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Topical Ruxolitinib Evaluation in Vitiligo Study 1 (TRuE-V1)

Topical Ruxolitinib Evaluation in Vitiligo Study 1 (TRuE-V1): A Phase 3, Double-Blind, Randomized, Vehicle-Controlled, Efficacy and Safety Study of Ruxolitinib Cream Followed by an Extension Period in Participants With Vitiligo

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04052425
Enrollment
330
Registered
2019-08-09
Start date
2019-09-20
Completion date
2021-10-21
Last updated
2025-08-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Non-segmental Vitiligo

Keywords

Vitiligo, non-segmental, JAK inhibitor

Brief summary

The purpose of this study is to evaluate the efficacy and safety of ruxolitinib cream in adolescent and adult participants with non-segmental vitiligo for whom total body involved vitiligo area (facial and nonfacial) does not exceed 10% body surface area (BSA).

Interventions

DRUGRuxolitinib cream

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

DRUGVehicle

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

Sponsors

Incyte Corporation
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Intervention model description

Participants will receive ruxolitinib cream or vehicle for 24 weeks, after which they will be offered the opportunity to continue in the treatment extension period. Participants initially randomized to vehicle will be crossed over to active drug, and participants treated with ruxolitinib cream will receive an additional 28 weeks of treatment with ruxolitinib cream.

Eligibility

Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Clinical diagnosis of non-segmental vitiligo with depigmented area including ≥ 0.5% BSA on the face, ≥ 0.5 F-VASI, ≥ 3% BSA on nonfacial areas, ≥ 3 T-VASI, and total body vitiligo area (facial and nonfacial) not exceeding 10% BSA. * Agree to discontinue all agents used to treat vitiligo from screening through the final safety follow-up visit. Over-the-counter preparations deemed acceptable by the investigator and camouflage makeups are permitted. * Must be willing to take appropriate contraceptive measures to avoid pregnancy or fathering a child for the duration of study participation. Key

Exclusion criteria

* No pigmented hair within any of the vitiligo areas on the face. * Other forms of vitiligo (eg, segmental) or other differential diagnosis of vitiligo or other skin depigmentation disorders (eg, piebaldism, pityriasis alba, leprosy, postinflammatory hypopigmentation, progressive macule hypomelanosis, nevus anemicus, chemical leukoderma, and tinea versicolor). * Have used depigmentation treatments (eg, monobenzone) for past treatment of vitiligo or other pigmented areas. * Use of protocol-defined treatments within the indicated washout period before baseline.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Achieving a ≥ 75% Improvement From Baseline in the Face Vitiligo Area Scoring Index (F-VASI75) Score at Week 24Baseline; Week 24An F-VASI75 responder achieved at least 75% improvement from Baseline in F-VASI, measured by the percentage of vitiligo involvement (percentage of body surface area \[BSA\]) and the degree of depigmentation: 0% (no depigmentation), 10% (only specks of depigmentation), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment), or 100% (no pigment). The percentage of BSA (hand unit) vitiligo involvement was estimated to the nearest 0.1% by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate the percentage of BSA vitiligo involvement. 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).

Secondary

MeasureTime frameDescription
Percentage of Participants Achieving a ≥ 90% Improvement From Baseline in the Face Vitiligo Area Scoring Index (F-VASI90) Score at Week 24Baseline; Week 24An F-VASI90 responder achieved at least 90% improvement from Baseline in F-VASI, measured by the percentage of vitiligo involvement (percentage of BSA) and the degree of depigmentation: 0% (no depigmentation), 10% (only specks of depigmentation), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment), or 100% (no pigment). The percentage of BSA (hand unit) vitiligo involvement was estimated to the nearest 0.1% by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate the percentage of BSA vitiligo involvement. 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).
Percentage of Participants Achieving a ≥ 50% Improvement From Baseline in the Total Body Vitiligo Area Scoring Index (T-VASI50) Score at Week 24Baseline; Week 24A T-VASI50 responder achieved at least 50% improvement from Baseline in T-VASI, calculated with contributions from 6 sites. The percentage of vitiligo involvement was estimated in hand units (percentage of BSA estimated to the nearest 0.1%) by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate percent BSA vitiligo involvement. The degree of depigmentation for each site was estimated to the nearest percentage: 0% (no depigmentation present), 10% (only specks of depigmentation present), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment present), 100% (no pigment present). T-VASI was then derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each site and summing the values (range: 0-100; lower scores indicate increased improvement).
Percentage of Participants Achieving a Vitiligo Noticeability Scale (VNS) of 4 or 5 at Week 24Baseline; Week 24The VNS is a patient-reported measure of vitiligo treatment success that is rated on a 5-point scale. The Baseline facial photograph was shown to the participants for reference, and a mirror was provided for the participants to assess the vitiligo on their face. The participant was asked to respond to the following query: Compared with before treatment, how noticeable is the vitiligo now? Responses: (1) more noticeable, (2) as noticeable, (3) slightly less noticeable, (4) a lot less noticeable, and (5) no longer noticeable.
Percentage Change From Baseline in Facial Body Surface Area (F-BSA) at Week 24Baseline; Week 24F-BSA involvement was the proportion of the facial body surface area with vitiligo. The area Face was defined as including the area on the forehead to the original hairline, on the cheek to the jawline vertically to the jawline and laterally from the corner of the mouth to the tragus. The area Face did not include surface area of the lips, scalp, ears, or neck, but included the nose and eyelids. Body surface area assessment was performed by the Palmar Method. Body surface area was estimated to the nearest 0.1%. The approximate size of the participant's entire palmar surface (i.e., the palm plus 5 digits) was considered as 1% BSA, and the approximate size of the participant's thumb was considered as 0.1% BSA. Percentage change = (\[post-Baseline (BL) value minus BL value\]/BL value) X 100.
Number of Participants With Treatment-emergent Adverse Events (TEAEs) During the Double-Blind Periodfrom the time of Informed Consent Form signing until at least 30 days after the last application of study drug (up to Week 24)An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related. An AE could have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. A TEAE was defined as any AE reported for the first time or the worsening of a pre-existing event after the first application of study drug.
Number of Participants With Treatment-emergent Adverse Events (TEAEs) During the Treatment-Extension Periodfrom the completion of the Week 24 assessments until at least 30 days after the last application of study drug (up to Week 52 + 30 days)An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related. An AE could have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. A TEAE was defined as any AE reported for the first time or the worsening of a pre-existing event after the first application of study drug.
Percentage of Participants Achieving a ≥ 25% Improvement in the Face Vitiligo Area Scoring Index (F-VASI25) Score at Week 24Baseline; Week 24An F-VASI25 responder achieved at least 25% improvement from Baseline in F-VASI, measured by the percentage of vitiligo involvement (percentage of BSA) and the degree of depigmentation: 0% (no depigmentation), 10% (only specks of depigmentation), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment), or 100% (no pigment). The percentage of BSA (hand unit) vitiligo involvement was estimated to the nearest 0.1% by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate the percentage of BSA vitiligo involvement. 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).
Percentage of Participants Achieving a ≥ %25, ≥ %50, ≥ 75%, and ≥ 90% Improvement in the Face Vitiligo Area Scoring Index (F-VASI25/50/75/90) Score at Week 52Baseline; Week 52An F-VASI25/50/75/90 responder achieved at least 25/50/75/90% improvement from Baseline in F-VASI, measured by the percentage of vitiligo involvement (percentage of BSA) and the degree of depigmentation: 0% (no depigmentation), 10% (only specks of depigmentation), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment), or 100% (no pigment). The percentage of BSA (hand unit) vitiligo involvement was estimated to the nearest 0.1% by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate the percentage of BSA vitiligo involvement. 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).
Percentage Change From Baseline in F-VASI at Week 24Baseline; Week 24F-VASI was measured by the percentage of vitiligo involvement (percentage of BSA) and the degree of depigmentation: 0% (no depigmentation), 10% (only specks of depigmentation), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment), or 100% (no pigment). The percentage of BSA (hand unit) vitiligo involvement was estimated to the nearest 0.1% by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate the percentage of BSA vitiligo involvement. 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). Percentage change = (\[post-BL value minus BL value\]/BL value) X 100.
Percentage Change From Baseline in F-VASI at Week 52Baseline; Week 52F-VASI was measured by the percentage of vitiligo involvement (percentage of BSA) and the degree of depigmentation: 0% (no depigmentation), 10% (only specks of depigmentation), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment), or 100% (no pigment). The percentage of BSA (hand unit) vitiligo involvement was estimated to the nearest 0.1% by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate the percentage of BSA vitiligo involvement. 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). Percentage change = (\[post-BL value minus BL value\]/BL value) X 100.
Percentage Change From Baseline in F-BSA at Week 52Baseline; Week 52F-BSA involvement was the proportion of the facial body surface area with vitiligo. The area Face was defined as including the area on the forehead to the original hairline, on the cheek to the jawline vertically to the jawline and laterally from the corner of the mouth to the tragus. The area Face did not include surface area of the lips, scalp, ears, or neck, but included the nose and eyelids. Body surface area assessment was performed by the Palmar Method. Body surface area was estimated to the nearest 0.1%. The approximate size of the participant's entire palmar surface (i.e., the palm plus 5 digits) was considered as 1% BSA, and the approximate size of the participant's thumb was considered as 0.1% BSA. Percentage change = (\[post-BL value minus BL value\]/BL value) X 100.
Percentage of Participants Achieving a ≥ 50% Improvement From Baseline in the Face Vitiligo Area Scoring Index (F-VASI50) Score at Week 24Baseline; Week 24An F-VASI50 responder achieved at least 50% improvement from Baseline in F-VASI, measured by the percentage of vitiligo involvement (percentage of BSA) and the degree of depigmentation: 0% (no depigmentation), 10% (only specks of depigmentation), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment), or 100% (no pigment). The percentage of BSA (hand unit) vitiligo involvement was estimated to the nearest 0.1% by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate the percentage of BSA vitiligo involvement. 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).
Percentage Change From Baseline in T-VASI at Week 52Baseline; Week 52T-VASI was calculated with contributions from 6 sites. The percentage of vitiligo involvement was estimated in hand units (percentage of BSA estimated to nearest 0.1%) by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate percent BSA vitiligo involvement. The degree of depigmentation for each site was estimated to the nearest percentage: 0% (no depigmentation present), 10% (only specks of depigmentation present), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment present), 100% (no pigment present). T-VASI was then derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each site and summing the values (range: 0-100; lower scores indicate increased improvement). Percentage change = (\[post-BL value minus BL value\]/BL value) X 100.
Percentage Change From Baseline in T-BSA at Week 24Baseline; Week 24T-BSA involvement was the proportion of the body surface area with vitiligo. Body surface area assessment was performed by the Palmar Method. Body surface area was estimated to the nearest 0.1%. The approximate size of the participant's entire palmar surface (i.e., the palm plus 5 digits) was considered as 1% BSA, and the approximate size of the participant's thumb was considered as 0.1% BSA. Percentage change = (\[post-BL value minus BL value\]/BL value) X 100.
Percentage Change From Baseline in T-BSA at Week 52Baseline; Week 52T-BSA involvement was the proportion of the body surface area with vitiligo. Body surface area assessment was performed by the Palmar Method. Body surface area was estimated to the nearest 0.1%. The approximate size of the participant's entire palmar surface (i.e., the palm plus 5 digits) was considered as 1% BSA, and the approximate size of the participant's thumb was considered as 0.1% BSA. Percentage change = (\[post-BL value minus BL value\]/BL value) X 100.
Percentage of Participants Achieving a ≥ 25%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/75/90) Score at Week 24Baseline; Week 24A T-VASI25/75/90 responder achieved at least 25/75/90% improvement from Baseline in T-VASI, calculated with contributions from 6 sites. The percentage of vitiligo involvement was estimated in hand units (percentage of BSA estimated to nearest 0.1%) by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate percent BSA vitiligo involvement. The degree of depigmentation for each site was estimated to the nearest percentage: 0% (no depigmentation present), 10% (only specks of depigmentation present), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment present), 100% (no pigment present). T-VASI was then derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each site and summing the values (range: 0-100; lower scores indicate increased improvement).
Percentage of Participants Achieving a ≥ 25%, ≥ 50%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/50/75/90) Score at Week 52Baseline; Week 52A T-VASI25/50/75/90 responder achieved ≥25/50/75/90% improvement from Baseline in T-VASI, calculated with contributions from 6 sites. The percentage of vitiligo involvement was estimated in hand units (percentage of BSA estimated to nearest 0.1%) by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate percent BSA vitiligo involvement. The degree of depigmentation for each site was estimated to the nearest percentage: 0% (no depigmentation present), 10% (only specks of depigmentation present), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment present), 100% (no pigment present). T-VASI was then derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each site and summing the values (range: 0-100; lower scores indicate increased improvement).
Percentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Baseline; Week 24 and Week 52The VNS is a patient-reported measure of vitiligo treatment success that is rated on a 5-point scale. The Baseline facial photograph was shown to the participants for reference, and a mirror was provided for the participants to assess the vitiligo on their face. The participant was asked to respond to the following query: Compared with before treatment, how noticeable is the vitiligo now? Responses: (1) more noticeable, (2) as noticeable, (3) slightly less noticeable, (4) a lot less noticeable, and (5) no longer noticeable.
Change From Baseline in Dermatology Life Quality Index (DLQI) at Week 24Baseline; Week 24The DLQI is a 10-question validated questionnaire for use in participants aged 16 years and over to measure how much the skin problem has affected the participant over the previous 7 days. Each question is scored as: very much = 3; a lot = 2; a little = 1; not at all = 0; not relevant = 0. For Question 7, Prevented work or studying = 3. The DLQI was 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.
Change From Baseline in DLQI at Week 52Baseline; Week 52The DLQI is a 10-question validated questionnaire for use in participants aged 16 years and over to measure how much the skin problem has affected the participant over the previous 7 days. Each question is scored as: very much = 3; a lot = 2; a little = 1; not at all = 0; not relevant = 0. For Question 7, Prevented work or studying = 3. The DLQI was 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.
Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) During the Treatment Period (Double-Blind and Treatment-Extension Periods)Baseline; Week 24 and Week 52The DLQI is a 10-question validated questionnaire for use in participants aged 16 years and over to measure how much the skin problem has affected the participant over the previous 7 days. The CDLQI is the youth/children's version of the DLQI and was completed by adolescents aged ≥ 12 years to \< 16 years. Each question is scored as: very much = 3; quite a lot = 2; only a little = 1; not at all = 0; question unanswered = 0. For Question 7: Prevented school = 3. The CDLQI was 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.
Trough Plasma Concentrations of Ruxolitinib at Weeks 4, 24, and 40pre-dose at Weeks 4, 24, and 40Trough plasma concentration was defined as the measurement of the plasma concentration of ruxolitinib before drug application.
Percentage Change From Baseline in T-VASI at Week 24Baseline; Week 24T-VASI was calculated with contributions from 6 sites. The percentage of vitiligo involvement was estimated in hand units (percentage of BSA estimated to nearest 0.1%) by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate percent BSA vitiligo involvement. The degree of depigmentation for each site was estimated to the nearest percentage: 0% (no depigmentation present), 10% (only specks of depigmentation present), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment present), 100% (no pigment present). T-VASI was then derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each site and summing the values (range: 0-100; lower scores indicate increased improvement). Percentage change = (\[post-BL value minus BL value\]/BL value) X 100.

Countries

Bulgaria, Canada, France, Germany, Italy, Poland, Spain, United States

Participant flow

Recruitment details

This study was conducted at 45 study centers in North America and Europe.

Pre-assignment details

A total of 330 participants were randomized into the study. All randomized participants (Intent-to-Treat Population) applied study drug at least once (Safety Population), and 283 participants applied ruxolitinib cream at least once during the Treatment-Extension (TE) Period (TE Evaluable Population).

Participants by arm

ArmCount
Double-Blind Period: Ruxolitinib Cream 1.5% BID
Participants applied ruxolitinib 1.5% cream twice daily (BID) for 24 weeks.
221
Double-Blind Period: Vehicle Cream BID
Participants applied matching vehicle cream BID for 24 weeks.
109
Total330

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
24-Week Double-blind PeriodAdverse Event0100
24-Week Double-blind PeriodDiscontinued Treatment Due to COVID-19 Pandemic3000
24-Week Double-blind PeriodLack of Efficacy0100
24-Week Double-blind PeriodLost to Follow-up14700
24-Week Double-blind PeriodPhysician Decision1000
24-Week Double-blind PeriodProtocol Violation1000
24-Week Double-blind PeriodWithdrawal by Subject91000
28-Week Treatment-Extension PeriodAdverse Event0010
28-Week Treatment-Extension PeriodLack of Efficacy0010
28-Week Treatment-Extension PeriodLost to Follow-up0051
28-Week Treatment-Extension PeriodParticipant Moved0011
28-Week Treatment-Extension PeriodPhysician Decision0001
28-Week Treatment-Extension PeriodSponsor Opinion Due to Safety Reason0010
28-Week Treatment-Extension PeriodWithdrawal by Subject00107

Baseline characteristics

CharacteristicDouble-Blind Period: Vehicle Cream BIDTotalDouble-Blind Period: Ruxolitinib Cream 1.5% BID
Age, Continuous39.7 years
STANDARD_DEVIATION 16.71
40.2 years
STANDARD_DEVIATION 15.85
40.5 years
STANDARD_DEVIATION 15.44
Face Vitiligo Area Scoring Index (F-VASI)0.999 scores on a scale
STANDARD_DEVIATION 0.5942
0.954 scores on a scale
STANDARD_DEVIATION 0.5855
0.932 scores on a scale
STANDARD_DEVIATION 0.5813
Facial Body Surface Area (F-BSA) Involvement1.15 percentage of facial surface area
STANDARD_DEVIATION 0.71
1.09 percentage of facial surface area
STANDARD_DEVIATION 0.698
1.05 percentage of facial surface area
STANDARD_DEVIATION 0.692
Race/Ethnicity, Customized
White
American Indian/Alaska Native
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White
Asian
4 Participants9 Participants5 Participants
Race/Ethnicity, Customized
White
Black/African American
4 Participants15 Participants11 Participants
Race/Ethnicity, Customized
White
Black-Hispanic
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White
Hispanic
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White
Hispanic or Latino
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White
Indian
1 Participants2 Participants1 Participants
Race/Ethnicity, Customized
White
Iranian
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White
Latino
1 Participants4 Participants3 Participants
Race/Ethnicity, Customized
White
Not Reported
3 Participants19 Participants16 Participants
Race/Ethnicity, Customized
White
White
96 Participants276 Participants180 Participants
Race/Ethnicity, Customized
Captured as Other
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Hispanic or Latino
20 Participants73 Participants53 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
86 Participants237 Participants151 Participants
Race/Ethnicity, Customized
Not Reported
3 Participants18 Participants15 Participants
Race/Ethnicity, Customized
Unknown
0 Participants1 Participants1 Participants
Sex: Female, Male
Female
50 Participants186 Participants136 Participants
Sex: Female, Male
Male
59 Participants144 Participants85 Participants
Total Body Surface Area (T-BSA) Involvement7.22 percentage of total body surface area
STANDARD_DEVIATION 2.008
7.26 percentage of total body surface area
STANDARD_DEVIATION 2.022
7.28 percentage of total body surface area
STANDARD_DEVIATION 2.033
Total Body Vitiligo Area Scoring Index (T-VASI)6.424 scores on a scale
STANDARD_DEVIATION 1.9241
6.467 scores on a scale
STANDARD_DEVIATION 1.9881
6.489 scores on a scale
STANDARD_DEVIATION 2.0228

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1090 / 311
other
Total, other adverse events
0 / 1090 / 311
serious
Total, serious adverse events
1 / 1098 / 311

Outcome results

Primary

Percentage of Participants Achieving a ≥ 75% Improvement From Baseline in the Face Vitiligo Area Scoring Index (F-VASI75) Score at Week 24

An F-VASI75 responder achieved at least 75% improvement from Baseline in F-VASI, measured by the percentage of vitiligo involvement (percentage of body surface area \[BSA\]) and the degree of depigmentation: 0% (no depigmentation), 10% (only specks of depigmentation), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment), or 100% (no pigment). The percentage of BSA (hand unit) vitiligo involvement was estimated to the nearest 0.1% by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate the percentage of BSA vitiligo involvement. 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).

Time frame: Baseline; Week 24

Population: Intent-to-Treat Population: all randomized participants. Treatment groups for this population were defined according to the treatment assignment at the time of randomization. Missing F-VASI scores were imputed by Multiple Imputation with Fully Conditional Specification. The multiple imputation method used treatment and observed stratification factors as predicators.

ArmMeasureValue (NUMBER)
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ 75% Improvement From Baseline in the Face Vitiligo Area Scoring Index (F-VASI75) Score at Week 2429.8 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ 75% Improvement From Baseline in the Face Vitiligo Area Scoring Index (F-VASI75) Score at Week 247.4 percentage of participants
p-value: <0.000195% CI: [2.341, 11.903]exact logistic regression
Secondary

Change From Baseline in Children's Dermatology Life Quality Index (CDLQI) During the Treatment Period (Double-Blind and Treatment-Extension Periods)

The DLQI is a 10-question validated questionnaire for use in participants aged 16 years and over to measure how much the skin problem has affected the participant over the previous 7 days. The CDLQI is the youth/children's version of the DLQI and was completed by adolescents aged ≥ 12 years to \< 16 years. Each question is scored as: very much = 3; quite a lot = 2; only a little = 1; not at all = 0; question unanswered = 0. For Question 7: Prevented school = 3. The CDLQI was 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.

Time frame: Baseline; Week 24 and Week 52

Population: ITT Population: participants aged \< 16 years. Only participants with available data were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
Double-Blind Period: Ruxolitinib Cream 1.5% BIDChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) During the Treatment Period (Double-Blind and Treatment-Extension Periods)Baseline2.50 scores on a scaleStandard Deviation 2.805
Double-Blind Period: Ruxolitinib Cream 1.5% BIDChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 24-0.25 scores on a scaleStandard Deviation 2.113
Double-Blind Period: Vehicle Cream BIDChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) During the Treatment Period (Double-Blind and Treatment-Extension Periods)Baseline1.25 scores on a scaleStandard Deviation 1.893
Double-Blind Period: Vehicle Cream BIDChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 240.00 scores on a scaleStandard Deviation 0
Treatment-Extension Period: Ruxolitinib Cream 1.5% BIDChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 52-1.00 scores on a scaleStandard Deviation 2.507
Treatment-Extension Period: Vehicle Cream to Ruxolitinib Cream 1.5% BIDChange From Baseline in Children's Dermatology Life Quality Index (CDLQI) During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 520.00 scores on a scaleStandard Deviation 1
Secondary

Change From Baseline in Dermatology Life Quality Index (DLQI) at Week 24

The DLQI is a 10-question validated questionnaire for use in participants aged 16 years and over to measure how much the skin problem has affected the participant over the previous 7 days. Each question is scored as: very much = 3; a lot = 2; a little = 1; not at all = 0; not relevant = 0. For Question 7, Prevented work or studying = 3. The DLQI was 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.

Time frame: Baseline; Week 24

Population: ITT Population: participants aged ≥ 16 years. Only participants with available data were analyzed. MMRM model: \[Response Variable = Treatment + Stratification Factors (Skin Type Fitzpatrick scale Type I and II vs Type III, IV, V, and VI, Region North America/Europe) + Visit + Treatment\*Visit\].

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Double-Blind Period: Ruxolitinib Cream 1.5% BIDChange From Baseline in Dermatology Life Quality Index (DLQI) at Week 24-1.17 scores on a scaleStandard Error 0.27
Double-Blind Period: Vehicle Cream BIDChange From Baseline in Dermatology Life Quality Index (DLQI) at Week 24-0.85 scores on a scaleStandard Error 0.39
p-value: 0.49795% CI: [-1.26, 0.62]mixed-effect model; repeated measurement
Secondary

Change From Baseline in DLQI at Week 52

The DLQI is a 10-question validated questionnaire for use in participants aged 16 years and over to measure how much the skin problem has affected the participant over the previous 7 days. Each question is scored as: very much = 3; a lot = 2; a little = 1; not at all = 0; not relevant = 0. For Question 7, Prevented work or studying = 3. The DLQI was 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.

Time frame: Baseline; Week 52

Population: ITT Population: participants aged ≥ 16 years. Only participants with available data were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
Double-Blind Period: Ruxolitinib Cream 1.5% BIDChange From Baseline in DLQI at Week 52Baseline4.63 scores on a scaleStandard Deviation 4.446
Double-Blind Period: Ruxolitinib Cream 1.5% BIDChange From Baseline in DLQI at Week 52Week 52-1.40 scores on a scaleStandard Deviation 4.087
Double-Blind Period: Vehicle Cream BIDChange From Baseline in DLQI at Week 52Baseline4.59 scores on a scaleStandard Deviation 4.871
Double-Blind Period: Vehicle Cream BIDChange From Baseline in DLQI at Week 52Week 52-1.37 scores on a scaleStandard Deviation 3.617
Secondary

Number of Participants With Treatment-emergent Adverse Events (TEAEs) During the Double-Blind Period

An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related. An AE could have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. A TEAE was defined as any AE reported for the first time or the worsening of a pre-existing event after the first application of study drug.

Time frame: from the time of Informed Consent Form signing until at least 30 days after the last application of study drug (up to Week 24)

Population: Safety Population: all participants who applied ruxolitinib cream or vehicle cream at least once. Treatment groups for this population were determined according to the actual treatment the participant applied on Day 1.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Double-Blind Period: Ruxolitinib Cream 1.5% BIDNumber of Participants With Treatment-emergent Adverse Events (TEAEs) During the Double-Blind Period101 Participants
Double-Blind Period: Vehicle Cream BIDNumber of Participants With Treatment-emergent Adverse Events (TEAEs) During the Double-Blind Period42 Participants
Secondary

Number of Participants With Treatment-emergent Adverse Events (TEAEs) During the Treatment-Extension Period

An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related. An AE could have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. A TEAE was defined as any AE reported for the first time or the worsening of a pre-existing event after the first application of study drug.

Time frame: from the completion of the Week 24 assessments until at least 30 days after the last application of study drug (up to Week 52 + 30 days)

Population: Treatment-Extension (TE) Evaluable Population: all participants who applied ruxolitinib cream at least once in the TE Period

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Double-Blind Period: Ruxolitinib Cream 1.5% BIDNumber of Participants With Treatment-emergent Adverse Events (TEAEs) During the Treatment-Extension Period65 Participants
Double-Blind Period: Vehicle Cream BIDNumber of Participants With Treatment-emergent Adverse Events (TEAEs) During the Treatment-Extension Period31 Participants
Secondary

Percentage Change From Baseline in Facial Body Surface Area (F-BSA) at Week 24

F-BSA involvement was the proportion of the facial body surface area with vitiligo. The area Face was defined as including the area on the forehead to the original hairline, on the cheek to the jawline vertically to the jawline and laterally from the corner of the mouth to the tragus. The area Face did not include surface area of the lips, scalp, ears, or neck, but included the nose and eyelids. Body surface area assessment was performed by the Palmar Method. Body surface area was estimated to the nearest 0.1%. The approximate size of the participant's entire palmar surface (i.e., the palm plus 5 digits) was considered as 1% BSA, and the approximate size of the participant's thumb was considered as 0.1% BSA. Percentage change = (\[post-Baseline (BL) value minus BL value\]/BL value) X 100.

Time frame: Baseline; Week 24

Population: ITT Population. Missing F-BSA scores were imputed by Multiple Imputation with Fully Conditional Specification. The multiple imputation method used treatment and observed stratification factors as predicators.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage Change From Baseline in Facial Body Surface Area (F-BSA) at Week 24-28.9 percentage changeStandard Error 2.22
Double-Blind Period: Vehicle Cream BIDPercentage Change From Baseline in Facial Body Surface Area (F-BSA) at Week 24-9.5 percentage changeStandard Error 3.25
p-value: <0.000195% CI: [-27.05, -11.64]ANCOVA
Secondary

Percentage Change From Baseline in F-BSA at Week 52

F-BSA involvement was the proportion of the facial body surface area with vitiligo. The area Face was defined as including the area on the forehead to the original hairline, on the cheek to the jawline vertically to the jawline and laterally from the corner of the mouth to the tragus. The area Face did not include surface area of the lips, scalp, ears, or neck, but included the nose and eyelids. Body surface area assessment was performed by the Palmar Method. Body surface area was estimated to the nearest 0.1%. The approximate size of the participant's entire palmar surface (i.e., the palm plus 5 digits) was considered as 1% BSA, and the approximate size of the participant's thumb was considered as 0.1% BSA. Percentage change = (\[post-BL value minus BL value\]/BL value) X 100.

Time frame: Baseline; Week 52

Population: ITT Population. Only participants with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage Change From Baseline in F-BSA at Week 52-44.87 percentage changeStandard Deviation 43.954
Double-Blind Period: Vehicle Cream BIDPercentage Change From Baseline in F-BSA at Week 52-32.40 percentage changeStandard Deviation 30.068
Secondary

Percentage Change From Baseline in F-VASI at Week 24

F-VASI was measured by the percentage of vitiligo involvement (percentage of BSA) and the degree of depigmentation: 0% (no depigmentation), 10% (only specks of depigmentation), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment), or 100% (no pigment). The percentage of BSA (hand unit) vitiligo involvement was estimated to the nearest 0.1% by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate the percentage of BSA vitiligo involvement. 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). Percentage change = (\[post-BL value minus BL value\]/BL value) X 100.

Time frame: Baseline; Week 24

Population: ITT Population. Only participants with available data were analyzed. MMRM model: (Response Variable = Treatment + Stratification Factors \[Skin Type Fitzpatrick Scale Type I and II versus Type III, IV, V, and VI, Region North America/Europe\] + Visit + Treatment\*Visit).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage Change From Baseline in F-VASI at Week 24-47.79 percentage changeStandard Error 2.43
Double-Blind Period: Vehicle Cream BIDPercentage Change From Baseline in F-VASI at Week 24-17.18 percentage changeStandard Error 3.53
p-value: <0.000195% CI: [-39.03, -22.19]mixed-effect model; repeated measurement
Secondary

Percentage Change From Baseline in F-VASI at Week 52

F-VASI was measured by the percentage of vitiligo involvement (percentage of BSA) and the degree of depigmentation: 0% (no depigmentation), 10% (only specks of depigmentation), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment), or 100% (no pigment). The percentage of BSA (hand unit) vitiligo involvement was estimated to the nearest 0.1% by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate the percentage of BSA vitiligo involvement. 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). Percentage change = (\[post-BL value minus BL value\]/BL value) X 100.

Time frame: Baseline; Week 52

Population: ITT Population. Only participants with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage Change From Baseline in F-VASI at Week 52-67.24 percentage changeStandard Deviation 33.66
Double-Blind Period: Vehicle Cream BIDPercentage Change From Baseline in F-VASI at Week 52-52.98 percentage changeStandard Deviation 30.174
Secondary

Percentage Change From Baseline in T-BSA at Week 24

T-BSA involvement was the proportion of the body surface area with vitiligo. Body surface area assessment was performed by the Palmar Method. Body surface area was estimated to the nearest 0.1%. The approximate size of the participant's entire palmar surface (i.e., the palm plus 5 digits) was considered as 1% BSA, and the approximate size of the participant's thumb was considered as 0.1% BSA. Percentage change = (\[post-BL value minus BL value\]/BL value) X 100.

Time frame: Baseline; Week 24

Population: ITT Population. Only participants with available data were analyzed. MMRM model: (Response Variable = Treatment + Stratification Factors \[Skin Type Fitzpatrick scale Type I and II vs Type III, IV, V, and VI, Region North America/Europe\] + Visit + Treatment\*Visit).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage Change From Baseline in T-BSA at Week 24-13.08 percentage changeStandard Error 1.4
Double-Blind Period: Vehicle Cream BIDPercentage Change From Baseline in T-BSA at Week 24-4.02 percentage changeStandard Error 2.05
p-value: 0.000395% CI: [-13.96, -4.18]mixed-effect model; repeated measurement
Secondary

Percentage Change From Baseline in T-BSA at Week 52

T-BSA involvement was the proportion of the body surface area with vitiligo. Body surface area assessment was performed by the Palmar Method. Body surface area was estimated to the nearest 0.1%. The approximate size of the participant's entire palmar surface (i.e., the palm plus 5 digits) was considered as 1% BSA, and the approximate size of the participant's thumb was considered as 0.1% BSA. Percentage change = (\[post-BL value minus BL value\]/BL value) X 100.

Time frame: Baseline; Week 52

Population: ITT Population. Only participants with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage Change From Baseline in T-BSA at Week 52-27.39 percentage changeStandard Deviation 25.705
Double-Blind Period: Vehicle Cream BIDPercentage Change From Baseline in T-BSA at Week 52-11.83 percentage changeStandard Deviation 34.654
Secondary

Percentage Change From Baseline in T-VASI at Week 24

T-VASI was calculated with contributions from 6 sites. The percentage of vitiligo involvement was estimated in hand units (percentage of BSA estimated to nearest 0.1%) by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate percent BSA vitiligo involvement. The degree of depigmentation for each site was estimated to the nearest percentage: 0% (no depigmentation present), 10% (only specks of depigmentation present), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment present), 100% (no pigment present). T-VASI was then derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each site and summing the values (range: 0-100; lower scores indicate increased improvement). Percentage change = (\[post-BL value minus BL value\]/BL value) X 100.

Time frame: Baseline; Week 24

Population: ITT Population. Only participants with available data were analyzed. MMRM model: (Response Variable = Treatment + Stratification Factors \[Skin Type Fitzpatrick scale Type I and II vs Type III, IV, V, and VI, Region North America/Europe\] + Visit + Treatment\*Visit).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage Change From Baseline in T-VASI at Week 24-27.60 percentage changeStandard Error 1.81
Double-Blind Period: Vehicle Cream BIDPercentage Change From Baseline in T-VASI at Week 24-10.62 percentage changeStandard Error 2.64
p-value: <0.000195% CI: [-23.28, -10.68]mixed-effect model; repeated measurement
Secondary

Percentage Change From Baseline in T-VASI at Week 52

T-VASI was calculated with contributions from 6 sites. The percentage of vitiligo involvement was estimated in hand units (percentage of BSA estimated to nearest 0.1%) by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate percent BSA vitiligo involvement. The degree of depigmentation for each site was estimated to the nearest percentage: 0% (no depigmentation present), 10% (only specks of depigmentation present), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment present), 100% (no pigment present). T-VASI was then derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each site and summing the values (range: 0-100; lower scores indicate increased improvement). Percentage change = (\[post-BL value minus BL value\]/BL value) X 100.

Time frame: Baseline; Week 52

Population: ITT Population. Only participants with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage Change From Baseline in T-VASI at Week 52-49.23 percentage changeStandard Deviation 26.366
Double-Blind Period: Vehicle Cream BIDPercentage Change From Baseline in T-VASI at Week 52-29.85 percentage changeStandard Deviation 37.832
Secondary

Percentage of Participants Achieving a ≥ %25, ≥ %50, ≥ 75%, and ≥ 90% Improvement in the Face Vitiligo Area Scoring Index (F-VASI25/50/75/90) Score at Week 52

An F-VASI25/50/75/90 responder achieved at least 25/50/75/90% improvement from Baseline in F-VASI, measured by the percentage of vitiligo involvement (percentage of BSA) and the degree of depigmentation: 0% (no depigmentation), 10% (only specks of depigmentation), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment), or 100% (no pigment). The percentage of BSA (hand unit) vitiligo involvement was estimated to the nearest 0.1% by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate the percentage of BSA vitiligo involvement. 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).

Time frame: Baseline; Week 52

Population: ITT Population. Only participants with available data were analyzed.

ArmMeasureGroupValue (NUMBER)
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ %25, ≥ %50, ≥ 75%, and ≥ 90% Improvement in the Face Vitiligo Area Scoring Index (F-VASI25/50/75/90) Score at Week 52F-VASI2589.6 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ %25, ≥ %50, ≥ 75%, and ≥ 90% Improvement in the Face Vitiligo Area Scoring Index (F-VASI25/50/75/90) Score at Week 52F-VASI5075.1 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ %25, ≥ %50, ≥ 75%, and ≥ 90% Improvement in the Face Vitiligo Area Scoring Index (F-VASI25/50/75/90) Score at Week 52F-VASI7552.6 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ %25, ≥ %50, ≥ 75%, and ≥ 90% Improvement in the Face Vitiligo Area Scoring Index (F-VASI25/50/75/90) Score at Week 52F-VASI9032.9 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ %25, ≥ %50, ≥ 75%, and ≥ 90% Improvement in the Face Vitiligo Area Scoring Index (F-VASI25/50/75/90) Score at Week 52F-VASI9012.2 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ %25, ≥ %50, ≥ 75%, and ≥ 90% Improvement in the Face Vitiligo Area Scoring Index (F-VASI25/50/75/90) Score at Week 52F-VASI2574.4 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ %25, ≥ %50, ≥ 75%, and ≥ 90% Improvement in the Face Vitiligo Area Scoring Index (F-VASI25/50/75/90) Score at Week 52F-VASI7526.8 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ %25, ≥ %50, ≥ 75%, and ≥ 90% Improvement in the Face Vitiligo Area Scoring Index (F-VASI25/50/75/90) Score at Week 52F-VASI5056.1 percentage of participants
Secondary

Percentage of Participants Achieving a ≥ 25%, ≥ 50%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/50/75/90) Score at Week 52

A T-VASI25/50/75/90 responder achieved ≥25/50/75/90% improvement from Baseline in T-VASI, calculated with contributions from 6 sites. The percentage of vitiligo involvement was estimated in hand units (percentage of BSA estimated to nearest 0.1%) by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate percent BSA vitiligo involvement. The degree of depigmentation for each site was estimated to the nearest percentage: 0% (no depigmentation present), 10% (only specks of depigmentation present), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment present), 100% (no pigment present). T-VASI was then derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each site and summing the values (range: 0-100; lower scores indicate increased improvement).

Time frame: Baseline; Week 52

Population: ITT Population. Only participants with available data were analyzed.

ArmMeasureGroupValue (NUMBER)
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ 25%, ≥ 50%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/50/75/90) Score at Week 52T-VASI2577.5 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ 25%, ≥ 50%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/50/75/90) Score at Week 52T-VASI5053.2 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ 25%, ≥ 50%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/50/75/90) Score at Week 52T-VASI7520.2 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ 25%, ≥ 50%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/50/75/90) Score at Week 52T-VASI903.5 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ 25%, ≥ 50%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/50/75/90) Score at Week 52T-VASI902.4 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ 25%, ≥ 50%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/50/75/90) Score at Week 52T-VASI2556.1 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ 25%, ≥ 50%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/50/75/90) Score at Week 52T-VASI759.8 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ 25%, ≥ 50%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/50/75/90) Score at Week 52T-VASI5031.7 percentage of participants
Secondary

Percentage of Participants Achieving a ≥ 25%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/75/90) Score at Week 24

A T-VASI25/75/90 responder achieved at least 25/75/90% improvement from Baseline in T-VASI, calculated with contributions from 6 sites. The percentage of vitiligo involvement was estimated in hand units (percentage of BSA estimated to nearest 0.1%) by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate percent BSA vitiligo involvement. The degree of depigmentation for each site was estimated to the nearest percentage: 0% (no depigmentation present), 10% (only specks of depigmentation present), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment present), 100% (no pigment present). T-VASI was then derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each site and summing the values (range: 0-100; lower scores indicate increased improvement).

Time frame: Baseline; Week 24

Population: ITT Population. Missing T-VASI scores were imputed by Multiple Imputation with Fully Conditional Specification. The multiple imputation method used treatment and observed stratification factors as predicators.

ArmMeasureGroupValue (NUMBER)
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ 25%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/75/90) Score at Week 24T-VASI2548.8 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ 25%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/75/90) Score at Week 24T-VASI754.1 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ 25%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/75/90) Score at Week 24T-VASI900.5 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ 25%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/75/90) Score at Week 24T-VASI2523.8 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ 25%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/75/90) Score at Week 24T-VASI751.8 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ 25%, ≥ 75%, and ≥ 90% Improvement in the Total Body Vitiligo Area Scoring Index (T-VASI25/75/90) Score at Week 24T-VASI900.0 percentage of participants
Comparison: T-VASI25p-value: <0.000195% CI: [1.746, 5.307]exact logistic regression
Comparison: T-VASI75p-value: 0.292195% CI: [0.489, 10.823]exact logistic regression
Comparison: T-VASI90
Secondary

Percentage of Participants Achieving a ≥ 25% Improvement in the Face Vitiligo Area Scoring Index (F-VASI25) Score at Week 24

An F-VASI25 responder achieved at least 25% improvement from Baseline in F-VASI, measured by the percentage of vitiligo involvement (percentage of BSA) and the degree of depigmentation: 0% (no depigmentation), 10% (only specks of depigmentation), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment), or 100% (no pigment). The percentage of BSA (hand unit) vitiligo involvement was estimated to the nearest 0.1% by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate the percentage of BSA vitiligo involvement. 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).

Time frame: Baseline; Week 24

Population: ITT Population. Missing F-VASI scores were imputed by Multiple Imputation with Fully Conditional Specification. The multiple imputation method used treatment and observed stratification factors as predicators.

ArmMeasureValue (NUMBER)
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ 25% Improvement in the Face Vitiligo Area Scoring Index (F-VASI25) Score at Week 2469.8 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ 25% Improvement in the Face Vitiligo Area Scoring Index (F-VASI25) Score at Week 2430.0 percentage of participants
p-value: <0.000195% CI: [3.226, 9.578]exact logistic regression
Secondary

Percentage of Participants Achieving a ≥ 50% Improvement From Baseline in the Face Vitiligo Area Scoring Index (F-VASI50) Score at Week 24

An F-VASI50 responder achieved at least 50% improvement from Baseline in F-VASI, measured by the percentage of vitiligo involvement (percentage of BSA) and the degree of depigmentation: 0% (no depigmentation), 10% (only specks of depigmentation), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment), or 100% (no pigment). The percentage of BSA (hand unit) vitiligo involvement was estimated to the nearest 0.1% by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate the percentage of BSA vitiligo involvement. 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).

Time frame: Baseline; Week 24

Population: ITT Population. Missing F-VASI scores were imputed by Multiple Imputation with Fully Conditional Specification. The multiple imputation method used treatment and observed stratification factors as predicators.

ArmMeasureValue (NUMBER)
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ 50% Improvement From Baseline in the Face Vitiligo Area Scoring Index (F-VASI50) Score at Week 2451.2 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ 50% Improvement From Baseline in the Face Vitiligo Area Scoring Index (F-VASI50) Score at Week 2416.9 percentage of participants
p-value: <0.000195% CI: [2.831, 9.482]exact logistic regression
Secondary

Percentage of Participants Achieving a ≥ 50% Improvement From Baseline in the Total Body Vitiligo Area Scoring Index (T-VASI50) Score at Week 24

A T-VASI50 responder achieved at least 50% improvement from Baseline in T-VASI, calculated with contributions from 6 sites. The percentage of vitiligo involvement was estimated in hand units (percentage of BSA estimated to the nearest 0.1%) by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate percent BSA vitiligo involvement. The degree of depigmentation for each site was estimated to the nearest percentage: 0% (no depigmentation present), 10% (only specks of depigmentation present), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment present), 100% (no pigment present). T-VASI was then derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each site and summing the values (range: 0-100; lower scores indicate increased improvement).

Time frame: Baseline; Week 24

Population: ITT Population. Missing T-VASI scores were imputed by Multiple Imputation with Fully Conditional Specification. The multiple imputation method used treatment and observed stratification factors as predicators.

ArmMeasureValue (NUMBER)
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ 50% Improvement From Baseline in the Total Body Vitiligo Area Scoring Index (T-VASI50) Score at Week 2420.6 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ 50% Improvement From Baseline in the Total Body Vitiligo Area Scoring Index (T-VASI50) Score at Week 245.1 percentage of participants
p-value: 0.00295% CI: [1.795, 13.566]exact logistic regression
Secondary

Percentage of Participants Achieving a ≥ 90% Improvement From Baseline in the Face Vitiligo Area Scoring Index (F-VASI90) Score at Week 24

An F-VASI90 responder achieved at least 90% improvement from Baseline in F-VASI, measured by the percentage of vitiligo involvement (percentage of BSA) and the degree of depigmentation: 0% (no depigmentation), 10% (only specks of depigmentation), 25% (pigmented area exceeded depigmented area), 50% (depigmented and pigmented area was equal), 75% (depigmented area exceeded pigmented area), 90% (specks of pigment), or 100% (no pigment). The percentage of BSA (hand unit) vitiligo involvement was estimated to the nearest 0.1% by the Investigator using the Palmar Method. The Investigator used his/her hand to mimic the participant's hand size to evaluate the percentage of BSA vitiligo involvement. 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).

Time frame: Baseline; Week 24

Population: ITT Population. Missing F-VASI scores were imputed by Multiple Imputation with Fully Conditional Specification. The multiple imputation method used treatment and observed stratification factors as predicators.

ArmMeasureValue (NUMBER)
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a ≥ 90% Improvement From Baseline in the Face Vitiligo Area Scoring Index (F-VASI90) Score at Week 2415.3 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a ≥ 90% Improvement From Baseline in the Face Vitiligo Area Scoring Index (F-VASI90) Score at Week 242.2 percentage of participants
p-value: 0.003895% CI: [1.997, 36.048]exact logistic regression
Secondary

Percentage of Participants Achieving a Vitiligo Noticeability Scale (VNS) of 4 or 5 at Week 24

The VNS is a patient-reported measure of vitiligo treatment success that is rated on a 5-point scale. The Baseline facial photograph was shown to the participants for reference, and a mirror was provided for the participants to assess the vitiligo on their face. The participant was asked to respond to the following query: Compared with before treatment, how noticeable is the vitiligo now? Responses: (1) more noticeable, (2) as noticeable, (3) slightly less noticeable, (4) a lot less noticeable, and (5) no longer noticeable.

Time frame: Baseline; Week 24

Population: ITT Population. Missing VNS scores were imputed by Multiple Imputation with Fully Conditional Specification. The multiple imputation method used treatment and observed stratification factors as predicators.

ArmMeasureValue (NUMBER)
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants Achieving a Vitiligo Noticeability Scale (VNS) of 4 or 5 at Week 2424.5 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants Achieving a Vitiligo Noticeability Scale (VNS) of 4 or 5 at Week 243.3 percentage of participants
p-value: 0.000295% CI: [2.9, 31.29]exact logistic regression
Secondary

Percentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)

The VNS is a patient-reported measure of vitiligo treatment success that is rated on a 5-point scale. The Baseline facial photograph was shown to the participants for reference, and a mirror was provided for the participants to assess the vitiligo on their face. The participant was asked to respond to the following query: Compared with before treatment, how noticeable is the vitiligo now? Responses: (1) more noticeable, (2) as noticeable, (3) slightly less noticeable, (4) a lot less noticeable, and (5) no longer noticeable.

Time frame: Baseline; Week 24 and Week 52

Population: ITT Population. Only participants with available data were analyzed.

ArmMeasureGroupValue (NUMBER)
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 24, as noticeable17.4 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 24, a lot less noticeable24.1 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 24, slightly less noticeable51.3 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 24, no longer noticeable1.0 percentage of participants
Double-Blind Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 24, more noticeable6.2 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 24, no longer noticeable0.0 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 24, more noticeable14.4 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 24, as noticeable46.7 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 24, slightly less noticeable35.6 percentage of participants
Double-Blind Period: Vehicle Cream BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 24, a lot less noticeable3.3 percentage of participants
Treatment-Extension Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 52, more noticeable4.0 percentage of participants
Treatment-Extension Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 52, as noticeable9.2 percentage of participants
Treatment-Extension Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 52, slightly less noticeable46.8 percentage of participants
Treatment-Extension Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 52, a lot less noticeable39.3 percentage of participants
Treatment-Extension Period: Ruxolitinib Cream 1.5% BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 52, no longer noticeable0.6 percentage of participants
Treatment-Extension Period: Vehicle Cream to Ruxolitinib Cream 1.5% BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 52, slightly less noticeable59.8 percentage of participants
Treatment-Extension Period: Vehicle Cream to Ruxolitinib Cream 1.5% BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 52, more noticeable4.9 percentage of participants
Treatment-Extension Period: Vehicle Cream to Ruxolitinib Cream 1.5% BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 52, no longer noticeable0.0 percentage of participants
Treatment-Extension Period: Vehicle Cream to Ruxolitinib Cream 1.5% BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 52, as noticeable15.9 percentage of participants
Treatment-Extension Period: Vehicle Cream to Ruxolitinib Cream 1.5% BIDPercentage of Participants in Each Category of VNS During the Treatment Period (Double-Blind and Treatment-Extension Periods)Week 52, a lot less noticeable19.5 percentage of participants
Secondary

Trough Plasma Concentrations of Ruxolitinib at Weeks 4, 24, and 40

Trough plasma concentration was defined as the measurement of the plasma concentration of ruxolitinib before drug application.

Time frame: pre-dose at Weeks 4, 24, and 40

Population: Pharmacokinetic/Pharmacodynamic (PK/PD) Evaluable Population: all participants who applied ruxolitinib cream at least once and provided at least 1 postdose blood sample that complied with the Protocol

ArmMeasureGroupValue (MEAN)Dispersion
Double-Blind Period: Ruxolitinib Cream 1.5% BIDTrough Plasma Concentrations of Ruxolitinib at Weeks 4, 24, and 40Week 457.1 nanomolesStandard Deviation 61.4
Double-Blind Period: Ruxolitinib Cream 1.5% BIDTrough Plasma Concentrations of Ruxolitinib at Weeks 4, 24, and 40Week 2456.3 nanomolesStandard Deviation 69.4
Treatment-Extension Period: Ruxolitinib Cream 1.5% BIDTrough Plasma Concentrations of Ruxolitinib at Weeks 4, 24, and 40Week 4055.5 nanomolesStandard Deviation 63.6
Treatment-Extension Period: Vehicle Cream to Ruxolitinib Cream 1.5% BIDTrough Plasma Concentrations of Ruxolitinib at Weeks 4, 24, and 40Week 4050.1 nanomolesStandard Deviation 55.8

Source: ClinicalTrials.gov · Data processed: Feb 11, 2026