NonSegmental Vitiligo
Conditions
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
Placebo or INCB054707 will be administered once daily
Sponsors
Study design
Masking description
Double blinded
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Percent Change From Baseline in Total Vitiligo Area Scoring Index (T-VASI) at Week 24 | Baseline; 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants Achieving T-VASI50 at Week 24 | Baseline; 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. |
| Placebo-controlled Period: Number of Participants With Any Treatment-emergent Adverse Event (TEAE) | 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 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 TEAE | from Week 25 up to Week 76 | 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. |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 171 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| 24-Week Placebo-controlled Period | Adverse Event | 1 | 2 | 0 | 3 |
| 24-Week Placebo-controlled Period | Ineligible to Be Included in the Study Due to Abnormal Coagulation Profile | 0 | 0 | 0 | 1 |
| 24-Week Placebo-controlled Period | Latent Tuberculosis; Unable to Provide Proof of Treatment | 1 | 0 | 0 | 0 |
| 24-Week Placebo-controlled Period | Lost to Follow-up | 3 | 2 | 3 | 1 |
| 24-Week Placebo-controlled Period | Physician Decision | 1 | 0 | 0 | 0 |
| 24-Week Placebo-controlled Period | Protocol Violation | 0 | 0 | 1 | 1 |
| 24-Week Placebo-controlled Period | Subject Terminated by Sponsor | 1 | 0 | 0 | 0 |
| 24-Week Placebo-controlled Period | Use of Prohibited Concomitant Medication | 0 | 0 | 1 | 0 |
| 24-Week Placebo-controlled Period | Withdrawal by Subject | 1 | 1 | 6 | 2 |
| 28-Week Double-blind Extension Period | Adverse Event | 1 | 0 | 1 | 1 |
| 28-Week Double-blind Extension Period | Lost to Follow-up | 1 | 2 | 1 | 1 |
| 28-Week Double-blind Extension Period | Non-compliance | 0 | 1 | 0 | 0 |
| 28-Week Double-blind Extension Period | Non-compliance with Study Drug | 0 | 1 | 0 | 0 |
| 28-Week Double-blind Extension Period | Scheduling Conflicts | 0 | 0 | 0 | 1 |
| 28-Week Double-blind Extension Period | Withdrawal by Subject | 0 | 3 | 4 | 3 |
Baseline characteristics
| Characteristic | Povorcitinib 15 mg | Povorcitinib 45 mg | Placebo | Povorcitinib 75 mg | Total |
|---|---|---|---|---|---|
| Age, Continuous | 45.9 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 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Asian | 4 Participants | 0 Participants | 2 Participants | 7 Participants | 13 Participants |
| Race/Ethnicity, Customized Bangladeshi | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Black/African-American | 3 Participants | 1 Participants | 2 Participants | 3 Participants | 9 Participants |
| Race/Ethnicity, Customized Captured as Hispanic in Database | 0 Participants | 0 Participants | 0 Participants | 2 Participants | 2 Participants |
| Race/Ethnicity, Customized Captured as Hispanic/Latino in Database | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Columbian | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized Did Not Identify with Options Provided | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized East Indian | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Egyptian | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Hispanic or Latino | 6 Participants | 11 Participants | 8 Participants | 7 Participants | 32 Participants |
| Race/Ethnicity, Customized Mexican | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Mexican American | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Middle Eastern | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 2 Participants |
| Race/Ethnicity, Customized Mixed | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Not Hispanic or Latino | 36 Participants | 32 Participants | 35 Participants | 34 Participants | 137 Participants |
| Race/Ethnicity, Customized Not Reported | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized South African | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized South American | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized White and Asian-Non-Japanese | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized White/Black | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized White/Caucasian | 32 Participants | 38 Participants | 34 Participants | 28 Participants | 132 Participants |
| Sex: Female, Male Female | 29 Participants | 21 Participants | 24 Participants | 19 Participants | 93 Participants |
| Sex: Female, Male Male | 14 Participants | 22 Participants | 19 Participants | 23 Participants | 78 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 type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 42 | 0 / 43 | 0 / 41 | 0 / 114 |
| other Total, other adverse events | 19 / 42 | 22 / 43 | 24 / 41 | 69 / 114 |
| serious Total, serious adverse events | 1 / 42 | 0 / 43 | 1 / 41 | 1 / 114 |
Outcome results
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.
| Arm | Measure | Value (GEOMETRIC_LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Percent Change From Baseline in Total Vitiligo Area Scoring Index (T-VASI) at Week 24 | 2.29 percent change | Standard Error 4.81 |
| Povorcitinib 15 mg | Percent Change From Baseline in Total Vitiligo Area Scoring Index (T-VASI) at Week 24 | -19.12 percent change | Standard Error 4.56 |
| Povorcitinib 45 mg | Percent Change From Baseline in Total Vitiligo Area Scoring Index (T-VASI) at Week 24 | -17.78 percent change | Standard Error 4.87 |
| Povorcitinib 75 mg | Percent Change From Baseline in Total Vitiligo Area Scoring Index (T-VASI) at Week 24 | -15.73 percent change | Standard Error 4.74 |
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
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Placebo | Extension Period: Number of Participants With Any TEAE | 27 Participants |
| Povorcitinib 15 mg | Extension Period: Number of Participants With Any TEAE | 28 Participants |
| Povorcitinib 45 mg | Extension Period: Number of Participants With Any TEAE | 21 Participants |
| Povorcitinib 75 mg | Extension Period: Number of Participants With Any TEAE | 31 Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants Achieving T-VASI50 at Week 24 | 2.3 percentage of participants |
| Povorcitinib 15 mg | Percentage of Participants Achieving T-VASI50 at Week 24 | 9.3 percentage of participants |
| Povorcitinib 45 mg | Percentage of Participants Achieving T-VASI50 at Week 24 | 11.6 percentage of participants |
| Povorcitinib 75 mg | Percentage of Participants Achieving T-VASI50 at Week 24 | 4.8 percentage of participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Placebo | Placebo-controlled Period: Number of Participants With Any Treatment-emergent Adverse Event (TEAE) | 24 Participants |
| Povorcitinib 15 mg | Placebo-controlled Period: Number of Participants With Any Treatment-emergent Adverse Event (TEAE) | 29 Participants |
| Povorcitinib 45 mg | Placebo-controlled Period: Number of Participants With Any Treatment-emergent Adverse Event (TEAE) | 30 Participants |
| Povorcitinib 75 mg | Placebo-controlled Period: Number of Participants With Any Treatment-emergent Adverse Event (TEAE) | 35 Participants |