A Study of INCB018424 Phosphate Cream in Subjects With Vitiligo

NCT ID: NCT03099304

Last Updated: 2022-11-17

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

157 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-07

Study Completion Date

2021-09-08

Brief Summary

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The purpose of this study will be to examine the efficacy, safety, and tolerability of ruxolitinib cream in subjects with vitiligo.

Detailed Description

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Conditions

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Vitiligo

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Double Blind

Study Groups

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Ruxolitinib cream 1.5% twice daily (BID)

Ruxolitinib cream 1.5% BID for 52 weeks, followed by ruxolitinib cream 1.5% BID in a 104-week open-label extension.

Group Type EXPERIMENTAL

Ruxolitinib cream

Intervention Type DRUG

Ruxolitinib cream is a topical formulation applied as a thin film to affected areas.

Ruxolitinib cream 1.5% once daily (QD)

Ruxolitinib cream 1.5% QD in the morning (vehicle cream in the evening) for 52 weeks, followed by ruxolitinib cream 1.5% BID in a 104-week open-label extension.

Group Type EXPERIMENTAL

Ruxolitinib cream

Intervention Type DRUG

Ruxolitinib cream is a topical formulation applied as a thin film to affected areas.

Vehicle cream

Intervention Type DRUG

Vehicle cream is matching in appearance to ruxolitinib cream and is to be applied in the same manner as ruxolitinib cream.

Ruxolitinib cream 0.5% QD

Ruxolitinib cream 0.5% QD in the morning (vehicle cream in the evening) for 52 weeks, followed by ruxolitinib cream 1.5% BID in a 104-week open-label extension.

Group Type EXPERIMENTAL

Ruxolitinib cream

Intervention Type DRUG

Ruxolitinib cream is a topical formulation applied as a thin film to affected areas.

Vehicle cream

Intervention Type DRUG

Vehicle cream is matching in appearance to ruxolitinib cream and is to be applied in the same manner as ruxolitinib cream.

Ruxolitinib cream 0.15% QD

Ruxolitinib cream 0.15% QD in the morning (vehicle cream in the evening) for 52 weeks (opportunity for re-randomization to a higher dose at Week 24 if \< 25% improvement in F-VASI score), followed by ruxolitinib cream 1.5% BID in a 104-week open-label extension.

Group Type EXPERIMENTAL

Ruxolitinib cream

Intervention Type DRUG

Ruxolitinib cream is a topical formulation applied as a thin film to affected areas.

Vehicle cream

Intervention Type DRUG

Vehicle cream is matching in appearance to ruxolitinib cream and is to be applied in the same manner as ruxolitinib cream.

Vehicle BID

Vehicle cream BID for 24 weeks, followed by re-randomization to ruxolitinib cream 1.5% BID, 1.5% QD, or 0.5% QD for Weeks 24 to 52, followed by ruxolitinib cream 1.5% BID in a 104-week open-label extension.

Group Type PLACEBO_COMPARATOR

Ruxolitinib cream

Intervention Type DRUG

Ruxolitinib cream is a topical formulation applied as a thin film to affected areas.

Vehicle cream

Intervention Type DRUG

Vehicle cream is matching in appearance to ruxolitinib cream and is to be applied in the same manner as ruxolitinib cream.

Interventions

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Ruxolitinib cream

Ruxolitinib cream is a topical formulation applied as a thin film to affected areas.

Intervention Type DRUG

Vehicle cream

Vehicle cream is matching in appearance to ruxolitinib cream and is to be applied in the same manner as ruxolitinib cream.

Intervention Type DRUG

Other Intervention Names

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INCB018424 cream

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of vitiligo.
* Vitiligo with depigmented areas including:

* at least 0.5% of the total body surface area (BSA) on the face (0.5% BSA is approximately equal to the area of the participant's palm \[without digits\]) AND
* at least 3% of the total BSA on nonfacial areas (3% BSA is approximately equal to the area of 3 of the participant's handprints \[palm plus 5 digits\]).
* Participants who agree to discontinue all agents used to treat vitiligo from screening through the final follow-up visit. Over-the-counter preparations deemed acceptable by the investigator and camouflage makeups are permitted.

Exclusion Criteria

* Conditions at baseline that would interfere with evaluation of vitiligo.
* Participants who are receiving any kind of phototherapy, including tanning beds.
* Participants with other dermatologic disease besides vitiligo whose presence or treatments could complicate the assessment of repigmentation.
* Participants who have used skin bleaching treatments for past treatment of vitiligo or other pigmented areas.
* Participants who have received any of the following treatments within the minimum specified timeframes.

* Use of any biologic, investigational, or experimental therapy or procedure for vitiligo within 12 weeks or 5 half-lives (whichever is longer) of screening.
* Use of laser or light-based vitiligo treatments, including tanning beds, within 8 weeks of screening.
* Use of immunomodulating oral or systemic medications (eg, corticosteroids, methotrexate, cyclosporine) or topical treatments that may affect vitiligo (eg, corticosteroids, tacrolimus/pimecrolimus, retinoids) within 4 weeks of screening.
* Use of any prior and concomitant therapy not listed above that may interfere with the objective of the study as per discretion of the investigator, including drugs that cause photosensitivity or skin pigmentation (eg, antibiotics such as tetracyclines, antifungals) within 8 weeks of screening.
* Participants with a clinically significant abnormal thyroid-stimulating hormone or free T4 at screening.
* Participants with protocol-defined cytopenias at screening
* Participants with severely impaired liver function.
* Participants with impaired renal function.
* Participants taking potent systemic cytochrome P450 3A4 inhibitors or fluconazole within 2 weeks or 5 half-lives, whichever is longer, before the baseline visit.
* Participants who have previously received JAK inhibitor therapy, systemic or topical.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Incyte Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kathleen Butler, MD

Role: STUDY_DIRECTOR

Incyte Corporation

Locations

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UNIVERSITY OF ALABAMA AT BIRMINGHAM (UAB), 1802 6th Ave S

Birmingham, Alabama, United States

Site Status

BURKE PHARMACEUTICAL RESEARCH LLC, 3633 Central Ave

Hot Springs, Arkansas, United States

Site Status

NORTHWEST AR CLINICAL TRIALS CENTER, PLLC/HULL DERMATOLOGY, PA, 500 S 52nd Street

Rogers, Arkansas, United States

Site Status

THE VITILIGO & PIGMENTATION INSTITUE OF SOUTHERN CALIFORNIA, 5670 Wilshire Boulevard

Los Angeles, California, United States

Site Status

DERMATOLOGY RESEARCH ASSOCIATES- LOS ANGELES, 8930 S Sepulveda Blvd

Los Angeles, California, United States

Site Status

DERMATOLOGY SPECIALISTS, 3629 Vista Way

Oceanside, California, United States

Site Status

CLINICAL RESEARCH CENTER OF CT, 27 Hospital Avenue

Danbury, Connecticut, United States

Site Status

LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC/ AMERIDERM RESEARCH, 725 W Granada Blvd

Ormond Beach, Florida, United States

Site Status

EMORY UNIVERSITY, 1525 Clifton Road

Atlanta, Georgia, United States

Site Status

NORTHWESTERN UNIVERSITY, 676 N Saint Clair

Chicago, Illinois, United States

Site Status

DAWES FRETZIN CLINICAL RESEARCH GROUP, 8103 Clearvista Parkway

Indianapolis, Indiana, United States

Site Status

DS RESEARCH, 2241 Green Valley Road

New Albany, Indiana, United States

Site Status

TULANE UNIVERSITY, 1415 Tulane Avenue

New Orleans, Louisiana, United States

Site Status

Tufts Medical Center, 260 Tremont Street

Boston, Massachusetts, United States

Site Status

UNIVERSITY OF MASSACHUESETTS, 364 Plantation Street

Worcester, Massachusetts, United States

Site Status

HAMZAVI DERMATOLOGY, 3031 W Grand Blvd

Detroit, Michigan, United States

Site Status

WASHINGTON UNIVERSITY SCHOOL OF MEDICINE DERMATOLOGY, 969 N. Mason Road

St Louis, Missouri, United States

Site Status

ACTIVMED PRACTICES & RESEARCH, INC, 110 Corporate Drive

Portsmouth, New Hampshire, United States

Site Status

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI MEDICAL CENTER- DERMATOLOGY ASSOCIATES, 5 E 98th Street

New York, New York, United States

Site Status

WAKE FOREST UNIVERSITY HEALTH SCIENCES, Medical Center Boulevard

Winston-Salem, North Carolina, United States

Site Status

CENTRAL SOONER RESEARCH, 900 N Porter Ave

Norman, Oklahoma, United States

Site Status

RHODE ISLAND HOSPITAL, 593 Eddy Street

Providence, Rhode Island, United States

Site Status

ARLINGTON RESEARCH CENTER, INC., 711 East Lamar Boulevard

Arlington, Texas, United States

Site Status

MENTER DERMATOLOGY RESEARCH INSTITUTE, 3900 Junius Street

Dallas, Texas, United States

Site Status

UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER, DEPARTMENT OF DERMATOLOGY, 5323 Harry Hines Blvd

Dallas, Texas, United States

Site Status

THE DERMATOLOGY AND LASER CENTER OF SAN ANTONIO, 7810 Louis Pasteur

San Antonio, Texas, United States

Site Status

Countries

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United States

References

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Howell MD, Kuo FI, Rumberger B, Boarder E, Sun K, Butler K, Harris JE, Grimes P, Rosmarin D. Baseline Levels of Circulating Inflammatory Biomarkers Stratify Patients with Vitiligo Who Significantly Repigment after Treatment with Ruxolitinib Cream. JID Innov. 2023 Sep 13;3(6):100230. doi: 10.1016/j.xjidi.2023.100230. eCollection 2023 Nov.

Reference Type DERIVED
PMID: 37840766 (View on PubMed)

Rosmarin D, Pandya AG, Lebwohl M, Grimes P, Hamzavi I, Gottlieb AB, Butler K, Kuo F, Sun K, Ji T, Howell MD, Harris JE. Ruxolitinib cream for treatment of vitiligo: a randomised, controlled, phase 2 trial. Lancet. 2020 Jul 11;396(10244):110-120. doi: 10.1016/S0140-6736(20)30609-7.

Reference Type DERIVED
PMID: 32653055 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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INCB 18424-211

Identifier Type: -

Identifier Source: org_study_id

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