Trial Outcomes & Findings for Afamelanotide and Narrow-Band Ultraviolet B (NB-UVB) Phototherapy in the Treatment of Nonsegmental Vitiligo (NSV) (NCT NCT04525157)

NCT ID: NCT04525157

Last Updated: 2023-09-22

Results Overview

A decrease in VASI over time indicates a reduction of the body surface area affected by vitiligo and/ or a reduction in the body sites' degree of depigmentation (possible range 1-100)

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

21 participants

Primary outcome timeframe

From Day 0 to Day 196

Results posted on

2023-09-22

Participant Flow

18 participants were enrolled in the Arm Afamelanotide and NB-UVB (pooled analysis)

Participant milestones

Participant milestones
Measure
Afamelanotide and NB-UVB (Pooled Analysis)
The study design was modified from a randomised controlled (Afamelanotide plus NB-UVB versus placebo plus NB-UVB) to an open label study (afamelanotide plus NB-UVB). A pooled analysis of all patients who received afamelanotide plus NB-UVB was undertaken and the results are presented.
Overall Study
STARTED
18
Overall Study
COMPLETED
15
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Afamelanotide and Narrow-Band Ultraviolet B (NB-UVB) Phototherapy in the Treatment of Nonsegmental Vitiligo (NSV)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Afamelanotide and NB-UVB (Pooled Analysis)
n=18 Participants
The study design was modified from a randomised controlled (Afamelanotide plus NB-UVB versus placebo plus NB-UVB) to an open label study (afamelanotide plus NB-UVB). A pooled analysis of all patients who received afamelanotide plus NB-UVB was undertaken and the results are presented.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
18 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From Day 0 to Day 196

A decrease in VASI over time indicates a reduction of the body surface area affected by vitiligo and/ or a reduction in the body sites' degree of depigmentation (possible range 1-100)

Outcome measures

Outcome measures
Measure
Afamelanotide and NB-UVB (Pooled Analysis)
n=15 Participants
The study design was modified from a randomised controlled (Afamelanotide plus NB-UVB versus placebo plus NB-UVB) to an open label study (afamelanotide plus NB-UVB). A pooled analysis of all patients who received afamelanotide plus NB-UVB was undertaken and the results are presented.
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Total Day 28
0.00 Change in VASI score from baseline
Interval -0.63 to 0.25
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Head and Neck Day 28
0.00 Change in VASI score from baseline
Interval -0.63 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Hands Day 28
0.00 Change in VASI score from baseline
Interval 0.0 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Upper Extremities Day 28
0.00 Change in VASI score from baseline
Interval 0.0 to 0.25
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Trunk Day 28
0.00 Change in VASI score from baseline
Interval 0.0 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Lower Extremities Day 28
0.00 Change in VASI score from baseline
Interval 0.0 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Feet Day 28
0.00 Change in VASI score from baseline
Interval 0.0 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Total Day 56
-0.05 Change in VASI score from baseline
Interval -2.25 to 1.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Head and Neck Day 56
0.00 Change in VASI score from baseline
Interval -0.88 to 1.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Hands Day 56
0.00 Change in VASI score from baseline
Interval -0.25 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Upper Extremities Day 56
0.00 Change in VASI score from baseline
Interval -1.5 to 0.25
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Trunk Day 56
0.00 Change in VASI score from baseline
Interval -1.0 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Lower Extremities Day 56
0.00 Change in VASI score from baseline
Interval -2.25 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Feet Day 56
0.00 Change in VASI score from baseline
Interval -0.2 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Total Day 84
-0.70 Change in VASI score from baseline
Interval -12.38 to 0.25
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Head and neck Day 84
0.00 Change in VASI score from baseline
Interval -0.88 to 1.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Hands Day 84
0.00 Change in VASI score from baseline
Interval -0.5 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Upper Extremities Day 84
0.00 Change in VASI score from baseline
Interval -1.5 to 0.25
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Trunk Day 84
0.00 Change in VASI score from baseline
Interval -7.75 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Lower Extremities Day 84
0.00 Change in VASI score from baseline
Interval -4.5 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Feet Day 84
0.00 Change in VASI score from baseline
Interval -0.2 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Total Day 112
-1.13 Change in VASI score from baseline
Interval -12.38 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Head and Neck Day 112
-0.10 Change in VASI score from baseline
Interval -1.0 to 0.5
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Hands Day 112
0.00 Change in VASI score from baseline
Interval -0.5 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Upper Extremities Day 112
0.00 Change in VASI score from baseline
Interval -3.0 to 0.25
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Trunk Day 112
-0.13 Change in VASI score from baseline
Interval -7.75 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Lower Extremities Day 112
0.00 Change in VASI score from baseline
Interval -4.5 to 0.38
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Feet Day 112
0.00 Change in VASI score from baseline
Interval -0.5 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Total Day 140
-2.56 Change in VASI score from baseline
Interval -15.15 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Head and Neck Day 140
-0.11 Change in VASI score from baseline
Interval -1.0 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Hands Day 140
0.00 Change in VASI score from baseline
Interval -1.0 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Upper Extremities Day 140
-0.50 Change in VASI score from baseline
Interval -6.0 to 0.13
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Trunk Day 140
-0.50 Change in VASI score from baseline
Interval -7.75 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Lower Extremities Day 140
-0.50 Change in VASI score from baseline
Interval -5.85 to 0.38
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Feet Day 140
0.00 Change in VASI score from baseline
Interval -0.5 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Total Day 168
-2.86 Change in VASI score from baseline
Interval -15.15 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Head and Neck Day 168
-0.13 Change in VASI score from baseline
Interval -1.0 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Hands Day 168
0.00 Change in VASI score from baseline
Interval -1.0 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Upper Extremities Day 168
-0.50 Change in VASI score from baseline
Interval -6.0 to 1.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Trunk Day 168
-1.00 Change in VASI score from baseline
Interval -7.75 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Lower Extremities Day 168
-0.75 Change in VASI score from baseline
Interval -5.85 to 0.38
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Feet Day 168
0.00 Change in VASI score from baseline
Interval -0.5 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Total Day 196
-3.70 Change in VASI score from baseline
Interval -15.65 to 1.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Head and Neck Day 196
-0.13 Change in VASI score from baseline
Interval -1.0 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Hands Day 196
0.00 Change in VASI score from baseline
Interval -1.0 to 0.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Upper Extremities Day 196
-1.00 Change in VASI score from baseline
Interval -6.0 to 1.0
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Trunk Day 196
-1.13 Change in VASI score from baseline
Interval -7.75 to 0.75
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Lower Extremities Day 196
-0.60 Change in VASI score from baseline
Interval -5.85 to 0.38
Change in Pigmentation (Total and Individual Body Parts) Using the Vitiligo Area Scoring Index (VASI)
Feet Day 196
0.00 Change in VASI score from baseline
Interval -0.5 to 0.0

Adverse Events

Afamelanotide and NB-UVB (Pooled Analysis)

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Afamelanotide and NB-UVB (Pooled Analysis)
n=18 participants at risk
The study design was modified from a randomised controlled (Afamelanotide plus NB-UVB versus placebo plus NB-UVB) to an open label study (afamelanotide plus NB-UVB). A pooled analysis of all patients who received afamelanotide plus NB-UVB was undertaken and the results are presented.
General disorders
Fatigue
5.6%
1/18
Investigations
Glomerular filtration rate decreased
5.6%
1/18
Investigations
Urinary casts
5.6%
1/18
Nervous system disorders
Lethargy
5.6%
1/18
Skin and subcutaneous tissue disorders
Nail pigmentation
11.1%
2/18

Additional Information

Clinical Operations Manager

CLINUVEL PHARMACEUTICALS LTD

Results disclosure agreements

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