Trial Outcomes & Findings for Topical Ruxolitinib for the Treatment of Vitiligo (NCT NCT02809976)

NCT ID: NCT02809976

Last Updated: 2020-08-31

Results Overview

The VASI for each body region (hands, upper extremities, trunk, lower extremities, feet) is determined by the product of the area involved in hand prints and the extent of depigmentation within each hand print unit measured patch (0-100). Area involved is measured by hand prints (1 hand print = 1%) with a possible range of 0-100. Degree of depigmentation is measured as: 1.00 (100%) = complete depigmentation, no pigment present, 0.90(90%)=specks of pigment present, 0.75(75%)=depigmented area exceeds the pigmented area, 0.50(50%)=pigmented and depigmented areas are equal, 0.25(25%)=pigmented area exceeds depigmented area, 0.10(10%)=only specks of depigmentation present, and 0.0(0%)=no depigmentation present.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

11 participants

Primary outcome timeframe

Baseline to Week 20

Results posted on

2020-08-31

Participant Flow

Participant milestones

Participant milestones
Measure
Ruxolitinib 1.5% Phosphate Cream
Ruxolitinib 1.5% phosphate cream twice daily to vitiligo patches. Ruxolitinib 1.5% Phosphate Cream: twice daily topical application of Ruxolitinib 1.5% Phosphate Cream beginning at baseline and ending at week 20
Overall Study
STARTED
11
Overall Study
COMPLETED
9
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Ruxolitinib 1.5% Phosphate Cream
Ruxolitinib 1.5% phosphate cream twice daily to vitiligo patches. Ruxolitinib 1.5% Phosphate Cream: twice daily topical application of Ruxolitinib 1.5% Phosphate Cream beginning at baseline and ending at week 20
Overall Study
Lost to Follow-up
1
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

Topical Ruxolitinib for the Treatment of Vitiligo

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ruxolitinib 1.5% Phosphate Cream
n=11 Participants
Ruxolitinib 1.5% phosphate cream twice daily to vitiligo patches. Ruxolitinib 1.5% Phosphate Cream: twice daily topical application of Ruxolitinib 1.5% Phosphate Cream beginning at baseline and ending at week 20
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
11 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
52 years
n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
Region of Enrollment
United States
11 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to Week 20

The VASI for each body region (hands, upper extremities, trunk, lower extremities, feet) is determined by the product of the area involved in hand prints and the extent of depigmentation within each hand print unit measured patch (0-100). Area involved is measured by hand prints (1 hand print = 1%) with a possible range of 0-100. Degree of depigmentation is measured as: 1.00 (100%) = complete depigmentation, no pigment present, 0.90(90%)=specks of pigment present, 0.75(75%)=depigmented area exceeds the pigmented area, 0.50(50%)=pigmented and depigmented areas are equal, 0.25(25%)=pigmented area exceeds depigmented area, 0.10(10%)=only specks of depigmentation present, and 0.0(0%)=no depigmentation present.

Outcome measures

Outcome measures
Measure
Ruxolitinib 1.5% Phosphate Cream
n=11 Participants
Ruxolitinib 1.5% phosphate cream twice daily to vitiligo patches. Ruxolitinib 1.5% Phosphate Cream: twice daily topical application of Ruxolitinib 1.5% Phosphate Cream beginning at baseline and ending at week 20
Percent Change in Vitiligo Area Severity Index (VASI) Score From Baseline to Week 20
23 percentage of change in VASI
Interval 4.0 to 43.0

SECONDARY outcome

Timeframe: Baseline and Week 20

Area involved is measured by hand prints (1 hand print = 1%) with a possible range of 0-100.

Outcome measures

Outcome measures
Measure
Ruxolitinib 1.5% Phosphate Cream
n=11 Participants
Ruxolitinib 1.5% phosphate cream twice daily to vitiligo patches. Ruxolitinib 1.5% Phosphate Cream: twice daily topical application of Ruxolitinib 1.5% Phosphate Cream beginning at baseline and ending at week 20
Percent Change in Body Surface Area (BSA) of Repigmentation
11.2 percentage of change
Standard Deviation 26.4

SECONDARY outcome

Timeframe: Baseline and Week 20

Outcome measures

Outcome measures
Measure
Ruxolitinib 1.5% Phosphate Cream
n=11 Participants
Ruxolitinib 1.5% phosphate cream twice daily to vitiligo patches. Ruxolitinib 1.5% Phosphate Cream: twice daily topical application of Ruxolitinib 1.5% Phosphate Cream beginning at baseline and ending at week 20
Number of Subjects Who Achieve a Physician Global Vitiligo Assessment (PGVA) of Clear or Almost Clear
2 Participants

SECONDARY outcome

Timeframe: Baseline and Week 20

Vitiligo European Task Force assessment consisted of three components: Extent of disease reflecting the body surface area (0-100%), disease staging (0-20), and disease progression (-5 +5). Staging is based on cutaneous and hair pigmentation assessing the largest patch in each body area (head/neck, trunk, arms, legs, and hands/feet); Stage 0=normal pigmentation, Stage 1=incomplete pigmentation, Stage 2=complete depigmentation, Stage 3= partial hair whitening (\<30%), Stage 4= complete hair whitening. Disease progression is based on assessing the largest patch in each body area; Score 0= similar limits, Score 1= progressive vitiligo (ongoing subclinical depigmentation), Score -1= regressive vitiligo (ongoing subclinical repigmentation). Where a higher number indicates more severe disease spread and a negative number indicates improving disease. These three subsets are evaluated and reported independently and not mutually related to each other.

Outcome measures

Outcome measures
Measure
Ruxolitinib 1.5% Phosphate Cream
n=11 Participants
Ruxolitinib 1.5% phosphate cream twice daily to vitiligo patches. Ruxolitinib 1.5% Phosphate Cream: twice daily topical application of Ruxolitinib 1.5% Phosphate Cream beginning at baseline and ending at week 20
Percent Change in Vitiligo European Task Force (VETF) Assessment - Body Surface Area
11.2 percent change in body surface area
Standard Deviation 26.4

SECONDARY outcome

Timeframe: Baseline and Week 20

DLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired. The percent change was calculated from the mean DLQI at baseline and week 20

Outcome measures

Outcome measures
Measure
Ruxolitinib 1.5% Phosphate Cream
n=11 Participants
Ruxolitinib 1.5% phosphate cream twice daily to vitiligo patches. Ruxolitinib 1.5% Phosphate Cream: twice daily topical application of Ruxolitinib 1.5% Phosphate Cream beginning at baseline and ending at week 20
Mean Dermatology Life Quality Index (DLQI) Scores
Week 20
3 score on a scale
Standard Deviation 3.46
Mean Dermatology Life Quality Index (DLQI) Scores
Baseline
2.9 score on a scale
Standard Deviation 2.67

SECONDARY outcome

Timeframe: Baseline and Week 20

Vitiligo European Task Force assessment consisted of three components: Extent of disease reflecting the body surface area (0-100%), disease staging (0-20), and disease progression (-5 +5). Staging is based on cutaneous and hair pigmentation assessing the largest patch in each body area (head/neck, trunk, arms, legs, and hands/feet); Stage 0=normal pigmentation, Stage 1=incomplete pigmentation, Stage 2=complete depigmentation, Stage 3= partial hair whitening (\<30%), Stage 4= complete hair whitening. Disease progression is based on assessing the largest patch in each body area; Score 0= similar limits, Score 1= progressive vitiligo (ongoing subclinical depigmentation), Score -1= regressive vitiligo (ongoing subclinical repigmentation). Where a higher number indicates more severe disease spread and a negative number indicates improving disease. These three subsets are evaluated and reported independently and not mutually related to each other.

Outcome measures

Outcome measures
Measure
Ruxolitinib 1.5% Phosphate Cream
n=11 Participants
Ruxolitinib 1.5% phosphate cream twice daily to vitiligo patches. Ruxolitinib 1.5% Phosphate Cream: twice daily topical application of Ruxolitinib 1.5% Phosphate Cream beginning at baseline and ending at week 20
Percent Change in Vitiligo European Task Force (VETF) Assessment - Disease Staging
4.5 percent change in disease staging score
Standard Deviation 2.4

SECONDARY outcome

Timeframe: Baseline and Week 20

Vitiligo European Task Force assessment consisted of three components: Extent of disease reflecting the body surface area (0-100%), disease staging (0-20), and disease progression (-5 +5). Staging is based on cutaneous and hair pigmentation assessing the largest patch in each body area (head/neck, trunk, arms, legs, and hands/feet); Stage 0=normal pigmentation, Stage 1=incomplete pigmentation, Stage 2=complete depigmentation, Stage 3= partial hair whitening (\<30%), Stage 4= complete hair whitening. Disease progression is based on assessing the largest patch in each body area; Score 0= similar limits, Score 1= progressive vitiligo (ongoing subclinical depigmentation), Score -1= regressive vitiligo (ongoing subclinical repigmentation). Where a higher number indicates more severe disease spread and a negative number indicates improving disease. These three subsets are evaluated and reported independently and not mutually related to each other.

Outcome measures

Outcome measures
Measure
Ruxolitinib 1.5% Phosphate Cream
n=11 Participants
Ruxolitinib 1.5% phosphate cream twice daily to vitiligo patches. Ruxolitinib 1.5% Phosphate Cream: twice daily topical application of Ruxolitinib 1.5% Phosphate Cream beginning at baseline and ending at week 20
Percent Change in Vitiligo European Task Force (VETF) Assessment - Disease Progression
-0.5 percent of change
Standard Deviation 1.1

Adverse Events

Ruxolitinib 1.5% Phosphate Cream

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Ruxolitinib 1.5% Phosphate Cream
n=11 participants at risk
Ruxolitinib 1.5% phosphate cream twice daily to vitiligo patches. Ruxolitinib 1.5% Phosphate Cream: twice daily topical application of Ruxolitinib 1.5% Phosphate Cream beginning at baseline and ending at week 20
Skin and subcutaneous tissue disorders
Rim of hyperpigmentation surrounding vitiligo lesion
81.8%
9/11
Skin and subcutaneous tissue disorders
Intermittent erythema over affected lesions
72.7%
8/11
Skin and subcutaneous tissue disorders
Transient acne
18.2%
2/11
Respiratory, thoracic and mediastinal disorders
URI symptoms
36.4%
4/11
Respiratory, thoracic and mediastinal disorders
Sore throat
9.1%
1/11
Musculoskeletal and connective tissue disorders
Muscle aches
9.1%
1/11
Metabolism and nutrition disorders
hypercholesterolemia
9.1%
1/11
Social circumstances
Traumatic blister
9.1%
1/11
Social circumstances
Bee sting
9.1%
1/11
General disorders
Dental pain
9.1%
1/11
Gastrointestinal disorders
Gastroenteritis
9.1%
1/11

Additional Information

David Romarin, MD Prinicpal Investigator

Tufts Medical Center

Phone: 617 636 7462

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place