Trial Outcomes & Findings for Safety and Efficacy of ARQ-252 Cream 0.3% in Subjects With Non-Segmental Facial Vitiligo (NCT NCT04811131)

NCT ID: NCT04811131

Last Updated: 2024-07-12

Results Overview

Achievement of F-VASI75 was declared with a ≥75% improvement from Baseline in F-VASI. F-VASI measures the % of vitiligo involvement (percentage of body surface area \[BSA\]) and the degree of depigmentation: 0% (none), 10% (only specks), 25% (pigmented area \> depigmented area), 50% (depigmented and pigmented areas equal), 75% (depigmented area \> pigmented area), 90% (specks of pigment), or 100% (no pigment). F-VASI was then derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each site on the face and summing the values of all sites (possible range: 0-3; lower scores indicate increased improvement).

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

114 participants

Primary outcome timeframe

Week 24

Results posted on

2024-07-12

Participant Flow

Participants were randomized at 31 study centers in the United States and Canada.

The study was early terminated and only available descriptive statistics are shown.

Participant milestones

Participant milestones
Measure
Active IP and Active Phototherapy
Participants receive ARQ-252 cream 0.3% twice daily (BID) with phototherapy for 24 weeks.
Active IP and Sham Phototherapy
Participants receive ARQ-252 cream 0.3% BID with sham phototherapy for 24 weeks.
Vehicle and Active Phototherapy
Participants receive vehicle cream BID with phototherapy for 24 weeks.
Vehicle and Sham Phototherapy
Participants receive vehicle cream BID with sham phototherapy for 24 weeks.
Overall Study
STARTED
34
37
31
12
Overall Study
COMPLETED
0
0
0
0
Overall Study
NOT COMPLETED
34
37
31
12

Reasons for withdrawal

Reasons for withdrawal
Measure
Active IP and Active Phototherapy
Participants receive ARQ-252 cream 0.3% twice daily (BID) with phototherapy for 24 weeks.
Active IP and Sham Phototherapy
Participants receive ARQ-252 cream 0.3% BID with sham phototherapy for 24 weeks.
Vehicle and Active Phototherapy
Participants receive vehicle cream BID with phototherapy for 24 weeks.
Vehicle and Sham Phototherapy
Participants receive vehicle cream BID with sham phototherapy for 24 weeks.
Overall Study
Adverse Event
0
0
1
0
Overall Study
Lack of Efficacy
0
0
0
1
Overall Study
Lost to Follow-up
0
1
0
0
Overall Study
Sponsor request
31
35
27
10
Overall Study
Withdrawal by Subject
3
1
3
1

Baseline Characteristics

Safety and Efficacy of ARQ-252 Cream 0.3% in Subjects With Non-Segmental Facial Vitiligo

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active IP and Active Phototherapy
n=34 Participants
Participants receive ARQ-252 cream 0.3% BID with phototherapy.
Active IP and Sham Phototherapy
n=36 Participants
Participants receive ARQ-252 cream 0.3% BID with sham phototherapy.
Vehicle and Active Phototherapy
n=30 Participants
Participants receive vehicle cream BID with phototherapy.
Vehicle and Sham Phototherapy
n=12 Participants
Participants receive vehicle cream BID with sham phototherapy.
Total
n=112 Participants
Total of all reporting groups
Age, Continuous
47.5 years
STANDARD_DEVIATION 12.75 • n=5 Participants
46.2 years
STANDARD_DEVIATION 10.84 • n=7 Participants
47.9 years
STANDARD_DEVIATION 12.90 • n=5 Participants
43.5 years
STANDARD_DEVIATION 7.23 • n=4 Participants
46.8 years
STANDARD_DEVIATION 11.65 • n=21 Participants
Sex: Female, Male
Female
18 Participants
n=5 Participants
20 Participants
n=7 Participants
8 Participants
n=5 Participants
7 Participants
n=4 Participants
53 Participants
n=21 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
16 Participants
n=7 Participants
22 Participants
n=5 Participants
5 Participants
n=4 Participants
59 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
12 Participants
n=5 Participants
9 Participants
n=7 Participants
10 Participants
n=5 Participants
4 Participants
n=4 Participants
35 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants
n=5 Participants
26 Participants
n=7 Participants
20 Participants
n=5 Participants
8 Participants
n=4 Participants
76 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race/Ethnicity, Customized
American-Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
2 Participants
n=4 Participants
6 Participants
n=21 Participants
Race/Ethnicity, Customized
Asian
4 Participants
n=5 Participants
4 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
10 Participants
n=21 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants
n=5 Participants
5 Participants
n=7 Participants
3 Participants
n=5 Participants
0 Participants
n=4 Participants
9 Participants
n=21 Participants
Race/Ethnicity, Customized
White
26 Participants
n=5 Participants
27 Participants
n=7 Participants
21 Participants
n=5 Participants
7 Participants
n=4 Participants
81 Participants
n=21 Participants
Race/Ethnicity, Customized
Other
2 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
5 Participants
n=21 Participants
Race/Ethnicity, Customized
More than One Race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Facial Vitiligo Area Scoring Index (F-VASI) Baseline Score
0.743 units on a scale
STANDARD_DEVIATION 0.5970 • n=5 Participants
0.820 units on a scale
STANDARD_DEVIATION 0.8062 • n=7 Participants
0.656 units on a scale
STANDARD_DEVIATION 0.5943 • n=5 Participants
1.061 units on a scale
STANDARD_DEVIATION 0.6571 • n=4 Participants
0.779 units on a scale
STANDARD_DEVIATION 0.6780 • n=21 Participants

PRIMARY outcome

Timeframe: Week 24

Population: No participants were analyzed due to early study termination.

Achievement of F-VASI75 was declared with a ≥75% improvement from Baseline in F-VASI. F-VASI measures the % of vitiligo involvement (percentage of body surface area \[BSA\]) and the degree of depigmentation: 0% (none), 10% (only specks), 25% (pigmented area \> depigmented area), 50% (depigmented and pigmented areas equal), 75% (depigmented area \> pigmented area), 90% (specks of pigment), or 100% (no pigment). F-VASI was then derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each site on the face and summing the values of all sites (possible range: 0-3; lower scores indicate increased improvement).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Weeks 4, 8, 12, 16, 20, and 24

Population: All randomized participants with data available are included.

The mean (SD) percentage change from baseline in F-VASI scores across study time points is presented. F-VASI measures the % of vitiligo involvement (percentage of body surface area \[BSA\]) and the degree of depigmentation: 0% (none), 10% (only specks), 25% (pigmented area \> depigmented area), 50% (depigmented and pigmented areas equal), 75% (depigmented area \> pigmented area), 90% (specks of pigment), or 100% (no pigment). F-VASI was then derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each site on the face and summing the values of all sites (possible range: 0-3; lower scores indicate increased improvement).

Outcome measures

Outcome measures
Measure
Active IP and Active Phototherapy
n=34 Participants
Participants receive ARQ-252 cream 0.3% BID with phototherapy for 24 weeks.
Active IP and Sham Phototherapy
n=37 Participants
Participants receive ARQ-252 cream 0.3% BID with sham phototherapy for 24 weeks.
Vehicle and Active Phototherapy
n=31 Participants
Participants receive vehicle cream BID with phototherapy for 24 weeks.
Vehicle and Sham Phototherapy
n=12 Participants
Participants receive vehicle cream BID with sham phototherapy for 24 weeks.
Percentage of Change From Baseline in F-VASI Score
Week 8
-57.160 percentage of change from baseline
Standard Deviation 27.3703
-27.917 percentage of change from baseline
Standard Deviation 23.4974
-39.570 percentage of change from baseline
Standard Deviation 27.5064
-16.667 percentage of change from baseline
Standard Deviation 23.5702
Percentage of Change From Baseline in F-VASI Score
Week 12
-62.963 percentage of change from baseline
Standard Deviation NA
NA due to n=1
-54.157 percentage of change from baseline
Standard Deviation 16.7882
-33.333 percentage of change from baseline
Standard Deviation NA
NA due to n=1
Percentage of Change From Baseline in F-VASI Score
Week 16
-10.100 percentage of change from baseline
Standard Deviation 55.6893
Percentage of Change From Baseline in F-VASI Score
Week 4
-21.009 percentage of change from baseline
Standard Deviation 25.0121
-7.775 percentage of change from baseline
Standard Deviation 11.8841
-11.589 percentage of change from baseline
Standard Deviation 21.5439
2.857 percentage of change from baseline
Standard Deviation 6.3888

SECONDARY outcome

Timeframe: Weeks 4, 8, 12, 16, 20, and 24

Population: No participants were analyzed due to early study termination.

The change from baseline in F-BSA affected over time. The endpoint was not assessed due to early study termination.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Weeks 4, 8, 12, 16, 20, and 24.

Population: No participants were analyzed due to early study termination.

The VNS is a patient-reported measure of vitiligo treatment success, which has a 5-point scale, with 1 being more noticeable and 5 being no longer noticeable. The VNS will be completed for vitiligo on the face. The endpoint was not assessed due to early study termination.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Weeks 4, 8, 12, 16, 20, and 24

Population: No participants were analyzed due to early study termination.

Change from Baseline in the VitiQoL, an instrument consisting of 16-item questionnaire (with a 7-point numerical scale from 0 - Not at all to 6 - All of the time) designed to assess disease specific health-related quality of life (HRQL) in patients suffering from vitiligo and also provide an objective measure of disease status, burden of disease, and treatment outcome. The endpoint was not assessed due to early study termination.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 4, 8, 12, 16, 20, and 24

Population: No participants were analyzed due to early study termination.

The PaGIC-V category, a 7-point scale comparing facial vitiligo at baseline with the subject's treated facial vitiligo at the study visit (with 1- very much improved and 7 - very much worse), and time to achieve a PaGIC-V of very much improved or much improved. The endpoint was not assessed due to early study termination.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 4, 8, 12, 16, 20, and 24

Population: No participants were analyzed due to early study termination.

The percentage of participants achieving F-VASI50. The endpoint was not assessed due to early study termination.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 4, 8, 12, 16, 20, and 24

Population: No participants were analyzed due to early study termination.

The time to achieve F-VASI50. The endpoint was not assessed due to early study termination.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 4, 8, 12, 16, 20, and 24

Population: No participants were analyzed due to early study termination.

The percentage of participants achieving F-VASI90. The endpoint was not assessed due to early study termination.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 4, 8, 12, 16, 20, and 24

Population: No participants were analyzed due to early study termination.

The percentage of subjects with FsIGA, (a four point scale of vitiligo severity for the face only) of clear or almost clear (0 or 1) and time to achieve FsIGA of clear or almost clear (0 or 1). The endpoint was not assessed due to early study termination.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 4, 8, 12, 16, 20, and 24

Population: No participants were analyzed due to early study termination.

The time to achieve F-VASI75 50. The endpoint was not assessed due to early study termination.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 4, 8, 12, 16, 20, and 24

Population: No participants were analyzed due to early study termination.

FsIGA of clear or almost clear (0 or 1) plus 2-grade improvement from baseline. The endpoint was not assessed due to early study termination.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 4, 8, 12, 16, 20, and 24

Population: No participants were analyzed due to early study termination.

The time to a PaGIC-V score of 1 'very much improved' or 2 'improved'. The PaGIC-V category, a 7-point scale comparing facial vitiligo at baseline with the subject's treated facial vitiligo at the study visit (with 1- very much improved and 7 - very much worse), and time to achieve a PaGIC-V of very much improved or much improved. The endpoint was not assessed due to early study termination.

Outcome measures

Outcome data not reported

Adverse Events

Active IP and Active Phototherapy

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

Active IP and Sham Phototherapy

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Vehicle and Active Phototherapy

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Vehicle and Sham Phototherapy

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Active IP and Active Phototherapy
n=34 participants at risk
Participants receive ARQ-252 cream 0.3% BID with phototherapy for 24 weeks.
Active IP and Sham Phototherapy
n=36 participants at risk
Participants receive ARQ-252 cream 0.3% BID with sham phototherapy for 24 weeks.
Vehicle and Active Phototherapy
n=30 participants at risk
Participants receive vehicle cream BID h phototherapy for 24 weeks.
Vehicle and Sham Phototherapy
n=12 participants at risk
Participants receive vehicle cream BID with sham phototherapy for 24 weeks.
General disorders
Application site pain
5.9%
2/34 • Up to ~22 weeks
All treated participants are included
2.8%
1/36 • Up to ~22 weeks
All treated participants are included
3.3%
1/30 • Up to ~22 weeks
All treated participants are included
8.3%
1/12 • Up to ~22 weeks
All treated participants are included
Investigations
Alanine aminotransferase increased
0.00%
0/34 • Up to ~22 weeks
All treated participants are included
0.00%
0/36 • Up to ~22 weeks
All treated participants are included
0.00%
0/30 • Up to ~22 weeks
All treated participants are included
8.3%
1/12 • Up to ~22 weeks
All treated participants are included
Infections and infestations
Oral herpes
0.00%
0/34 • Up to ~22 weeks
All treated participants are included
0.00%
0/36 • Up to ~22 weeks
All treated participants are included
6.7%
2/30 • Up to ~22 weeks
All treated participants are included
0.00%
0/12 • Up to ~22 weeks
All treated participants are included
Injury, poisoning and procedural complications
Sunburn
5.9%
2/34 • Up to ~22 weeks
All treated participants are included
0.00%
0/36 • Up to ~22 weeks
All treated participants are included
0.00%
0/30 • Up to ~22 weeks
All treated participants are included
0.00%
0/12 • Up to ~22 weeks
All treated participants are included
Injury, poisoning and procedural complications
Fibula fracture
0.00%
0/34 • Up to ~22 weeks
All treated participants are included
0.00%
0/36 • Up to ~22 weeks
All treated participants are included
0.00%
0/30 • Up to ~22 weeks
All treated participants are included
8.3%
1/12 • Up to ~22 weeks
All treated participants are included
Nervous system disorders
Dysguesia
0.00%
0/34 • Up to ~22 weeks
All treated participants are included
0.00%
0/36 • Up to ~22 weeks
All treated participants are included
0.00%
0/30 • Up to ~22 weeks
All treated participants are included
8.3%
1/12 • Up to ~22 weeks
All treated participants are included
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/34 • Up to ~22 weeks
All treated participants are included
0.00%
0/36 • Up to ~22 weeks
All treated participants are included
0.00%
0/30 • Up to ~22 weeks
All treated participants are included
8.3%
1/12 • Up to ~22 weeks
All treated participants are included

Additional Information

Arcutis Medical Information

Arcutis

Phone: +1 (844) 692-6729

Results disclosure agreements

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