, Double-Blind, 52-Week, Placebo-Controlled, Efficacy and Safety Study of Povorcitinib in Participants With Nonsegmental Vitiligo
This study is being conducted to determine the efficacy and safety of povorcitinib in participants with nonsegmental vitiligo.
| Status | Recruiting |
| Enrollment | 444 |
| Est. completion date | May 17, 2027 |
| Est. primary completion date | May 18, 2026 |
| Accepts healthy volunteers | No |
| Gender | All |
| Age group | 18 Years and older |
| Eligibility | Inclusion Criteria: - Aged = 18 years. - Clinical diagnosis of nonsegmental vitiligo and meet the following: - T-BSA = 5% - T-VASI score = 4 - F-BSA = 0.5% - F-VASI score = 0.5 - Agreement to discontinue all agents and procedures used to treat vitiligo from screening through the final safety follow-up visit. - Willingness to avoid pregnancy or fathering children. Exclusion Criteria: - Other forms of vitiligo or skin depigmentation disorders. - Clinically significant abnormal TSH or free T4 at screening. - Use of laser or phototherapy within 8 weeks and dihydroxyacetone within 4 weeks prior to Day 1. - Current or past use of the depigmenting agent monobenzyl ether of hydroquinone including Benoquin®. - History of melanocyte-keratinocyte transplantation procedure or other surgical treatment for vitiligo. - Spontaneous and significant repigmentation within 6 months prior to screening. - Women who are pregnant, considering pregnancy, or breast feeding. - Medical history including thrombocytopenia, coagulopathy or platelet dysfunction; venous and arterial thrombosis, deep vein thrombosis, pulmonary embolism, stroke, moderate to severe heart failure, cerebrovascular accident, myocardial infarction, or other significant cardiovascular diseases; Q-wave interval abnormalities; disseminated herpes zoster or recurrent dermatomal herpes zoster; disseminated herpes simplex; chronic/recurrent infections; malignancies. - Evidence of infection with TB, HBV, HCV or HIV. - History of failure to JAK inhibitor treatment of any inflammatory disease. - Laboratory values outside of the protocol-defined ranges. Other protocol-defined Inclusion/Exclusion Criteria may apply. |
| Country | Name | City | State |
|---|---|---|---|
| Bulgaria | Medical Center Asklepii Ood | Dupnitsa | |
| Bulgaria | Mc Unimed | Sliven | |
| Bulgaria | 28 Diagnostic and Consultative Center | Sofia | |
| Bulgaria | Aleksandrovska University Hospital | Sofia | |
| Bulgaria | Ambulatory For Specialized Medical Care - Individual Practice For Specialized Medical Care - Skin An | Sofia | |
| Canada | Lynderm Research Inc | Markham | Ontario |
| Canada | DERMEDGE | Mississauga | Ontario |
| Canada | Centre de Recherche Dermatologique de Quebec | Quebec City | Quebec |
| Canada | Research Toronto | Toronto | Ontario |
| Canada | Research Toronto | Toronto | Ontario |
| Canada | British Columbia'S Centre For Dermatologic Science - the Skin Care Centre | Vancouver | British Columbia |
| France | Chru Morvan/Chu Brest Hopital Morvan | Brest | |
| France | Centre Hospitalier - Le Mans | Le Mans | |
| France | Cabinet Medical- Chemin de Paradis | Martigues | |
| France | Centre Hospitalier Universitaire de Nice,Hopital L Archet | Nice | |
| France | Hopital Charles Nicolle | Rouen Cedex | |
| Germany | Fachklinik Bad Bentheim Dermatologie | Bad Bentheim | |
| Germany | Charite Universitaetsmedizin Berlin - Campus Charite Mitte | Berlin | |
| Germany | University Hospital Carl Gustav Carus | Dresden | |
| Germany | Universitatsklinikum Hamburg | Hamburg | |
| Germany | Dermatologische Gemeinschaftspraxis | Mahlow | |
| Germany | Universitatsklinikum Munster | Muenster | |
| Hungary | Debreceni Egyetem | Debrecen | |
| Hungary | Orvostudomanyi Kutato Es Fejleszto Kft | Debrecen | |
| Hungary | Obudai Egeszsegugyi Centrum - Dunaujvaros | Dunaujvaros | |
| Hungary | Markusovszky Teaching Hospital | Szombathely | |
| Italy | Azienda Ospedaliera Spedali Civili Di Brescia-Universita Degli Studi Di Brescia | Brescia | |
| Italy | Azienda Ospedaliero-Universitaria Policlinico Vittorio Emanuele Ospedale Gaspare Rodolico Di Catania | Catania | |
| Italy | Fondazione Irccs Ca' Granda Ospedale Maggiore Policlinico | Milano | |
| Italy | Fondazione Policlinico Universitario Agostino Gemelli Irccs | Rome | |
| Italy | Irccs Istituto Clinico Humanitas | Rozzano | |
| Poland | Synexus - Polska Sp Z Oo Oddzial W Gdansksynexus Affiliate - Bialystok - Clinicmed Daniluk Nowak Spo | Gdansk | |
| Poland | Synexus Gdynia | Gdynia | |
| Poland | Pro Familia Altera Sp. Z O.O. | Katowice | |
| Poland | Provita Sp.Zo.O. Centrum Medyczne Angelius | Katowice | |
| Poland | Prywatny Gabinet Dermatologiczny Elzbieta Klujszo | Kielce | |
| Poland | Dermoklinika Centrum Medyczne S.C., M. Kierstan, J. Narbutt, A. Lesiak | Lodz | |
| Poland | Niepubliczny Zaklad Opieki Zdrowotnej Dermed Centrum Medyczne Sp. Z O.O. | Lodz | |
| Poland | Etg Skierniewice | Skierniewice | |
| Poland | Laser Clinic | Szczecin | |
| Poland | Twoja Przychodnia - Szczecinskie Centrum Medyczne | Szczecin | |
| Poland | Alergo-Med Specjalistyczna Przychodnia Lekarska Sp. Z O.O. | Tarnow | |
| Poland | Centrum Medyczne Evimed | Warsaw | |
| Poland | Klinika Ambroziak Sp. Z O.O. | Warszawa | |
| Poland | Royalderm Agnieszka Nawrocka | Warszawa | |
| Poland | Futuremeds Targowek Centrum Medyczne Amed Warszawa Targowek | Wrocaw | |
| Poland | Centrum Medyczne Oporow | Wroclaw | |
| Poland | Dermmedica Sp. Z O.O. | Wroclaw | |
| Poland | Synexus Polska Sp. Z O.O. Oddzial We Wroclawiu | Wroclaw | |
| United Kingdom | Ipswich Hospital, East Suffolk and North Essex Nhs Foundation Trust | Ipswich | |
| United Kingdom | University Hospitals of Leicester-Leicester Royal Infirmary (Lri) | Leicester | |
| United Kingdom | Barts Health Nhs Trust - Whipps Cross University Hospital | London | |
| United Kingdom | Nottingham University Hospitals - Treatment Center | Nottingham | |
| United Kingdom | Royal Wolverhampton Nhs Trust | Walsall | |
| United States | Delricht Research | Baton Rouge | Louisiana |
| United States | University of Alabama At Birmingham Hospital-Whitaker Clinic | Birmingham | Alabama |
| United States | Skin Care Research, Llc | Boca Raton | Florida |
| United States | Total Vein and Skin Llc | Boynton Beach | Florida |
| United States | Remington-Davis Clinical Research | Columbus | Ohio |
| United States | Driven Research Llc | Coral Gables | Florida |
| United States | Florida Academic Centers Research and Education Llc | Coral Gables | Florida |
| United States | Pediatric Skin Research Llc | Coral Gables | Florida |
| United States | Dermatology Treatment and Research Center | Dallas | Texas |
| United States | Tien Q Nguyen Md Inc | Fountain Valley | California |
| United States | Center For Dermatology Clinical Research, Inc | Fremont | California |
| United States | Callender Dermatology and Cosmetic Center | Glenn Dale | Maryland |
| United States | Heights Dermatology and Aesthetic Center | Houston | Texas |
| United States | University of Texas, Md Anderson Cancer | Houston | Texas |
| United States | Marvel Clinical Research Llc | Huntington Beach | California |
| United States | Indiana University School of Medicine Iusm Indianapolis | Indianapolis | Indiana |
| United States | Dermatology Research Associates | Los Angeles | California |
| United States | Vitiligo & Pigmentation Institute of Southern California | Los Angeles | California |
| United States | C2 Research Center, Llc | Montgomery | Alabama |
| United States | Weill Cornell Medicine | New York | New York |
| United States | Kgl Skin Study Center | Newtown Square | Pennsylvania |
| United States | Austin Institute For Clinical Research Aicr Pflugerville | Pflugerville | Texas |
| United States | Oregon Medical Research Center, Pc | Portland | Oregon |
| United States | Allcutis Research, Inc Portsmouth | Portsmouth | New Hampshire |
| United States | Aesthetic and Dermatology Center | Rockville | Maryland |
| United States | Dermatology Clinical Research Center of San Antonio | San Antonio | Texas |
| United States | Texas Dermatology and Laser Specialists | San Antonio | Texas |
| United States | Advanced Medical Research Pc | Sandy Springs | Georgia |
| United States | Premier Clinical Research | Spokane | Washington |
| United States | Clinical Trials Research Institute | Thousand Oaks | California |
| United States | Dundee Dermatology | West Dundee | Illinois |
| United States | Metabolic Research Institute Inc | West Palm Beach | Florida |
| Lead Sponsor | Collaborator |
|---|---|
| Incyte Corporation |
United States, Bulgaria, Canada, France, Germany, Hungary, Italy, Poland, United Kingdom,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Proportion of Participants Achieving a = 75% Improvement From Baseline in the Facial Vitiligo Area Scoring Index (F-VASI75) | =75% improvement in facial Vitiligo Area Scoring Index. | Week 52 | |
| Secondary | Percentage change from Baseline in Total Body Vitiligo Area Scoring Index (T-VASI) | Percentage change from Baseline in total body Vitiligo Area Scoring Index. | Week 52 | |
| Secondary | Proportion of Participants Achieving a = 50% Improvement From Baseline in the Total Body Vitiligo Area Scoring Index (T-VASI50) | =50% improvement in total body Vitiligo Area Scoring Index. | Week 52 | |
| Secondary | Proportion of Participants Achieving a = 75% Improvement From Baseline in the Total Body Vitiligo Area Scoring Index (T-VASI75) | =75% improvement in total body Vitiligo Area Scoring Index. | Week 52 | |
| Secondary | Proportion of participants achieving a Vitiligo Noticeability Scale Score (VNS) of 4 or 5 | VNS is a participant reported outcome measure on a scale of 1-5, 1- more noticeable, 4 - a lot less noticeable, and 5- no longer noticeable. | Week 52 and Week 104 | |
| Secondary | Number of participants with Treatment-emergent Adverse Events (TEAEs) | Defined as adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug. | Up to Week 104 and 30 days | |
| Secondary | Proportion of Participants Achieving Facial Vitiligo Area Scoring Index (F-VASI50) | =50% improvement in facial Vitiligo Area Scoring Index. | Week 52 and Week 104 | |
| Secondary | Proportion of Participants Achieving Facial Vitiligo Area Scoring Index (F-VASI75) | =75% improvement in facial Vitiligo Area Scoring Index. | Week 104 | |
| Secondary | Proportion of Participants Achieving Facial Vitiligo Area Scoring Index (F-VAS190) | =90% improvement in facial Vitiligo Area Scoring Index. | Week 52 and Week 104 | |
| Secondary | Proportion of Participants Achieving Total Body Vitiligo Area Scoring Index (T-VASI50) | =50% improvement in total body Vitiligo Area Scoring Index. | Week 104 | |
| Secondary | Proportion of Participants Achieving Total Body Vitiligo Area Scoring Index (T-VASI75) | =75% improvement in total body Vitiligo Area Scoring Index. | Week 104 | |
| Secondary | Proportion of Participants Achieving Total Body Vitiligo Area Scoring Index (T-VASI90) | =90% improvement in total body Vitiligo Area Scoring Index. | Week 52 and Week 104 | |
| Secondary | Proportion of participants achieving an Facial Static Investigator Global Assessment (FSIGA) of 0 or 1 | Global score of vitiligo severity for the face. Scores range from 0 (clear) to 5 (severe vitiligo). | Week 52 and Week 104 | |
| Secondary | Proportion of participants in each Facial Static Investigator Global Assessment (FSIGA) category | Global score of vitiligo severity for the face. Scores range from 0 (clear) to 5 (severe vitiligo). | Week 52 and Week 104 | |
| Secondary | Proportion of participants achieving a Static Investigator Global Assessment (SIGA) of 0 (clear) or 1 (almost clear) | Global score of vitiligo severity for the entire body. Scores range from 0 (clear) to 5 (severe vitiligo). | Week 52 and Week 104 | |
| Secondary | Proportion of participants in each Static Investigator Global Assessment (SIGA) category | Global score of vitiligo severity for the entire body. Scores range from 0 (clear) to 5 (severe vitiligo). | Week 52 and Week 104 | |
| Secondary | Proportion of participants who report Facial Patient Global Impression of Change-Vitiligo (F-PaGIC-V) of 1 or 2 | F-PaGIC-V is an assessment of improvement of vitiligo on the face by the participant. It is a 7-point scale ((1) Very much improved, (2) Much improved, (3) Minimally improved, (4) No change, (5) Minimally worse, (6) Much worse, or (7) Very much worse). | Week 52 and Week 104 | |
| Secondary | Proportion of participants in each Facial Patient Global Impression of Change-Vitiligo (F-PaGIC-V) category | F-PaGIC-V is an assessment of improvement of vitiligo on the face by the participant. It is a 7-point scale ((1) Very much improved, (2) Much improved, (3) Minimally improved, (4) No change, (5) Minimally worse, (6) Much worse, or (7) Very much worse). | Week 52 and Week 104 | |
| Secondary | Proportion of participants who report Total Body Patient Global Impression of Change-Vitiligo (T-PaGIC-V) of 1 or 2 | T-PaGIC-V is an assessment of improvement of vitiligo on the total body by the participant. It is a 7-point scale ((1) Very much improved, (2) Much improved, (3) Minimally improved, (4) No change, (5) Minimally worse, (6) Much worse, or (7) Very much worse). | Week 52 and Week 104 | |
| Secondary | Proportion of participants in each Total Body Patient Global Impression of Change-Vitiligo (T-PaGIC-V) category | T-PaGIC-V is an assessment of improvement of vitiligo on the total body by the participant. It is a 7-point scale ((1) Very much improved, (2) Much improved, (3) Minimally improved, (4) No change, (5) Minimally worse, (6) Much worse, or (7) Very much worse). | Week 52 and Week 104 | |
| Secondary | Proportion of participants in each category for the color-matching question | Participants will answer how well the color of the treated skin matches the normal skin on a scale of 1-5, 1 being excellent to 5 being very poor. | Week 52 and Week 104 | |
| Secondary | Change from baseline in the Vitiligo-Specific Quality of Life (VitiQoL) | VitiQoL is a 15-item QoL assessment that asks participants to rate various aspects of their condition during the past month using a 7-point scale ("Not at all" to "All of the time"). | Week 52 and Week 104 | |
| Secondary | Change from baseline in the Hospital Anxiety and Depression Scale (HADS) subscales | HADS is a 14-item questionnaire that assesses the levels of anxiety and depression that a participant is currently experiencing. There are 7 questions each for measuring anxiety and for measuring depression, with 4 possible responses to each question (responses are scored as 0, 1, 2, or 3). | Week 52 and Week 104 |
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