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A Study to Evaluate the Efficacy and Safety of INCB054707 in Participants With Vitiligo

A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Dose Ranging Study of the Efficacy and Safety of INCB054707 Followed by an Extension Period in Participants With Vitiligo

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04818346
Enrollment
171
Registered
2021-03-26
Start date
2021-05-06
Completion date
2023-05-24
Last updated
2024-04-11

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

Conditions

NonSegmental Vitiligo

Brief summary

The purpose of this study is to evaluate the efficacy and safety of INCB054707 over a 24-week placebo-controlled double-blind treatment period, followed by a 28-week double-blind extension period in participants with nonsegmental vitiligo.

Interventions

INCB054707 will be administered once daily

DRUGPlacebo

Placebo or INCB054707 will be administered once daily

Sponsors

Incyte Corporation
Lead SponsorINDUSTRY

Study design

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

Masking description

Double blinded

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Clinical diagnosis of nonsegmental vitiligo. * History of prior vitiligo treatment with a total duration of at least 3 months. * Agreement to discontinue all agents and procedures used to treat vitiligo from screening through the final safety follow-up visit. * Willingness to avoid pregnancy or fathering children * Further inclusion criteria apply.

Exclusion criteria

* Other forms of vitiligo (eg, segmental) or other skin depigmentation disorders. * Uncontrolled thyroid function at screening as determined by the investigator. * Women who are pregnant (or who are considering pregnancy) or lactating. * Medical history including thrombocytopenia, coagulopathy or platelet dysfunction, Q-wave interval abnormalities, current or history of certain infections, cancer, lymphoproliferative disorders and other medical conditions at the discretion of the investigator. * Have evidence of active or latent or inadequately treated infection with Mycobacterium tuberculosis. * Participants known to be infected with HIV, Hepatitis B, or Hepatitis C. * Laboratory values outside of the protocol-defined ranges. * Further

Design outcomes

Primary

MeasureTime frameDescription
Percent Change From Baseline in Total Vitiligo Area Scoring Index (T-VASI) at Week 24Baseline; Week 24The T-VASI was calculated based on values from the whole body, which was split into 6 separate and mutually exclusive regions (possible range: 0-100; higher values=worse outcome). The percentage of vitiligo involvement was estimated in hand units (% body surface area \[BSA\]; investigator assessed), based on the participant's hand size. The degree of depigmentation for each body site was determined and estimated to the nearest percentage: 0%, 10%, 25%, 50%, 75%, 90%, or 100%. The T-VASI was derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each body site and summing the values of all body sites. Percent change was calculated as (\[post-Baseline value minus the Baseline value\] / Baseline value) x 100.

Secondary

MeasureTime frameDescription
Percentage of Participants Achieving T-VASI50 at Week 24Baseline; Week 24T-VASI50 was defined as a 50% or greater reduction from Baseline in T-VASI. The T-VASI was calculated based on values from the whole body, which was split into 6 separate and mutually exclusive body regions (possible range: 0-100; higher values=worse outcome). The percentage of vitiligo involvement was estimated in hand units (% body surface area \[BSA\]; investigator assessed), based on the participant's hand size. The degree of depigmentation for each body site was determined and estimated to the nearest percentage: 0%, 10%, 25%, 50%, 75%, 90%, or 100%. The T-VASI was derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each body site and summing the values of all body sites.
Placebo-controlled Period: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)up to Week 24An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it was considered drug related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of the study drug. A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of study drug until the end of the safety follow-up period.
Extension Period: Number of Participants With Any TEAEfrom Week 25 up to Week 76An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it was considered drug related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of the study drug. A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of study drug until the end of the safety follow-up period.

Countries

Canada, United States

Participant flow

Pre-assignment details

This study was conducted in 28 sites in Canada and the United States.

Participants by arm

ArmCount
Placebo
Participants received matching placebo QD for 24 weeks (placebo-controlled period). Participants who completed the Week 24 visit received oral povorcitinib 75 mg QD for an additional 28 weeks (double-blind extension period).
43
Povorcitinib 15 mg
Participants received oral povorcitinib 15 milligrams (mg) once daily (QD) for 24 weeks (placebo-controlled period). Participants who completed the Week 24 visit received oral povorcitinib 75 mg QD for 28 weeks (double-blind extension period).
43
Povorcitinib 45 mg
Participants received oral povorcitinib 45 mg QD for 24 weeks (placebo-controlled period). Participants who completed the Week 24 visit received oral povorcitinib 45 mg QD for an additional 28 weeks (double-blind extension period).
43
Povorcitinib 75 mg
Participants received oral povorcitinib 75 mg QD for 24 weeks (placebo-controlled period). Participants who completed the Week 24 visit received oral povorcitinib 75 mg QD for an additional 28 weeks (double-blind extension period.
42
Total171

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
24-Week Placebo-controlled PeriodAdverse Event1203
24-Week Placebo-controlled PeriodIneligible to Be Included in the Study Due to Abnormal Coagulation Profile0001
24-Week Placebo-controlled PeriodLatent Tuberculosis; Unable to Provide Proof of Treatment1000
24-Week Placebo-controlled PeriodLost to Follow-up3231
24-Week Placebo-controlled PeriodPhysician Decision1000
24-Week Placebo-controlled PeriodProtocol Violation0011
24-Week Placebo-controlled PeriodSubject Terminated by Sponsor1000
24-Week Placebo-controlled PeriodUse of Prohibited Concomitant Medication0010
24-Week Placebo-controlled PeriodWithdrawal by Subject1162
28-Week Double-blind Extension PeriodAdverse Event1011
28-Week Double-blind Extension PeriodLost to Follow-up1211
28-Week Double-blind Extension PeriodNon-compliance0100
28-Week Double-blind Extension PeriodNon-compliance with Study Drug0100
28-Week Double-blind Extension PeriodScheduling Conflicts0001
28-Week Double-blind Extension PeriodWithdrawal by Subject0343

Baseline characteristics

CharacteristicPovorcitinib 15 mgPovorcitinib 45 mgPlaceboPovorcitinib 75 mgTotal
Age, Continuous45.9 years
STANDARD_DEVIATION 11.56
50.2 years
STANDARD_DEVIATION 11.61
48.6 years
STANDARD_DEVIATION 12.92
50.5 years
STANDARD_DEVIATION 11.69
48.8 years
STANDARD_DEVIATION 11.99
Race/Ethnicity, Customized
African-European
0 Participants0 Participants1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Asian
4 Participants0 Participants2 Participants7 Participants13 Participants
Race/Ethnicity, Customized
Bangladeshi
1 Participants0 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Black/African-American
3 Participants1 Participants2 Participants3 Participants9 Participants
Race/Ethnicity, Customized
Captured as Hispanic in Database
0 Participants0 Participants0 Participants2 Participants2 Participants
Race/Ethnicity, Customized
Captured as Hispanic/Latino in Database
0 Participants0 Participants1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Columbian
0 Participants0 Participants0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Did Not Identify with Options Provided
1 Participants0 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
East Indian
0 Participants0 Participants1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Egyptian
0 Participants1 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Hispanic or Latino
6 Participants11 Participants8 Participants7 Participants32 Participants
Race/Ethnicity, Customized
Mexican
0 Participants1 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Mexican American
0 Participants0 Participants1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Middle Eastern
1 Participants1 Participants0 Participants0 Participants2 Participants
Race/Ethnicity, Customized
Mixed
1 Participants0 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
36 Participants32 Participants35 Participants34 Participants137 Participants
Race/Ethnicity, Customized
Not Reported
0 Participants0 Participants0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
South African
1 Participants0 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
South American
0 Participants0 Participants0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White and Asian-Non-Japanese
0 Participants1 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
White/Black
0 Participants0 Participants1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
White/Caucasian
32 Participants38 Participants34 Participants28 Participants132 Participants
Sex: Female, Male
Female
29 Participants21 Participants24 Participants19 Participants93 Participants
Sex: Female, Male
Male
14 Participants22 Participants19 Participants23 Participants78 Participants
Total Vitiligo Area Scoring Index (T-VASI)27.13 scores on a scale
STANDARD_DEVIATION 20.085
23.64 scores on a scale
STANDARD_DEVIATION 19.758
28.31 scores on a scale
STANDARD_DEVIATION 21.481
22.65 scores on a scale
STANDARD_DEVIATION 14.244
25.45 scores on a scale
STANDARD_DEVIATION 19.094

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 420 / 430 / 410 / 114
other
Total, other adverse events
19 / 4222 / 4324 / 4169 / 114
serious
Total, serious adverse events
1 / 420 / 431 / 411 / 114

Outcome results

Primary

Percent Change From Baseline in Total Vitiligo Area Scoring Index (T-VASI) at Week 24

The T-VASI was calculated based on values from the whole body, which was split into 6 separate and mutually exclusive regions (possible range: 0-100; higher values=worse outcome). The percentage of vitiligo involvement was estimated in hand units (% body surface area \[BSA\]; investigator assessed), based on the participant's hand size. The degree of depigmentation for each body site was determined and estimated to the nearest percentage: 0%, 10%, 25%, 50%, 75%, 90%, or 100%. The T-VASI was derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each body site and summing the values of all body sites. Percent change was calculated as (\[post-Baseline value minus the Baseline value\] / Baseline value) x 100.

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 randomization. Mixed-effect model for repeated measures (MMRM) model: (percent change from Baseline = treatment + stratification factor \[T-BSA involvement 8%-20%/\>20%\] + visit + treatment\*visit + Baseline measurement + Baseline measurement\*visit). Only participants with available data were analyzed.

ArmMeasureValue (GEOMETRIC_LEAST_SQUARES_MEAN)Dispersion
PlaceboPercent Change From Baseline in Total Vitiligo Area Scoring Index (T-VASI) at Week 242.29 percent changeStandard Error 4.81
Povorcitinib 15 mgPercent Change From Baseline in Total Vitiligo Area Scoring Index (T-VASI) at Week 24-19.12 percent changeStandard Error 4.56
Povorcitinib 45 mgPercent Change From Baseline in Total Vitiligo Area Scoring Index (T-VASI) at Week 24-17.78 percent changeStandard Error 4.87
Povorcitinib 75 mgPercent Change From Baseline in Total Vitiligo Area Scoring Index (T-VASI) at Week 24-15.73 percent changeStandard Error 4.74
p-value: 0.001595% CI: [-34.49, -8.32]Mixed Model Repeated Measures (MMRM)
p-value: 0.00495% CI: [-33.63, -6.51]MMRM
p-value: 0.008695% CI: [-31.4, -4.64]MMRM
Secondary

Extension Period: Number of Participants With Any TEAE

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

Time frame: from Week 25 up to Week 76

Population: Extension Evaluable Population: all participants who received at least 1 dose of povorcitinib during the double-blind extension period

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboExtension Period: Number of Participants With Any TEAE27 Participants
Povorcitinib 15 mgExtension Period: Number of Participants With Any TEAE28 Participants
Povorcitinib 45 mgExtension Period: Number of Participants With Any TEAE21 Participants
Povorcitinib 75 mgExtension Period: Number of Participants With Any TEAE31 Participants
Secondary

Percentage of Participants Achieving T-VASI50 at Week 24

T-VASI50 was defined as a 50% or greater reduction from Baseline in T-VASI. The T-VASI was calculated based on values from the whole body, which was split into 6 separate and mutually exclusive body regions (possible range: 0-100; higher values=worse outcome). The percentage of vitiligo involvement was estimated in hand units (% body surface area \[BSA\]; investigator assessed), based on the participant's hand size. The degree of depigmentation for each body site was determined and estimated to the nearest percentage: 0%, 10%, 25%, 50%, 75%, 90%, or 100%. The T-VASI was derived by multiplying the values assessed for the vitiligo involvement by the percentage of affected skin for each body site and summing the values of all body sites.

Time frame: Baseline; Week 24

Population: Intent-to-Treat Population. The 95% confidence interval was based on the Clopper-Pearson exact method. Only participants with available data were analyzed.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Achieving T-VASI50 at Week 242.3 percentage of participants
Povorcitinib 15 mgPercentage of Participants Achieving T-VASI50 at Week 249.3 percentage of participants
Povorcitinib 45 mgPercentage of Participants Achieving T-VASI50 at Week 2411.6 percentage of participants
Povorcitinib 75 mgPercentage of Participants Achieving T-VASI50 at Week 244.8 percentage of participants
p-value: 0.357495% CI: [0.398, 220.998]Wald test
p-value: 0.199295% CI: [0.573, 273.479]Wald test
p-value: 0.991395% CI: [0.103, 126.386]Wald test
Secondary

Placebo-controlled Period: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)

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

Time frame: up to Week 24

Population: Safety Population: all participants who received at least 1 dose of study drug. Treatment groups for this population were to have been determined according to the actual treatment the participant received on Day 1.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboPlacebo-controlled Period: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)24 Participants
Povorcitinib 15 mgPlacebo-controlled Period: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)29 Participants
Povorcitinib 45 mgPlacebo-controlled Period: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)30 Participants
Povorcitinib 75 mgPlacebo-controlled Period: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)35 Participants

Source: ClinicalTrials.gov · Data processed: Aug 10, 2026