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Assess the Long Term Efficacy and Safety of Ruxolitinib Cream in Participants With Vitiligo

Information provided by:

Incyte Corporation

Last updated:

06/27/2022

Trial identifier:

NCT04530344

Disclaimer

Study Description

Brief summary:

The purpose of this study is to evaluate the duration of response following withdrawal of ruxolitinib cream (Cohort A vehicle group), safety and maintenance of response with continued use of ruxolitinib cream in participants who have completed either Study NCT04052425 or NCT04057573 (parent studies) in which the participants will have been using ruxolitinib cream BID for the previous 28 to 52 weeks depending on their initial randomization in the parent study.

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Official Title

Glossary term:

Title
The official title of a protocol used to identify a clinical study or a short title written in language intended for the lay public.

A Double-Blind, Vehicle-Controlled, Randomized Withdrawal and Treatment Extension Study to Assess the Long-Term Efficacy and Safety of Ruxolitinib Cream in Participants With Vitiligo

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Type of Study

Glossary term:

Study Type
Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access. Interventional studies (clinical trials): A type of clinical study in which participants are assigned to groups that receive one or more intervention/treatment (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes. The assignments are determined by the study's protocol. Participants may receive diagnostic, therapeutic, or other types of interventions. Observational studies: A type of clinical study in which participants are identified as belonging to study groups and are assessed for biomedical or health outcomes. Participants may receive diagnostic, therapeutic, or other types of interventions, but the investigator does not assign participants to a specific intervention/treatment. A patient registry is a type of observational study. Expanded access: A way for patients with serious diseases or conditions who cannot participate in a clinical trial to gain access to a medical product that has not been approved by the U.S. Food and Drug Administration (FDA). Also called compassionate use. There are different expanded access types.

Interventional

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Enrollment (Actual)

Glossary term:

Enrollment
The number of participants in a clinical study. The "estimated" enrollment is the target number of participants that the researchers need for the study.

458

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Phase

Glossary term:

Phase
The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0): Exploratory trials conducted before traditional phase 1 trials to investigate how or whether a drug affects the body. They involve very limited human exposure to the drug and have no therapeutic or diagnostic goals (for example, screening studies, microdose studies). Phase 1: Clinical trials that focus on the safety of a drug. They are usually conducted with healthy volunteers, and the goal is to determine the drug's most frequent and serious adverse events and, often, how the drug is broken down and excreted by the body. These trials usually involve a small number of participants. Phase 2: Clinical trials that gather preliminary data on whether a drug works in people who have a certain condition/disease (that is, the drug's effectiveness). For example, participants receiving the drug may be compared to similar participants receiving a different treatment, usually an inactive substance (called a placebo) or a different drug. Safety continues to be evaluated, and short-term adverse events are studied. Phase 3: Clinical trials that gather more information about a drug's safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs. These studies typically involve more participants. Phase 4: Clinical trials occurring after FDA has approved a drug for marketing. They include postmarket requirement and commitment studies that are required of or agreed to by the study sponsor. These trials gather additional information about a drug's safety, efficacy, or optimal use. Not Applicable: Trials without FDA-defined phases, including trials of devices or behavioral interventions.

Phase 3

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Other Study ID Numbers

Glossary term:

Other study IDs
Identifiers or ID numbers other than the NCT number that are assigned to a clinicalstudy by the study's sponsor, funders, or others. These numbers may include unique identifiers from othertrial registries and National Institutes of Health grant numbers.

INCB 18424-308

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Intervention / Treatment

Glossary term:

Intervention/treatment
A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Drug: ruxolitinib
Drug: Vehicle

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Study Start (Actual)

Glossary term:

Study start date
The actual date on which the first participant was enrolled in a clinical study. The "estimated" study start date is the date that the researchers think will be the study start date.

Sep 24, 2020

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Primary Completion (Anticipated)

Glossary term:

Primary completion date
The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "estimated" primary completion date is the date that the researchers think will be the primary completion date for the study.

Nov 04, 2022

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Study Completion (Anticipated)

Glossary term:

Study completion date
The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "estimated" study completion date is the date that the researchers think will be the study completion date.

Nov 04, 2022

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First Submitted Date

Glossary term:

First submitted
The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).

Aug 25, 2020

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First Submitted that Met QC Criteria

Glossary term:

First submitted that met QC criteria
The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.

Aug 25, 2020

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First Posted (Actual)

Glossary term:

First posted
The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.

Aug 28, 2020

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Last Update Submitted that Met MQ Criteria

Glossary term:

Last update submitted that met QC criteria
The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.

Jun 24, 2022

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Last Update Posted (Actual)

Glossary term:

Last update posted
The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date)and the last update posted date.

Jun 27, 2022

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Other important Dates

Contacts and Locations

Locations (44)

Contacts and Locations

Locations (44)


Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments. For general information about clinical research, read Guides to Clinical Trials.

Eligibility Criteria

Ages Eligible for Study:

Glossary term:

Age
A type of eligibility criteria that indicates the age a person must be to participate in a clinical study. This may be indicated by a specific age or the following age groups: The age groups are: Child (birth–17) Adult (18–64) Older adult (65+)

12 Years +

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Accepts Healthy Volunteers:

Glossary term:

Accepts Healthy Volunteers
A type of eligibility criteria that indicates whether people who do not have the condition/disease being studied can participate in that clinical study.

No

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Sexes Eligible for Study:

Glossary term:

Sex
A type of eligibility criteria that indicates the sex of people who may participate in a clinical study (all, female, male). Sex is a person's classification as female or male based on biological distinctions. Sex is distinct from gender-based eligibility.

All

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Description:

Inclusion Criteria:

  • Currently enrolled and receiving treatment in INCB 18424-306 (NCT04052425) or INCB 18424-307 (NCT04057573) studies evaluating ruxolitinib cream in participants with vitiligo.
  • Currently tolerating ruxolitinib cream in the parent study and no safety concerns per investigators judgment.
  • Has demonstrated compliance, as assessed by the investigator, with the parent study protocol requirements.
  • Willingness and ability to comply with scheduled visits, treatment plans, and any other study procedures indicated in this protocol.
  • Male and female participants must be willing to take appropriate contraceptive measures to avoid pregnancy or fathering a child.
  • Ability to comprehend and willingness to sign an ICF or written informed consent of the parent(s) or legal guardian and written assent from the participant when possible.

Exclusion Criteria:

  • Has been permanently discontinued from study treatment in the parent study for any reason.
  • Participants with an uncontrolled intercurrent illness or any concurrent condition that, in the investigator's opinion, would jeopardize the safety of the participant or compliance with the Protocol.
  • Pregnant or breastfeeding woman.
  • Participants who live with anyone participating in any current Incyte-sponsored ruxolitinib cream study.

Study Plan

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

How is the study designed?

Design Details:
Primary Purpose:

Treatment

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Allocation:

Randomized

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Interventional Model:

Parallel Assignment

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Number of Arms:

3

Arms and Interventions:

Participant Group / Arm

Glossary term:

Arm
A group or subgroup of participants in a clinical trial that receives a specificintervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Glossary term:

Intervention/treatment
A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Experimental: Cohort A : ruxolitinib cream

Participants who achieve complete or almost complete facial repigmentation (achieve ≥ F VASI90) at Week 52 in the parent study will be assigned to Cohort A and will be randomized 1:1 to ruxolitinib cream.

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Experimental: Cohort A : ruxolitinib cream

Participants who achieve complete or almost complete facial repigmentation (achieve ≥ F VASI90) at Week 52 in the parent study will be assigned to Cohort A and will be randomized 1:1 to ruxolitinib cream.

Drug: ruxolitinib

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

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Drug: ruxolitinib

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

Placebo Comparator: Cohort A : Vehicle

Participants who achieve complete or almost complete facial repigmentation (ie, achieve ≥ F VASI90) at Week 52 in the parent study will be assigned to Cohort A and will be randomized 1:1 to vehicle cream.

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Placebo Comparator: Cohort A : Vehicle

Participants who achieve complete or almost complete facial repigmentation (ie, achieve ≥ F VASI90) at Week 52 in the parent study will be assigned to Cohort A and will be randomized 1:1 to vehicle cream.

Drug: Vehicle

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

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Drug: Vehicle

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

Experimental: Cohort B : roxolitinib cream

Participants who did not achieve ≥ F-VASI90 at Week 52 of the parent studies will be assigned to Cohort B and will continue ruxolitinib cream.

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Experimental: Cohort B : roxolitinib cream

Participants who did not achieve ≥ F-VASI90 at Week 52 of the parent studies will be assigned to Cohort B and will continue ruxolitinib cream.

Drug: ruxolitinib

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

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Drug: ruxolitinib

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

What is the study measuring?

Primary Outcome Measures

Glossary term:

Primary outcome measure
In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.

Outcome Measure

Cohort A : Time to Relapse

Measure Description

Defined as the time when a participant does not achieve F-VASI75. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study

Timeframe

Extension period through Week 108

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Outcome Measure
Measure Description
Timeframe

Cohort A : Time to Relapse

Defined as the time when a participant does not achieve F-VASI75. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study

Extension period through Week 108

Secondary Outcome Measures

Glossary term:

Secondary outcome measure
In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.

Outcome Measure

Cohort A : Time to maintain ≥ F-VASI90 response

Measure Description

Defined as time to maintain ≥ 90% improvement in F-VASI Score. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study

Timeframe

Extension period through Week 108

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Outcome Measure

Proportion of participants achieving F-VASI50

Measure Description

≥ 50% improvement from baseline in F-VASI score. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study.

Timeframe

Extension period through Week 108

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Outcome Measure

Proportion of participants achieving F-VASI75

Measure Description

≥ 75% improvement from baseline in F-VASI score. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study.

Timeframe

Extension period through Week 108

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Outcome Measure

Proportion of participants achieving F-VASI90

Measure Description

≥ 90% improvement from baseline in F-VASI score. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study.

Timeframe

Extension period through Week 108

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Outcome Measure

Proportion of participants achieving T-VASI50

Measure Description

≥ 50% improvement from baseline in T-VASI score. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study.

Timeframe

Extension period through Week 108

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Outcome Measure

Proportion of participants achieving T-VASI75

Measure Description

≥ 75% improvement from baseline in T-VASI score. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study.

Timeframe

Extension period through Week 108

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Outcome Measure

Proportion of participants achieving T-VASI90

Measure Description

≥ 90% improvement from baseline in T-VASI score. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study.

Timeframe

Extension period through Week 108

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Outcome Measure

Actual Measurement of F-VASI

Measure Description

F-VASI actual measurement from parent studies NCT04052425 or NCT04057573 will be utilized for baseline data

Timeframe

Baseline through Week 108

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Outcome Measure

Change in F-VASI

Measure Description

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure change in F-VASI

Timeframe

Baseline through Week 108

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Outcome Measure

Percentage Change in F-VASI

Measure Description

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure percent change in F-VASI

Timeframe

Baseline through Week 108

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Outcome Measure

Actual Measurement of T-VASI

Measure Description

T-VASI actual measurement from parent studies NCT04052425 or NCT04057573 will be utilized for baseline data

Timeframe

Baseline through Week 108

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Outcome Measure

Change in T-VASI

Measure Description

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure change in T-VASI

Timeframe

Baseline through Week 108

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Outcome Measure

Percentage Change in T-VASI

Measure Description

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure percent change in T-VASI

Timeframe

Baseline through Week 108

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Outcome Measure

Actual Measurement of T-BSA

Measure Description

T-BSA actual measurement from parent studies NCT04052425 or NCT04057573 will be utilized for baseline data

Timeframe

Baseline through Week 108

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Outcome Measure

Change in T-BSA

Measure Description

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure change in T-BSA

Timeframe

Baseline through Week 108

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Outcome Measure

Percentage Change in T-BSA

Measure Description

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure percent change in T-BSA

Timeframe

Baseline through Week 108

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Outcome Measure

Actual Measurement of F-BSA

Measure Description

F-BSA actual measurement from parent studies NCT04052425 or NCT04057573 will be utilized for baseline data

Timeframe

Baseline through Week 108

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Outcome Measure

Change in F-BSA

Measure Description

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure change in F-BSA

Timeframe

Baseline through Week 108

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Outcome Measure

Percentage Change in F-BSA

Measure Description

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure percent change in F-BSA

Timeframe

Baseline through Week 108

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Outcome Measure

Proportion of participants achieving a VNS of 4 or 5

Measure Description

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. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study.

Timeframe

Extension period through Week 108

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Outcome Measure
Measure Description
Timeframe

Cohort A : Time to maintain ≥ F-VASI90 response

Defined as time to maintain ≥ 90% improvement in F-VASI Score. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study

Extension period through Week 108

Proportion of participants achieving F-VASI50

≥ 50% improvement from baseline in F-VASI score. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study.

Extension period through Week 108

Proportion of participants achieving F-VASI75

≥ 75% improvement from baseline in F-VASI score. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study.

Extension period through Week 108

Proportion of participants achieving F-VASI90

≥ 90% improvement from baseline in F-VASI score. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study.

Extension period through Week 108

Proportion of participants achieving T-VASI50

≥ 50% improvement from baseline in T-VASI score. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study.

Extension period through Week 108

Proportion of participants achieving T-VASI75

≥ 75% improvement from baseline in T-VASI score. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study.

Extension period through Week 108

Proportion of participants achieving T-VASI90

≥ 90% improvement from baseline in T-VASI score. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study.

Extension period through Week 108

Actual Measurement of F-VASI

F-VASI actual measurement from parent studies NCT04052425 or NCT04057573 will be utilized for baseline data

Baseline through Week 108

Change in F-VASI

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure change in F-VASI

Baseline through Week 108

Percentage Change in F-VASI

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure percent change in F-VASI

Baseline through Week 108

Actual Measurement of T-VASI

T-VASI actual measurement from parent studies NCT04052425 or NCT04057573 will be utilized for baseline data

Baseline through Week 108

Change in T-VASI

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure change in T-VASI

Baseline through Week 108

Percentage Change in T-VASI

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure percent change in T-VASI

Baseline through Week 108

Actual Measurement of T-BSA

T-BSA actual measurement from parent studies NCT04052425 or NCT04057573 will be utilized for baseline data

Baseline through Week 108

Change in T-BSA

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure change in T-BSA

Baseline through Week 108

Percentage Change in T-BSA

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure percent change in T-BSA

Baseline through Week 108

Actual Measurement of F-BSA

F-BSA actual measurement from parent studies NCT04052425 or NCT04057573 will be utilized for baseline data

Baseline through Week 108

Change in F-BSA

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure change in F-BSA

Baseline through Week 108

Percentage Change in F-BSA

Baseline data from parent studies NCT04052425 or NCT04057573 will be utilized to measure percent change in F-BSA

Baseline through Week 108

Proportion of participants achieving a VNS of 4 or 5

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. Participants who completed parent studies NCT04052425 and NCT04057573 will begin extension period at week 52 in this study.

Extension period through Week 108


Sponsor and Collaborators

The Sponsor of a study is the organization or person that is conducting the study. They may provide resources needed to do the investigation.

Sponsor:

Glossary term:

Sponsor
The organization or person who initiates the study and who has authority and control over the study.
  1. Incyte Corporation

Investigators and Collaborators

Investigators and Collaborators

Investigators:

Glossary term:

Investigator
A researcher involved in a clinical study. Related terms include site principal investigator, site sub-investigator, study chair, study director, and study principal investigator.
    Central Contacts:
Overall Officials:
  • Kathleen Butler, MD
Collaborators:

Glossary term:

Collaborator
An organization other than the sponsor that provides support for a clinical study. This support may include activities related to funding, design, implementation, data analysis, or reporting.

More Information

Publications
Publications of Study Results
General Publications

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Publications Automatically Indexed to this Study by ClinicalTrials.Gov Identifier (NCT Number

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